David Shore, MD

Glad you liked it :):):)

Corollary - I’m allowed to respond to emergencies wearing whatever I like.

'It's not unusual': RFK Jr. comments on growing Texas measles outbreak When questioned about a growing measles outbreak in West Texas that has claimed at least one life, Health & Human Services Secretary Robert F. Kennedy Jr. told reporters "we have measles outbreaks eve...

Actually, a measles outbreak IS an unusual occurrence. Especially in a country like the US, which had eliminated the disease thanks to vaccination until recently.
It's so unusual that most physicians in the U.S. have NEVER seen a case!
www.nbcnews.com/now/video/-i...

Agreed it’s just a question of when. Do it too early and you and I will be back in 3-4 days for the same reason.

Sccm opening ceremony

At the opening ceremony for #SCCM2025

Thank you to @sccmcriticalcare.bsky.social president for discussing climate change, gun violence prevention, threats to research and Medicaid

There is so much to do, and SCCM could be a powerful advocate

I think we agree, but you also highlight the many questions and counterpoints I see in transudative pleural effusions. Always good to discuss.

Also, patients without pulmonary edema present with unilateral opacification of the hemithorax without significant hypoxemia all the time (empyema, malignant pleural effusion). These patients often aren’t hypoxemic, more dyspneic, arguing the hypoxemia is a parenchymal driver.

Both of these points are relevant but diuresis is still king in both situations. Pleural intervention without diuresis will result in more pleural accumulation. A better tact is to diurese first, then consider pleural drainage later. Limits repeat interventions.

Hard to argue removing fluid outside of the lungs will improve the hypoxemia. Mechanics yes, diffusion defect no.

Crazy idea

What if we just decided to help everybody

And not be worried about “freeloaders”

Like we just agreed that our North Star would be that everyone thrived

Man that would be awesome

An infographic on Vaccine-preventable diseases. Might as well start familiarizing ourselves with these. Made me feel better to put this together

Yep, seeing a lot of empyema and necrotizing pneumonia.

Here’s a reason why the incoming NIH Director, health economist Jay Bhattacharya, should know cutting indirect costs at NIH is self-defeating and stupid.

Every $1 invested in NIH returns $2.5.

So $4B “savings” is actually $10B we lost.

Photograph of a warehouse in Kinshasa where unboxed tuberculosis medications are going undistributed due to the stop work order by the Trump Administration.

Just received this photo from a friend of a warehouse in Kinshasa. These are tuberculosis medications--ALREADY PAID FOR--that aren't being distributed due to the Trump Administration's stop work order.
TB treatment is being interrupted in SO many patients around the world. What does that mean? (1/2)

Ah, the latter was the context I needed. Thank you.

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