Catherine Perry, MD @CatherineEPDoc profile

Catherine Perry, MD

@CatherineEPDoc

Followers

598

Following

434

Media

665

Statuses

6,025

PGY28 Emergency Doc & fighter of Darwinism, USAF Vet, NEVER Trump, Extreme Center, wannabe chef, US Marine wife,

Virginia, USA

Joined January 2017

Don't wanna be here? Send us removal request.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@dremilyportermd Wonder how many male physicians are addressed by first name in correspondence from a pharmaceutical company?

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Catherine Perry, MD

@CatherineEPDoc

4 years

@sahilkapur @stuartpstevens The Catholic Church has not always been on the right side of history. But Pope Francis is friggin' knockin' it outa the park this year!!!

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Catherine Perry, MD

@CatherineEPDoc

1 year

@shailinthomas Yup. The "adopt don't shop" people seems oblivious to the fact their criteria remove about 80% of potential adopters.

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Catherine Perry, MD

@CatherineEPDoc

1 year

@EM_RESUS

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Catherine Perry, MD

@CatherineEPDoc

1 year

@jtrebach Ol' Dad Meredith at WFU runs into a trauma. "WTF are you doing?!?!?" Rips off 6" of bloody bandages & puts his bare index finger down on the femoral immediately stopping the hemorrhage. "Son, a little bit of pressure in the right place beats a lot of pressure all over the place"

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Catherine Perry, MD

@CatherineEPDoc

1 year

@DrAlrahmani @MayoClinic This will keep happening as long as hospitals are allowed to inquire about mental health history for credentialing. Physicians won't seek care because they know this.

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Catherine Perry, MD

@CatherineEPDoc

4 years

@NHJennifer @LindseyGrahamSC @realDonaldTrump He does. Probably now more than ever. No one "changes" their mind about a person they hate in the span of a golf game. DT has something on him. We all know it & if LG would just come clean he might have some peace. As it is, his soul is carrion for vultures

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Catherine Perry, MD

@CatherineEPDoc

1 year

@IAmSophiaNelson Because they don't want to be? That's all the reason they need & it's none of my business

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Catherine Perry, MD

@CatherineEPDoc

2 years

@MBeasleyMD Found same thing in a 62 yo x Marine who fell off his bike at the start of a triathlon, finished the race & his wife made him come in b/c it was his worst finishing time ever. Normal vitals. This is why married men live longer....

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Catherine Perry, MD

@CatherineEPDoc

1 year

@EM_RESUS Farmers, non English speaking Hispanic males, pilots & the Amish. If they're in the ER there's something awful going on.

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Catherine Perry, MD

@CatherineEPDoc

4 years

@screwthechew @jaketapper I’ll enjoy him miserable & desperate when he doesn’t have the nuclear codes.

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Catherine Perry, MD

@CatherineEPDoc

8 months

@SPuro88 This is a failure of the leadership of that hospital. Doctor should NEVER have known about that complaint. Oh & 67% of emergency physicians are suffering w burnout. Wonder why 🤷🏼‍♀️

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Catherine Perry, MD

@CatherineEPDoc

1 month

@PhysicianDoodle I'd have immediately barked out "great - get an IV, put on a c-collar, draw a rainbow, get him on a monitor, if the sat is less than 95% start 2L NC & titrate... those OK as verbals or you need me to write it down?

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Catherine Perry, MD

@CatherineEPDoc

2 years

@TheRickWilson

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Catherine Perry, MD

@CatherineEPDoc

2 years

@doctorORbust So sorry. PLEASE take time off. The job & the pts will be there when you get back.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@reverendofdoubt Well we consulted the Lord & he said too stable for heaven. Satan also said too stable for hell. Guess it's gonna be the ICU. Tag, you're it.

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Catherine Perry, MD

@CatherineEPDoc

3 years

@TravisAllen02 I spent a year of my life screaming "SCIENCE" at my right leaning friends. Now I am apparently doomed to scream "SCIENCE" at my left leaning friends. Show me the data that says fully vaccinated should mask. If you do, I will.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@AlanPlotzker @ALMannixMD But, but, but..... The Dr was a girl!!!!!! How else was he supposed to be sure?!?!??!? I mean women in bars commonly lie about being doctors - b/c ya know, guys so dig it 🙄

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Catherine Perry, MD

@CatherineEPDoc

3 years

@RightWingCope @MalcolmNance Cannot improve on @bone00afide

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Catherine Perry, MD

@CatherineEPDoc

3 years

@cshah621 @gretchemaben Rules of Surgery: Let the big dogs eat. Time to get the intern out of this game of hot potato Let the doctors with lots of letters after their names, gray hair & who wake up with low back pain duke it out.

