Alnardo Lora, MD 🇩🇴
@crzydoc.bsky.social
Pulmonary and Critical Care doc. Opinions are my own and not medical advice.
Pinned
Alnardo Lora, MD 🇩🇴
@crzydoc.bsky.social
· Nov 20
Could not disagree more with some MDs saying that we should stay on twitter and engage instead of flocking to Bluesky and living in a bubble. There is no engaging especially when you constantly get harassed by bots, extremists, and trump ads. Not to mention that oligarch running twitter.
Medicine isn’t a perfect science. It’s a probabilistic art form. High stakes jazz. And sometimes, even the best improvisers hit a wrong note.
Much appreciate @litfl.bsky.social sharing this in their newsletter today.
The illusion of perfection qualitysafety.bmj.com/content/29/4...
Much appreciate @litfl.bsky.social sharing this in their newsletter today.
The illusion of perfection qualitysafety.bmj.com/content/29/4...
The illusion of perfection
Thirteen years ago, only a few months after completing my residency in emergency medicine, I walked into a night shift ready for anything. One of the first patients I encountered was a young man with ...
qualitysafety.bmj.com
July 22, 2025 at 2:42 PM
Medicine isn’t a perfect science. It’s a probabilistic art form. High stakes jazz. And sometimes, even the best improvisers hit a wrong note.
Much appreciate @litfl.bsky.social sharing this in their newsletter today.
The illusion of perfection qualitysafety.bmj.com/content/29/4...
Much appreciate @litfl.bsky.social sharing this in their newsletter today.
The illusion of perfection qualitysafety.bmj.com/content/29/4...
Words without action are meaningless!
apnews.com/article/euro...
UK, Canada and 26 other countries say the war in Gaza ‘must end now’
apnews.com/article/euro...
UK, Canada and 26 other countries say the war in Gaza ‘must end now’
UK, Canada and 26 other countries say the war in Gaza ‘must end now’
A joint statement by 28 countries including Britain, Japan and Canada is calling for an immediate end to the war in Gaza. They say that the 21-month war “must end now."
apnews.com
July 22, 2025 at 1:44 PM
Words without action are meaningless!
apnews.com/article/euro...
UK, Canada and 26 other countries say the war in Gaza ‘must end now’
apnews.com/article/euro...
UK, Canada and 26 other countries say the war in Gaza ‘must end now’
Interesting ethical debate. Women should not only be seen as vessels. We are committed to maintaining patients' dignity at the end of life, and this should be no different.
Brain Death in Pregnancy — Abortion, Advance-Directive, or End-of-Life Law? | NEJM www.nejm.org/doi/full/10....
Brain Death in Pregnancy — Abortion, Advance-Directive, or End-of-Life Law? | NEJM www.nejm.org/doi/full/10....
Brain Death in Pregnancy — Abortion, Advance-Directive, or End-of-Life Law? | NEJM
When someone is declared brain-dead during pregnancy, state laws regarding abortion,
advance directives, and end-of-life care may all come into play. What should the deciding
factors be?
www.nejm.org
July 17, 2025 at 4:57 PM
Interesting ethical debate. Women should not only be seen as vessels. We are committed to maintaining patients' dignity at the end of life, and this should be no different.
Brain Death in Pregnancy — Abortion, Advance-Directive, or End-of-Life Law? | NEJM www.nejm.org/doi/full/10....
Brain Death in Pregnancy — Abortion, Advance-Directive, or End-of-Life Law? | NEJM www.nejm.org/doi/full/10....
April 7, 2025 at 2:50 PM
An example of real-world consequences of Trump's policies:
My patient finally quit smoking with the help of a smoking cessation coach. However, that same coach is now out of a job due to the sweeping mass layoffs in HHS.
We have yet to feel the full weight of the repercussions of his actions.
My patient finally quit smoking with the help of a smoking cessation coach. However, that same coach is now out of a job due to the sweeping mass layoffs in HHS.
