mcnado

mcnado, 1 year ago to random

I know I’m always on about this when cops or other folks kill some agitated person, but for real y’all — we in the ER see people who are angry, threatening, violent, and scary EVERY shift, and we kill zero of them. We don’t shoot them. We don’t choke them to death. Most of the time we talk them down and that’s it. Sometimes we restrain them, but we do it safely.

I have very scary people blow up at me. Often I literally pull up a chair and we talk it out. Please, we can be better.

mcnado, 1 year ago to random

I’m gonna come out and say it again — if you feel the need to refuse standard of care medical treatment for religious or moral reasons, you don’t belong in medicine. Just fuck off and find a career where vulnerable people relying on you don’t suffer because of your selfishness. I treat nazis. I treat pedophiles. I treat people of all stripes. I’ve treated drunk drivers after I took the radio call to pronounce time of death for their victims.

We. Don’t. Refuse. Care.

mcnado, 3 days ago to random

I’m just gonna say it — this “Genocide Joe” thing is the dumbest fucking liberal shit I have seen in years.

Joe Biden can do more to try to rein in Israel, but Biden doesn’t run Israel. He isn’t CIC for IDF. He isn’t deciding what hospital to bomb. He isn’t deciding what border crossings to close.

You know who is pushing the Genocide Joe narrative? The fucking Russians and the Israelis. Why is that? Well, it’s an election year, and Trump is a hard right, pro-Israel puppet.

mcnado, 1 year ago to random

Hi guys, it’s me, your local angry ER doc!

Iowa GOP Senate passed a bill allowing 14 year olds to work night shifts. I have worked countless night shifts. I’ve worked 24 and 36 hour call, and I’ve had to go to lectures or meetings after many of these. I can tell you with certainty that kids who work night shift aren’t learning at school the day after. Night work also increases risk of cardiovascular disease and cancer, among other ill effects. Kids should never work nights. Ever.

mcnado, 9 months ago to random

With zero surprise whatsoever, we find that the Jacksonville shooter is:

1. A nazi (literally. He had swastikas on his firearms).
2. Left a hate manifesto and targeted people of color.
3. Was a white guy in his 20s.
4. Used an AR-15 platform rifle (as well as a Glock sidearm).

Jackass couldn’t fit an American mass shooter stereotype better if he tried. We know who does this. We know what they use. Targeted prevention isn’t hard.

mcnado, 7 months ago to random

It is not “the Jewish people” killing people in Gaza. It is not “Arabs” or “Palestinians” killing people in Israel. The people doing the killing are a tiny number of people, led by a few jackasses. It is, in fact, possible to criticize the people doing the killing, while bearing no ill-will to the ethnic, religious, or national group to which those people belong.

mcnado, 1 day ago to random

Burning down a refugee camp is not a tragic mishap, especially if you first burned down the refugees original homes, their hospitals, their water pumps and treatment plants, and their fields. No, it is not a mishap. It is an intentional act of violence against people who have lost everything.

mcnado, 3 months ago to random

Hi all — friendly neighborhood ER doc here:

If you are a #healthcareworker or really anyone working in a #hospital and a patient asks you to wear a mask, the correct response is to WEAR A FUCKING MASK. You wouldn’t walk into the OR without a mask. You wouldn’t walk into a bone marrow transplant kid’s room without a mask. Don’t be a dick to people who are high risk for respiratory diseases.

Thanks!

mcnado, 1 month ago to random

Anthem Blue Cross is now systematically downbilling every level 5 chart my ER physicians group sends them. Our billing people then appeal, and have to appeal multiple times, and eventually months later they accept the appeal on most of them.

This is BCBS stealing from physicians. We did the work. We saw the patients, provided the service for complex and critically ill people, and a company whose CEO makes over $20 million/yr is stealing from us.

mcnado, 7 months ago to random

As Halloween approaches, it’s time for the annual public health reminder:

1. Drugs in candy is remarkably rare, and lethal items in candy even moreso.
2. What does kill kids on Halloween is cars (and the drivers of said cars).

Be careful driving, give little kids light-up or reflective stuff for their costumes, and if you’re gonna have booze, take an Uber or walk. None of us working on Halloween want to see dead Kermit or flat Elsa.

mcnado, 2 months ago to random

Just to be perfectly clear: #COVID-19 #COVID can be spread by people who have no symptoms, and usually for at least a week after any initial symptoms. The fact is, if you have COVID-19, you should consider yourself contagious for 10-14 days from the first day you had any symptoms, regardless of how quickly you recovered. It is wise to mask up in public or stay at home during that time.

mcnado, 7 months ago to random

First they told me I’d get 5G from the vaccines, but my service still sucks. Now they told me I’d be a zombie after the national emergency alert, but here I am alive and still having to go to work. I’m beginning to think these conspiracy folks are lying to me.

mcnado, 9 months ago to random

Lost among indictment news is that the credit rating for the US has been downgraded and is no longer AAA, directly because of Republican threats to shut down the government. This means that it will cost the US, and therefore taxpayers, much more to borrow money. In short, Republicans have made it much more expensive for the US to borrow money, and are wasting billions of taxpayer dollars in the process.

mcnado, 9 months ago to random

Raped child forced to give birth to rapist’s baby. No really. Here. In the USA.

