Goodishintent
@omnintensivist.bsky.social
Med/Peds Critical Care MD. I raised 3 teenage boys to adulthood, so you don't scare me. Abortion is healthcare. https://instagram.com/omnintensivist?igshid=OGQ5ZDc2ODk2ZA==
Pinned
Once, I had an adult patient die of a massive PE and I had to tell the only family member present, their teenage son.
I'm telling you this because the job is hard enough, we don't need the government to throw out Medicaid. We don't need the anti-vaxxers bringing back Measles, Polio and Tetanus.
I'm telling you this because the job is hard enough, we don't need the government to throw out Medicaid. We don't need the anti-vaxxers bringing back Measles, Polio and Tetanus.
Trying to convince all the PICU staff to yell "THAT'S WHAT I'M DOIN HOE" after every mild request.
Stay tuned for my HR intervention.
Stay tuned for my HR intervention.
*Arrive home after working the night shift. I have zero ATP in my body. A car is in my parking space. I am calling the tow truck when a woman comes out*
Me: hey, you need to move your car
Woman: THAT'S WHAT I'M DOIN HOE
Me:
Woman:
Me: (blushing) so I am giving hoe vibes rather than meemaw vibes
Me: hey, you need to move your car
Woman: THAT'S WHAT I'M DOIN HOE
Me:
Woman:
Me: (blushing) so I am giving hoe vibes rather than meemaw vibes
a woman wearing a denim jacket is standing in front of a wall with #schitts creek written on it
ALT: a woman wearing a denim jacket is standing in front of a wall with #schitts creek written on it
media.tenor.com
February 16, 2026 at 8:23 PM
Trying to convince all the PICU staff to yell "THAT'S WHAT I'M DOIN HOE" after every mild request.
Stay tuned for my HR intervention.
Stay tuned for my HR intervention.
*Arrive home after working the night shift. I have zero ATP in my body. A car is in my parking space. I am calling the tow truck when a woman comes out*
Me: hey, you need to move your car
Woman: THAT'S WHAT I'M DOIN HOE
Me:
Woman:
Me: (blushing) so I am giving hoe vibes rather than meemaw vibes
Me: hey, you need to move your car
Woman: THAT'S WHAT I'M DOIN HOE
Me:
Woman:
Me: (blushing) so I am giving hoe vibes rather than meemaw vibes
a woman wearing a denim jacket is standing in front of a wall with #schitts creek written on it
ALT: a woman wearing a denim jacket is standing in front of a wall with #schitts creek written on it
media.tenor.com
February 15, 2026 at 9:20 PM
*Arrive home after working the night shift. I have zero ATP in my body. A car is in my parking space. I am calling the tow truck when a woman comes out*
Me: hey, you need to move your car
Woman: THAT'S WHAT I'M DOIN HOE
Me:
Woman:
Me: (blushing) so I am giving hoe vibes rather than meemaw vibes
Me: hey, you need to move your car
Woman: THAT'S WHAT I'M DOIN HOE
Me:
Woman:
Me: (blushing) so I am giving hoe vibes rather than meemaw vibes
Reposted by Goodishintent
"For roughly eight years, you will believe that your family made it through this crisis without suffering a tragedy ... But years later, when your baby is in fourth grade, he will begin struggling with subjects he had once mastered."
A heartbreaking piece by Elizabeth Bruenig.
A heartbreaking piece by Elizabeth Bruenig.
This Is How a Child Dies of Measles
When your family becomes a data point in an outbreak
www.theatlantic.com
February 13, 2026 at 12:54 AM
"For roughly eight years, you will believe that your family made it through this crisis without suffering a tragedy ... But years later, when your baby is in fourth grade, he will begin struggling with subjects he had once mastered."
A heartbreaking piece by Elizabeth Bruenig.
A heartbreaking piece by Elizabeth Bruenig.
