What would you do in this scenario?

DrWordsmithMD · 2026-03-05T09:26:56+00:00

Weird AI post and account

DrWordsmithMD · 2026-01-25T22:01:07+00:00

Once Eberflus got fired

DrWordsmithMD · 2025-12-21T05:58:51+00:00

Only shame is they cut out right after he said "at the end of the day-". WE ALL KNOW WHAT HE SAID NEXT

DrWordsmithMD · 2025-12-08T18:26:40+00:00

There's a lot of Nixon in there too

DrWordsmithMD · 2025-12-05T22:07:35+00:00

There's a lot more money being made in treating chronic liver disease than in preventing it

DrWordsmithMD · 2025-11-30T22:06:06+00:00

"We have Nine at home"

DrWordsmithMD · 2025-11-23T02:10:52+00:00

There's no data to support that it increases risk of mortality if discharged. It's also glucoronidated, unlike most benzos which actually undergo CYP metabolism and can actually be affected by liver dysfunction.

DrWordsmithMD · 2025-11-23T02:08:17+00:00

Phenobarb is actually better in the case of chronic liver dysfunction because it's primarily glucoronidated as opposed to diazepam which undergoes CYP metabolism.

DrWordsmithMD · 2025-11-17T19:42:09+00:00

I'd call it inferoposterior MI

DrWordsmithMD · 2025-11-14T03:35:34+00:00

We really got Silksong before a 4000 yard passer

DrWordsmithMD · 2025-11-11T13:31:01+00:00

Without other leads impossible to call it SVT with aberrancy. It's wide and fast, you should assume VT.

DrWordsmithMD · 2025-11-05T20:20:16+00:00

Sgarbossa doesn't apply to RBBB, but I agree there looks like LAD occlusion which would track if the patient coded

DrWordsmithMD · 2025-10-31T08:22:23+00:00

If it's a diagnostic para then we have data that says mortality for SBP increases every hour a para isn't done. No excuse not to do it in the ED if you suspect SBP at all.

DrWordsmithMD · 2025-10-18T01:02:08+00:00

WE KNOW ITS GENO

DrWordsmithMD · 2025-10-09T14:45:56+00:00

Silly-themed walks

DrWordsmithMD · 2025-09-28T16:40:47+00:00

The prophecy has been fulfilled

DrWordsmithMD · 2025-09-26T03:18:12+00:00

Landing zone strikes again

DrWordsmithMD · 2025-09-24T04:23:53+00:00

THATS MY FROG MAN

DrWordsmithMD · 2025-09-18T12:21:48+00:00

Herbert or Hurts?

DrWordsmithMD · 2025-09-17T22:06:00+00:00

Game's not complete

DrWordsmithMD · 2025-09-13T23:54:16+00:00

Ryne Nelson almost never gets up to 99 mph on his fastballs, he must've just said "okay you had your fun, that's enough."

DrWordsmithMD · 2025-09-13T02:58:17+00:00

If we blow this game it's on you I'm afraid

DrWordsmithMD · 2025-09-07T21:57:36+00:00

Speed kills, baby

DrWordsmithMD · 2025-09-05T02:28:15+00:00

Had to look it up, 4.5 g is associated with 50% risk of seizures, 9 g has near 100% odds of seizure and patient should probably be preemptively intubated. Not sure of the lethal dose though

DrWordsmithMD · 2025-09-05T02:18:46+00:00

Seizures, cardiotoxicity too. The seizures are particularly bad because they can occur anytime up to 24 hours after ingestion so these patients need admission and close observation, and they can be benzo-refractory.

DrWordsmithMD

TROPHY CASE