Thomas A. Nguyen
@quality_nguyen
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World's okayest DO pediatrician. Pitiful lout.
Akron, OH USA
Joined February 2017
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Pinned Tweet
Sorry ma'am I'm out of gold doubloons. Would you accept RabbitCoin, perhaps?
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She ends up in the hospital and dies. Of course due to restrictions, he never got a chance to say goodbye or I'm sorry. Family blames him and he of course blames himself. The young man is resilient but this is too much.
Tell me again that COVID does not affect kids.
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Shared with patient consent:
I broke my no hug rule. A teen patient was distraught. He got into a fight with mom and told her to go to hell. Sister called the cops and it turns out mom has warrants so she gets arrested. Mom is unvaxed and picked up COVID while in jail. 1/2
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My dad had to deal with this as an ER doctor in Ohio in the 80s and 90s. Patients saying things like "I don't want a fucking chink doctor".
His usual response:
"The white doctor will be here at shift change in X hours. You can see me, wait, or go somewhere else."
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Ok, so I've been doing pediatrics for 15 years but never before have I had a patient with 5 identifiable viruses. 😫
It's going to be a bad winter.
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3 days ago this kid was pulled out of a swimming pool purple with no breathing and no pulse. Today he's running around my exam room flipping over chairs. Bystander CPR saved his life.
*shared with permission
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@MegnReardin
He's a great kid. I asked him if I could share his story to maybe convince more people to get vaccinated.
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I'm an expert on 3rd year medical students. I've worked with over 100 in my career. The ones I truly worry about becoming doctors share certain character traits.
1. Hubris
Almost anything else we can work with but these students are the worst. Yes this is a subtweet.
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People can act crazy in the ED. They are scared, hurt, anxious. His response was designed to give the power back to them and de-escalate. It gave the patients an opportunity to apologize, move forward, and get care.
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@aetiology
It's messy but his mom and dad weren't together so he at least has him. And of course the world's okayest pediatrician.
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I told my student she could go home early and she just said thanks and left.🤯
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I have a 4 year old patient who meets criteria for immune workup. CBC shows an ANC elevated to 9.4. IgGAME and IgG subs are normal. HiB titer is 0.17. What is the next step in management?
I would like for RFK Jr to answer this since he is an expert on childhood immunity.
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Kathy Hochul looks like the cardiologist explaining to ortho bro Fetterman that she can't clear the patient for hip replacement surgery.
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@DGlaucomflecken
Check this out. Ivermectin in an injection form. Just two doses. You also get a free card that gets you into the best clubs in NY.
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@AshleyGWinter
Frozen waffles are pre-cooked this is just a smart parenting hack and probably good for teething.
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I dunno about you but I would prefer to know if my paramedic had COVID since, you know, you're trapped inside a metal box on wheels with them.
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@DGlaucomflecken
About 1/3 of the students I precept every year go into family medicine. We watch the videos together as soon as they come out and we discuss them. Except the insurance ones. Those we just nod silently and cry.
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@eve_faber
1. COVID
2. Do not want to do anything that has the chance of being misinterpreted, especially with teenagers.
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Being a pediatrician right now is deciding if an iffy looking kid is better off at home with 1:1 care or in a hospital with 1:6 care.
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When I was in medical school during anatomy lab one of my lab partners used the belly button to store their blunt probe. He was given an extremely direct warning by the lab director that we were not to be disrespectful of the donors in any way.
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Talked to a mother whose kids both had colds. The mom called her pcp earlier due to feeling sick, tired, and no sense of taste.
She was treated with Zithromax and Augmentin. By phone. Was told this was going around.
I test kids. Both positive. Momma is bout to rip some shit up.
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Signs that an Asian restaurant is actually good:
1. Yelp reviews complaining about service
2. Aquariums with fish and crustaceans that are on the menu
3. Number of Camrys and Accords in the parking lot
4. A kid, related to the owners, sitting at a table in the corner playing
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John Fetterman looks like every dad at their daughter's checkup as I'm explaining the risks and benefits of the Gardasil vaccine.
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Last week our
@enfamil
rep had her district manager with her. Our conversation:
DM: What are you?
Me: a pediatrician?
DM: no, I mean where are you from?
Me: I'm from Columbus
DM: where are your parents from?
Ugh. So tired.
@meadjohnson
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Being called stupid and overly emotional while getting blamed for the worst parts of the pandemic that has consumed my professional career for the past three years by a medical student.
Is this what being a woman feels like?
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The reason why I'm not optimistic about the news today is because I saw this in 2015. It should have been the end of his political career.
