JustSomeNp @justsome_np Twitter profile | Pikagi

Pikagi

JustSomeNp

@justsome_np

933

Followers

4,153

Following

531

Media

13,739

Statuses

Father of 1 lil Salvadorish princess. Mimbres-born, Appalachia-forged, Chesapeake-finished. Radically moderate takes. PCP in private practice, Hx: Trauma/ER/CCT

California

Joined August 2021

Don't wanna be here? Send us removal request.

Pinned Tweet

@justsome_np

JustSomeNp

5 days

There is a guy out there walking around somewhere with a d*ck that he only still has cuz I called a friend on the rescue squad to come bring the heavy tools by the ER &pulled some real MacGyver shît that ended up saving his appendage😳 No I will not be elaborating on this at all

@BigMeanInternet

Malcolm Harris

@BigMeanInternet

8 days

What's something in the world you know you're directly responsible for but if you were to claim credit you'd sound crazy?

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@justsome_np

JustSomeNp

6 months

@RyanMarino Given that there was apparently no medical reason for her 2b admitted while she waited to pass the products of conception (assuming no complications), what exactly was she supposed to do? I’m honestly confused as to what option she even had? Just hope this doesn’t stand in court

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@justsome_np

JustSomeNp

1 year

@jacasiegel Did my dad (who follows me) ask you to tweet this

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@justsome_np

JustSomeNp

1 year

@JoePostingg @DrewSav This is @PlanetFitness I already kno. They billed me for 4 years after I cancelled an ex’s membership, claimed I never signed the form even though I did. @PlanetFitness is the biggest scam that is still legal in the USA

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@justsome_np

JustSomeNp

3 years

@washingtonpost Only favored children of media executives need apply

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@justsome_np

JustSomeNp

3 years

@EMeadeMD @SpiroAgnewGhost My wife got her vaccine with all of us frontline workers in January, about one month after her last period, with no idea we were pregnant. Our baby is happy and healthy and safe in large part because she got the vaccine unwittingly while pregnant prior to its approval &Thank God

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@justsome_np

JustSomeNp

2 years

@EinherjarDO I try to use the term “hearty starty” as much as possible

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@justsome_np

JustSomeNp

10 months

Physicians truly are not overpaid, trust me on this one yall The gross salary may seem large but after a decade as an RN at large academic hospitals I can tell you that I often made *>double* what resident MDs made in the ER &worked *half* their hours… for *4YRS* of residency👀

@olsonplanner

Tyler Olson

10 months

Because they spent over a decade to learn. Because they made $12/hour for years (as physicians). Because they put their training ahead of many valuable life goals. Because they’re on call throughout their working years. Because they advocate for us. Because they save lives.

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@justsome_np

JustSomeNp

1 year

@NurseOSavage For instance, ppl in psychosis become victims of rape much more frequently than the gen pop for a variety of reasons, yet are less likely to be believed despite the increased likelihood of the occurrence

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@justsome_np

JustSomeNp

2 years

@squirebrocoRN Sadly have seem this exact situation/injuries happen to a female coworker, then had to watch the hero male colleague who literally threw the patient out the door into some bushes (as security just watched it go down obvi) get fired an hour later for defending her. Heartbreaking

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@justsome_np

JustSomeNp

4 months

@HollyBiology Out of all things Paxlovid is just such a weird drug to hate on too, just strictly empirically speaking, risk / benefit wise

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@justsome_np

JustSomeNp

2 years

@pschofie79 Ok this is one of the few times when the 1984 comparisons are pretty apt

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@justsome_np

JustSomeNp

11 months

@monitoringbias When I was growing up ranching cattle I brought a new Aussie pup home one day expecting to train him to work the farm, since he had just been weaned… First morning woke up to see all the cows lined up head to tail against the fence going into the barn, pup nipping at the heels

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@justsome_np

JustSomeNp

2 years

@ssmazzon @AttorneyCrump This is the most incredible ratio I’ve seen in so long. 240+ comments Noh a single like. Bravo, really

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@justsome_np

JustSomeNp

11 months

@TPP_MD I have ran into this dynamic at several points in my career, where bc ppl like me personally they were hesitant to criticize me or point out areas for improvement. I’ve found that actively soliciting feedback from superiors makes them feel more comfortable sharing objectively

