Dash

Doctor. #docchain
Veritas vos libera₿it
Proud Jew

Public Key

npub1hudtuvkqr970j7s4lgsqf937wjme7khntgt99zdzrsxd05ax3lyqzlvgug

NIP-05 Address

Profile Code

nprofile1qqst7x47xtqpjl8e0g2l5gqyjcl8fdultte459jj3x3pcrxh6wngljqpz3mhxue69uhhyetvv9ujuerpd46hxtnfduqs6amnwvaz7tmwdaejumr0dsuews5d

Publishing to

relay.damus.io

nos.lol

Author Public Key

npub1hudtuvkqr970j7s4lgsqf937wjme7khntgt99zdzrsxd05ax3lyqzlvgug

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Last Notes

2025-04-23 20:21:00 UTC

Currently in the aftershocks of a beautiful act of kindness and appreciation from a nurse colleague. This small gift is monumental. #docstr #nurstr
https://m.primal.net/Qarv.jpg

2025-04-18 02:25:21 UTC

Nothing like accidentally dropping your phone into the ocean to remind you that those that are most important to you are still with you on the boat.

2025-04-15 12:49:26 UTC

Peaceful moments like these help me find Gd wherever I am.
https://m.primal.net/QQMN.jpg

2025-03-31 22:58:57 UTC

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Arayes

2025-03-31 21:41:16 UTC

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I’m not that kind of doctor, but, common things being common, it could be dry skin. Try some super simple moisturizer and see if it makes a difference.
I like the shea butter bar from chagrinvalleysoapandsalve.com. Their products are all organic and have simple ingredients.

2025-03-28 00:23:35 UTC

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100% relatable.
The trouble is that you want to be annoyed, but they are actually super into your attention and just want love.
Tonight’s challenge “can we play prez?” (For the 6th time)

2025-03-27 14:32:37 UTC

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And if not now, when?

2025-03-27 14:30:11 UTC

Today I’m frustrated by trying to protocolize modern day perioperative insulin management in an EMR designed in the 1980s. #docstr

2025-03-27 02:09:48 UTC

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🤙

2025-03-27 01:44:47 UTC

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Patients always come first… creativity will never be squashed. Not mutually exclusive. #docstr

2025-03-27 01:32:21 UTC

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My wife tells me I sublimate fury into creative work. I’m ecstatic you enjoyed.

2025-03-27 01:28:47 UTC

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But I do appreciate the nomination

2025-03-27 01:27:35 UTC

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I was just trying to present for grand rounds.

2025-03-26 21:40:01 UTC

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Bring back today for a dislocated antenna, otherwise recovering well.

2025-03-24 22:15:15 UTC

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The dedicated fire marshal apologized and became good friends with the family.
https://m.primal.net/Prtz.jpg

2025-03-24 22:14:42 UTC

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The culprits were sent to the corner to ponder their actions - actually we just discussed it, but also explained the importance of this picture for the narrative.
https://m.primal.net/Prtx.jpg

2025-03-24 22:13:52 UTC

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The sculpture was returned to its family. The family was happy with the result.
https://m.primal.net/Prtv.jpg

2025-03-24 22:11:56 UTC

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Ethyl-2-cyanoacrylate fixation of the antennae was also successful.
https://m.primal.net/Prtp.jpg

2025-03-24 22:10:59 UTC

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Dental repair was optimized by flipping the head into the thorax for stabilization.
https://m.primal.net/Prth.png

2025-03-24 22:10:10 UTC

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Xray showed no internal injuries. However, there were also no internal organs.
https://m.primal.net/Prte.jpg

2025-03-24 22:09:27 UTC

I’m an anesthesiologist, but tonight I performed surgery on my one of my favorite little sculptures. Story in pictures:
The patient presented with multiple fractures and injuries after a pawpatrol projectile.
https://m.primal.net/Prtd.jpg

2025-03-24 22:02:01 UTC

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Present. Post call, but available. I do cardiac anesthesia, but specialized in Informatics.

