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MarkHoofnagle's profile
Mark Hoofnagle
Mark Hoofnagle
Mark Hoofnagle
@MarkHoofnagle

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Mark Hoofnagle

@MarkHoofnagle

Trauma/Critical Care/Acute Care Surgeon. MD/PhD. FACS. UVa/UMD/UPenn. Asst Professor of Surgery at Wash U. Blocking is curating.

St Louis, MO
surgery.wustl.edu/people/mark-ho…
Joined March 2012

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    1. Mark Hoofnagle‏ @MarkHoofnagle 26 Mar 2018

      Did this NP just guve the chemo/BMT girl a puppy by dropping it onto her face? Isn’t this, you know, idiotic? She says it breaks all the rules but she doesn’t care. Her WBC of 0.1 might care. Also, if she’s got a life expectancy of 6 months, isnt that kind of cruel?

      1 reply 0 retweets 4 likes
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    2. Mark Hoofnagle‏ @MarkHoofnagle 26 Mar 2018

      She then objects to giving 40 meq of K because her “kidney function is coming back”. That’s not the problem with K in CKD, 40 meq isn’t going to hurt someone with normal k even if you bolused it if it’s mixed in a liter of saline. So many stupid problems with the writing.

      2 replies 0 retweets 7 likes
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    3. Mark Hoofnagle‏ @MarkHoofnagle 26 Mar 2018

      But aside from all the medical inaccuracies, how do they even manage to get puppy distribution wrong? Who is handing out puppies in hospitals like hard candy.

      2 replies 0 retweets 4 likes
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    4. Mark Hoofnagle‏ @MarkHoofnagle 26 Mar 2018

      I shouldn’t have written that before seeing Conrad checking an ulnar pulse. In a code. Wrong side of the wrist buddy. I’m sure they’re going to blame this on Nic and the K, even though thats a physiologic absurdity.

      1 reply 0 retweets 6 likes
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    5. Mark Hoofnagle‏ @MarkHoofnagle 26 Mar 2018

      Even worse, it’s an assassination by Hunter to frame the NP! So now the oncologist, to hide her questionable overuse of chemo, is assassinating patients with potassium and framing nurses. But the writer says she is trying to make a show about safety. Yeah.

      1 reply 0 retweets 8 likes
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    6. Mark Hoofnagle‏ @MarkHoofnagle 26 Mar 2018

      Their medical consultant is the murderer...of accuracy!

      1 reply 0 retweets 7 likes
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    7. Mark Hoofnagle‏ @MarkHoofnagle 26 Mar 2018

      It would probably be pretty hard to kill an adult with 40 meq of K (esp if her K was low). You would need it in a concentrated bag, you would need to squeeze it in, and it would burn like hell as it trashed the vein as that looked like a PIV. Not to say K isn’t dangerous.

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    8. Mark Hoofnagle‏ @MarkHoofnagle 26 Mar 2018

      Historically, one of the most prolific murderers in US history was a nurse who overdosed patients meds on purpose. He preferred insulin and digoxin. K is probably too painful to inject in lethal doses to escape notice.https://en.m.wikipedia.org/wiki/Charles_Cullen …

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    9. Mark Hoofnagle‏ @MarkHoofnagle 26 Mar 2018

      So medical professionals have purposefully killed before, a serial killer in medicine isn’t implausible. What’s so offensive about this show is this representation of lying, cheating, upcoding, stealing and extraordinary 1 time events as business as usual for healthcare.

      1 reply 0 retweets 5 likes
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    10. Mark Hoofnagle‏ @MarkHoofnagle 26 Mar 2018

      Their prescription for change - firing for error and video surveillance - would have terrible effects on quality, undermine safety culture, be insensitive for error and needlessly ruin lives. This is why you don’t take advice from people who believe the “3rd leading cause” BS.

      1 reply 0 retweets 5 likes
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      Mark Hoofnagle‏ @MarkHoofnagle 26 Mar 2018

      Innumerate and uninformed is no way to go throughout life.

      7:45 PM - 26 Mar 2018
      • 5 Likes
      • NotMark Hamill ChopTart🏳️‍🌈🔪 Michael Loew David Gorski, MD, PhD Shannon Mitchel
      0 replies 0 retweets 5 likes

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