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Josh McGough, MD @joshmcgoo.bsky.social · 21h

Best part about being an attending?

Responding to emails from residents and med students with a couple words, poor grammar, and an emoji.

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Josh McGough, MD @joshmcgoo.bsky.social · 3d

Platysma is probably the silliest muscle name

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Reposted by Josh McGough, MD

Ryan Marino, MD @ryanmarino.bsky.social · 4d

75% of people still aren’t paying attention

Conrad Hackett @conradhackett.bsky.social · 4d

About 1 in 4 U.S. adults worry they or someone close to them could be deported, according to a June @pewresearch.org survey.

About 1 in 4 U.S. adults worry they or someone close to them could be deported

About four-in-ten immigrants (43%) say they worry a lot or some, up from 33% in March.

www.pewresearch.org

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Josh McGough, MD @joshmcgoo.bsky.social · 4d

Nice one!

Josh McGough, MD @joshmcgoo.bsky.social · 4d

Yeah

Josh McGough, MD @joshmcgoo.bsky.social · 4d

Bringing your cyber truck to preschool drop off is the weirdest flex I’ve ever seen

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Josh McGough, MD @joshmcgoo.bsky.social · 5d

Proud to say my older kid is officially a SLEEP WALKER like her Daddy I'm so proud of her

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Josh McGough, MD @joshmcgoo.bsky.social · 5d

Government shutdowns hurt patients.

❌ Telemedicine visits not covered → more ER visits
❌ SNAP/WIC paused → families can’t feed kids
❌ Medicare/Medicaid reimbursements stall → fewer providers, higher costs

Patient's cant get to nursing homes on gov't insurance!!!

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Josh McGough, MD @joshmcgoo.bsky.social · 5d

Docs...
Stop telling little girls they’re “trouble” or asking if they have boyfriends. It’s gross, unsafe, and erodes trust in healthcare.

Talk to kids like this instead:
“What’s your favorite show?”
“Do you like to dance?”
“Tell me about your shirt.”

It's not hard!

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Josh McGough, MD @joshmcgoo.bsky.social · 6d

Things are busy but things are good

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Reposted by Josh McGough, MD

John Choiniere @johnchoiniere.bsky.social · 17d

Acetaminophen/paracetamol use in pregnancy doesn't cause autism, no matter what RFK says this week. This is not an unsettled question. Evidence summarized here: sciencebasedmedicine.org/tylenol-and-...

Tylenol and Autism

Earlier this year, HHS secretary RFK Jr. predicted that, "By September, we will know what has caused the autism epidemic and we'll be able to eliminate those exposures." Scientists have been researc

sciencebasedmedicine.org

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Josh McGough, MD @joshmcgoo.bsky.social · Aug 30

RA end diastolic collapse happens first in tamponade because between RV and RA, both of which being baby, RA is a bit more baby.

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Josh McGough, MD @joshmcgoo.bsky.social · Aug 28

Starting Facebook marketplace conversations with “Hi, my wife wants me to buy this!” Is 1000% more successful than “hi, is this available?”

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Josh McGough, MD @joshmcgoo.bsky.social · Aug 27

My older daughter starts preschool next week and I am NOT emotionally prepared

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Josh McGough, MD @joshmcgoo.bsky.social · Aug 26

Wow interesting

Josh McGough, MD @joshmcgoo.bsky.social · Aug 25

I don’t know a ton about newborns but if their bill is well into the 20’s regardless if they’re 5 hours or 5 days old, that is not great

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Josh McGough, MD @joshmcgoo.bsky.social · Aug 25

“So I’ve been giving my kid Benzocaine…”
“When they’re blue, give METHYLENE BLUE”
STOP THAT
NEXT

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Josh McGough, MD @joshmcgoo.bsky.social · Aug 24

PJP pneumonia gets bactrim and in real life if they’re hypoxic I’ll probably do steroids, but according to Rosh you only do steroids if their PaO2 <70 or A-a gradient is >35

Josh McGough, MD @joshmcgoo.bsky.social · Aug 24

Spinal cord things are tough:
Central → Extension (elderly fall, arms > legs)
Anterior → Flexion (motor + pain/temp gone, proprio spared)
Brown-Séquard → Penetrating (ipsi motor/proprio, contra pain/temp)
Posterior → B12/Tabes (proprio loss, “drunk in the dark”)

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Josh McGough, MD @joshmcgoo.bsky.social · Aug 24

Some named neck fractures just sound brutal:
Hangman’s? Bad.
Teardrop? Bad.
Clay shoveler’s? Doesn’t sound too bad. C6-c7 spinous process hurts, but probably not crazy

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Josh McGough, MD @joshmcgoo.bsky.social · Aug 19

My daughter, 4, unprompted: “daddy when I am bigger I’m gunna have a baby in my tummy so you can be a grandfather!

Me: 😶

4: 😇

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Josh McGough, MD @joshmcgoo.bsky.social · Aug 5

Ty Trevor

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Josh McGough, MD @joshmcgoo.bsky.social · Aug 4

First Gray

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Josh McGough, MD @joshmcgoo.bsky.social · Jul 28

If you see a patient with a seizure and discharge from the ED - do you tell them they can’t drive for 6 months and put that in your note?

Only if confirmed on EEG? What if it’s from EtOH withdrawal?

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Josh McGough, MD @joshmcgoo.bsky.social · Jul 28

Who made BVMs and was like “yeah let’s make them 1500 cc’s”

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