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Catherine Perry, MD

@CatherineEPDoc

1 year

@jasonryanmd Or, and hear me out, rather than taking shortcuts we could pay & treat these specialties better so people would want to do them.

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Catherine Perry, MD

@CatherineEPDoc

1 year

@mario_sofer @UrologyTLVMC @KarinLifshitz @Uroweb Handsome, smart, involved & smiling. A description you'd never hear about a male resident. Why?

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Catherine Perry, MD

@CatherineEPDoc

2 years

@EM_RESUS

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Catherine Perry, MD

@CatherineEPDoc

4 years

@NHJennifer Can ANYONE give me an explanation that won't make my head explode for how MicroMarco got the vaccine before me? Before the ED & ICU nurses? Before the ICU physicians, anesthesiologists, trauma surgeons, & ICU & OR nurses.... Anyone? I'll wait...

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Catherine Perry, MD

@CatherineEPDoc

1 year

@DMSc_Lynchburg This is a well trained PA. An invaluable member of the team taking care of pts with cardiac issues. Not a physician-that requires medical school. Not an internist-that requires 3y of residency. Not a cardiologist-that requires 3y of fellowship. None of which he has completed

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Catherine Perry, MD

@CatherineEPDoc

2 years

@apbohn Casey will meet her at the bridge.

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Catherine Perry, MD

@CatherineEPDoc

3 months

@TanaSW73 @7Veritas4

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Catherine Perry, MD

@CatherineEPDoc

3 years

@davidmweissman I didn't defend TFG. I despise him. AND I found VP Harris's tweet about enjoying a long weekend tone deaf at best & offensive at worst. That's what NOT being in a cult looks like.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@PhysicianDoodle I mean - that's a tidbit of information that might actually come in handy. Because I don't think I've ever worked in an ED that could quickly locate the cardiac magnet when it was needed.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@KurtSchlichter What civil right has been violated? You seem confused at the difference between a trial & an investigation.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@CawthornforNC You're 26. You lied about the USNA-they REJECTED you. You failed out of one of the least academically rigorous colleges in NC, but not without getting some sexual harassment in 1st. You couldn't keep a marriage together for even a year. And deep down you know #YouAreADisgrace

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Catherine Perry, MD

@CatherineEPDoc

11 months

@eringpark

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Catherine Perry, MD

@CatherineEPDoc

3 years

@KateBennett_DC @IvankaTrump found an outfit that allowed her to attend the Met Gala?

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Catherine Perry, MD

@CatherineEPDoc

4 years

@critconcepts @sargsyanz Slow is smooth, smooth is fast. Or as a trauma surgeon was overheard say to her fellow -- you'd go a lot faster if you slowed the fuck down

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Catherine Perry, MD

@CatherineEPDoc

5 months

@fuzzymittens We had a resident do research on the uselessness of residents doing research.

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Catherine Perry, MD

@CatherineEPDoc

1 year

@jtrebach PGY1 (I mean really 4 b/c has done a yr of GS & 3y as a flight surgeon but was an intern in every other sense)... What was the WBC yesterday? I dunno. Can I see the chart so I can look at my note from yesterday? Dead silence. Isn't that's what the chart is for? Audible gasps

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Catherine Perry, MD

@CatherineEPDoc

2 years

@Dr_Oubre

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Catherine Perry, MD

@CatherineEPDoc

3 years

@RobWittman You mean the pipeline which shipped Canadian oil to ports so it could be shipped to China? The pipeline that would "create" off of 34 American jobs after completion? The pipeline that if a leak occurred would poison one of America's largest aquifers? That pipeline?

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Catherine Perry, MD

@CatherineEPDoc

4 years

@mcrjuk9 @RepsForBiden

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Catherine Perry, MD

@CatherineEPDoc

3 years

@AdamKinzinger I'm just going to keep tweeting this at you until you either tell me to stop or embrace the message...

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Catherine Perry, MD

@CatherineEPDoc

9 months

@DrTazKhalid WHEN are the lawyers gonna start going after these companies? They'll go after physicians but won't go after these giant corporations with much deeper pockets?!?!!?? Make it make sense.

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Catherine Perry, MD

@CatherineEPDoc

1 year

@RIDICULO_pathy

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Catherine Perry, MD

@CatherineEPDoc

1 year

@YourMajestyVee I am not and have NEVER been a provider. I have been a restaurant server, file clerk, riding instructor, barn mucker, resident advisor & bartender. I am a PHYSICIAN.

