Dash

Doctor. #docchain
Veritas vos libera₿it
Proud Jew

Public Key

npub1hudtuvkqr970j7s4lgsqf937wjme7khntgt99zdzrsxd05ax3lyqzlvgug

NIP-05 Address

[email protected]

NIP-57 Address

[email protected]

Profile Code

nprofile1qqst7x47xtqpjl8e0g2l5gqyjcl8fdultte459jj3x3pcrxh6wngljqpz3mhxue69uhhyetvv9ujuerpd46hxtnfduqs6amnwvaz7tmwdaejumr0dsuews5d

Publishing to

relay.damus.io

nos.lol

Author Public Key

npub1hudtuvkqr970j7s4lgsqf937wjme7khntgt99zdzrsxd05ax3lyqzlvgug

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Last Notes

2024-09-14 01:16:49

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

2024-01-11 00:27:38

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Yes.

2023-09-11 21:07:07

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Join us on the #docchain telegram. Invite incoming.

2023-09-11 21:06:40

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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 19:22:14

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

2023-08-25 18:41:54

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

2023-08-24 21:11:37

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Fat fingers repost 😆

2023-08-24 21:02:02

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Too much PHI (private health information)

2023-08-24 20:57:16

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

2023-08-17 21:46:15

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A tool like this would revolutionize the relationship busy healthcare workers relate to hospital policies and stop the stifling “That’s against policy” that we get when we are trying to do something innovative for our patients

2023-08-17 20:42:49

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My favorite season is scape season! Bulb season is a close second :)

2023-08-17 20:35:57

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Airway. Breathing. Coffee.

2023-08-08 23:32:28

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

2023-07-19 09:04:48

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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 10:47:26

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Unable to zap you, you set up?

2023-06-28 09:10:40

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 21:35:07

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

2023-06-16 16:59:11

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

2023-06-02 03:07:08

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

2023-05-17 02:05:11

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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.

2023-04-28 14:41:48

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

2023-04-20 20:01:19

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Happy to send an invite your way!

2023-03-29 06:02:51

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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 05:53:25

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Palm * pilot

2023-03-29 05:52:48

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

2023-03-29 05:48:01

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😂

2023-03-29 05:47:17

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“Thousands of entries!!!”
😆😆😆

2023-03-29 05:44:22

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

2023-03-29 05:40:24

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

2023-03-24 15:58:36

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#Docchain for the win

2023-03-22 04:45:14

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

2023-03-22 04:44:12

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Congrats!

2023-03-22 04:38:47

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🍌 💼

2023-03-22 03:54:21

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It’s fiat… what day off?

2023-03-22 03:49:48

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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 03:39:59

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

2023-03-21 17:43:09

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

2023-03-21 17:42:06

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🟠⚡️❤️⚡️🟠

2023-03-21 17:11:56

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

2023-03-17 13:18:34

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

2023-03-16 22:56:17

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And puppies

2023-03-14 21:30:56

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

2023-03-13 04:53:43

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

2023-03-13 04:49:55

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

2023-03-13 04:42:51

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Source?

2023-03-13 04:41:03

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

2023-03-13 04:34:41

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Nope 😆

2023-03-13 04:32:52

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Yea, but distracting AF

2023-03-13 04:30:06

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Just tried blocking them. Let’s see

2023-03-13 04:24:21

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Interested.

2023-03-13 04:22:12

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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 04:14:55

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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 04:10:43

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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 04:07:51

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Getting them and appreciating each iota

2023-03-13 04:07:11

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

2023-03-13 04:04:40

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Invitation incoming

2023-03-13 04:01:11

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

2023-03-13 03:55:55

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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 03:51:20

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😳

2023-03-13 03:50:28

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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.

2023-03-13 03:43:08

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Not saying all cards need to be on the table every visit, but maybe that 30yo contracted syphilis also and now has syphilitic aortitis as the diagnosis for his new onset chest pain

2023-03-13 03:38:58

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Agreed. But that 30yo might not know that something they are hiding might be an important element in the diagnosis… there should be a flag that indicates to the physician that something is hidden

2023-03-12 14:44:47

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It’s not really my speciality, but I teach the kids that some stuff is generally good and some stuff is generally bad. Then I teach them to hit up the good stuff a lot more.
Had to stop my 8yo from eating 2 head a of romaine (our lunch) lettuce for breakfast.