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I still mask at work because this is what my schedule looks like on a random Monday morning in May.
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Going over some ERAS applications and came across this today.
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One line is good
Two lines are bad
Listen to pediatricians
Ignore Vinay Prasad
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I saw 35 patients yesterday. 1 was for an ortho issue, 3 had a rash. The rest were for cold symptoms. 😷
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@janicebonsu
My dad used to have to deal with this when he worked the er. It happened so often that he said the same thing every time. It was a small hospital with just one attending. He told them they could wait 12 hours for another doc, leave, or consent to treatment.
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If you run a residency program that took care of COVID patients in 2020 and 2021 this student is saying that you were negligent and commited malpractice. Just something to think about as you fill out your rank lists in two years.
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The raw milk diet. Get Listeria and lose 20 pounds.
Finding farms that sell raw milk from unvaccinated, 100% grass fed cows is the best.
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I've lived in Ohio for my entire life. Because of my profession I see lots of people every day. Moms, dads, and grandparents. I live in a purple city and work in a red county...
I have never once heard anyone say anything remotely positive about JD Vance.
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@AshleyGWinter
Fortunately we have not seen a huge dent in our vaccination rates for the routine schedule. I think most people have no idea who RFK Jr is.
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My diet consists of lavender twigs and blended yak fur. I take 107 supplements daily including powdered human placenta. My epigenetic age is -17.
This is a photo with my son. Can you tell which one of us is actually younger?
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In today's edition of don't be stupid. Texas Children's uses Epic. If you think you can get away with looking at private records without justification it could cost you 10 years in federal prison, a $250k fine, and most likely your career in medicine.
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Horrible codes part 3: Padme gives birth to twins, says "there's good in him", then rolls over and dies. No IV access, no ABCs. A society that has hyperspace travel, sentient robots, and laser swords can't even do chest compressions? Pathetic.
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A person who doesn't abuse their kids has nothing to worry about in this situation.
Maybe take a moment and consider that these safety protocols are put into place to protect children that may not be in a good situation.
@DrShayPhD
The same thing happened to me the day that my son turned 12. He had a skateboarding incident and we were in the ER and the nurse actually turned the screen so that I couldn’t see and told him to read it silently and answer the questions.
Immediately, she wrote something in his
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I don't have anything to add to the discourse today so here's a meme I made.
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We when the nurse can't read what I wrote and neither can I.
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Popular opinion. People that are actually smart usually don't have go around telling everyone how smart they are.
They let others do it for them.
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I'm still at work because outpatient pediatrics sucks right now but my
@DGlaucomflecken
nephrologist insulated water bottle came and I'm happy again. Now I'm the cool attending.
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I had a question for a pharmacist and he said he had to look into and and call me back. I gave him my cell phone number and he texted me back. Does this mean I can just text him whenever? Do I have a pharmacy texting buddy?
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Newborn follow up 5 days old. Term SVD and nursing. Generally doing well but seems a little more fussy than their other kids.
Lesson: always check, sometimes stuff gets missed in the nursery.
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Refusing the vitamin K shot is not only life threatening but also potentially expensive.
Story time:
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@DGlaucomflecken
Me: The K is 3.7.
IM: What?
Me: The reported value of K from the BMP this morning which is merely an instantaneous representation of the measured level of K in the sample drawn by Mary the phlebotomist at 6:20am was 3.7. But what are numbers really?
IM: That's better.
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Health insurance companies whenever a new Glaucomflecken video drops:
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College pre-med: Hey, can I shadow you this summer?
Me: Sure, these are the dates I have available.
CPM: Great, what do I need to do before I start?
Me: I just need you to email me a copy of your COVID vaccine card.
CPM: 🦗🦗🦗
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I hate Joe Rogan.
If you identify as a woman and hate me please let me know I'm just checking something.
👇
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Why would we want to continue a relationship with a family that fundamentally disagrees with our medical philosophy? Why would the family continue to seek care from a pediatrician that they disagree with?
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I met my new resident today. She was born the year I graduated from high school...
I am dust.
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Building up my twitter following in case I ever need to shame CVS for refusing to fill a prescription.
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Meghan Markle is one of the most beautiful women on the planet. The hatred for her is absolutely unhinged.
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I came into work and our new MA asked if I wanted an "Abuela Taco" bean and chorizo on a homemade tortilla made by her mom that was visiting from Texas.
Of course it came wrapped in foil.
10/10 would eat every day.
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"HELP ME WITH SOMETHING ELSE!"
"SPEAK TO THE PHARMACY STAFF!"