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Catherine Perry, MD

@CatherineEPDoc

1 year

@DMSc_Lynchburg This is undoubtedly a well trained PA who will be a valuable asset in the ER. Not a physician. Doesn't have a physician's education & training & is NOT equivalent. Using "Dr" & "fellowship" is a deliberate attempt to deceive the public about this individuals true credentials.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@shailinthomas Laws of the House of God 3. At a cardiac arrest, the first procedure is to take your own pulse.

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Catherine Perry, MD

@CatherineEPDoc

4 years

@RobWittman It's almost like humoring the delusions of a racist misogynistic autocrat was a bad idea.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@ramer_sarah @Toaster_Pastry & a cardiology consult. But I'm not going to tell a PMD at home in the middle of the night they shouldn't tell their patient to come to the ER when their patients HR was in the 30s for 10min. More & prompt evaluation is indicated. 2/2

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Catherine Perry, MD

@CatherineEPDoc

3 years

@HeathMayo I'm a principled conservative too. Can you give me any good reason to vote for any GOP senator ever again? Because all the conservative principle things they SAID mattered, as best I can tell, was a big fat LIE.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@ramer_sarah @Toaster_Pastry I will refer that which I feel is appropriate to refer. A fit, skinny ♂ in his 20s w a HR in 50s in the ED & no other c/o will get a 12 lead & DC. A 60yo ♀ who has a HR of 90 in the ED & says she's almost passed out 3x in the last wk & gotten sweaty will get an admission 1/2

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Catherine Perry, MD

@CatherineEPDoc

4 years

@ProjectLincoln Utterly tragic. Utterly predictable.

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Catherine Perry, MD

@CatherineEPDoc

1 year

@Jubilee4Jesus NOT a part. coll. lung. Blood clot (PE)≠PTX Atelectasis is some under expansion of alveoli-almost certainly b/c you didn't take a deep breath. The Drs treated you appropriately. The NP exposed you to unnecessary radiation to make a diagnosis of "didn't take a deep breath."

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Catherine Perry, MD

@CatherineEPDoc

2 years

@patriottakes From the Congresswoman who got knocked up in high school & married a sex offender...

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Catherine Perry, MD

@CatherineEPDoc

4 years

@RonGOPVet4Biden Donald Trump - I have changed my mind from distaste w/ a degree of dismissiveness to pure unadulterated hate with a degree of shame at having so thoroughly underestimated him.

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Catherine Perry, MD

@CatherineEPDoc

3 years

@MidlevelCare @monicaraileybay So is this what lawyers refer to as "filming your own malpractice"?

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Catherine Perry, MD

@CatherineEPDoc

2 years

@olsonplanner Pushed lytics based upon H&P & POCUS on a 30 some yo woman 3mo post-partum who was literally trying to die in front of me of a massive PE. She turned around in ≈30min & walked out 3-4d later to rejoin her husband and infant. I still think about that one after a brutal day.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@813JAFERD MCG Nothing like a cash-only, outpatient practice doctor commenting on what is normal for the ER. 🙄

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Catherine Perry, MD

@CatherineEPDoc

14 days

@PhysicianDoodle

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Catherine Perry, MD

@CatherineEPDoc

2 years

@PisceanNurse

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Catherine Perry, MD

@CatherineEPDoc

1 year

@RIDICULO_pathy IFEmerg over Atlantic-call goes out. I saunter towards the hullabullo. 3 men standing around looking nervous. "Hey, board cert EM doc here if anyone needs input." The Red Sea parted. Was an outpt IM, an OB & a rad. I mean props to the rad for even getting out of his seat.

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Catherine Perry, MD

@CatherineEPDoc

1 year

@EM_RESUS Acute R sided pigtail deficiency The smarter Drs can figure out why...

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Catherine Perry, MD

@CatherineEPDoc

3 years

@georgepbush They are so ashamed of you. #ETTD

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Catherine Perry, MD

@CatherineEPDoc

4 years

@RobWittman Why aren't you questioning the legitimacy of your election?

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Catherine Perry, MD

@CatherineEPDoc

3 years

@RosenzweigP I used to go in the bathroom & cry after pronouncing a COVID patient. Now I just look for a new Diet Coke because the one at my desk is now warm & flat.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@Toaster_Pastry Responses from non-ER docs makes me realize understanding of the nonsense we evaluate regularly is virtually nil. This referral would score 8 or 9 on the reasonable/ridiculous ER referral scale. The score for a cards referral? 🤷🏼‍♀️need more info. Might be 0-1, might be 8-9.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@IAmSophiaNelson Do you feel that Christians, as a group, have done a particularly good job respecting other's freedom?

