A strategy invented by New Brunswick oligarch KC Irving, who ran a Canadian province as a personal fiefdom for decades
07.03.2026 10:41
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A strategy invented by New Brunswick oligarch KC Irving, who ran a Canadian province as a personal fiefdom for decades
We spend a lot of time and energy fussing about hyponatremia in hospital medicine, and it appears that spending even more time fussing about it does not improve patient outcomes #hospmed
Inpatient rehab days
It depends. The sweet spot for SNF care, I think, is the patient who needs 5-7 inpatient rehab to decrease fall risk so that home discharge is safer. When these patients stay in hospital, ED boarders increase (unsafe), hospitals lose money and lay off staff (unsafe), etc.
The decline in skilled nursing facility/rehab beds is a huge problem for US hospitals, contributing to longer stays and operating losses. It’s probably going to get worse as deportations ramp up and private equity runs more rehabs into the ground
Hey, the City of Cambridge finally left X! May more orgs follow suit. (You can find them here at @cambridgemass.bsky.social instead...)
The recommendations for Germany, Poland, Spain, the UK, and Finland are based on wastewater surveillance—*not* actual human cases
If you’ve had a primary series in childhood, should get a one-time dose of inactivated polio vaccine (IPV) before travel, and you don’t have to worry about it again
In this @nejm.org Voices post, I take on one of the more annoying and pointless rituals of hospital work -- the annual N95 fit test.
As one of the respected infection control specialists told me, it's not their fault. And I totally believe them. #idsky #medsky
voices.nejm.org/doi/full/10....
💥New post | The majority of UK academic institutions now no longer post on X
✍️ @andytattersall.bsky.social
#AcademicSky #X #AcademicSocialMedia
Maybe something like 5-fluorouracil cream for actinic keratosis. Turns skin beefy red. Usually given for more than a week though
(to neighbor upset about my backyard artisanal garum factory) live and let live bud, didn’t see me complaining that your Christmas decorations were still up on Super Bowl weekend
What the heck is going on with these springbok?
(other than "hidden trampoline concealed in the grass")
The stiff-legged jumping behavior shown here is called "pronking" or "stotting" & it's a bit of a puzzle why they do it.
It's observed in a wide variety of ungulates under different conditions.
A Penguin Books paperback of The Secret History by Procopius
History is my go-to escapist reading! This one is about a corrupt and venal king who married a sex worker, mismanaged a pandemic because he knew nothing about public health, and frittered away his kingdom’s wealth and prestige in a series of ill-advised military adventures
It is nice to be on one of the few remaining types of social media that isn't absolutely riddled with genAI sloptivity. They may take our images and videos but I'll be damned if they take our pithy short-form written existential angst
Getting hypervitaminosis A like a 19th-century polar explorer
Appalling. One doctor “sent Mr. Epstein’s sexual partners elsewhere for gonorrhea treatment so that when their cases were reported to public health authorities, they wouldn’t be tied to Mr. Epstein. Some doctors also shared patients’ private health information with him”
The Northeast US is getting wetter with climate change, which may favor outbreaks of the fungal infection blastomycosis. Blasto seems to be emerging in upstate New York; prior reports have suggested that blasto is also on the rise in New England (immunosuppressive drugs may also be a factor)
Public investment in NIH research helped turn cystic fibrosis from a childhood killer into a survivable disease. Russ Vought is now withholding funding from the very system that made that made that future possible for his daughter.
No, that side effect is peculiar to measles (and probably also to COVID).
Mumps activity now in California and Maryland
Mumps (R0 10-12) is not quite as contagious as measles (R0 12-18), but it's pretty close. Serious complications include encephalitis, meningitis, orchitis (testicular inflammation), myocarditis, pancreatitis, and nephritis
Interesting modeling study that attributes extinction of B/Yamagata during the pandemic to:
- masking, masking, masking
- slow rates of antigenic change, compared to B/Victoria
- a huge 2017/2018 outbreak that depleted the susceptible population
This just in: the B/Yamagata lineage of influenza B is still extinct
Reupping my 2025 piece about Casey Means, who apparently is about to become our new surgeon general www.nytimes.com/2025/05/12/o...
If the Leafs were smart, they'd flip Auston Matthews now. His trade value will never be higher, and the fans will never forgive him for the past 48 hours
Doing the Jiminy Glick thing with the little breathy baby voice followed by the big machine gun voice
Nepal's MADDEST Mad Honey Made by Himalayan giant bees that forage on a specific species of Rhododendron flowers. Contains Grayanotoxins found in Rhododendron nectar. Our real mad honey is only available in limited batches. $114 USD for 3.5 oz
For those who don't mind increasing their risk of cardiac sudden death, this stuff is readily available online for "anxiety, stress, general pain, hypertension, stomach ailments, and migraines...a small amount will produce a mild, calming, euphoric sensation"
Nepalese guy shows up at a hospital in Yorkshire with a heart rate of 37/min and a blood pressure of 52 mm Hg systolic from consumption of "mad honey": honey from Nepal containing grayanotoxins from Rhododendron
A White River ash hole?
Map of Northern Athabaskan (Alaska, Yukon, Northwest Territories, BC, AB,SK) and Southern Athabaskan (US Southwest) language families
Fun fact: in 852 CE, there was a massive eruption of Mount Churchill in Alaska, which forced a bunch of Dene speakers to migrate south, where they became the Apache and the Navajo. That’s why Athabaskan is the most widely dispersed indigenous language family in North America
