Charlie Hunter, DO, MS
@drcharlieh
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EM Doc in California • Buckeye, Spartan, BAFERD • views are my own • 🤙🏻🏋🏼♂️👨🏼⚕️🏳️🌈
Bay Area, CA
Joined June 2020
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Abortion is an essential medical service.
Full stop.
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Friendly reminder that the most appropriate resuscitative fluid for the hemorrhaging patient is blood ☺️
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Tell me you’re on trauma surgery without telling me you’re on trauma surgery. I’ll go first… 😭
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Lecture on urological trauma this morning reminded me of what may have been the most unhinged PowerPoint slide I came across during medical school
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So what we’re *NOT* gonna do is scream at me over the phone and berate me and accuse me of not understanding basic medicine when I consult you - according to protocol - for something entirely reasonable requiring your service’s attention.
You’re on call.
K?
K.
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Sending inappropriate messages to trainees is wrong 100% of the time.
Harassing trainees is wrong 100% of the time.
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Half of med Twitter: at each other’s throats
Me, recovering from nights and blissfully unaware of drama: …so uhh does no one wanna hear how I tried a migraine cocktail* with a pt for the first time & she said it was the first time she was headache free in 4 days? 😅🥺
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As far as cheesy pick up lines go…this one might win
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In other news…I have accepted my first job as an ED attending physician and I’m gonna be moving to California!
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The only possible explanation for today is that somebody was sitting in a dark, isolated corner of the ED muttering the Q word repeatedly and whoever it was I hope you step on legos barefoot
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I have 5 weeks left in residency.
After a bachelor’s degree, master’s degree, medical school, and residency in emergency medicine…I’m finally almost done with training 🥲
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@juliaisobela
8 hrs into an all day surgery, I projectile launched about 100 cc of purified fat up to the ceiling (not over a sterile area) and it splatted SO loud. Surgeon laughed so hard he broke scrub. The fat stuck…and hung there for the remaining 2 hours. CRNA air dropped me this pic 🤦🏼♂️
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@fuzzymittens
You know just by the name that she is a whole freaking legend. And then she comes out with that amazing advice.
Duchess, wherever you are, I salute you ❤️
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Annual reminder that your July 1st “jokes” about interns are harmful and wildly inappropriate
• all trainees are supervised
• interns have graduated from medical school - they are doctors
• no, the “jokes” aren’t harmless
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@empanicturtle
@DrLongissimus
I think we’d make it pretty far. We’re skilled in dealing with aggressive belligerent zombie like people already. We carry enough sedatives, paralytics, and miscellaneous drugs to buy time, and a solid 2/3 of items lying around can be macgyvered into projectiles. We good.
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@jtrebach
I was sitting next to an attending once in like March or April and she picked up the phone and was like “this is who?? Omg hi how are you I’ve never gotten a call from pathology before this is so exciting!! Who? Oh yes he’s sitting right next to me just a sec”
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@alexandertyler
It is ALWAYS the place and time to stand up for those who are being assaulted, harassed, and taken advantage of.
ALWAYS.
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@angiericono
Exposure does not mean overdose. And if you are going to put forward such sensationalistic stories, the burden is on you to substantiate the veracity.
Nonetheless, the video is not a plausible representation of what an acute overdose of opioids looks like.
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Observations after 1 month of being an attending…
• this is so much better than residency but still v hard
• being a baby attending in a group of mostly veteran EM docs makes me feel slow
• holy crap the decision fatigue
• pre shift anxiety/terror is strong
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@jtrebach
Overnight hemorrhagic shock once…super intense resus, I didn’t leave bedside until they were out of my dept. At one point I was literally hand squeezing blood in. Pt then whisked off to OR. I sat down to chart after and absolutely lost it. Pt lived and I was sobbing in ambo bay
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@Silkypearls
@cherrylimaid
@notcapnamerica
Being in public is neither rare nor uncommon. The lady recording is not being disruptive, is not causing a scene, and does not owe any explanation for why she is in a SHARED space.
The one escalating the situation is the white woman who refused to mind her own business.
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I think the most valuable thing I’ve learned in pediatric emergency medicine is that there is no bargaining tool more powerful than popsicles
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@stephnthecity
@WKRN
Could you spare at least a CRUMB of dignity and/or journalistic integrity and fact check the medical validity of something before spewing crap into the abyss??
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@angiericono
It isn’t necessarily that medical, toxicology, and pharmacy experts are questioning the validity of the story. It’s that we are highlighting ridiculous and fallacious claims, and have come to you with abundant research and supporting material debunking the basis of the claim
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@DoctorYasmin
She had a professional obligation as a physician and public health professional to speak up and sound the alarm but she didn’t. This is a day late and a dollar short, to put it mildly
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Inpatient teams would never tolerate the abuse they level at the ED teams on a daily basis and expect us to simply accept
What’s your unpopular medical opinion that would land you in this position?
