Folks, don’t drive drunk with your kids in your car (or at all). Please. For fuck’s sake. We’ve had too many seriously fucked up or dead kids lately with drunk parents who survived. If you hit it too hard, take a fucking break for a few hours somewhere. Call a grandparent. Phone a friend. Just please don’t get behind the wheel shithammered with your kiddos in the car. They can’t take your keys.

@johntimaeus I must say I haven’t, and now I never will

@johntimaeus they just don’t do clam strips right out here.

@johntimaeus Brrrrrrrrrmmmmmmmrrrrrrrrrrrrrrmmmmmmmmmmmrrrrrrrrrrrrrrmmmmmmmmmrrrrrrrrrrrrrrmmmmmmmmmmmmmmmmrrrrrrmmm

And before some nutsack makes a smart ass comment, I listen to my crew give report (because oversight is literally what I’m paid for), and then I snag wipes from the ED, wipe down the cot, and go wipe down the leads and cords, pick up the trash, and get the bus turned around. You don’t third-rider it and not clean the bus.

Government officials should fly commercial. When they can’t, they should hop on already-scheduled military flights, and when all else fails, have a bare-bones aircraft available where you have to bring your own water and food.

When I go spend a day in the field, I don’t ride around in some fancy-ass truck. I ride in the broken captains chair, looking out the back of the ambulance, while every bump in the road makes me shorter. I piss if we get back to quarters and I eat when my crew eats.

If the meeting presentation was included in a pre-meeting email, there’s a decent chance the meeting could have been an email.

Thanks for coming to my TED talk.

Hospitalized a 30-something year old, otherwise healthy dude with influenza B yesterday.

Get yo’ shots.

PSA: I am not the polite and patient medicine guy on social media. I do that at work. Here, I am absolutely going to hurl ridiculous insults while telling you to where you can fuck off if you come at me with some misinfo horseshit.

I will happily deep-dive the available evidence and learn something, but I do that pretty well, and I’m not going to waste time arguing over pseudoscience whackjobbery.

Anyhow, get your shots. Also, alcohol and bacon are carcinogens and I eat both. Thanks.

Lol. The RFK stans came out today.

I’ll be as polite as I can here:

RFK could choke on a fucking pinecone and I would piss on his headstone every time I was in town.

I watched people die of vaccine preventable disease in ‘21-22. I hospitalized flu patients this fall who didn’t vaccinate. I’ve listened to people cling to false hope that avoiding seed oils will cure their cancer.

RFK is an evil shitbag grifter. Every death from his nonsense rests on him. Fuck the guy with a hedge trimmer.

Like clockwork, COVID-19 is taking off here again. Every 90 days another wave. Vaccines for these variants can be made and distributed in that window, we just have decided not to. RSV, enterovirus, flu — these don’t go around in waves this often.

I have given my ID or credit card (the actual damn cards) to many a bartender over the years. I’ve watched them put it in a rolodex, or binder clip it to the wall, or put it on a counter under a note card, or just leave it in a big stack of similarly dispositioned IDs.

Y’know what they didn’t do? Make a copy and leave it somewhere to be yoinked.

This is a post about Discord and age verification.

Nah, NYT, America didn’t unravel in Minneapolis. Minneapolis started the fight that will save it. They showed the rest of us how to politely run the nazis out of town without feeding the media narrative.

CoreCivic continuing to try their best to kill children at the behest of ICE. Ask your local governments if they use CoreCivic for any of their jails or prisons, and demand they stop if they are. Bankrupt these fucks.

https://www.nbcnews.com/news/us-news/toddler-hospitalized-dilley-ice-detention-rcna257912

Hi friends outside the US!

Please feel free to boo JD Vance and Trump at the Olympics. Tell them how you feel. Make them feel unwelcome. We appreciate it!

So listen, I haven’t read the Epstein files releases, but I saw references to importing a 9 year old girl in an email someone posted, and my question is:
What happened to the kids?

He clearly was abusing girls, and it appears he was trafficking pre-adolescents. Where’d they go? Are they alive out there in the world?

I have a suspicion about the answer, and I don’t like it. Someone needs to ask these fuckers under oath. Get ‘em all on record. See what shakes out.

“Such and such Senator disagrees with Trump about nationalizing elections”

Well, my dear media editors, it doesn’t fucking matter what either the Senator or Mr. Trump think. Constitutionally, the control over elections is given to the states. Absent an amendment, there is no such thing as nationalizing elections in the US.

@alissaazar

So for those of you wanting to know what ICE is exposing your communities to when they toss an HC grenade from Defense Technology, here’s the MSDS…

There’s some bad shit in there. Chromium salts. Zinc. Oh, and HC of course.

https://sds.chemtel.net/webclients/safariland/finished_goods/Defense%20Technology%201073%20-%20Large%20Style%20Maximum%20Smoke%20HC%20Grenade.pdf

Hey #emergencymedicine #toxicology peeps! Anyone in PDX interested in a fun experiment being run right now might consider doing a study of heavy metal levels in the blood of people gassed by ICE during recent and upcoming marches. We know many gas grenades have heavy metals in them, so there may be a publishable public health concern here. Just a thought after recent events…

Hey Tom Homan, you dishonorable, bag-o-cash thieving, feckless taint: your agents aren’t “on rotation in theater”. They are on an assignment in a city in the country they work for. Your ACU-clad can’t-hack-its aren’t soldiers. They aren’t at war. If you think they are, and they think they are, go head and tell the courts that so we can dispense with the insurrection talk and move on to the federal invasion talk, in which case these fucksticks are all fair game for all of us living here in the US