2023-03-12 14:31:17

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Artificial sweeteners are also a big nono.
My boy was asking why he could have sprite he got from a party for breakfast.

2023-03-12 14:19:49

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That’s also poison

2023-03-12 14:15:44

Today I gave my kids a #docchain lesson in the amount of sugar in a 7.5fl oz can of seltzer.
Be their Dada, give them data.
https://nostr.build/i/nostr.build_a11bda5591643fb3f0fd6a60b15bfc54305c49f3dd4214c9f8230fdbc9a97fbe.jpeg

2023-03-09 14:11:07

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Here, take 2 of these. You’ll feel better. 🟠🟣
#docchain
https://nostr.build/i/nostr.build_6e18e0c12998a4e6f9da17af891269da3c5117a9653e32671e044c964e1735d9.gif

2023-03-03 23:02:48

Now?
NOW!!!

2023-03-03 22:54:39

The engagement on #nostr never ceases to amaze me

2023-03-03 22:52:52

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Definitely a human. #plebchain followed

2023-03-03 22:51:43

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https://nostr.build/i/nostr.build_67e5966966b5f162f6ac40ba39863f14c7ec7d792768aef86aadd203354a7998.gif

2023-03-03 22:35:20

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And a midwesterner just started doxing himself 😆

2023-03-03 22:26:14

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GIF is not peanut butter

2023-03-03 22:23:27

#plebchain win
https://nostr.build/i/nostr.build_3df8b3af746f572c15ea273b05659c6d4b26f47a3fd555170926e2a332999625.jpeg

2023-03-03 22:20:32

#RubyRhod says have a great weekend! #dogsofnostr
https://nostr.build/i/nostr.build_08dd5994d81fd4db5977aa750a4e01f6ef9eca910288f62a579de01799bacfe6.jpeg

2023-03-02 22:33:26

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Felling this one today

2023-03-02 18:27:10

https://nostr.build/i/nostr.build_1ea58b943b09e3c16b7058d0d333f396410d696af36847c06d1578e3894f5cdd.jpeg
#docchain, the doctors of #plebchain

2023-03-01 22:36:37

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🫂

2023-03-01 22:34:45

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Bro, you forgot to tag #docchain !

2023-03-01 00:57:38

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2/5 kiddos
https://nostr.build/i/nostr.build_426b51409d5157eefc17c81d0e2d135e231e0ead0886f82f2bebf53342ec34db.jpeg

2023-02-28 22:59:30

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Inflation is up there with death and taxes.

2023-02-22 20:31:51

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Borrowed it from here
https://ashevillepictures.com/product/purple-and-orange-layers-at-sunset/

2023-02-17 05:01:27

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Yes

2023-02-17 05:00:36

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Anyone who quotes the #5thelement is a major link in the #plebchain followed

2023-02-17 04:54:09

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Truth. Followed

2023-02-15 03:37:24

#Plebchain, my wife works with high school seniors and is putting together a presentation on advice for them as they go to college (health, safety, wellness, etc). Drop your knowledge!
If you drop it as a meme you get ⚡️⚡️

2023-02-09 16:34:46

It’s been about a year since my stepdad died. He would’ve appreciated everything being built here on #nostr and #plebchain and is the only person in my family I could riff with about it. Been thinking about him a lot.
Today, raise your glass to #Norman who saw beauty and potential in everything.
https://nostr.build/i/nostr.build_f579f22e258a8921fed25a69d11d5c7766ba33dea3ddc0b9683b8e33b9f8cc59.jpeg

2023-02-09 05:44:32

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Made my night! 🤙💪

2023-02-09 05:42:36

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As my friend #[3] says, “think about it, do it”

2023-02-06 23:32:55

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You just signed up for #docchain

2023-02-06 18:39:29

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Trying to find alt