Drop it in this thread
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@EM_RESUS
Similar case early in PGY2. Pt had used meth, subsequently developed crushing retrosternal pain. ECG not as striking (repeats more impressive) but my attending and I called a STEMI alert. Much of cath team scoffed at us but interventionalist agreed w/ me & took the pt… 99% RCA
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@AshleyGWinter
I’m so sorry Ashley. It is horrific that you had to experience that and grotesque that he still got accolades and speaking gigs
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@DGlaucomflecken
I did not ask to be absolutely ROASTED like this on a Tuesday afternoon, sir 😅🙃
Except I prefer Bang and Coke Zero 😁
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Back pain + syncope + hypotension
Got a set of danger squiggles and promptly called a STEMI alert
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@RyanMarino
If he overdosed by simply being in the presence of a drug, maybe he just needed to be in the presence of the Narcan and not use it…since he didn’t ingest fentanyl in the first damn place
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@ananavarro
are we not gonna address how profoundly uncomfortable this video looks? Because I legit thought it was a picture at first and now I just can’t stop cringing
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This is terrifyingly accurate
When a critical patient develops a sudden and strong urge to move their bowels, they are about to code until proven otherwise. Trust me on this one.
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@GChristiemd
@Mickolas9
@parden04
@GuyLambertUK
First of all, no it’s not. Second, even if it were I’d rather the political statement I give off be that I’m accepting and not a bigoted religious zealot
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Omg 🥺🥺
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@thedailybeast
Hi, ER doctor here. Narcan serves exactly zero purpose in the treatment of sepsis. It does not treat septic shock. At all.
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@GawrysSteve
“You seem like someone who would put cherry syrup in their coke because they forgot cherry coke existed”
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Patient states “how the fuck you gonna tell me you’re my doctor when you can’t even be old enough to drive?!?” 🙄👦🏼👨🏼⚕️
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An ECG like this, regardless of substance use, MUST be considered acute ischemia unless and until proven otherwise!!
Great reminder that amphetamines can do more than just cause coronary vasospasm…they can cause plaque rupture and acute MI.
Thanks Dr. Ghali!
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@EM_RESUS
Probably 2:1 flutter in the setting of LMCA STEMI. Initially thought VTach with left main STEMI but the more I look at it the less I think that. Nonetheless…shock him, activate STEMI alert, and run like hell to the cath lab.
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@steveioe
A) if you, an ex ER tech, are checking orders & giving out meds, congrats bc security is on the way. You aren’t authorized.
B) new interns have on average 4000+ clinical hours of training, have passed board exams, and are under supervision.
C) causing distrust isn’t funny
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@PA_Stressed_
The jump from not having given a vaccine (which is usually accepted as a task assigned to other members of a care team) to not having touched a patient is pretty extreme.
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What you watched was something anyone who works in ER is subjected to almost daily
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@uche_blackstock
@MigsRunner
I used to work at Houston Methodist before medical school and can’t say enough good things about them. This is another good thing added to that list 🥰 it should be required for all physicians, nurses, clinical folks as part of our duty to our patients
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@JReinerMD
I’m generally a pretty healthy 31 y/o. I often meet patients in their 70s, 80s, 90s who are healthier than me, take fewer meds, have had fewer surgeries, go running/walking/biking every morning… there’s much more to this than just age so I’ll politely disagree with Dr. Emmanuel
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@angiericono
Did he experience some type of event? Certainly. Would it be a plausible explanation, considering the wealth of scientific and medical knowledge on this very subject, that the event was caused by fentanyl? No, it wouldn’t.
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@RyanMarino
So after a panic attack induced by being in the presence of a scary looking pill, he goes to the ER where there is actual fentanyl? Lol ok. Great use of tax dollars 🤦🏼♂️
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@JAFERDIAN
Got told that once too. I looked at him and said “it’s 0430, I’m the only student here checking night labs and pre-rounding, I’m already on duty hour violations for the 2nd week running, and absofuckinglutely not.” He was actually really impressed…got a glowing eval 🤷🏼♂️
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To every 4th year med student in the country…I’m proud of y’all.
Regardless of the outcome of tomorrow, you’re all gonna be doctors and should be proud af.
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The hospitals are still full of COVID. Most of the patients I see in the ER have COVID. Small down tick in cases, I’ll give that much, but far from “victory”
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@RealMed3
As much as I know that this is in non American numbers, it’s still jarring to think of giving insulin and not D50 to a blood sugar of 25
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@BadMedicalTakes
As an ER doctor, I can assure that an O2 sat of 67% is, in fact, particularly ill.
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ACCESS TO SAFE ABORTION CARE IS AN ESSENTIAL PART OF MEDICINE.
Full stop.
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@DrJenGunter
So by her logic, my weekly methotrexate is me having abortions because it can interfere with pregnancy. Totally irrelevant that I’m a guy so there’s literally nothing to abort, just like with Plan B…
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PrEP is an important public health tool. Jeopardizing availability will cause significant harm to the global fight against HIV. Prevention is a complex battle requiring a multifaceted approach- PrEP is a vital, strongly scientifically supported & evidence-based component of this.
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@steveioe
Like bro I have a master’s degree, a medical degree, and a medical license as a resident physician. I graduated med school with >4200 clinical hours, around 1600 of those hours at “acting intern/subintern” level. I’m competent and qualified to be where I am.
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@chrissyfreeMD
Facts.
I’d also say that loving what you’re doing and the feels of exhaustion and being stretched thin are not anywhere close to mutually exclusive. Those who don’t find it brutal are the exception not the rule. I wouldn’t want any other job, but god damn I’m tired.
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There is no need to be rude or demeaning or petulant when the ER is consulting you.
Thank you, and have the evening you deserve.
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