We have yet to feel the full weight of the repercussions of his actions.
April 7, 2025 at 2:27 PM
An example of real-world consequences of Trump's policies:
My patient finally quit smoking with the help of a smoking cessation coach. However, that same coach is now out of a job due to the sweeping mass layoffs in HHS.
We have yet to feel the full weight of the repercussions of his actions.
My patient finally quit smoking with the help of a smoking cessation coach. However, that same coach is now out of a job due to the sweeping mass layoffs in HHS.
We have yet to feel the full weight of the repercussions of his actions.
Reposted by Alnardo Lora, MD 🇩🇴
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March 30, 2025 at 4:47 PM
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Reposted by Alnardo Lora, MD 🇩🇴
How do you “accidentally” fire someone? Can the media stop pretending these aren’t just incredibly stupid people making stupid decisions that they aren’t qualified (or legally allowed) to make?
USDA says it accidentally fired officials working on bird flu and is trying to rehire them
In a statement, an Agriculture Department spokesperson told NBC News that officials are "working to swiftly rectify the situation."
www.nbcnews.com/politics/dog...
In a statement, an Agriculture Department spokesperson told NBC News that officials are "working to swiftly rectify the situation."
www.nbcnews.com/politics/dog...
USDA says it accidentally fired officials working on bird flu and is trying to rehire them
In a statement, an Agriculture Department spokesperson told NBC News that officials are "working to swiftly rectify the situation."
www.nbcnews.com
February 19, 2025 at 1:41 AM
How do you “accidentally” fire someone? Can the media stop pretending these aren’t just incredibly stupid people making stupid decisions that they aren’t qualified (or legally allowed) to make?
New artificial lung developed as a more accurate model for studying human inhalation exposure, including the health effects of electronic cigarettes or vaping. go.nih.gov/WQ7I1tr
A Ventilated Three-Dimensional Artificial Lung System for Human Inhalation Exposure Studies - PubMed
Traditional in vitro and in vivo models for inhalation toxicology studies often fail to replicate the anatomical and physiological conditions of the human lung. This limitation hinders our understandi...
go.nih.gov
February 19, 2025 at 2:46 AM
New artificial lung developed as a more accurate model for studying human inhalation exposure, including the health effects of electronic cigarettes or vaping. go.nih.gov/WQ7I1tr
Reposted by Alnardo Lora, MD 🇩🇴
Study sections are the review panels that allocate NIH research grants. They bring in experts from around the country and have to be scheduled many months in advance; they provide the funds that keep the nation's biomedical research going.
It's hard to overstate the disruption this causes.
It's hard to overstate the disruption this causes.
All NIH study sections canceled indefinitely. This will halt science and devastate research budgets in universities.
January 22, 2025 at 11:20 PM
Study sections are the review panels that allocate NIH research grants. They bring in experts from around the country and have to be scheduled many months in advance; they provide the funds that keep the nation's biomedical research going.
It's hard to overstate the disruption this causes.
It's hard to overstate the disruption this causes.
Reposted by Alnardo Lora, MD 🇩🇴
My NIH study section that was to meet tomorrow was one of those canceled. This represents many months of work by the applicants and by the NIH staff and reviewers. Devastating is the correct word.
All NIH study sections canceled indefinitely. This will halt science and devastate research budgets in universities.
January 22, 2025 at 11:52 PM
My NIH study section that was to meet tomorrow was one of those canceled. This represents many months of work by the applicants and by the NIH staff and reviewers. Devastating is the correct word.
Reposted by Alnardo Lora, MD 🇩🇴
yup, parents already avoiding bringing their medically fragile kids in for hospital care because they are worried about ICE 😭
January 23, 2025 at 12:24 AM
yup, parents already avoiding bringing their medically fragile kids in for hospital care because they are worried about ICE 😭
Reposted by Alnardo Lora, MD 🇩🇴
Accidentally checked the news
January 22, 2025 at 6:39 PM
Accidentally checked the news
It really is heartbreaking when a Spanish speaking patient of mine has to go through hoops and hurdles to get appropriate medical care, and as soon as you start to make progress, to then be told I am no longer within network. This system needs fixing but I fear it will only get worse moving forward.
