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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 15 May 2018

    Only 24 hours late (sorry, call), the season finale of Fox's medical conspiracy show #theresident. Tonight, the season finale - "Total Eclipse of the Heart"pic.twitter.com/zqkJtWGoWb

    5:52 PM - 15 May 2018
    • 12 Likes
    • Scooby Deus Jorge M. Escobar Heightsmomma WNgugi Shannon Mitchel NotMark Hamill Pamela Bannan 🏳️‍🌈Jenny🍭 Ryan Kerzner
    4 replies 0 retweets 12 likes
      1. New conversation
      2. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        You know what's better and more entertaining than the resident? The literal lyric version of Total Eclipse of the Heart https://youtu.be/fsgWUq0fdKk 

        2 replies 0 retweets 9 likes
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      3. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        I still don't see how HODAD being CEO is anything but the best possible outcome. It's way better for him to schmooze donors than touch patients. And NP Nic is in prison because some reason. I forget, it's all Lane's supernatural criminal skills that framed her or something.

        1 reply 0 retweets 4 likes
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      4. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        Okafor wakes up next to the transplant patient, he tries to convince her "they're a thing" she says no. Let me guess the scene ends with him dying from too much lovin.

        1 reply 0 retweets 3 likes
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      5. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        And there it is. Couldn't even type it fast enough. This show got renewed and the 99 didn't . WTH Fox?

        2 replies 0 retweets 5 likes
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      6. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        Suddenly there is a new doctor here, an older gentleman who appears competent, where did he come from? Patient's vitals actually seem pretty ordinary. I suspect this entire episode will be used to sex-shame Okafor.

        1 reply 0 retweets 3 likes
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      7. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        Conrad walks by a room where they're restraining a hemodialysis patient and he diagnoses him based on a single physical exam finding with Wernicke's Encephalopathy. "Hang a thiamine drip stat" said no one ever. Again, they want medicine to appear magic, rather than systematic.

        3 replies 0 retweets 6 likes
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      8. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        To rescue NP Nic from prison, Conrad calls in Daddy. Now for some accuracy. Nothing quite like the privilege of the wealthy to circumvent the justice system.

        1 reply 0 retweets 7 likes
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      9. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        The cardiologists, who seems like he is competent is unfortunately using a pretty low rent bedside ultrasound to do echo. Maybe realistic for an ICU, but usually they're wheeling around a monstrous machine.

        1 reply 0 retweets 3 likes
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      10. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        And there it is, exertion caused a complication. Time to sex shame Okafor. She deserves better than this.

        1 reply 0 retweets 3 likes
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      11. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        Conrad actually does a solid and suggests he should deliver the news. Absolutely yes, Okafor, being in a personal relationship with the patient should have stepped back long ago.

        1 reply 0 retweets 4 likes
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      12. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        Conrad's dad bails out Nic, says, "Money makes problems disappear in our legal system, it's not a level playing field, just like medicine." I would argue people who spend more money to get VIP treatment get worse care, but whatever.

        1 reply 0 retweets 9 likes
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      13. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        The intern and the ED doc continue the sex shaming of Okafor over the heart transplant patient, "The sex must have been amazing, it did give him a heart attack." So, discussing the sexual performance of colleagues re the imminent death of her boyfriend, at work. Classy.

        1 reply 0 retweets 6 likes
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      14. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        This is my weekly reminder that all the characters in this show are awful.

        1 reply 0 retweets 9 likes
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      15. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        Olivia, they hypochondriac is back, and they yell at her. Very professional. She complains about a rash. Look at it. Reassure. Don't yell at the patient. He finds out she got diagnosed with Lymphoma by Lane Hunter. Now that would be malpractice.

        1 reply 0 retweets 4 likes
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      16. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        They realize you don't just diagnose people with cancer without things like tissue, biopsies, imaging etc.? This is not a subjective finding.

        1 reply 0 retweets 5 likes
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      17. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        I'm curious to see how Hunter pulled off this magical conspiracy. Does she have a radiologist and pathologist on the take as well? This is the problem with conspiracy theories, they rapidly become nonparsimonious explanations of the data. Too many people have to coordinate.