2025-03-06 13:40:54 UTC

Good morning! Ruby melted away all of the world’s problems this morning. Well, Ruby and coffee.
#dogstr
https://m.primal.net/PVnF.jpg

2025-01-01 03:07:45 UTC

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you're on with a clear signal

2024-12-18 03:11:39 UTC

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I’m almost done with the 3rd book of stormlight archive. Enjoying every minute of the 4500+ pages

2024-09-19 02:08:11 UTC

“Don’t let go”
#dogstr
https://m.primal.net/KuSm.jpg

2024-09-15 02:56:49 UTC

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What kind of doctor do you think is helped by Doximity?

2024-09-15 02:48:40 UTC

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It’s an $8B Rolodex that is generated by its users who get no benefit.

2024-09-15 02:39:22 UTC

@ doctors of #docchain:
Doximity has a market cap of $8BB. What kid of value does it provide to you?
#valueforvalue ?

2024-09-13 23:16:49 UTC

Staff doctors spend 12+ years of their lives training to care for people.
Then they work in sterile environments being told that their efficiency isn’t where it needs to be and visits have to be faster.
Their patients get annoyed when the doc is running late or the visit was too quick and they get rated for their poor experience.
Then we mortgage our home life to get the paperwork done for companies that don’t give a damn about anything except money.
I wonder why there is so much burnout… 🙄
There has to be a better way. We are making it.
#docchain

2024-09-13 19:24:58 UTC

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As a physician, I feel your pain.

2024-09-13 16:58:36 UTC

I took a little break because real life got busy.
Just over the last few weeks I realized I was spending most of my year trying to recreate NOSTR in the real world.
I think we are getting closer @npub1xy5…3urc
#docchain

2024-09-13 16:48:27 UTC

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Vascular surgeon beat them both…went right for the jugular.

2024-01-10 23:27:38 UTC

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Yes.

2024-01-05 01:28:40 UTC

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#docchain

2023-09-21 14:09:05 UTC

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Vicious cycle.
Been fighting my burnout with burning calories instead.

2023-09-11 19:07:07 UTC

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Join us on the #docchain telegram. Invite incoming.

2023-09-11 19:06:40 UTC

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I feel you. I did a coffee elimination.
Buuuut, I’m back on the coffee train at much lower frequency and dose

2023-09-04 17:22:14 UTC

All that hard work at the beginning of the summer paying off.
#proofofwork https://cdn.nostr.build/i/cb4d62c6866263dee9e298dcef95fe765621563edc5cb6a6f1ef54749f998b7f.jpg

2023-08-25 16:41:54 UTC

Sometimes carbs are the answer :)
Focaccia with home grown herbs and veg https://cdn.nostr.build/i/3be9dd970f1209eda127875c9f0a7e01291a6d1179cae99c96601afed54fe843.jpg

2023-08-24 19:11:37 UTC

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Fat fingers repost 😆

2023-08-24 19:02:02 UTC

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Too much PHI (private health information)

2023-08-24 18:57:16 UTC

Practicing medicine and caring for patients is my calling.
Practicing defensive medicine and writing notes on UI designed in the 80s is not.
Medicine is consistently 10-20 years behind on technology that supports clinicians.
We need to continue to invest in our patients and get them the best life-saving technologies, but maybe it’s time that we support and invest in caregivers and make our jobs easier with some superior technology.
#docchain

2023-08-18 13:12:58 UTC

I’m finishing my basement…
Making tile decisions at the same time as finding the right strobe/laser light so that I can teach my kids how to rave. Any suggestions?
Picture from our last EDM party(not in our house) https://cdn.nostr.build/i/045f5962fa90e30126e34f95f991451edef061441339ab8d30b811a4f4d08ea5.jpg

2023-08-17 18:35:57 UTC

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Airway. Breathing. Coffee.

2023-08-08 21:32:28 UTC

I’m spending a week at a summer camp as the camp doctor. I’m only 3 days in, but I feel my burnout melting away. The experience is renewing my commitment to serving my community and being an active part of it. #docchain https://cdn.nostr.build/i/5244a4ba67cdc2c82f1d233f104056aee7786061d210a54bb060c66ede45de80.jpg

2023-08-01 22:18:12 UTC

Need to learn how to chill like Ruby.
#dogsofnostr https://cdn.nostr.build/i/171e1eced088b7feb64c45b72740500e130aaec143c6154a3794f5ced12b81d0.jpg

2023-07-19 07:04:48 UTC

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Once a doc breaks the fiat cycle, they work because they want to help people, not for the golden hamster wheel.