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@justsome_np

JustSomeNp

1 year

@zukosmadre So have you just only lived in cities or what? You realize that all animals came from “outside” right??? Country ppl have barn cats that live happy lives for decades. Obviously I would not let my cat run around NYC & some of the indoor ones I’ve had wounds died in <10min

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@justsome_np

JustSomeNp

1 year

@FischerKing64 My family in San Salvador friggin love him, they say the city is so much safer already, that is all I know

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@justsome_np

JustSomeNp

2 years

Ok so this is my kinda socialism right here.

@GovRonDeSantis

Ron DeSantis

@GovRonDeSantis

2 years

Florida is providing $100 million to provide down payments and closing cost assistance to more than 50 professions when buying their first home. Beneficiaries include police, nurses and teachers.

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@justsome_np

JustSomeNp

1 year

Maryland has already professionalized it’s State Troopers, requiring bachelors degrees and giving them the type of pay anbennies you can raise a family comfortably with. Local MD County Sherrifs get ≈minimum wage. Difference in professionalism during my encounters was shocking

@Noahpinion

Noah Smith 🐇🇺🇸🇺🇦

1 year

More and more, I'm convinced that the big policing reform we need is to professionalize the police, through massively increased training requirements and higher education levels.

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@justsome_np

JustSomeNp

1 year

@TG22110 San Joaquin Valley, CA Sandhill cranes

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@justsome_np

JustSomeNp

1 year

@Bernstein My soul hurts for the young men who grow up convinced that any of those gurus know the first thing about what is required to become a stable, secure, honorable man

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@justsome_np

JustSomeNp

3 years

@LazarusLong13 My hospital bought us all our own PAPRs (n100 powered HEPA) at the beginning of the pandemic when we started having supply chain problems with n95s. Saved a ton of lives and money. My coworkers still got covid, but it wasn’t from work lol

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@justsome_np

JustSomeNp

2 years

@clairlemon Yeah obviously public debate is cool and is good and all but that’s how you settle philosophical, political, legal disputes. To settle scientific questions, you publish research and have it reviewed by your peers. This is simply put, the only way it can work.

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@justsome_np

JustSomeNp

3 years

@JScottShep @JeffSharlet @pgmckim I have this pet theory that video game culture created an insatiable need nationwide for increasingly complex RPGs that consoles simply couldn’t keep up with, leading the most radical among us, of all stripes, to upgrade to LARPing instead

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@justsome_np

JustSomeNp

6 months

@dumbbitchcap I’ve saved a ton of babies (and adults) at work but none of that was a fraction as fulfilling as even the most basic interactions with my daughter…. I’m not sure there’s a job in the world that is meaningful enough to hold a candle to fatherhood

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@justsome_np

JustSomeNp

2 years

@WCCO @jennifermayerle Sure man, I’ve spent thousands on Uber to avoid losing my professional licensure and career or ending up in my own ER, but you just go ahead n do whatever you want and keep your job, no big deal.

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@justsome_np

JustSomeNp

3 years

@wil_da_beast630 Personally, making national merit scholars on the SATs took me from a trailer kid in WV to full rides at top schools nationwide. So if you take race out of it I can testify lol

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@justsome_np

JustSomeNp

2 years

@RyanMarino This is why we changed our pain management protocol from “25-50mcg fentanyl IV q1h PRN” to “sprinkle just a smidgen of fent in your palm & blow it in their face like pixie dust, repeat until they forget what pain even is”

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@justsome_np

JustSomeNp

3 years

@RealDLWalker @kimmaicutler @Popehat Been saying for a long time that the real “Great Replacement” is happening right now and it’s dead voters who didn’t trust their doctors being replaced by living ones who did

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@justsome_np

JustSomeNp

2 years

@EdWhelanEPPC @KevinMKruse Oh, and btw. I’m your follower, not Kevin’s, and I place IUDs. I will not talk out of my ass on con law, and it would behoove you to do the same regarding medical interventions and practice standards you clearly do not have any understanding of.