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Medical school professor here. This is completely inaccurate. We will often give advice to students that are seeking guidance but I've never placed anyone into any specialty.
Did you know that in medical school, you are placed in a specialty according to what your professors believe to be your skill set? And do you know that they place pediatricians at the lowest levels based on test scores? You’re a pediatrician.
You’re like, barely a physician.
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My thoughts on this are Steve Jobs would probably be alive today if he allowed the oncologists to treat his early pancreatic cancer in 2003. Instead he embraced alternative treatments for 9 months which allowed the cancer to metastisize.
In 2011, before he died…
Steve Jobs had one request:
For everyone at his funeral to receive the book, "Autobiography of a Yogi"
Although he was known for creating Apple...
He wanted his friends & family to remember him by understanding these 8 principles:
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Twitter apocalypse confession:
There's a special Asian bonus when an Asian gets Chinese takeout food. We often get extra spring rolls, soup we did not order, and entire meals. It's great.
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I'm at the salon for a wash, cut, and blow dry visit with my daughter. Appointment was 9:20. Checked in and paperwork filled out, but still waiting to see a stylist.
Reason
#30584
of why haircare in the US sucks. Why can every other sector keep appts, but stylists can't?
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VAERS is an open system meaning anyone can submit a report. This includes the patient, the doctor, and even the nurse that you sent to the hospital where you don't have privileges.
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Because we can no longer report misinformation I will use my platform to re-iterate that this is complete bullshit.
I encourage vaccination because it's the best way to protect vulnerable children from debilitating diseases.
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Every time Elon talks about how great the X platform is for free speech I do this.
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@laurenlizabetch
There's a stupid unwritten rule in medical education that when someone senior to you tells you to go home the common response is "Are you sure"?
I pointed this out because time's are changing. She read me correctly and I just had some charting to do.
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@tylerblack32
@elonmusk
@pmarca
I'm a pediatrician and I have prescribed Wellbutrin maybe 2 times in 15 years. I don't know as much as Dr Black, but I know that an influential account with millions of followers should not be spreading inaccurate and misleading health information.
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Okayest daughter in her first track meet. I have gif-ified her hurdle form in case she sticks with it we can compare when she gets older.
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@sikzOgraphy
You mean the one we were supposed to have last year but effectively mitigated with distancing and masking?
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When you're on your way to work and you realize that left your big Yeti full of coffee on the kitchen counter.
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This list of top 50 twitter medical influencers is a freaking joke.
No Glaucomflecken, no Jen Gunter, and no Ryan Marino.
I follow zero of these accounts.
Trash list.
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Dear Sanofi,
I am really happy that you produced a new monoclonal antibody for RSV. If you are going to send a drug rep to our office to tell us about it you should give them the information that we need. Most importantly, which insurance companies will pay for it.
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@jtrebach
I had the honor of working with Dr. Rick Gemma who was the opposite. He would lecture us on surgical topics, made sure we got to leave at 5pm, and we always had time for lunch. He also never yelled even if we messed up.
Be like Rick.
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@DGlaucomflecken
People hate their insurance company and medical bills and still vote for politicians that keep the existing system in place.
Me: What do you think of your insurance company.
Person: I hate it. It's terrible.
Me: What about socialized medicine?
Person: No way, no socialism.
Me:
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Me: So how is your baby doing?
Them: She spit up once so we took her to the chiropractor.
Me: 🤨
Them: The chiropractor said she has a hiatal hernia. They said they can fix it I just have to go back twice a week.
Me:
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My brand new to me med student has gone full scrubs plus Patagonia on day two of outpatient pediatrics and I respect the drip.
Hey there buddy, if you are reading this you're doing great I'll see you Thursday.
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If y'all are wondering why I haven't been posting as much it's because in lieu of contributing to this dying platform I have decided to be much more productive with my free time.
I've been playing video games.
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I've been practicing outpatient medicine for 17.5 years, written thousands of prescriptions, and this has never happened to me. Not once. 🤔
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Surgeon waiting for the room to turn over for the next case.
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My team and I are working on a fentanyl vaccine called PREVENTANYL. We also workshopped FENTANIL but that was too confusing.
So far it shows 99% effectiveness at protecting against cutaneous fentanyl exposure. You don't even have to inject it. You just carry it in your pocket.
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The reason why everyone on the timeline is talking about Wellbutrin is because we can never remember if it's spelled buproprion, bupropion, or bupoprion.
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I told my medical student that she could come late or leave early tomorrow so that she would have time to vote since I'm such an ally but she was like "Absentee Fool!" and now I don't get to be an ally.🙄
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