        1 reply 0 retweets 2 likes
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      18. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        Now the CT surgeons are saying to Okafor, "only a someone with God-given talent and an ego the size of Texas" would try to help her heart transplant boyfriend. Again, medicine as magic. Surgeons get good by study, and practice (my favorite line from "Dr. Strange")

        1 reply 0 retweets 2 likes
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      19. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        This will be their excuse to bring in AJ Austin (in the flesh) to arrive and be terrible to everybody. If my medical care requires the involvement of such a terrible human interacting with my loved ones, let me die.

        1 reply 0 retweets 2 likes
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      20. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        He already knows about it, calls her "princess" and deigns to offer her help. This guy is the worse tool, he says, "Medicine is art balanced by science, fortunately I happen to be Rembrandt."

        1 reply 0 retweets 2 likes
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      21. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        The science of medicine *would* give you the ability to quote odds on such a patient. The art of medicine is less about surgical skill (which is practice) than it is about compassionate care of patients, which involves not being a terrible monster who mistreats people.

        1 reply 0 retweets 2 likes
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      22. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        Okafor says, "Kill me now". Of all the terrible people on this show, she is the least terrible. She's my most least favorite characterpic.twitter.com/I6V8SCNI1s

        1 reply 0 retweets 4 likes
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      23. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        Nic, the Intern and Conrad meet in a radiology reading room (always dim lighting because drama) and talk about how Lane is just giving chemo to healthy people. Without tissue, without labs, without imaging, that is some brash malpractice. I thought it was just "too much chemo"?

        1 reply 0 retweets 3 likes
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      24. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        They bring this to the CEO. Not the right person. I would suggest going to one of the many people from patient advocacy, to risk management, to the medical board, rather than her lover/hospital administrator. Or maybe, just maybe, tell the patient?

        1 reply 0 retweets 2 likes
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      25. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        Contacting the FBI is interesting. Sure, if medicare fraud, it's really HHS/OIG which uses FBI to assist them. More likely you would go here, https://www.medicare.gov/forms-help-and-resources/report-fraud-and-abuse/report-fraud/reporting-fraud.html … rather than directly to the FBI.

        1 reply 0 retweets 2 likes
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      26. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        Is Okafor really going to scrub on her boyfriend's case? Really? I'm trying to like someone on this show, and it's basically impossible.

        1 reply 0 retweets 2 likes
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      27. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        What's wrong with this sentence, "Have you diagnosed healthy patients with incurable cancer in order to treat them? Because there's a patient in our ER you diagnosed with lymphoma..." Lymphoma is treatable, and often curable.

        1 reply 0 retweets 4 likes
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      28. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        Lane says the difference between a low WBC count and cancer is subtle. Yeah right. HODAD offers to have her bring any questionable files to his apartment to burn them. I think he's setting her up. If she brought any I'd be like, thanks, that makes it easier.

        1 reply 0 retweets 3 likes
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      29. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        AJ Austin says, "I am not cutting anyone open with the cast of Deliverance assisting. WHere is Dr. Okafor?" That is a discriminatory comment and should result in immediate firing. Dr. Okafor is the patient's boyfriend/lover and is inappropriate to assist. Fire everybody!pic.twitter.com/Z3Xe3WGaSA

        1 reply 0 retweets 4 likes
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      30. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        She enters, "Well hello Dolly". Please do not call your colleague, "Dolly". Unless her name is Dolly. Again, this abominable monster wants to operate without going on pump, because he'll end up "pump headed" - like when he got the transplant in the first place?

        1 reply 0 retweets 2 likes
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      31. Mark Hoofnagle‏ @MarkHoofnagle 15 May 2018

        Then he puts the saw down, "Fine we'll go on pump." Wait a minute. How are they going to put him on bypass without the sternotomy? Are they talking ecmo? What am I missing here?

        1 reply 0 retweets 1 like
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      32. Show replies

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