Miscellaneous Ramblings from an Emergency Physician in Texas.
Fort Worth, Texas
Joined October 2007
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GruntDoc retweeted
Doctors don’t like this as well. Often we have to take calls from frantic patients before we are aware of results. But this system and rules were mandated upon us. We do the best we can.
Healthcare is the only industry that drops your cancer scan results into an app at 11 PM on a Friday, then closes for the weekend.
No call. No context. Just a PDF full of words like "suspicious" and "cannot be excluded" and a little banner that says "Sleep well!"
Meanwhile billing found me in 4 hours 😐
GruntDoc retweeted
Automakers: "We hear you on affordability.”
Also automakers: Here's a $239,000 Escalade.
GruntDoc retweeted
Publish it then
Go on
Nobel Prize awaits if it's true!!!
GruntDoc retweeted
So this dude cheered for me to kill myself back in May. And now in October he says “we are coming for you”. Also allegedly a War Department employee.
So since I didn’t kill myself, now he and his friends are going to come finish the job?
Another day ending in Y on Bluesky.
GruntDoc retweeted
Just to get this straight, @turo : Your turo host lends out his Cybertruck on your platform with free supercharging, invoices me about 1000 US$ for supercharging , and according to your support, that’s just fine.
Ok, I call that fraud, but what do I know.
GruntDoc retweeted
Be a shame if the link was available
proton.me/flock-camera-map
Be a shame if the surveillance state had a light shined on it. They're awfully secretive for "public information" company.
GruntDoc retweeted
If JetBlue goes bankrupt, I would have to believe this would be the first time in history that the DOJ blocked a merger of two companies and then both went bankrupt. Great process. xitter.cf/Investingcom/status/21…
GruntDoc retweeted
Let me get this straight.
A guy keeps getting weirdly targeted ads on his new Samsung TV.
So he breaks into his own TV to find out why. 1.2M people watch.
42 hours later, OpenAI deactivates his account. Reason: "Cyber Abuse."
His words: "i have never used openai to exploit or find vulnerabilities, only local reverse engineering"
Same week, people on r/claude say Claude now cuts off reverse-engineering write-ups MID-SENTENCE:
"A safety check stopped my response partway through creating the playbook"
The TV is fine.
The guy who opened it is the problem.
GruntDoc retweeted
Lewis bought his private jet through a BVI holding company to avoid tax
He wears blood diamonds mined by African slaves
He lives in Monaco to pay no income tax, but here he is to give you a lecture 😂
GruntDoc retweeted
In Remembrance of Beirut
#OTD in 1983, a terrorist bombing at the Marine Barracks in Beirut, Lebanon, claimed the lives of 241 U.S. service members, including 220 Marines, serving as part of the Multinational Force in Lebanon.
On October 23, a suicide bomber drove a truck laden with explosives into the barracks where U.S. Marines were stationed on a peacekeeping mission. The attack devastated the building and became one of the deadliest days in Marine Corps History.
The Marines in Beirut were deployed to help restore peace and stability amid escalating violence in Lebanon. Despite the dangers they faced, they carried out their mission with courage, professionalism, and an unwavering commitment to one another.
The Beirut bombing left a lasting mark on the #MarineCorps and the nation. We remember the lost lives, honor the wounded and survivors, and recognize the families and loved ones who continue to carry the weight of that day. Their sacrifice remains woven into the legacy of every #Marine who has answered the call to serve.
Today, we pause to remember the 241 American service members who never made it home and honor their courage, sacrifice, and devotion to duty.
They came in peace. They will never be forgotten.
Semper Fidelis
#BeirutBombing #NeverForgotten #SemperFi #RememberTheFallen
GruntDoc retweeted
À la mémoire de mes 58 camarades parachutistes @11eBP assassinés à #Beyrouth le 23 octobre 1983 par le #Hezbollah aux ordres de l’ #Iran.🫡🇫🇷
En union de pensée avec les 241 Marines 🇺🇸@USMC assassinés le même jour.
GruntDoc retweeted
Falcons better not get any ideas
GruntDoc retweeted
Sad news today. After 5 years of medical training, one of my mates has been struck off due to a minor discretion. He slept with one of his patients and can no longer do the job he loves. What a waste of time and money. Genuinely a great guy and a brilliant vet
GruntDoc retweeted
I can help interpret: patient has metastatic cancer, awful diagnosis, “alternative” doctor gives her useless but harmless treatment, she develops brain mets so she needs the ER and IV steroids, MRI, seizure meds, consult with radiation oncology then immediate discharge, radiation will start in a week or so. The hospital and other doctors did everything correctly, she did not need her medical oncologist, she’ll need him in two weeks if she decides that vitamins and minerals have been a waste of time and money, and for a serious conversation about the realistic goals of therapy
I recently had a young mother in my office with an oncologic neurologic emergency.
We diagnosed new brain metastases on a CT scan.
I called her oncologist personally with the update. She told me, "She's not getting treated, she's just doing those vitamin C infusions."
In preparation for the ER, I called ahead to notify them about her. I requested to talk to a physician in the ER three times and was told, "We don't do that here."
This was a hospital I used to work at.
My patient was admitted to the ICU for 3 days, and not one person called me one time.
Let's get into how this entire story went sideways.
GruntDoc retweeted
You’re not going to believe this, but the governor of Maryland signed a deal that guarantees that if there’s a payout of more than $50 million in the state’s expected lawsuit against Hyundai Heavy Industries, the South Korean company that built the ship that rammed into the Francis Scott Key Bridge and destroyed it back in 2024, then half the money after a $50 million threshold goes to the companies that owned and operated the ship. Except . . . the U.S. Department of Justice is contending in court that the operators of the ship altered it to make it less safe, lied to the National Transportation Safety Board, and did everything possible to shift blame to Hyundai.
If you’re a Maryland taxpayer, why do you want any money that could be going to the state as part of a judgment or settlement going to the company that operated the ship?
Governor Moore, did you read the deal you signed?
GruntDoc retweeted
Russian diesel sold to americans that are giving intel to ukrainians that are striking refineries in russia that's sending missiles to iran that is supporting yemenis that are bombing pipelines with missiles in saudi arabia that's wasting patriot missiles meant to be shipped ukra
