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.
Did my Trader Joe's Thanksgiving shopping on Monday instead of Wednesday night.
I AM A SUPERHERO
I AM A SUPERHERO
November 24, 2025 at 9:04 PM
Did my Trader Joe's Thanksgiving shopping on Monday instead of Wednesday night.
I AM A SUPERHERO
I AM A SUPERHERO
PICU patient gave me a sticker today for being good
November 23, 2025 at 2:04 AM
PICU patient gave me a sticker today for being good
Find yourself a hospital/Thunderdome buddy who shows love with treats
November 21, 2025 at 12:32 AM
Find yourself a hospital/Thunderdome buddy who shows love with treats
Found the hospital relaxation room
This will fix me
This will fix me
November 18, 2025 at 2:07 AM
Found the hospital relaxation room
This will fix me
This will fix me
Went to the grocery store to get batteries for the chess clock
Came back with a new brush, a watermelon, and hot-chocolate flavored popcorn
Did not buy the batteries
Let me be your doctor
Came back with a new brush, a watermelon, and hot-chocolate flavored popcorn
Did not buy the batteries
Let me be your doctor
November 14, 2025 at 10:17 PM
Went to the grocery store to get batteries for the chess clock
Came back with a new brush, a watermelon, and hot-chocolate flavored popcorn
Did not buy the batteries
Let me be your doctor
Came back with a new brush, a watermelon, and hot-chocolate flavored popcorn
Did not buy the batteries
Let me be your doctor
Reposted by Goodishintent
Do medicine. It's a pretty good time.
November 12, 2025 at 5:37 AM
Do medicine. It's a pretty good time.
Do medicine. It's a pretty good time.
November 12, 2025 at 5:37 AM
Do medicine. It's a pretty good time.
Reposted by Goodishintent
Chuck Schumer Helps Pull Democrats Back From Brink Of Courage
November 10, 2025 at 5:02 AM
Chuck Schumer Helps Pull Democrats Back From Brink Of Courage
Sometimes the kids in my PICU are so cute and brave, it gives me chest pain.
November 5, 2025 at 6:36 PM
Sometimes the kids in my PICU are so cute and brave, it gives me chest pain.
The 4:30 PM car nap
Noooooooooooooo
Noooooooooooooo
November 2, 2025 at 12:06 AM
The 4:30 PM car nap
Noooooooooooooo
Noooooooooooooo
In other news, the grandbebe is getting married
October 30, 2025 at 11:58 PM
In other news, the grandbebe is getting married
A haunted house but it's just a trip to MRI with a sick toddler on a transport vent equipped with the world's longest tubing to win the championship of dead space ventilation
October 29, 2025 at 1:29 AM
A haunted house but it's just a trip to MRI with a sick toddler on a transport vent equipped with the world's longest tubing to win the championship of dead space ventilation
Reposted by Goodishintent
Largest ever study of peripheral 23.4% NaCl with 863 administrations 😀
Some extravasation did occur, but it *didn't* lead to any major problems (tissue necrosis etc)
If someone is having an ICP crisis, you should worry about their BRAIN and not their ARM - their arm will be fine #EMIMCC
Some extravasation did occur, but it *didn't* lead to any major problems (tissue necrosis etc)
If someone is having an ICP crisis, you should worry about their BRAIN and not their ARM - their arm will be fine #EMIMCC
Silva et al: Safety of Peripherally Administered 23.4% Sodium Chloride
Link: link.springer.com/ar...
@neurocritical #neurocritcare
Link: link.springer.com/ar...
@neurocritical #neurocritcare
Safety of Peripherally Administered 23.4% Sodium Chloride
Neurocritical Care - For patients with increased intracranial pressure, prompt initiation of hyperosmolar therapy with 23.4% sodium chloride may minimize permanent neurological damage and prevent...
link.springer.com
October 28, 2025 at 5:38 PM
Largest ever study of peripheral 23.4% NaCl with 863 administrations 😀
Some extravasation did occur, but it *didn't* lead to any major problems (tissue necrosis etc)
If someone is having an ICP crisis, you should worry about their BRAIN and not their ARM - their arm will be fine #EMIMCC
Some extravasation did occur, but it *didn't* lead to any major problems (tissue necrosis etc)
If someone is having an ICP crisis, you should worry about their BRAIN and not their ARM - their arm will be fine #EMIMCC
"You got anymore babies in dat playroom?"
- my little tormenter this weekend
- my little tormenter this weekend
Downtime in the PICU. Took my patient to the playroom.
We will not be invited back.
We will not be invited back.
October 28, 2025 at 12:47 AM
"You got anymore babies in dat playroom?"
- my little tormenter this weekend
- my little tormenter this weekend
*PICU nurse walks by doctors' work room*
RN: Are you guys surviving?
Me: WE ARE NOT JUST SURVIVING, WE ARE THRIVING!
Partner: So many lies, so little time
RN: Are you guys surviving?
Me: WE ARE NOT JUST SURVIVING, WE ARE THRIVING!
Partner: So many lies, so little time
October 25, 2025 at 8:59 PM
*PICU nurse walks by doctors' work room*
RN: Are you guys surviving?
Me: WE ARE NOT JUST SURVIVING, WE ARE THRIVING!
Partner: So many lies, so little time
RN: Are you guys surviving?
Me: WE ARE NOT JUST SURVIVING, WE ARE THRIVING!
Partner: So many lies, so little time
Hospital stairwell gummy family Halloween edition
October 24, 2025 at 9:23 PM
Hospital stairwell gummy family Halloween edition
*At Costco buying glasses*
Me: I don't really need anything else
Costco: The hell you don't
Me: I don't really need anything else
Costco: The hell you don't
October 17, 2025 at 4:27 PM
*At Costco buying glasses*
Me: I don't really need anything else
Costco: The hell you don't
Me: I don't really need anything else
Costco: The hell you don't
In totally normal America, you can buy a backpack for your multiple guns at Costco.
October 15, 2025 at 11:44 PM
In totally normal America, you can buy a backpack for your multiple guns at Costco.
Voted yes on Prop 50 to protect democracy
October 15, 2025 at 6:58 PM
Voted yes on Prop 50 to protect democracy
Downtime in the PICU. Took my patient to the playroom.
We will not be invited back.
We will not be invited back.
October 12, 2025 at 9:51 PM
Downtime in the PICU. Took my patient to the playroom.
We will not be invited back.
We will not be invited back.
"Yeah, I'm not doing that"
- Me
- Me
October 9, 2025 at 2:43 AM
"Yeah, I'm not doing that"
- Me
- Me
Reposted by Goodishintent
It happened. Last night I was feeling despair about a lot of different things and I realized I needed to enlist my dog’s help to make me feel better.
I present to you Maggie the Pug as Cher Pugowitz.
I present to you Maggie the Pug as Cher Pugowitz.
October 8, 2025 at 1:00 PM
It happened. Last night I was feeling despair about a lot of different things and I realized I needed to enlist my dog’s help to make me feel better.
I present to you Maggie the Pug as Cher Pugowitz.
I present to you Maggie the Pug as Cher Pugowitz.
Very upsetting story. Medicine is a mine field. Gift link here. Devastated for this family and Sam.
www.nytimes.com/2025/10/05/w...
www.nytimes.com/2025/10/05/w...
It’s Just a Virus, the E.R. Told Him. Days Later, He Was Dead.
www.nytimes.com
October 6, 2025 at 2:15 AM
Very upsetting story. Medicine is a mine field. Gift link here. Devastated for this family and Sam.
www.nytimes.com/2025/10/05/w...
www.nytimes.com/2025/10/05/w...