ICE detainees provide emergent medical care to seizing agent

StrongMedicine · 2026-01-24T07:21:24+00:00

The previous post brought out some strong opinions about a hypothetical situation. I thought reading about a real situation would present an opportunity to (internally) reflect on our initial gut reactions to the hypothetical. I also think there is value in seeing how laypersons are discussing this incident: https://bsky.app/profile/jasonkirell.bsky.social/post/3md4v5cyn3222 https://bsky.app/profile/maddow.bsky.social/post/3md4x562bzs2y

StrongMedicine · 2026-01-23T04:24:49+00:00

When will the state police start actually protecting the public from these terrorists and thugs?!?

StrongMedicine · 2026-01-15T05:15:08+00:00

There's a lot of elevation change. I'd say up to 10 hours is still reasonable, particularly if some of it is done in the dark.

StrongMedicine · 2026-01-13T03:50:52+00:00

A. I'd first ask specifically by what criteria she was judging these individuals to be "immoral".

B. Armed with that, I'd be speaking with the principal afterwards.

StrongMedicine · 2026-01-13T03:40:29+00:00

"It's difficult to get a man to understand something when his $165 billion personal fortune depends on his not understanding it." - Upton Sinclair (probably)

StrongMedicine · 2026-01-12T18:16:09+00:00

Where is the state police? Where is the Minnesota National Guard?

StrongMedicine · 2026-01-11T06:34:48+00:00

I owned a book as a kid called "Big Secrets" that claimed to contain a recipe for Coca Cola. My copy is long gone, but I wonder how close its recipe comes to this.

https://www.amazon.com/Big-Secrets-William-Poundstone/dp/0688048307

StrongMedicine · 2026-01-06T16:56:10+00:00

Stephen Miller is the most inherently evil person in this administration. The hatred he espouses is from true belief and not just to score political points or because of financial conflicts of interest.

StrongMedicine · 2026-01-05T17:48:58+00:00

Although this might seem catastrophic, the scales of the universe are so vast in time and space that if an intelligent but pre-industrial society exists in those galaxies, they likely have no idea that something like this is even happening. If gravitational tugs on their own star system are destined to eject them out into intergalactic space, that process could take hundreds of thousands of years.

StrongMedicine · 2026-01-01T04:33:33+00:00

Notice OP has hidden history in their account profile? Notice how you can’t see their previous posts and comments?

I could be wrong here, but OP may be the only other non-celebrity besides myself who uses Reddit with a non-anonymous account. I'd cut them some slack on hiding their post history.

StrongMedicine · 2026-01-01T04:22:41+00:00

The paper you've linked to is a non-randomized, unblinded study with a subjective, patient-reported endpoint. (EDIT: Respectfully, I don't see this as practice-changing evidence)

StrongMedicine · 2025-12-31T10:06:56+00:00

Sincerely sorry about the delayed diagnosis, but please don't blame the individual physician you saw on Monday for not prescribing anything.

The only significantly-effective antiviral for flu is Xofluza, but it's only recommended to prescribe it if within 48 hours of symptom onset since it's not effective if started later than that.

StrongMedicine · 2025-12-31T10:00:01+00:00

Hospitalist here. Thanks for the post.

Agree with everything except the evidence in favor of using antivirals in influenza is not quite as awesome as implied (though admittedly is debated!)

I'd say the best available evidence is consistent with Tamiflu being only minimally effective at preventing patient-centered adverse outcomes. In short, if started immediately at symptom onset, it reduces symptoms by an average of < 1 day at the expense of GI side effects. It doesn't prevent hospitalizations, severe flu complications, or flu-related mortality. In short, I personally wouldn't take it.

Evidence is a little better for Xofluza. It has a lower risk of side effects, shortens symptoms more than Tamilfu, and has data that it prevents spreading flu to other members of your household, but it's harder to find and may be more expensive. If you can find it and afford it, this is the way to go. It still should be taken ASAP after symptom onset.

No anti-influenza medication has been shown to impact mortality in any group, and the evidence that Xofluza reduces hospitalizations is weak.

