Notices by McNadoMD (mcnado@mstdn.social)

My “Keep the immigrants, deport the racists” yard sign is a great nazi detector apparently.

“The Democrats need to earn my vote!”

Have you considered that you need to earn your democracy? It isn’t given. It is earned, maintained, and defended. In the case of the US, it is a two party system almost everywhere at the moment, and one of those parties doesn’t want a democracy at all.

You know why the Democrats lose?

When a Dem, right now, is asked about Joe Biden running in 2024, the correct answer is “Donald Trump and his Republicans are destroying your retirement, taking your healthcare, and illegally kidnapping people.”, but instead, they keep fucking talking about Biden and analyzing the election. Y’all, it’s over. What matters is blaming the evil fuckers doing evil for the evil they are doing. Quit distracting people.

Keep seeing local cops say “We can’t legally interfere with ICE” and “We don’t coordinate with ICE”, but I have yet to see local cops stop ICE kidnappings and confirm that the ICE guys are, in fact, federal agents. The cops doing crowd control might just be assisting in a cartel hit or human trafficking.

In case you’re wondering why ER docs aren’t saying “more business!” when we hear about medicaid cuts, the way dentists are seeing fluoride cuts, it’s because when people don’t have insurance they mostly just don’t pay their ER bill. We staff to the increased volume from people losing primary care access, and take a loss because none of that volume pays.

As an aside, I 100% agree with the dentists. Getting rid of fluoride means harm to patients, and early retirement for dentists.

I dunno, I just think that if you’re the guys who need to tell the courts that they can’t enforce contempt of court, you’re probably the bad guys right? If court orders are meaningless, doesn’t that mean you just don’t have rule of law?

Fuck you Mike Johnson. You think you’re doing the work of Christ, but you’re actually the guy that nailed him to a cross to get rid of a political risk.

Remember when Biden broke protocol and saluted those generals from the bonesaw guys country?

Me neither. Trump just did it though. Saluted Saudi generals. Dipshit.

9News in Colorado today is reporting that the Republican tax bill is currently set to cut about 1 million people from Medicaid in Colorado.

People who don’t have health insurance in the US delay care and get sick.

Large Medicaid cuts also threaten the existence of multiple hospitals in Colorado.

Once again, Republicans are looking to #makeamericasickagain

It’s all market manipulation on the backs of the rest of us.

How do folks feel who paid the tariff last week? How will folks feel in 100 days when whatever nonsense comes next? Nobody is tooling up a factory when this level of uncertainty exists. All this does is cost normal people money while billionaires and administration insiders profit from insider trading.

Lol. Trump’s guy used interpreters provided by Russia during Ukraine negotiations. I use medical interpreters daily. Some are good, some less so. One thing I know for sure — the message you send and receive is highly dependent on the skill and biases of the interpeter. Using a hostile foreign power’s interpreter is either astoundingly lazy and flagrantly negligent.

I do high stress work. I watch people die. I do surgical procedures in moving vehicles and in chaotic trauma bays. I deal with violent, drunk, and high people all the time. I can tell you this — when people make my environment more dangerous, I will look chill and work through it to keep everyone safe, but I am gonna be shaking and can’t think well for a bit afterwards every time.

When citizens surround ICE guys and scream at them, that’s what is happening to ICE. Keep it up! It does matter.

You generally won’t see me advocate violence. What I’m saying is, screaming at ICE agents, demanding documentation, recording their voices and faces, telling them they are ruining lives and acting like Nazis — that all works. These fucks go home and take that baggage with them. You don’t need (or want) violence there usually. You want a pressure campaign to shame these shitweasels into slowing down, “accidentally” losing targets, and quitting. Friction. Slow the machine down.

@annesettanni a few years ago I got called in to help the admitting service tuck in evacuees from another hospital that was threatened by fire. The process was not awesome.

When COVID really hit hard in 2020, we were kept alive by a secret stash of expired N-95s hidden away in the back of central supply in case of bioterror. Most hospitals would have tossed them years before because if the state found them, it would be a mess. Hospitals are woefully unprepared.

Final medical post for the night — I often am asked what people should carry in their car or have at home to save lives.

1. Tourniquets (and know how to use them). I recommend the NAR brand CAT because they work and don’t break.

2. Naloxone. In the US, it is over-the-counter now. Until the opioid pandemic goes away (which is happening!), this is a big way you could save someone you find down and out.

Most other stuff doesn’t save lives or is too technically challenging to use well.

These ICE fucks know what they’re doing is wrong. That’s why they keep hiding in balaclavas. They know that if the fascists don’t succeed, they’ll be held accountable.

“What can I do to save lives?”
1. Get CPR training. If someone drops dead in front of you, immediate and high-quality chest compressions vastly increase survivability.
2. Get trained to use an AED. Automated external defibrillators are becoming more common, often placed near fire pulls. If someone has a shockable arrhythmia, early defibrillation can be the difference between death and living.
3. Take a “Stop the Bleed” class. Nobody should bleed to death from compressible sites.

So do these ICE guys in Newark have enough goons to keep the city out if the city wants in? Nabbing the mayor seems ill advised.

@aral @wackJackle “We demand more antisocial behavior, damn the CEO’s safety!” pretty well describes US private insurance.

I know it’s a cliché at this point, but anyone who accuses any recent pope of being too woke reallllly won’t like reading anything Jesus said. Like y’all, I haven’t been in a church other than for funerals in decades, and I still know that dude was a long-haired hippy.

The president has shut down the CDC committee that sets standards for things like handwashing in hospitals and sterilization times for surgical instruments.

The Republican party is officially #teamdirtyhands. Gross.