This guy in front of me is a terrible driver
February 11, 2026 at 2:37 AM
This guy in front of me is a terrible driver
Reposted by Goodishintent
i think if you graduated med school but quit your residency before finishing and never got board certified in any specialty and *still* somehow stayed in medicine, it’s probably because you’re a bad doctor or bad at being a doctor
February 2, 2026 at 6:40 AM
i think if you graduated med school but quit your residency before finishing and never got board certified in any specialty and *still* somehow stayed in medicine, it’s probably because you’re a bad doctor or bad at being a doctor
Reposted by Goodishintent
you:
[stressing for days to send the perfect single email]
billionaires:
hi, . w=en r we mee&ting to do iLlegiL stuff , . ?
[stressing for days to send the perfect single email]
billionaires:
hi, . w=en r we mee&ting to do iLlegiL stuff , . ?
February 1, 2026 at 3:43 PM
you:
[stressing for days to send the perfect single email]
billionaires:
hi, . w=en r we mee&ting to do iLlegiL stuff , . ?
[stressing for days to send the perfect single email]
billionaires:
hi, . w=en r we mee&ting to do iLlegiL stuff , . ?
Reposted by Goodishintent
Hello from beautiful and cold Vermont. Nature is such good medicine 🥰🏂
January 31, 2026 at 10:31 PM
Hello from beautiful and cold Vermont. Nature is such good medicine 🥰🏂
It's Friday. Got outside. Feel less stabby.
January 31, 2026 at 12:40 AM
It's Friday. Got outside. Feel less stabby.
Sure, it's fine when the dogs do cuteness aggression but when I take one bite of a baby's chonky thigh, I'm the monster
This is Coral. She let cuteness aggression get the best of her. Her brother Crow figures he'll take that as a compliment. 13/10 for both (IG: crow_waya)
January 28, 2026 at 3:49 AM
Sure, it's fine when the dogs do cuteness aggression but when I take one bite of a baby's chonky thigh, I'm the monster
*Complaining to the night shift PICU nurses about the new phones we have to use to communicate w each other*
Me: they're awkward and loud, you have to do an unlock code then a pin every time
RN: you should put your phone on mute
Me: wut
RN: get some time to yourself
Me:
RN: take care of •you•
Me: they're awkward and loud, you have to do an unlock code then a pin every time
RN: you should put your phone on mute
Me: wut
RN: get some time to yourself
Me:
RN: take care of •you•
January 23, 2026 at 8:24 PM
*Complaining to the night shift PICU nurses about the new phones we have to use to communicate w each other*
Me: they're awkward and loud, you have to do an unlock code then a pin every time
RN: you should put your phone on mute
Me: wut
RN: get some time to yourself
Me:
RN: take care of •you•
Me: they're awkward and loud, you have to do an unlock code then a pin every time
RN: you should put your phone on mute
Me: wut
RN: get some time to yourself
Me:
RN: take care of •you•
Sometimes, we can't save a dying child and I accept that.
But sometimes during a code where I believe the event is survivable, I think to myself "If I can't rescue this kid, I have to quit my job"
anyway, it has made me extremely normal
But sometimes during a code where I believe the event is survivable, I think to myself "If I can't rescue this kid, I have to quit my job"
anyway, it has made me extremely normal
January 17, 2026 at 10:48 PM
Sometimes, we can't save a dying child and I accept that.
But sometimes during a code where I believe the event is survivable, I think to myself "If I can't rescue this kid, I have to quit my job"
anyway, it has made me extremely normal
But sometimes during a code where I believe the event is survivable, I think to myself "If I can't rescue this kid, I have to quit my job"
anyway, it has made me extremely normal
Reposted by Goodishintent
when an idiot doctor starts talking nonsense in a hospital meeting, the group chat heals me
January 15, 2026 at 9:58 PM
when an idiot doctor starts talking nonsense in a hospital meeting, the group chat heals me
This is a TJ Sabula stan account now
UPDATE: TJ Sabula, the worker who shouted "pedophile protector" at Trump, has been suspended - WaPo
WATCH: Trump shows his middle finger and appears to say "fuck you" after Ford worker yells "pedophile protector" - TMZ
January 14, 2026 at 4:21 AM
This is a TJ Sabula stan account now
Reposted by Goodishintent
Rotavirus can be lethal.
