carl alsup (@DocAlsup) header
carl alsup (@DocAlsup) profile picture

carl alsup

@DocAlsup

Rural ER doc with occasional rants but almost never on Twitter. Everything is a UFO if you’re bad at identifying things.

 Sierra foothills
Joined February 2014
  • Tweets821
  • Following1.1K
  • Followers222
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Photo by carl alsup (@DocAlsup)Photo by carl alsup (@DocAlsup)Photo by carl alsup (@DocAlsup)Photo by carl alsup (@DocAlsup)Photo by carl alsup (@DocAlsup)Photo by carl alsup (@DocAlsup)Photo by carl alsup (@DocAlsup)Photo by carl alsup (@DocAlsup)Photo by carl alsup (@DocAlsup)Photo by carl alsup (@DocAlsup)
A Chinese man has come up with the most ingenious anti-mosquito device: he put a net on a fan and attached a UV light to the back. All mosquitoes fly towards the light, after which they are sucked into the bag. Save for summer. nitter.gq/i/status/1893671519806…
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One falls in love, and then learns, for the duration, that one is at the mercy of someone else’s childhood. Hanif Kureishi #love #childhood
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When you are dealing with AP view of the shoulder radiography, keep in mind that the film you're assessing is in Neutral rotation, Internal rotation or External rotation? In these images from the Radiology key, simply meanwhile precisely shows and explained each of them👍
Image from Dr. OMID BANDARCHI (@OBandarchi)
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This anatomy wooden model provides a brilliant visualization of how our back is affected by different lifting positions and why you should lift weights using legs [📹 Jacob Harden]
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carl alsup retweeted
Stu Ostro (@StuOstro) profile picture
Stu Ostro@StuOstro8 Sep 2023
#Lee's life story, Chapter 1: From African easterly wave to sudden extreme intensification into a Category 5 #hurricane (wait for it)
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Geological Map of South America
Image from Epic Maps 🗺️ (@theepicmap)
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carl alsup retweeted
WeRateDogs (@dog_rates) profile picture
WeRateDogs
@dog_rates20 Jun 2023
Over 200 dogs surprised a lifelong dog lover for his 100th birthday. Dr. Robert Moore has always loved dogs. For his big milestone, his daughter Alison decided to post on Nextdoor asking people to bring their dogs in front of their house to wish Robert a happy birthday...
outside, a man in a wheel chair happily pats a Rottweiler that's standing in front of him. they are surrounded by many people and dogs who have lined up to wish him happy birthday.

ALT outside, a man in a wheel chair happily pats a Rottweiler that's standing in front of him. they are surrounded by many people and dogs who have lined up to wish him happy birthday.

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albumin-corrected calcium level is *less* accurate than the uncorrected total calcium level 🤯 I think we all know that that albumin-corrected calcium is junky and you need an iCal to really know the biologically active calcium level... but I didn't realize how bad it is 😬
Image from Josh Farkas MD 💊 (@PulmCrit)
Image from Josh Farkas MD 💊 (@PulmCrit)
Image from Josh Farkas MD 💊 (@PulmCrit)
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New Science paper argues horses came to the Americas earlier than previously thought—a conclusion that, if it holds up, rewrites the history of the N. American West. Strikingly, the article is from a team of archaeologists, geneticists, and Lakota researchers and elders. 1/15
Image from 𝙲𝚑𝚊𝚛𝚕𝚎𝚜 𝙲. 𝙼𝚊𝚗𝚗 (@CharlesCMann)
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👀I can't stop looking at this! 👀A highly unusual and very mesmerizing visible satellite loop of a powerful low coming ashore near #SanFrancisco today. Notice the "eye" like feature that we tend to look for during hurricanes. #CaWX @CNN @CNNThisMorning Credit: CIRA/CSU & NOAA
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Friendly neighbourhood microbiologist entering the chat: this is not what you think it is. This is a bacterial biofilm on the surface of the water, likely due to all the dead fish in the creek. It won’t have a scent, & is not oil or gasoline. Happens all the time in early spring.
Ryan Breton (@RyanBretonWX) profile pictureRyan Breton@RyanBretonWX16 Feb 2023
Creek in East Palestine, OH. There very clearly is a problem.
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***Bloodless central venous cannulation*** 1. Preload the needle with your guidewire 2. Use wrap around technique to control the wire 3. Impeccable DYNAMIC ultrasound guidance 4. Rejoice - not a single drop of blood in your field
Image from Mourad H Senussi, MD, MS (@msenussiMD)
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REMINDER: Highway 89 around Emerald Bay remains CLOSED for snow removal operations. Crews have cleared slides as high as 50 feet! We are targeting Friday to reopen the highway. @CHPSouthLake @CountyElDorado @PlacerCA
Highway 89 around Emerald Bay

ALT Highway 89 around Emerald Bay

A snow blower works on Highway 89 around Emerald Bay

ALT A snow blower works on Highway 89 around Emerald Bay

A snow blower and grader work on Highway 89 around Emerald Bay

ALT A snow blower and grader work on Highway 89 around Emerald Bay

Caltrans working on Highway 89 around Emerald Bay

ALT Caltrans working on Highway 89 around Emerald Bay

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There are only two reservoirs for the causative agent for leprosy (Hansen's disease), Mycobacterium leprae. 1. Humans 2. 9-banded armadillos But there was no evidence of Hansen's in the Americas prior to Columbus & armadillos are exclusively New World animals, which means...
Image from c0nc0rdance (@c0nc0rdance)
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This is the most impressive incomplete pass you’ll ever see from #49ers Brock Purdy 😳
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The happiest countries in the world tend to have the most heavy metal bands… reddit.com/r/dataisbeautiful…
Image from Steve Stewart-Williams (@SteveStuWill)
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Flu data out today. Holy crap.
Image from Katelyn Jetelina (@dr_kkjetelina)
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🧵of 🧵 We've covered several sutures now. Next is Monocryl (or poliglecaprone 25). It was designed for skin and subcutaneous tissues, and is still used mostly for that, but is also used in a number of other settings. We will go over properties, uses, etc (the usual things...)
Image from Ron Barbosa MD FACS (@rbarbosa91)
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Quick thread on changes to emergency medicine billing requirements coming in a few months (Jan 1, 2023)! Most importantly: goodbye to the absolutely inane HPI, ROS, and PE elements for billing. Hooray! Instead, EVERYTHING is based on medical decision-making (MDM). ⬇️⬇️
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🧵regarding the important suturing concept of whether to use one bite to grab both ends of the tissue ('taking it in 1'), versus using two bites ('taking it in 2'). We will go over some technical pointers about each of these, especially as they pertain to Lembert sutures.
Image from Ron Barbosa MD FACS (@rbarbosa91)
Image from Ron Barbosa MD FACS (@rbarbosa91)
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