steinkern
@koboldvintner.bsky.social
I know I picked the right line of work for my strain of crazy because I’ve been gone for a week and I miss the ICU
November 25, 2025 at 4:15 PM
I know I picked the right line of work for my strain of crazy because I’ve been gone for a week and I miss the ICU
the American consumer loves spending 400 dollars to get a free promotional ham instead of spending 25 dollars to buy the same ham
November 25, 2025 at 2:40 AM
the American consumer loves spending 400 dollars to get a free promotional ham instead of spending 25 dollars to buy the same ham
Found a cool shop
November 24, 2025 at 10:21 PM
Found a cool shop
Baking in the sun
November 24, 2025 at 5:47 PM
Baking in the sun
A concept that imo does not get the attention it deserves in critical care circles is the so-called “disability paradox”: that is, patients w/ severe neurological injuries often report satisfactory quality of life. This must be considered in goals of care discussions.
jnnp.bmj.com/content/jnnp...
jnnp.bmj.com/content/jnnp...
November 24, 2025 at 4:38 PM
A concept that imo does not get the attention it deserves in critical care circles is the so-called “disability paradox”: that is, patients w/ severe neurological injuries often report satisfactory quality of life. This must be considered in goals of care discussions.
jnnp.bmj.com/content/jnnp...
jnnp.bmj.com/content/jnnp...
you can make very tasty vegetarian enchiladas with sweet potatoes and onions. Little known fact
November 24, 2025 at 2:37 PM
you can make very tasty vegetarian enchiladas with sweet potatoes and onions. Little known fact
If there’s one thing true crime media has taught me it’s to never underestimate the degree to which cops will try to railroad someone who grieves in a way they don’t understand and / or is neurodivergent
November 24, 2025 at 12:15 AM
If there’s one thing true crime media has taught me it’s to never underestimate the degree to which cops will try to railroad someone who grieves in a way they don’t understand and / or is neurodivergent
Found a cool guy
November 23, 2025 at 11:05 PM
Found a cool guy
Made a Great Depression era water pie. Basically a pie crust filled with water, flour, sugar, butter and baked for half an hour. Honestly not terrible, probably slapped in 1931
November 23, 2025 at 9:17 PM
Made a Great Depression era water pie. Basically a pie crust filled with water, flour, sugar, butter and baked for half an hour. Honestly not terrible, probably slapped in 1931
*eddie vedder yodeling*
She lies and says she's in love with him
Can't find a Fetterman
She dreams in color, she dreams in red
Can't find a Fetterman
Can't find a Fetterman, can't find a Fetterman
Oh-ooh-ooh
She lies and says she's in love with him
Can't find a Fetterman
She dreams in color, she dreams in red
Can't find a Fetterman
Can't find a Fetterman, can't find a Fetterman
Oh-ooh-ooh
"The Barnes and Noble in York—where Fetterman was born and raised—had sold zero copies. The Barnes and Noble in Philadelphia had sold two copies. An independent store in Pittsburgh and an independent store in Philadelphia each told me they weren’t stocking Unfettered" defector.com/john-fetterm...
John Fetterman's Memoir Is As Low-Effort As His Senate Tenure | Defector
John Fetterman’s just-released memoir, Unfettered, argues that he’s turned a corner and has everything under control. Fetterman was a “stubborn asshole” (his words), he was clinically depressed, he wa...
defector.com
November 21, 2025 at 3:42 AM
*eddie vedder yodeling*
She lies and says she's in love with him
Can't find a Fetterman
She dreams in color, she dreams in red
Can't find a Fetterman
Can't find a Fetterman, can't find a Fetterman
Oh-ooh-ooh
She lies and says she's in love with him
Can't find a Fetterman
She dreams in color, she dreams in red
Can't find a Fetterman
Can't find a Fetterman, can't find a Fetterman
Oh-ooh-ooh
Fully ripped the ass of my pants trying to pull a trailer in the mud
November 20, 2025 at 10:56 PM
Fully ripped the ass of my pants trying to pull a trailer in the mud
no man is more fortunate today than the one who made pasta salad yesterday
November 20, 2025 at 5:40 PM
no man is more fortunate today than the one who made pasta salad yesterday
Antiques roadshow specialist: this late 18th century cock ring was made out of mahogany, considered less desirable than the traditional spruce owing to its weight—however, this unusual choice likely contributed to its excellent preservation today. I’d put insurance value at $7,000
Ohio grandma: wow
Ohio grandma: wow
November 20, 2025 at 5:37 PM
Antiques roadshow specialist: this late 18th century cock ring was made out of mahogany, considered less desirable than the traditional spruce owing to its weight—however, this unusual choice likely contributed to its excellent preservation today. I’d put insurance value at $7,000
Ohio grandma: wow
Ohio grandma: wow
It’s cool when residency program directors were recruited from big hospitals that shut down they’re like survivors from a lost continent
November 19, 2025 at 9:59 PM
It’s cool when residency program directors were recruited from big hospitals that shut down they’re like survivors from a lost continent
Can I get an F in bistro chat…
November 19, 2025 at 9:17 PM
Can I get an F in bistro chat…
When the cat is trying to drink my cereal milk
November 19, 2025 at 7:21 PM
When the cat is trying to drink my cereal milk
Weird but true: electroconvulsive therapy is sometimes used as a salvage therapy for super refractory status epilepticus (ie, seizures persist or recur after 24 hours of anesthetics). It’s all low quality evidence, mostly case series, but this is true of everything so far down the algorithm.
November 18, 2025 at 4:55 PM
Weird but true: electroconvulsive therapy is sometimes used as a salvage therapy for super refractory status epilepticus (ie, seizures persist or recur after 24 hours of anesthetics). It’s all low quality evidence, mostly case series, but this is true of everything so far down the algorithm.
they should invent melatonin gummies that don’t make you sleepy
November 17, 2025 at 5:39 PM
they should invent melatonin gummies that don’t make you sleepy
Getting into Paul Simon
November 17, 2025 at 4:52 PM
Getting into Paul Simon
State psych hospitals all have these decaying composite tiles in the floor because they were built at the same time and never renovated. They break easily into sharp fragments and patients will use them for self harm, swallow them, etc. Somehow this keeps happening and nothing is ever done about it.
November 17, 2025 at 3:11 PM
State psych hospitals all have these decaying composite tiles in the floor because they were built at the same time and never renovated. They break easily into sharp fragments and patients will use them for self harm, swallow them, etc. Somehow this keeps happening and nothing is ever done about it.
We believe the spirits of the hessian soldiers who lost their lives at this battlefield now inhabit the creatures you can find and befriend here while playing “Pokemon Go”
November 17, 2025 at 2:18 PM
We believe the spirits of the hessian soldiers who lost their lives at this battlefield now inhabit the creatures you can find and befriend here while playing “Pokemon Go”
Reposted by steinkern
that's why I haven't had any bezoars
November 15, 2025 at 7:24 PM
that's why I haven't had any bezoars
Crit care attending told me in residency he had a patient with a massive gastric bezoar (hairball) that they dissolved by making him drink Diet Coke every day
November 15, 2025 at 5:59 PM
Crit care attending told me in residency he had a patient with a massive gastric bezoar (hairball) that they dissolved by making him drink Diet Coke every day