Before the vaccine, rotavirus killed 500,000 children each year across the world.
Post vaccine it still causes 200,000 deaths per year worldwide. In the United States, childhood deaths from rotavirus range from 20-40 per year.
This child looked like their pH was 6.9
Before the vaccine, rotavirus killed 500,000 children each year across the world.
Post vaccine it still causes 200,000 deaths per year worldwide. In the United States, childhood deaths from rotavirus range from 20-40 per year.
This child looked like their pH was 6.9
November 24, 2024 at 7:40 PM
Rotavirus can be lethal.
Before the vaccine, rotavirus killed 500,000 children each year across the world.
Post vaccine it still causes 200,000 deaths per year worldwide. In the United States, childhood deaths from rotavirus range from 20-40 per year.
This child looked like their pH was 6.9
Before the vaccine, rotavirus killed 500,000 children each year across the world.
Post vaccine it still causes 200,000 deaths per year worldwide. In the United States, childhood deaths from rotavirus range from 20-40 per year.
This child looked like their pH was 6.9
Reposted by Goodishintent
The “prosecute the former regime at every level” candidate has my vote in 2028.
January 7, 2026 at 8:26 PM
The “prosecute the former regime at every level” candidate has my vote in 2028.
When my son and his wife went on a scary rollercoaster, the grandbebe stayed behind with me. He had a meltdown and while I was holding him, he screamed "I WANT MY DAD! SOMEBODY HELP ME!"
The. Utter. Treachery.
The. Utter. Treachery.
January 6, 2026 at 2:45 AM
When my son and his wife went on a scary rollercoaster, the grandbebe stayed behind with me. He had a meltdown and while I was holding him, he screamed "I WANT MY DAD! SOMEBODY HELP ME!"
The. Utter. Treachery.
The. Utter. Treachery.
*progress note on PICU patient with asthma*
Patient informs me,
"I don't want you in here"
Speaking in full sentences
Transfer to general pediatrics
Patient informs me,
"I don't want you in here"
Speaking in full sentences
Transfer to general pediatrics
January 2, 2026 at 10:30 PM
*progress note on PICU patient with asthma*
Patient informs me,
"I don't want you in here"
Speaking in full sentences
Transfer to general pediatrics
Patient informs me,
"I don't want you in here"
Speaking in full sentences
Transfer to general pediatrics
The assholery
Disappointed to see Jon Stewart & co joke about masking in public. I do it for my medically fragile daughter (Batten Disease). People not masking properly led to her getting pneumonia, which led to her being on life support, which led to me getting price quotes on her cremation just in case.
December 29, 2025 at 4:29 PM
The assholery
Anyway, Disney with my kids and grandson is a pretty good time
December 27, 2025 at 8:40 PM
Anyway, Disney with my kids and grandson is a pretty good time
Influenza is a jerk
December 25, 2025 at 2:02 PM
Influenza is a jerk
PICU Christmas Eve dinner
December 25, 2025 at 2:00 AM
PICU Christmas Eve dinner
PICU holiday night call
December 24, 2025 at 3:44 AM
PICU holiday night call
This is a really good video about measles. I watched it so I could refresh my knowledge. Measles was eradicated by the time I became a doctor, so I haven't seen it.
A new Double Take video reviews evidence-based recommendations on measles prevention and management and explores commonly asked questions about the measles virus and infection. Watch on YouTube: youtu.be/PI6M680p9i0
Measles | NEJM
YouTube video by NEJM Group
youtu.be
December 22, 2025 at 3:53 PM
This is a really good video about measles. I watched it so I could refresh my knowledge. Measles was eradicated by the time I became a doctor, so I haven't seen it.
PICU pharmacist overhearing me and the nurses trying to do medication math
December 20, 2025 at 3:03 AM
PICU pharmacist overhearing me and the nurses trying to do medication math