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koboldvintner.bsky.social
steinkern
@koboldvintner.bsky.social
It’s cool when residency program directors were recruited from big hospitals that shut down they’re like survivors from a lost continent
November 19, 2025 at 9:59 PM
Can I get an F in bistro chat…
November 19, 2025 at 9:17 PM
When the cat is trying to drink my cereal milk
November 19, 2025 at 7:21 PM
Weird but true: electroconvulsive therapy is sometimes used as a salvage therapy for super refractory status epilepticus (ie, seizures persist or recur after 24 hours of anesthetics). It’s all low quality evidence, mostly case series, but this is true of everything so far down the algorithm.
November 18, 2025 at 4:55 PM
they should invent melatonin gummies that don’t make you sleepy
November 17, 2025 at 5:39 PM
Getting into Paul Simon
November 17, 2025 at 4:52 PM
State psych hospitals all have these decaying composite tiles in the floor because they were built at the same time and never renovated. They break easily into sharp fragments and patients will use them for self harm, swallow them, etc. Somehow this keeps happening and nothing is ever done about it.
November 17, 2025 at 3:11 PM
We believe the spirits of the hessian soldiers who lost their lives at this battlefield now inhabit the creatures you can find and befriend here while playing “Pokemon Go”
November 17, 2025 at 2:18 PM
Reposted by steinkern
that's why I haven't had any bezoars
November 15, 2025 at 7:24 PM
Crit care attending told me in residency he had a patient with a massive gastric bezoar (hairball) that they dissolved by making him drink Diet Coke every day
November 15, 2025 at 5:59 PM
Learned that if you don’t neuter a male cat they get cheeks like an orangutan. Apparently the function of this secondary sex characteristic is thought to be for fighting other tom cats
November 14, 2025 at 3:35 PM
People have this idea that the neuro ICU is mostly patients in persistent vegetative states. In my experience this is far from the truth. Depends on institution but many patients are admitted for monitoring after thrombolytics, elective neurosurgery, autoimmune conditions with a good prognosis, etc.
November 14, 2025 at 1:41 PM
sixth interview of the residency interview season today. here’s a pic of the cat stealing the dog’s bed
November 14, 2025 at 1:33 PM
I bought these chips to complement my sandwich, but now I’m unsure if I even want a sandwich. Quelle tragédie
November 11, 2025 at 9:21 PM
A British drunk driver caused a deadly crash in my town overnight on a road named for events of the revolutionary war. One if by land ass moment…
November 11, 2025 at 4:52 PM
Reposted by steinkern
skyrizi commercials switching from talking about crohns disease back to plaque psoriasis
November 11, 2025 at 7:36 AM
Had a nice discussion with the local hardware store guy about why I need a rake with such extreme specifications
November 9, 2025 at 5:16 PM
Rewatching TRUE GRIT (2010). I had forgotten how racist it is
November 9, 2025 at 5:08 PM
Dreamt that I was responsible for measuring the growth of an evil blob creature for some kind of lab I was a part of. And I hadn’t taken the measurements I needed overnight because it kept throwing things at me
November 8, 2025 at 7:49 PM
They’re seriously moving the nice old public library in my town to a smaller and shittier building in order to expand the police station
November 6, 2025 at 11:11 PM
I would like to stop thinking about anticoagulation for the next 12-24 hrs
November 6, 2025 at 8:20 PM
You can heat up cold pizza to make it warm pizza #lifehacks
November 5, 2025 at 4:18 PM
Hobby lobby tier
New sign outside the Oval Office..
November 5, 2025 at 4:07 PM
Using this to smoke weed
November 5, 2025 at 3:28 PM
I love voting for school board candidates by guessing who’s least fascist based on the slogan listed on the ballot
November 5, 2025 at 2:54 PM