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Catherine Perry, MD

@CatherineEPDoc

3 months

@Supermansings People do not seem to be able to tolerate the most minor of symptoms or life inconveniences & their PMD was willing to see them in <24h but that's not fast enough.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@fuzzymittens

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Catherine Perry, MD

@CatherineEPDoc

3 years

@ryanstruyk @CarleyPernokas Some skeptical b/c politics Some skeptical b/c history. Lots of sympathy for the later. Almost no sympathy for the former.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@Toaster_Pastry I can't definitely tell if you think this was good or bad - but, HR in the 30s for 10min sounds like a pretty reasonable ED referral to me. Age? Fitness level? Risk factors? Meds? Dizziness? Near syncopal episodes the patient hasn't bothered to mention?

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Catherine Perry, MD

@CatherineEPDoc

1 year

@TraumaSoapBoxes Subarachnoid hemorrhage-actually that was from the waiting room. Sepsis on 4mcg norad *sitting* in a wheelchair in front of charge DKA w a pH of 7.02-also the WR Ruptured ectopic w 2L intraperitoneal🩸 3°❤️block There's more but I've just gotten used to it.

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Catherine Perry, MD

@CatherineEPDoc

1 year

@DrCasteelEM Best training for emerg med I EVER had was waiting tables. It's really basically the same job. Well except for the people can die if you get it wrong thing... But if you're a good server, you'll be a good BAFERD.

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Catherine Perry, MD

@CatherineEPDoc

3 years

@BuckDancerMD "Pt having PVCs." Ok, yawn, sleepily reaching down for crocs, cupping ASCOM between chin & shoulder. Trying not to wake the resident sleeping in the upper bunk (who undoubtedly was jerked awake anyway by the pavlovian pager sound.) Well how many? Every beat 😳

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Catherine Perry, MD

@CatherineEPDoc

2 years

@drollinsp "I don't know" is the absolutely BEST thing a trainee (or anyone else for that matter) could get comfortable saying. I am PGY27 - "I don't know" still happens weekly.

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Catherine Perry, MD

@CatherineEPDoc

1 year

@MidlevelCare @texmed @acgme @FloridaMedical @MichStateMedSoc @MedSocietyVA @IllinoisDoctors @TheISMA @MIHospitalAssoc @WisMed @MassMedical Why aren't the legit NPs who spent years as a nurse & then went to real schools having an absolute fit over this? If all of a sudden "medical schools" requiring 2y & no residency started popping up physicians would be having a fit.

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Catherine Perry, MD

@CatherineEPDoc

3 years

@WalshFreedom @AdamKinzinger You can always go back. He changed twice.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@glynnlc @olsonplanner You cannot render the same service when you don't have the same education. #AskToSeeYourDoctor

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Catherine Perry, MD

@CatherineEPDoc

3 years

@NurseSheepie Pt: I don't know what's in it. Me: Ok, well watch this video on your phone & then you will. Also me: And right now please tell me what's in those Cheetos & Mountain Dew @sjs856 has convinced 3 people now to #GetTheDamnShot 🙏🏻

Why I Took The Vaccine

For business inquiries: [email protected]#DrewComments #AmericanRescuePlan #BidenHarris #stimmy #StimulusChecks #coronavirus #COVID19 #moderna #covidva...

www.youtube.com

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Catherine Perry, MD

@CatherineEPDoc

3 years

@Suburbanbella Crazy idea. American Soc Anesthesiology or PPP buys a billboard in said town. Close to the hospital. Making it clear no physician anesthesia at same. W a QR code linking to a video that details just how awful this is. I think we could have this hospital scrambling for <$1,000

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Catherine Perry, MD

@CatherineEPDoc

2 years

@RNSuperHero Someone should point out to admin that a 100% sure fire way to avoid a CLABSI is to avoid a CL....

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Catherine Perry, MD

@CatherineEPDoc

1 year

@toxicologist12 What happened *today* to make you decide to call an ambulance or come to the hospital? I want to hear the whole story but please let's start with today. Has been more effective than anything else I've ever tried. But still only about 80%

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Catherine Perry, MD

@CatherineEPDoc

4 years

@dremilyportermd @drjudymelinek And this post tells the country everything you’d ever need to know about our healthcare “system.”

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Catherine Perry, MD

@CatherineEPDoc

2 years

@Amuly21 @EM_RESUS Age of the patient & findings on the CXR -- if it looks like a duck, walks like a duck, quacks like a duck... it's a duck. And watch this be a goose 🙄

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Catherine Perry, MD

@CatherineEPDoc

3 years

@ChernaKreim @TravisAllen02 ∆ is more contagious but thus far the data says not more lethal & the vaccines are very effective. I don't want to get an asxs case & spread it, but if I do & it spreads to an unvax'd person - my philosophy is choices come w/ consequences. #Science

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Catherine Perry, MD

@CatherineEPDoc

1 year

@EM_RESUS Farmers & ranchers, the Amish, pilots & any male who don't speak English as a 1st language. Just keep working them up b/c something terrible is going on.