2023-06-28 08:47:26 UTC

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Unable to zap you, you set up?

2023-06-28 07:10:40 UTC

I don’t like being tracked as much as the next guy… but thanks to my AirTag, I told the airline where to find my “lost” luggage and saw when it got delivered to our destination 72 hours later.
1000 sats to whoever identifies the final location 🤙 https://nostr.build/i/c0a03a92510335d2d09492568773f151fc119f5182bbffb59b7e4cea5007dd67.jpg

2023-06-23 19:35:07 UTC

https://nostr.build/i/3e1f468450f053c72210b9b3d220e71e65f1e323be0c42aaf21cd0973f754772.jpg

2023-06-23 19:31:00 UTC

The real question is “what is the USD worth?”

2023-06-16 14:59:11 UTC

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Great seeing marital positivity.
Too many people complain about the people they hold dearest

2023-06-02 01:07:08 UTC

#juicy
My first brisket https://nostr.build/av/b31e3734667b98323adb6e14fd3df97b634f719dbcdba0e33d1f34edbad9a573.mov

2023-05-17 00:05:11 UTC

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In my field we get traumas and other emergencies. Many times the patient comes in unconscious, no identifying information, and or no known past medical history. Usually a PMH is useful when dealing with an emergency. Being able to download that info to our servers could help save lives.
This obviously has to be balanced with patient privacy and autonomy which is why the patient should actively manage what is shareable, but that should be able to be overridden for emergencies. Anytime there is an override, there needs to be a time stamp and documentation as to why it was overridden.

2023-05-16 23:56:30 UTC

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First conversation we had about it.
note1dm7jw09w43wwhsne7qrglpgmlvgeqcenvef2nz73c9hnh78agq2sgreffw

2023-04-28 12:41:48 UTC

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3d reconstruction of the Left Ventricle
#docchain https://nostr.build/av/8305ce74b1c412979432f2c434374f2f395b39414ab50cc87d5bf44c9d163af5.mov

2023-04-20 18:01:19 UTC

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Happy to send an invite your way!

2023-04-17 16:51:34 UTC

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https://nostr.build/i/nostr.build_98fa2292bf5f85d2d78744e0bb00e9c361ddeaee4dc1576236bfee5e4e35547e.jpeg
Ruby loving a water hike!

2023-03-29 04:02:51 UTC

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I think what you’re describing is creating and nurturing “purpose”
I don’t know of any research, but it stands to reason. Especially since the way that admins keep us under control is by constantly moving the goal line and undermining our previous works.
Join us on #docchain telegram

2023-03-29 03:53:25 UTC

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Palm * pilot

2023-03-29 03:52:48 UTC

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After my park pilot I got my first blackberry. Still have a refurbished one in the basement.

2023-03-29 03:48:01 UTC

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😂

2023-03-29 03:47:17 UTC

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“Thousands of entries!!!”
😆😆😆

2023-03-29 03:44:22 UTC

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The games on these bad boys were incredible too
https://nostr.build/i/nostr.build_3b25b724d31f50603f5c716e3971c5fc7feccb0657864e3c598f9167bb3cad84.png

2023-03-29 03:40:24 UTC

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Snake!!!
Y
.-^-.
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() () / _ _ `. _ _ _
\_ _/ / / \ \ . ~ _ _ ~ .
| | / / \ \ .' .~ ~-. `.
| | / / ) ) / / `.`.
\ \_ _/ / / / / / `'
\_ _ _.' / / ( (
/ / \ \
/ / \ \
/ / ) )
( ( / /
`. `. .' /
`. ~ - - - - ~ .'
~ . _ _ _ _ . ~

2023-03-24 14:58:36 UTC

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#Docchain for the win

2023-03-22 03:45:14 UTC

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Be a good human, take care of yourself. Being a good parent will come along.

2023-03-22 03:44:12 UTC

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Congrats!

