Notices by McNadoMD (mcnado@mstdn.social)

As I have said before regarding Gaza, and cities in Ukraine, and now Tehran — you don’t evacuate a city without casualties. Nursing home patients, people who need dialysis or ventilators or even just oxygen tanks, newborns — some of them will die. Moving hospitals always places patients at risk. Forcing an entire city to evacuate is just killing civilians for the sake of it. There is no excuse. We have precision munitions for a reason.

Even if Trump wanted ICE to stop rounding up farmworkers, I doubt he could accomplish that. ICE’s goons have spent the last 4 years building up a psyche of “if we only could do our jobs, we’d fix this!” and all they want to do is round up people they see as subhuman and deport them. Trump would have to reallllly work hard to get this shit to stop now that he has let the nazis out of their hole.

If your VA doc refuses to care for you because of politics, marriage status, religion, etc., look them up to see if they have any state licenses, and any board certifications. If so, report them to the state medical board and complain to their speciality board. Many VA docs decide to do other things later on, or have other side gigs, and you can ruin their non-VA ability to practice. Fuck ‘em.

It is amusing to me that most media reports on yesterday’s military parade are just plain refusing to provide a crowd estimate. A few are repeating the White House’s assertion of 200,000. Overall it seems everyone is unwilling to hazard a guess.

What is clear is it wasn’t 200,000. It also probably wasn’t anywhere close to that. I ran a race recently with about 55,000 people, and I can tell you that the crowd there certainly visually seemed much larger than what I’m seeing from the parade.

Police badges are not that hard to come by. That said, it has become much easier to impersonate cops because in most communities you have numerous agencies, many of whom wear tactical kit all of the time, and many of whom are not in any particular uniform. Tacticool clothing, armor carriers, and velcro- on “police” patches are cheap and easy to obtain online. Even body armor can be shipped to many states.

There is no way to know who is and isn’t a cop.

Someone at my ER today said

“Have you seen all the riots planned for tomorrow?”

No. Sure haven’t. I’ve seen plans for a fuckload of protests. Only motherfuckers I’ve seen planning to dress for a riot are the cops 🤷♂️.

If an ambulance or fire truck is trying to drive through your protest, please for the love of all that is good in the world, GET THE FUCK OUT OF THE WAY.

Yes, EMS and fire do at times cooperate with cops. Yes, they are gonna provide care to cops too. They also are usually there because someone called for a medic. Make a fucking hole.

For the jackaloon wanting to flame EMS here — at one of my agencies I went to use the ambulance cell phone, and the medic informed me the passcode was 1312.

Pepper spray on your shit? When you get home strip that down and drop it straight into the wash. Scrub you and anything you didn’t put into the wash with detergent. If your eyes have it, gently run clean cold water over them for a while.

Pepper spray comes in a few forms. Bear spray is often oil. It offgases for hours (days IMHO). Gotta use detergents to get it out of stuff, or flush it for a long time with water. Pepper balls are often pepper dust, so rinsing and brushing can help.

If you are zip-tied after being detained, and have any numbness/tingling/weakness in the wrists/hands, DEMAND medical care. DEMAND an ER visit. Do whatever you can to get it documented. The “temporary” nerve injury is not always temporary. You may not know for weeks. It can be disabling. I see it. Not often, but occasionally. When dipshits mass-arrest people and use non-standard restraints with no re-assessment, people get hurt. Make sure you have a paper trail.

Teargas grenades are usually hot. Don’t grab them with bare hands.

If cops are shooting at you with what looks like a regular gun, GTFO of there. Rubber bullets can kill you.

If a crazy redneck shoots up your protest, apply direct pressure to bullet wounds. Apply tourniquets “high and tight” to uncontrollable bleeding on extremities. Set up a casualty collection point where an ambulance can get to it, and drag wounded there. Dead people are dead, save the alive wounded.

In case anyone was wondering, it is in fact illegal for active duty military to detain Americans on the sidewalk. It’s also fucking abhorrent. The Marines following these orders are first class fuckups.

@dalias I’m saying Iran is the reason Ukraine gets hit this way most nights for the last two years, so if you want to be upset about it, by all means do that, but recognize that Iran has filthy hands here.

As for Israel once again targeting civilian dwellings to target people? Yeah, still trash.

Israel can go fuck themselves, but before anyone gets too upset at images of apartments in flames in Tehran, just remember that most of the similar videos from Ukraine are because of Iranian Shahed drones.

Mike Lee wants to sell public lands, so let me just remind everyone to boycott Utah for your National Parks vacations this year, and then email the Utah Chamber of Commerce to tell them why you didn’t spend money there. Assholes.

Show the video of Senator Padilla being illegally handcuffed for asking a question during a press conference to all of your crazy right wing “I have guns to fight oppressive government” friends and relatives. If they are anything but outraged, they’re just racist bootlickers.

BTW, wearing stark red, white, and blue striped facepaint probably defeats facial recognition about as well as the KISS makeup. Gotta break up those features, and it looks much more friendly on the news.

So CBP officers in CA rammed a vehicle with kids in it, then teargassed everyone in the car, before dragging a US citizen out, and then fleeing the scene before EMS or local police could arrive. Multiple witnesses reported that the agents refused to show any warrants.

Remind me again how the fuck people are supposed to know they aren’t being kidnapped? If I were carrying a firearm and a bunch of dudes in civvies did this, I would absolutely engage them. Why would anyone think it was the cops?

Robert Malone, one of the quacks that RFK just put in charge of your vaccines, spent 2021 telling people that:
1. Hydroxychloroquine and ivermectin were effective for COVID
2. COVID vaccines were dangerous and made infection worse

Both of these claims were bullshit. These claims killed people I cared for. I had many patients come in with severe COVID who had avoided vaccination because of Malone’s bullshit, and then took ineffective drugs instead of getting the care they needed. Fuck that guy.

If you are talking to anyone who is in favor of deploying Marines to LA, you should ask them if the next democrat should deploy Marines to Dallas or Oklahoma City or Tallahassee to combat the gun violence emergencies there. That simple. That’s the litmus test.

Also, if we survive this shit and dems win back the government, I hope we can all come together to demand such actions until Republicans agree we need better safeguards.

My shit is on auto-delete, but here’s a sampling of what is in my backpack when I go to protests:
1. NAR-brand CAT tourniquets
2. Roller gauze (wound packing)
3. Gloves
4. Goggles
5. Mole foam and mole skin
6. Athletic tape (cloth med tape)
7. A few ACE wraps (pressure dressings)
8. Bandaids
9. Tampons and pads
10. Candy and snacks
11. Gatorade (the small bottles)
12. Fresh water in squeeze bottles
13. Extra masks for folks
14. Sunscreen
15. Trauma shears (never a knife!)