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Catherine Perry, MD

@CatherineEPDoc

3 years

@JaroslawMichal3 @Suburbanbella If I need airway help I'm not calling for a nurse. This is how little you value physician colleagues training & expertise?!?!?

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Catherine Perry, MD

@CatherineEPDoc

3 years

@RobWittman

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Catherine Perry, MD

@CatherineEPDoc

10 months

@GChristiemd @Mickolas9 @parden04 @GuyLambertUK So can I assume you take off your crucifix when you go to work? People flocked to the church in droves when doing so meant a decent chance of being a snack for lions. Now they can't exit fast enough. We're clearly doing something wrong. This is a fantastic example of that.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@MorgK_40 IFE elderly man - an OB, Rad, out pt ped also responded. (Props to the rad for even getting up.) Y'all seem to be doing fine but I'm EM if anyone wants help.... The Red Sea parted.

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Catherine Perry, MD

@CatherineEPDoc

1 year

@TolgaGidenerMD When I was a fellow there was an AMAZING surgery PGY1. Had impressed the💩out of me on several cases. One day trauma team is working on a pt & I turn to the Trauma attending-"I dunno where you got this intern but get more from there." 10y General Surgeon in Cuba. Por supuesto

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Catherine Perry, MD

@CatherineEPDoc

8 months

@habu333

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Catherine Perry, MD

@CatherineEPDoc

1 year

@thatnrselife Read House of God 3x. 1st in coll. Thought it was awful & couldn't imagine why anyone would tell a pre-med to read it. 2nd was MS3. Thought it was pretty bad but definitely had redeeming & funny moments. 3rd was PGY1. Split my sides laughing. Dark humor is a survival mechanism.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@fuzzymittens It's very unsatisfying to complain when there's no audience. Don't be an audience.

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Catherine Perry, MD

@CatherineEPDoc

4 years

@EdGainesIII @SpeakerPelosi @senatemajldr Get patient's out of the middle!!! Make the insurance companies - who deliver NO medical care - to enter into independent dispute resolution with the physicians - WHO DO deliver the medical care. Insurance companies do not need any more power. #NoBenchmarking , @Dr_RaulRuiz

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Catherine Perry, MD

@CatherineEPDoc

2 years

@RodGerardo Learn something new every single day. Ok - you can take 14d/yr off. But otherwise, read something, listen to a podcast from a reliable source. Even just digest & internalize a medtwitter post. It can be 5min worth, but learn something. And keep it up once you're an attending.

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Catherine Perry, MD

@CatherineEPDoc

1 year

@SquireBrocoRN HATE HATE HATE calls for critical EtOH. Look, I learned how to tell if someone is drunk by Sr year of high school. If they're so intoxicated they've lost their airway & I haven't done something about it by the time you're calling, I need to find another speciality.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@JAFERDIAN @DGlaucomflecken Me: SCAPE, flirting w the tube, BP 300 over patent pending. All important things done. Now on 2L & chillin'. Med Surg 👍🏻? IM: the Na? Me: Don't care. IM: Did you give lasix? Me: No IM: the Cr? Me: A number you will tinker with. IM: have you done anything? Me: NO TUBE!!!!!

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Catherine Perry, MD

@CatherineEPDoc

9 months

@Supermansings I admitted a hypoxic respiratory failure COVID today. That's the first one in more than a year.

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Catherine Perry, MD

@CatherineEPDoc

2 years

@shahrukh_bakar @Toaster_Pastry & ≈6mo ago a pt walked in in 3°AVB b/c her watch had yelled at her about slow HR. Not asleep at the time but still... She arrested 😳 during the ER eval, eventually got a pacer and walked out just fine. It gave me new respect for the potential benefits of these devices. /2

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Catherine Perry, MD

@CatherineEPDoc

3 years

@BuckDancerMD The worst lies are the lies you tell yourself, because those are the lies you believe. But I don't think he really believes his own lie this time - he just has to try to, b/c otherwise the grief would be too much.

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Catherine Perry, MD

@CatherineEPDoc

4 years

@RonGOPVet4Biden Friend from college who's now an attorney, said there's been little more simultaneously amusing & terrifying than seeing HS classmates who got a 14 on the ACT explain Constitutional Law. I feel much the same about Medicine. #DeathOfExpertise

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