January 21, 2025 at 9:09 PM
It really is heartbreaking when a Spanish speaking patient of mine has to go through hoops and hurdles to get appropriate medical care, and as soon as you start to make progress, to then be told I am no longer within network. This system needs fixing but I fear it will only get worse moving forward.
Reposted by Alnardo Lora, MD 🇩🇴
If you’re still cross-posting on twitter, now might be a good time to stop.
This isn’t an isolated slip-up, it’s an ongoing pattern.
Individual actions are tiny, but they can add up to collective force.
#Resist
This isn’t an isolated slip-up, it’s an ongoing pattern.
Individual actions are tiny, but they can add up to collective force.
#Resist
January 21, 2025 at 12:47 AM
If you’re still cross-posting on twitter, now might be a good time to stop.
This isn’t an isolated slip-up, it’s an ongoing pattern.
Individual actions are tiny, but they can add up to collective force.
#Resist
This isn’t an isolated slip-up, it’s an ongoing pattern.
Individual actions are tiny, but they can add up to collective force.
#Resist
Reposted by Alnardo Lora, MD 🇩🇴
Oligarchy (noun): A government of and by a few at the top, who exercise power for their own benefit. Their power and wealth increase as they make laws that favor themselves, manipulate financial markets, and create monopolies that put more wealth into their pockets.
January 20, 2025 at 12:16 AM
Oligarchy (noun): A government of and by a few at the top, who exercise power for their own benefit. Their power and wealth increase as they make laws that favor themselves, manipulate financial markets, and create monopolies that put more wealth into their pockets.
Reposted by Alnardo Lora, MD 🇩🇴
I’m gonna go out on a limb and guess that their views are not representative of “broader disputes among experts”
FFS @nytimes.com , neither of these idiots are “experts” 🤦🏻♂️🤦🏻♂️🤦🏻♂️
December 22, 2024 at 3:13 AM
I’m gonna go out on a limb and guess that their views are not representative of “broader disputes among experts”
Glad to be done with this one! Dreading having to give ABIM another $2500 for critical care boards
December 19, 2024 at 5:27 PM
Glad to be done with this one! Dreading having to give ABIM another $2500 for critical care boards
Reposted by Alnardo Lora, MD 🇩🇴
"Social media can be an incredible powerful tool for advocacy" @glaucomflecken.bsky.social #medsky
December 11, 2024 at 1:49 PM
"Social media can be an incredible powerful tool for advocacy" @glaucomflecken.bsky.social #medsky
Have been learning mandarin for about 6 months at this point and I am just figuring out that there is not a universal yes or no in the language. You actually have to repeat the “verb” for a yes or use “not ‘verb’” for a no. If they would’ve started with that, I would’ve given up on day one.
December 10, 2024 at 3:01 AM
Have been learning mandarin for about 6 months at this point and I am just figuring out that there is not a universal yes or no in the language. You actually have to repeat the “verb” for a yes or use “not ‘verb’” for a no. If they would’ve started with that, I would’ve given up on day one.
Reposted by Alnardo Lora, MD 🇩🇴
It's a good day to be a New Jerseyan.
PRINCETON, N.J. (AP) — New Jersey Democratic Gov. Phil Murphy signed a law Monday to prohibit public and school libraries from banning books in the state and to enshrine protections against civil and criminal charges for librarians who comply with the law.
PRINCETON, N.J. (AP) — New Jersey Democratic Gov. Phil Murphy signed a law Monday to prohibit public and school libraries from banning books in the state and to enshrine protections against civil and criminal charges for librarians who comply with the law.
December 9, 2024 at 5:17 PM
It's a good day to be a New Jerseyan.