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@justsome_np

JustSomeNp

2 months

@katewillett Yeah if I invite you to a party at my house and you take the mike start insulting me and refuse to leave when asked, I can legally pick you up and place you gently down outside of my property, per California law. That is literally not assault, in fact the criminal ☝🏼would be you

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@justsome_np

JustSomeNp

10 months

@christineist This happened the other day with a woman I know. Shook me, like why tf would anyone ever say something so negative about themselves? I gave her some positive reinforcement but I could tell she read the look on my face perfectly & she knew exactly how taken aback I was to hear it

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@justsome_np

JustSomeNp

1 month

@datepsych The most disappointing part about these comments is how many ppl apparently believe that this type of physique is only achievable via steroid use. Like I’m 37, have never touched roids, lift 30-45 min 4days/week, I have a very dirty diet, and this is still pretty much exactly me

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@justsome_np

JustSomeNp

1 year

This sketch has me fkn rollin mannn

@williamlegate

LEGATE

1 year

Andrew Tate blocked me for posting this "court sketch" of him 😭

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@justsome_np

JustSomeNp

4 months

@RyanMarino I had a patient who came to me on gaba 800 TID cuz her pain management cut off her norcos- she was falling weekly &somnolent, fam was considering SNF placement I stopped her gaba &got her new PM&R, now shes back to fully independent on one norco 10 daily, no falls &sharp as ever

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@justsome_np

JustSomeNp

3 years

@charlesmurray I got my vaccine the first day it became available. I recommend and order it for almost all of my patients. I am as pro vax as they come. Still, this is 100% contrary to medical ethics. We serve the sickest patients first regardless of how they got sick, & that will NOT change

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@justsome_np

JustSomeNp

1 year

@AndreaR9Md It really grinds my gears that we walk our CSF samples from LPs down to the lab just bc of how invasive and unpleasant they were to obtain, but the ppl in charge of these samples don’t seem to give af that these women were re-traumatized for no reason bc they were lied to by PD

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@justsome_np

JustSomeNp

2 years

For the love if god, will lay ppl stop suggesting that we down triage unvaccinated patients.🙏🏼🙏🏼🙏🏼 I get it, I hope you all get vaxxed, I love and care about all of you. But I am not black tagging ANYONE, so quit ur bitchin n wait in line. If I put you behind an unvaxxed pt…

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@justsome_np

JustSomeNp

2 years

@RicardoWilliams @thedailybeast @prisonculture Yeah there is an abundance of high quality research on this effect in healthcare, law enforcement, schools etc

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@justsome_np

JustSomeNp

10 months

@jzaraterod Next thing you know patients are gonna start questioning me when I tell them PCP stands for Primary Care Presidente

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@justsome_np

JustSomeNp

6 months

@QueeninLemon @RyanMarino Idk I don’t do OB, but based on the report the medical staff who was responsible for making that call decided the fetus was non-viable &that she did not meet criteria for admission I won’t presume to question their judgement, but if they erred it would be on them, not her anyway

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@justsome_np

JustSomeNp

3 years

@christapeterso @NewYorker “Is there any evidence these symptoms are being cause by some sort of attack?” ……….. *crickets* ………..

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@justsome_np

JustSomeNp

9 months

This is straight up the coldest shit I have ever seen in my life on God

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@justsome_np

JustSomeNp

2 years

@hodgetwins @WarpaintDFS You can’t possibly misunderstand the entirety of the constitution, case law, relevant legislation etc on this any worse than you apparently do based on this statement. Let me help you: a private organization is literally any organization that is not government. Its that simple

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@justsome_np

JustSomeNp

2 years

@ZaidJilani From my experience this is actually textbook behavior of abusive women.

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@justsome_np

JustSomeNp

2 years

@EdWhelanEPPC @KevinMKruse Yes but since we can not place those IUDs without a negative pregnancy test, your point is moot. This is why you should stick to your field. Smh.