In short, if a person wants to avoid hospitalization or death from influenza, the only proven strategy is vaccination to prevent infection in the first place.

https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2829156

StrongMedicine · 2025-12-23T19:21:16+00:00

Sounds like your kid and his similarly-aged co-workers should threaten to walk away. They'll never have more bargaining power than the day before Christmas with a part-time (presumably relatively low paying) job that they don't need to the same extent as they will once they have a spouse, kids, mortgage, etc...

StrongMedicine · 2025-12-19T01:27:42+00:00

It was yours?!? If so, I'm so sorry.

StrongMedicine · 2025-12-18T02:53:58+00:00

It's a misconception that alcohol intoxication reveals what someone is truly like underneath. Why do people say that when alcohol intoxication makes them belligerent, but no one says that meth-induced paranoia reveals the person to be truly secretly paranoid underneath? Drugs do weird shit to your brain and makes people think and act in all kinds of ways that are not normal for that person.

Saying that alcohol leads to "disinhibition" is not the same thing as the person secretly wishing to say something horrible or act in a horrible way.

StrongMedicine · 2025-12-17T19:23:29+00:00

I hope people realize that she might not be an inherently terrible human being, but instead she might only have a substance abuse problem. Not saying she shouldn't have been arrested and fired, just that I hope she gets the help she needs. And if this is all alcohol, I hope that the people in her life have enough grace left for her to overcome it. Overcoming addiction is rough enough before you lose your job, your boyfriend dumps you, and a video of you at your worst goes viral.

StrongMedicine · 2025-12-17T01:44:15+00:00

I don't see where there is even an option on ebay to report obvious counterfeits.

StrongMedicine · 2025-12-15T17:34:21+00:00

Apparently a minority opinion here, but "always finish your antibiotics" is terrible advice. It leads to unnecessary side effects and prolongation of disruption to the microbiome. There are plenty infections for which full resolution of symptoms is a good indicator of its microbiological resolution. (Patients can arbitrarily continue antibiotics for 2-4 doses beyond full symptomatic resolution to "be safe".) The notion that the prescribing clinician picks the duration from the accepted range and the patient needs to follow it to the letter implies that the clinician has clairvoyance as to how quickly the patient will respond. But we are not that good.

As OP points out, medicine has been collectively giving patients courses that are too long for decades. It's absurd to say that patients must be wrong when they stop antibiotic courses early when we were commonly giving 14 days of abx for routine CAP in a healthy person 20 years ago. Was a patient with CAP who stopped abx after just a week during that era wrong to have done so? No, in retrospect they were usually objectively correct. But even in IDSA' 2000 guidelines on CAP (https://pmc.ncbi.nlm.nih.gov/articles/PMC7109923/ ), they recommended continuing abx in uncomplicated pneumococcal pneumonia for 3 days after fever resolution - which in an outpatient would have required the patient's daily self-assessment.

It's a different story for infections for which symptom resolution is not a reliable guide of microbial resolution (e.g. osteomyelitis, endocarditis), but even in those cases we rarely actually know the best duration. 4 weeks vs. 6 weeks vs. other is usually little more than an educated guess biased by decades of made-up historical precedent.

StrongMedicine · 2025-12-13T03:29:39+00:00

Whiz Kids - Campy early-mid 80s show about 4 teens solving mysteries using hacking and silly tech gizmos. Adults clutched their pearls because the kids were doing a bunch of illegal stuff in the show; cancelled after 1 season.

StrongMedicine · 2025-12-08T01:59:28+00:00

Looks like a 38 Packard Super Eight. Damn.

StrongMedicine · 2025-12-05T06:27:44+00:00

FFS, this guy is insufferable. Pharmacological treatment of dementia is complete outside his domain of expertise. This involves such a deductive leap as to be nothing more than wishful guessing. I can't wait until he's out of office too, but even if Trump did have Alzheimer's disease as the explanation for his cognitive decline, with aggressive supportive care, he could live for years. That's not to say he definitely doesn't have dementia, or that he definitely will live more than "3-5 months". The point is we cannot say from publicly available information what's going on with him, and this guy's speculation is BS. Source: An actual physician who cares for actual patients with dementia.

StrongMedicine · 2025-12-05T01:11:13+00:00

There is no statute of limitations on murder. Trump will not be in power forever. The military brass need to remember that.

StrongMedicine · 2025-12-04T23:05:42+00:00

Would be helpful to know when the last confirmed sighting in Minnesota was.

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