Think back to 7th grade. Then ask yourself if this is the country you want to live in. A vote for Republicans is a vote for this. A dollar in the collection plate on Sunday is a dollar for these laws. Choose accordingly.

https://www.thedailybeast.com/13-year-old-rape-victim-forced-to-give-birth-due-to-mississippis-abortion-ban

mcnado, 1 month ago to random

Here’s some of what was in my medic kit during the 2020 protests in Denver:
Gloves
4x4 gauze
Roller gauze
Cloth tape
CAT tourniquets
Molefoam
Moleskin
Water (eyewash)
Baking soda in water (teargas wash)
Jolly ranchers (sugar)
Gatorade
Masks
Tampons
Sanitary pads
Wet wipes
Trauma shears
Sunscreen
Goggles
Personal helmet
Personal P-100 w/chem filter silometric respirator

Anyway, that’s what an ER doc who also works on ambulances and is wilderness trained carried. Stay safe out there.

mcnado, 4 months ago to random

I want each and every one of you who is eligible to vote in the US presidential election in November to stop, think back 4 years, and remember all those videos of guys in body armor beating the everloving hell out of protestors. Remember the unmarked rental vans in Portland? Remember the lines of Feds with M4s on the steps of the Lincoln Memorial? Remember the NG chopper buzzing demonstrators in DC? Remember the guy in Texas driving into the crowd and shooting a guy? That’s the Trump option.

mcnado, 2 months ago to random

It’s been said by many others already, but the Army and a bunch of defense contractors sponsoring SXSW is just one reason not to participate. The other is that it is a large economic boon to a state that is actively persecuting LGBQT folks, has essentially banned abortion, and is doing everything it can to kill migrants crossing the Rio Grande. Would you want to be seen supporting Hitler’s economy? No? Then don’t support Texas either.

mcnado, 3 months ago to random

I don’t care if RFK is creeping on OnlyFans. I care that he spread vaccine misinformation for over a decade, leading to numerous outbreaks of vaccine-preventable diseases. He targeted immigrant and african american communities, and in some cases there were outbreaks of diseases like measles within a year or two of his operations. The effects are still being felt.

mcnado, 2 months ago to random

Here’s a thing to consider: under the ACA (“Obamacare”) insurance cannot exclude pre-existing conditions. A GOP-led Congress and Presidency will destroy that. This is a problem for you and me because:

1. Nobody has been hiding chronic health problems for 12 years, so we all have pre-existing conditions.
2. Data mining means insurance companies know how much you drink, what you eat, and what your smartwatch thinks of your heart rhythm.
3. DNA test services know your genetic risks now.
   1/…

mcnado, 9 months ago to random

FYI folks, I’ve admitted 3 folks for COVID in the last two weeks, and had one bounceback after an initial ED visit get admitted. The latter had ground glass opacities on CT of the lungs, which I haven’t seen since Feb 2022 except in one unvaccinated person last September. Maybe it’s a new variant, maybe it’s bad luck, but figured some of y’all might want to know so you can inform your choices in coming weeks.

mcnado, 6 months ago to random

Donald Trump is suggesting putting people in camps again. It doesn’t really matter who he wants to put in camps. It doesn’t really matter why. What matters is that he, and the men working around him, continue to feel that forcibly placing people in camps is a solution to a problem. These are the same guys who refuse to understand that the constitution very intentionally bars the military from domestic law enforcement. These guys want a dictator.

mcnado, 2 days ago to random

Remember folks, before Dobbs, Republicans claimed abortion was too unsafe to be performed in a clinic, but now in Florida they think C-sections can be. It was never about safety.

mcnado, 4 months ago to random

This is not just about abortion anymore. This about undermining your right to emergency medical care. Once the Republicans undermine EMTALA, hospitals can go back to refusing care for people who can’t pay, or are the wrong religion, or whatever.

https://www.nbcnews.com/politics/supreme-court/supreme-court-allows-idaho-enforce-abortion-law-emergency-room-doctors-rcna127244

mcnado, 3 months ago to random

Friendly PSA: people can be ardently against killing civilians, bombing hospitals, starving children, flattening schools, and displacing millions of people AND be against a terrorist organization that slaughtered people at a music festival. Believe it or not, those are indeed compatible beliefs. Sometimes people are just against killing innocent people regardless of who those people are. If that’s hard for you, ask yourself what about one of the groups of innocents makes them worth more to you.