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@justsome_np

JustSomeNp

3 years

@kimmaicutler It’s almost as if the market will reward companies that prioritize the safety of their staff and customers, making government mandates entirely superfluous

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@justsome_np

JustSomeNp

8 months

The US govt need to appropriate the ozempic patent NOW &give it out for free like the COVID vaccines!! &I am in no way joking- this would be the most effective public health intervention in human history, worth every penny &saving 100x the $$ on the back end by avoiding dialysis

@cremieuxrecueil

Crémieux

@cremieuxrecueil

8 months

Novo Nordisk is ending their trial of Ozempic for chronic kidney disease after finding overwhelming evidence that it works!

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@justsome_np

JustSomeNp

2 years

@clairlemon I was raised that if you got a girl pregnant, and she wants to keep it, you marry her and buy a house and settle down. Having tried this, I can tell you that results may vary. But together or separated, absolutely *nothing* justifies running out on your child.

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@justsome_np

JustSomeNp

1 year

@JayTownAlabama @greta @CNN Is the fentanyl in the room with you right now Jay?

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@justsome_np

JustSomeNp

2 years

@kept_simple Was there seriously a time and place (outside of maybe the Deep South) in the US within the past forty, sixty, even eighty years where slavery was not taught about in schools and ubiquitously considered evil?

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@justsome_np

JustSomeNp

6 months

@ArmandDoma @dalton1527 @atrupar Man I would have bet real money, like even more than $125, that this was 100% satire. F me eh

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@justsome_np

JustSomeNp

5 months

@visakanv @Duderichy Aint all cookin sexy if the right person is doing it well tho

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@justsome_np

JustSomeNp

2 years

@mrwtffacts Wow that sucks but also they just really make the *best* suits so gonna have to stick with em tbh 🤷🏻‍♂️

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@justsome_np

JustSomeNp

4 months

@MiriVinni Plus if all the dudes are actually gay as he claims, ratio gets exponentially better lol. Ngmi energy all the way for sure

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@justsome_np

JustSomeNp

1 year

@DarrenJBeattie @CathyYoung63 Dude who hurt you

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@justsome_np

JustSomeNp

6 months

@nursekelsey Boil baking soda table salt and water together it will lift that burnt stuff right off any stainless, use it all the time, may require minimal scrubbing after but usually just boils right off. Google for best ratios I forget lol

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@justsome_np

JustSomeNp

1 year

@dch1309 The seeing ppl die alone with nothing but an iPad was def the worst part for me

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@justsome_np

JustSomeNp

3 months

@emilykmay Barring any acute medical conditions causing unusual levels of swelling like trauma etc, I’ve had a near-100% success rate using an ice pack or ice bath prep followed by the dental floss technique over the past decade or so in the ER, would highly recommend

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@justsome_np

JustSomeNp

2 years

@emnode @DrDebraSoh Can confirm it happens all the time & has in my ERs for the decade+ I’ve been working em

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@justsome_np

JustSomeNp

1 year

@thehouseofpod Alzheimer’s delight

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@justsome_np

JustSomeNp

2 years

@FlitterOnFraud Wait are you really under the impression that you could find a jury of twelve ppl that did not include a single sexual assault survivor? Are you aware of the prevalence of sexual assault in America? And you think that would make things more fair, or just, or even her “peers?”

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@justsome_np

JustSomeNp

3 years

@Klosterwoman @Craig_A_Spencer No doubt, I’m in the same spot. Healthcare workers who want them & likely will receive some level of benefit should come before people who have madd the decision that they don’t want them and don’t care, even if they need them

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@justsome_np

JustSomeNp

1 year

@lindsaykap I agree this is insane but we should be clear that the $30k is a made up fantasy number that exists only so the insurance industry can use it as a fake baseline to negotiate their “plan discount” against

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@justsome_np

JustSomeNp

2 years

@wil_da_beast630 @JoshShapiroPA Sure for graduate level professional positions obviously education, credentialing, licensure &other objective assessments of competency are indispensable- but isn’t requiring any random bachelors degree for jobs that don’t actually use that degree just bull$hit gatekeeping tho?

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@justsome_np

JustSomeNp

3 years

@brad_polumbo Absolutely not, this is the most obvious criteria you could imagine fir a transplant patient. Due to scarcity, we prioritize recipients by who is most likely to successfully accept an organ.