2023-03-22 03:38:47 UTC

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🍌 💼

2023-03-22 03:05:43 UTC

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🤯🤩

2023-03-22 02:54:21 UTC

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It’s fiat… what day off?

2023-03-22 02:49:48 UTC

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It’s the only way for banks to remain solvent while they eat the long term low interest loans they gave out over the past few years. Also the default rate on car loans is sky high, driving (pun intended) interest rates on car loans even higher.

2023-03-22 02:39:59 UTC

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Been there. Done that. Anatomy and swear words abound.

2023-03-21 16:43:09 UTC

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Please show my newest disciple some ⚡️❤️⚡️. Light him up!
lnurl1dp68gurn8ghj7ampd3kx2ar0veekzar0wd5xjtnrdakj7tnhv4kxctttdehhwm30d3h82unvwqhhqatzd35kxerfdehx2u3hxqf8rwsc

2023-03-21 16:42:06 UTC

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🟠⚡️❤️⚡️🟠

2023-03-21 16:11:56 UTC

#plebchain, I just 🟠 a colleague. He’s downloading WOS now
https://nostr.build/i/nostr.build_ba1752ea183a73bee1d3cddd34f44cbe619fac5f5823d43f946905502dad88e3.gif

2023-03-17 12:18:34 UTC

Janet Yellen: The Financial System is Healthy
https://nostr.build/i/nostr.build_aad7547914daa31b56b55262dcace8a8f8da49d2b86c01ba913ffaa5e8e3fd01.jpeg

2023-03-14 20:30:56 UTC

Mayday mayday.
Stuck at fiat.
Wi-Fi blocks Damus.
Just got a small hit at a window.
Send freedom.

2023-03-13 03:53:43 UTC

GN nostr, and GL to the #parentsofnostr during this challenging time of time changes

2023-03-13 03:49:55 UTC

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Just need to add the third largest… signature bank 🏦 🪦

2023-03-13 03:42:51 UTC

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Source?

2023-03-13 03:41:03 UTC

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#[4], no hate, what’s your angle? Trying to learn what’s making you tick

2023-03-13 03:34:41 UTC

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Nope 😆

2023-03-13 03:33:29 UTC

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And indiscriminate “value” devalues “value”

2023-03-13 03:32:52 UTC

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Yea, but distracting AF

2023-03-13 03:30:06 UTC

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Just tried blocking them. Let’s see

2023-03-13 03:24:21 UTC

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Interested.

2023-03-13 03:22:12 UTC

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I’ll defer to you as the expert. It seemed that each of those companies presents their data management in ways that confuse a simple doctor like me

2023-03-13 03:14:55 UTC

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Yes, but your PHI is also stored in multiple secondary proprietary clouds before it’s integrated into the user EMR. Any time you’re hooked up the a monitor, you’re “deviced” by a nurse and your data is on a cloud owned by Philips, GE, Mindray, etc

2023-03-13 03:11:33 UTC

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WTAF

2023-03-13 03:10:43 UTC

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If I could design the whole thing from scratch, I would make a upvotable summary of a patients PMH so that both the docs and the patient can bring what they think it important to the forefront.
My wife still has “history of vaginal birth” as a primary diagnosis on her record after delivering years ago

2023-03-13 03:07:51 UTC

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Getting them and appreciating each iota

2023-03-13 03:07:11 UTC

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What’s black and white and orange and purple all over?
Q fever aortitis 😆

2023-03-13 03:04:40 UTC

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Invitation incoming

2023-03-13 03:03:20 UTC

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🫡💪

2023-03-13 03:01:11 UTC

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#[3] , I found your 🟣🟠 🦓
https://nostr.build/i/nostr.build_7b16c5e9c97d7b5a707244fec52832972d550ad965a03d15753439effbf29fc2.jpeg

2023-03-13 02:55:55 UTC

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I have a lot of respect for docs like you who can hear those hoofs and rule out horses to find the zebra.
Most of my patients have defined themselves before I get my hands on them.

2023-03-13 02:51:20 UTC

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😳

2023-03-13 02:50:28 UTC

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Yes. And that’s the thing: most doctors don’t humanize themselves and speak mano a mano to their partner, the patient.