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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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    Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

    #theresident starts in 5 minutes - tonight's episode "Haunted" - might refer to the patients Conrad has murdered during his short tenure as creepy hospital sociopath. My live tweet of Fox's medical conspiracy show begins...nowpic.twitter.com/EbgmhDZsqI

    6:00 PM - 16 Apr 2018
    • 18 Retweets
    • 56 Likes
    • Brian Urbancic Dr Alice Kate Davidson Gina kabreslow Omnintensivist Health Nerd The Dr. Is In Do Good Recklessly
    3 replies 18 retweets 56 likes
      1. New conversation
      2. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        Even when running Conrad over acts.

        1 reply 0 retweets 7 likes
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      3. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        If an employee shows up to work injured and covered in blood, "I said I'm fine" isn't really an adequate response. Also he wipes his face with the "no-baby" wipes (the containers usually have a picture of a baby with an x through it) *Because they're not skin wipes!*

        1 reply 0 retweets 23 likes
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      4. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        I hope the actor didn't have to do 10 takes wiping his face with cloths that have been impregnated with bleach or other highly-toxic sterilizing chemicals.

        1 reply 0 retweets 13 likes
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      5. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        Turns out for story-line it's a little old lady that's haunted, because Conrad would never be haunted, I think it requires a conscience.

        1 reply 0 retweets 9 likes
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      6. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        Story line 2, rich and famous patient mobbed by press. Why did the hospital ever allow the press to gather to ambush a patient?

        1 reply 0 retweets 10 likes
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      7. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        Story line 3 (yes they're already up to 3 unconnected story lines) NP Nic stresses over maybe killing Lily. If you recall, there's basically no way she could have killed a hypokalemic patient with a small amount of K diluted in a liter.

        1 reply 0 retweets 13 likes
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      8. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        Now Conrad is diverting meds! Holy cow. How many ways should this dude have been fired or imprisoned by now? And what is he going to do with a steroid?

        1 reply 0 retweets 11 likes
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      9. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        Oh man, he's injecting steroids into an acute fracture? Diversion and incompetence. Am I taking crazy pills here?

        1 reply 0 retweets 16 likes
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      10. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        Old lady haunted patient is neurosurgeon haunted by her patients that died. She's convinced she might be losing her mind. Let me guess, rather than a psych consult Conrad is going to mismanage her himself.

        1 reply 0 retweets 14 likes
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      11. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        Story line #3, NP Nic wants to investigate Lily's death, suggests an autopsy because that would show if she was being over treated with chemo. Not bloody likely. Pathologists feel free to disagree.

        1 reply 0 retweets 9 likes
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      12. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        They certainly will be able to detect possible side effects of chemo, including cardiomyopathy. But determining known toxicity vs over treatment? How is that going to work exactly? But then, pathology at this hospital has demonstrated magical powers in every other episode...

        3 replies 0 retweets 8 likes
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      13. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        Did anyone tell the director that body bags aren't left open? People aren't in the morgue wearing body bags like they're in sleeping bags. She's also still wearing her head wrap, which I guess had to stay with her or we wouldn't recognize the character.

        3 replies 0 retweets 13 likes
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      14. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        Rich VIP patient is about to get some terrible care. And for haunted neurosurgeon, Conrad goes straight to...Spinal tap? Are the ghosts accompanied by fevers? Are spinal taps routine workup for delusions? Clearly the medical consultant is on vacation this week.

        3 replies 0 retweets 15 likes
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      15. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        Dr. Okefor comes to visit the Neurosurgeon and fangirls out about her surgeries, which she apparently has been watching since she was a little girl. Was there a straight-to-VHS neurosurgery video series I missed growing up? Or do the writers think YouTube has always existed?

        1 reply 0 retweets 14 likes
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      16. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        I get reading journal articles (although as a "little girl" I find this improbable), but surgical videos are a pretty newfangled thing with the spread of compact digital video equipment.

        1 reply 0 retweets 9 likes
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      17. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        HODAD is going to treat the VIP, a caudate lobectomy. Probability he rips the IVC? 100%.

        2 replies 0 retweets 10 likes
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      18. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        Maybe they can get the neurosurgeon to commune with Lily's ghost and find out what killed her.

        1 reply 0 retweets 6 likes
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      19. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        Surgery again with HODAD in a Deep Dark Pit. People realize we need to actually see right? HODAD refuses to tie off the hepatic veins because his technique is flawless and veins are only tied off "in case of error". Lethal exsanguination in 3....2....1.....

        1 reply 0 retweets 12 likes
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      20. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        Psych wants to hold the hallucinating neurosurgeon. Seems reasonable. Conrad lies to them and tells them she has a brain bleed. So now we have incompetence, diversion and lying to colleagues. But he's a great doctor so...

        2 replies 1 retweet 12 likes
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      21. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        Back to VIP, who is now bleeding internally, out of his mouth. That's right. Bleeding internally, but blood is coming out of his mouth. The medical consultants on this show are sooooo bad. If your liver bleeds into your abdomen, it doesn't come out your mouth.

        4 replies 0 retweets 37 likes
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      22. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        Now an acute GI bleed, from say, an unrecognized stomach injury, could be a thing. But my guess this is those "untied hepatic veins" at work, so this makes no sense. Then NP Nic suggests they don't inform the surgeon who just operated on this patient and instead his resident.

        1 reply 0 retweets 7 likes
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      23. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        That alone would be such an exceptional piece of malpractice everyone involved would be fired, HODAD or not, the surgeon who performed the procedure is the one informed immediately. If you want to involve Okefor too, fine, but she's a resident. She can't take this guy to the OR.

        1 reply 1 retweet 6 likes
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      24. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        And there's the IVC tear! Predictable as it is stupid. If his IVC was torn, he never would have made it to the recovery room.

        1 reply 0 retweets 11 likes
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      25. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        I can't understand if he's HODAD because his hands are literally bad, or he's HODAD because his judgment is bad. Or both? They can't seem to make up their minds.

        1 reply 0 retweets 5 likes
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      26. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        HODAD is invited back in to "run the bowel", that's some shade.

        2 replies 0 retweets 7 likes
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      27. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        HODAD sticks his hand in, blind, squishing noises ensue. He diagnoses an "obstructive mass", which he should have found on his survey of the abdomen during the first case, as an abdominal survey would be part of any cancer operation.

        2 replies 0 retweets 9 likes
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      28. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        I guess he's trying to blame the surgeon that took the patient back for missing the mass that he missed in the first case? That's not how any of this works.pic.twitter.com/529q9WB5iD

        2 replies 0 retweets 9 likes
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      29. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        They're comparing this to the Shah of Iran being operated on by DeBakey, this is actually a very interesting story and laying it all at Debakey's feet is bonkers. The Shah was mismanaged as a VIP for years, failing to be given appropriate diagnosis. https://www.sciencedirect.com/science/article/pii/S2090506815000822 …

        1 reply 1 retweet 6 likes
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      30. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        DeBakey was the last pair of hands on a medical course that had been a disaster for years.The splenectomy itself was probably not botched, but the recognition of a complication, a subphrenic abscess, likely was.

        2 replies 0 retweets 4 likes
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      31. Mark Hoofnagle‏ @MarkHoofnagle 16 Apr 2018

        VIP patient told he came through surgery with "flying colors", but there was a complication - a metastatic mass was found. That is neither a complication nor the patient's complication, which was an emergent takeback for bleeding. HODAD says he got "all of it".

        1 reply 0 retweets 9 likes
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      32. Show replies

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