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@justsome_np

JustSomeNp

1 year

@JLPettimoreIII @rawsalerts How has that worked out so far overall in the numerous school shootings where armed guards & or cops were present during most of the assault? Parkland ? Uvalde? It’s obviously something we should consider, but it is also obviously nowhere near enough to slow this epidemic down

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@justsome_np

JustSomeNp

2 years

@zeketayler @choo_ek @JohnFetterman @DrOz As someone who takes care of stroke patients I think this is a VERY good idea &I highly commend it. Not just for Fetterman’s benefit; ppl should know that a stroke does not *necessarily* limit your potential. My best friend’s mom had a stroke & now she is a famous public speaker

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@justsome_np

JustSomeNp

9 months

@fuzzymittens For whatever reason this one place I worked in DC had a string of ppl jump off the parking garage roof where it got to the point we all had PTSD when we heard a RRT page to there lol

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@justsome_np

JustSomeNp

1 year

@wil_da_beast630 From my [pretty extensive] experience in this field, the ppl who train with guns are *almost never* the ones to use those guns to hurt another person

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@justsome_np

JustSomeNp

2 years

@roderickgraham But rod, why would anyone think eliminating the only objective admissions test is going to help reduce class disparity, rather than simply enable it? Won’t admissions be even more based on subjective extra curricular stuff thats even easier than the SAT for rich people to game?

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@justsome_np

JustSomeNp

2 months

@CartoonsHateHer I’ve seen your epic style I nominate you

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@justsome_np

JustSomeNp

7 months

I for one think its wrong for an @MSNBC host to literally launch a public allegation of anti-Muslim prejudice against a random commenter, esp one that he quite literally made up out of this air just bc he was called out for his hypocrisy… no wonder they took @mehdirhasan off air

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@damintoell

Damin Toell

7 months

@mehdirhasan @amnesty Gee, Mehdi, I sure hope I don’t get any death threats now that an NBC host just falsely accused me in public of smearing Muslims. But you don’t give a shit about that.

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@justsome_np

JustSomeNp

1 year

@realEstateTrent Dude who are yall lmao I literally do not stop working from the second I walk in the door to the second I walk out, except for lunch, bathroom breaks, tops 5min to read or respond to pressing personal comms, less than 5 min small talk. Well over 7 hours out of 8 spent grinding

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@justsome_np

JustSomeNp

2 years

@jlippincott_ My favorite part here is how the two white people get identified by the exact country their families come from, something most Latinos and plenty of black peoples might prefer too?

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@justsome_np

JustSomeNp

2 years

@gregkellyusa @KariLake Considering the population of Arizona 100 years ago was one fifth of what it is today, they did have some advantages

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@justsome_np

JustSomeNp

2 years

@AndrewRCraig Holy shit they literally love hitler

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@justsome_np

JustSomeNp

10 months

@psforpublius @Mellecon @ZaidJilani I work near there. I absolutely think the fact that the government broke the social contract here leading to the necessity of the actions in this video could persuade me to vote not guilty if I was ever on the jury Fun fact, this happened across from a huge police station🤡🤦🏻‍♂️😭

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@justsome_np

JustSomeNp

2 years

@wil_da_beast630 99% of my hundreds of GSW patients over a decade of practice all over the US were shot with handguns

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@justsome_np

JustSomeNp

2 years

@EoinHiggins_ @bendreyfuss really hope he doesnt listen to this advice

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@justsome_np

JustSomeNp

2 years

As an early adopter and still-early-enough crypto ship-jumper, I can honestly say that this is all quite accurate. Yes, crypto is gasping it’s last breath right now and any of your money on any exchange is probably not safe for long.

@Noahpinion

Noah Smith 🐇🇺🇸🇺🇦

2 years

Finance is supposed to channel capital to real productive assets. High finance -- trading, derivatives, etc. -- is a superstructure built on the foundation of productive assets. Right now, crypto is just the superstructure without the foundation.