PRINCETON, N.J. (AP) — New Jersey Democratic Gov. Phil Murphy signed a law Monday to prohibit public and school libraries from banning books in the state and to enshrine protections against civil and criminal charges for librarians who comply with the law.
PRINCETON, N.J. (AP) — New Jersey Democratic Gov. Phil Murphy signed a law Monday to prohibit public and school libraries from banning books in the state and to enshrine protections against civil and criminal charges for librarians who comply with the law.
Reposted by Alnardo Lora, MD 🇩🇴
Our letter to the editor is out in NEJM in response to this year's REDOX trial! www.nejm.org/doi/full/10....
Can we definitively state there is no disadvantage to 15h versus 24h at 1 year in terms of mortality when NOTT required 2 years and MRC required 5 years to demonstrate a mortality benefit?
Can we definitively state there is no disadvantage to 15h versus 24h at 1 year in terms of mortality when NOTT required 2 years and MRC required 5 years to demonstrate a mortality benefit?
Long-Term Oxygen Therapy for 24 or 15 Hours per Day | NEJM
To the Editor: In a multicenter, randomized, controlled trial comparing duration of long-term oxygen therapy (24 hours vs. 15 hours) in patients who had severe hypoxemia at rest, Ekström et al. (Se...
www.nejm.org
December 5, 2024 at 2:39 AM
Our letter to the editor is out in NEJM in response to this year's REDOX trial! www.nejm.org/doi/full/10....
Can we definitively state there is no disadvantage to 15h versus 24h at 1 year in terms of mortality when NOTT required 2 years and MRC required 5 years to demonstrate a mortality benefit?
Can we definitively state there is no disadvantage to 15h versus 24h at 1 year in terms of mortality when NOTT required 2 years and MRC required 5 years to demonstrate a mortality benefit?
Reposted by Alnardo Lora, MD 🇩🇴
"I told the man that he was going to be admitted to the hospital overnight...I thought he would ask if he was going to be OK or if he needed surgery — questions I’m comfortable fielding. But instead he asked, “Will my insurance cover my stay?” This is a question I can’t answer with certainty." ⚕️
Opinion | What Doctors Like Myself Know About Americans’ Health Care Anger (Gift Article)
As a doctor, I’ve been on both sides of frustrating health care debacles.
www.nytimes.com
December 9, 2024 at 2:09 AM
"I told the man that he was going to be admitted to the hospital overnight...I thought he would ask if he was going to be OK or if he needed surgery — questions I’m comfortable fielding. But instead he asked, “Will my insurance cover my stay?” This is a question I can’t answer with certainty." ⚕️
Reposted by Alnardo Lora, MD 🇩🇴
December 5, 2024 at 7:17 PM
Reposted by Alnardo Lora, MD 🇩🇴
A real, actual thing BCBS is doing youtube.com/shorts/vWA2a...
No More General Anesthesia
YouTube video by Dr. Glaucomflecken
youtube.com
December 4, 2024 at 2:11 PM
A real, actual thing BCBS is doing youtube.com/shorts/vWA2a...
Reposted by Alnardo Lora, MD 🇩🇴
🎉🏥 Huge congrats to all the future doctors who are officially matched! 🩺💙 Whether you're jumping for joy or feeling a little nervous, this is the start of an amazing journey. Keep pushing forward, the best is yet to come! #MatchDay2024 #FutureDoctors #ResidencyBound #ATS2025 #Medsky
a man and a woman are jumping in the air in a hallway with their hands in the air .
ALT: a man and a woman are jumping in the air in a hallway with their hands in the air .
media.tenor.com
December 4, 2024 at 2:10 PM
🎉🏥 Huge congrats to all the future doctors who are officially matched! 🩺💙 Whether you're jumping for joy or feeling a little nervous, this is the start of an amazing journey. Keep pushing forward, the best is yet to come! #MatchDay2024 #FutureDoctors #ResidencyBound #ATS2025 #Medsky