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@justsome_np

JustSomeNp

8 months

@emnode @bannedyoangel I totally hike like this and I thought it was funny lol, just the mannerisms and stuff. We should all be allowed to make more harmless jokes like this about the differences in our cultures imo

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@justsome_np

JustSomeNp

5 months

@NateLagerfeld Was surprised I hadn’t seen anyone else mention Dennis yet. Beeper king ftw

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@justsome_np

JustSomeNp

2 years

@wil_da_beast630 Uhhh bruh you may want to check into the details and re evaluate on this one

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@justsome_np

JustSomeNp

1 year

@MsKellyMHayes @whatsJo You mean the armed criminal who shot a cop before he was subdued??? Fascinating framing 😭😭😭

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@justsome_np

JustSomeNp

2 years

@denise_dewald My job is hard enough with an n95 all day… tbh everyone has basically given up on it outside of COVID rooms- just not worth it except in direct contact with an infectious pt. Still, I used to lay tile, can’t *imagine* wearing n95 all day doing that. Hope they billed double

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@justsome_np

JustSomeNp

9 months

@RNSuperHero *critical patient arrives in ED* Pt: “Thank god I got to the ER, I was worried I wasn’t gonna make it! You guys can help me right?” ER: “aw hell no you sick sick we gotta call somebody else” Pt: …. Wot

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@justsome_np

JustSomeNp

11 months

@Admiral_cmonke @monitoringbias This is scooter and his realm

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@justsome_np

JustSomeNp

10 months

@RealMed3 No this is very good… This is how you build a roster & a practice imo In the hospital they said every pt with a bad experience tells ten ppl while every patient who has a good outcome tells one In primary care, catch a BCC early or send a family some flowers &they tell 20 ppl

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@justsome_np

JustSomeNp

2 years

@wil_da_beast630 Recently cops shot a 16yo honor roll student playing with a toy gun in his own driveway to death and literally no one defended him bc he was white. Was really indefensible, pisses me off just to think about it tbh, but wanted to help you start the list.

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Teenager killed by police in Maryland was honors student with political aspirations; neighbors...

Peyton Alexander Ham was an honors student at Leonardtown High School who loved history, the Baltimore Orioles and cooking with his mother. He had been accepted into the school’s Global Inter…

www.baltimoresun.com

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@justsome_np

JustSomeNp

5 months

@visakanv @Duderichy You doin the lords work here fam 👊🏼

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@justsome_np

JustSomeNp

1 year

@zukosmadre SO HOW DID YOU NOT HAVE A BARN CAT TOO THEN I legitimately do not understand

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@justsome_np

JustSomeNp

1 year

@RGIII I hear u man I was sitting there watching in sec 121 when you went down, in the Dallas game and vs Seattle... Appreciate what you gave to the Skins; it’s a shame the franchise did u like they did tbh. Only thing I could think about when this Lamar convo came up

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@justsome_np

JustSomeNp

1 year

@BrianSuttererMD It’s like that one dentist out of ten who’s always anti-toothpaste. Like, what is the big-filling lobby paying that guy ya kno

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@justsome_np

JustSomeNp

3 years

@BandwingZayante @mucha_carlos @ZaidJilani The poll I’ve taken of the Salvadorans in my family and other Latinos in my community shows unanimous rejection of the term Latinx as a “white people messing with our language,” to quote my wife.

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@justsome_np

JustSomeNp

3 years

@lwoodhouse I can personally confirm that the Pfizer vaccine has zero microchips in it bc I give it and I have *literally* looked at it microscopically, and a microchip just is not the type of thing you can miss lol. Conversely the efficacy and virtue of vaccine mandates is quite debatable

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@justsome_np

JustSomeNp

3 years

@wil_da_beast630 Sadly the supposed upside to GoF is that we would be better equipped to respond to an emerging pathogen…. Like this one…. Didn’t help much huh?

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@justsome_np

JustSomeNp

2 years

@politicalmath @jodiecongirl God grant me the confidence of a data bro who thinks he understand the provision of emergency medical care smmfh

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@justsome_np

JustSomeNp

2 months

@alejandrovig1 @blakorwite_ @Morbidful Oh you sweet summer child; it must be so comforting to see the world this way

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@justsome_np

JustSomeNp

1 year

@zukosmadre Oh that makes a lot of sense; I can certainly see how our polar experiences here shaped our opposing views in that case lolol

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