iiinova — where your digital self keeps evolving

Petulant Skeptic @petulantskeptic.bsky.social · 04/10/2026

Can you spot the intubation of the high risk cardiac infant, the difficult IV, the arterial line (without success), and the (third) meeting of the day?

020

Petulant Skeptic @petulantskeptic.bsky.social · 30/09/2026

This 19 year old just did four schools that Hegseth never completed in <6 months (Ranger, Airborne, Air Assault, and Pathfinder). lol

141

Petulant Skeptic @petulantskeptic.bsky.social · 24/09/2026

This is on the wall of my living room.

141

Petulant Skeptic @petulantskeptic.bsky.social · 24/08/2026

There is absolutely no way something weird isn't going on in this study (10.1001/jamapediatrics.2026.3376). The only unadjusted figure they share is the Kaplan-Meier curve below and somehow Tamiflu moved ICU-admission from ~50% to <25%. Literally unbelievable.

110

Petulant Skeptic @petulantskeptic.bsky.social · 15/08/2026

I have pictures from ~15 years ago that show the showers there to be in substantially worse repair. Everything about Camp Bullis sucks, perhaps most memorable are the undoored toilets that face on another. Nothing like staring at another person while they take a dump to start your day

4273

Petulant Skeptic @petulantskeptic.bsky.social · 04/08/2026

An annoyingly common phenomena. "We should have more people doing manufacturing work, but it shouldn't be me"

1130

Petulant Skeptic @petulantskeptic.bsky.social · 02/08/2026

The smoke forecast for 48 hours from now has basically all of WA, OR, and ID with insane amounts of near surface smoke.

211

Petulant Skeptic @petulantskeptic.bsky.social · 03/06/2026

come on! my best is a 71-11 team that had kareem at C

100

Petulant Skeptic @petulantskeptic.bsky.social · 25/05/2026

this print from the 1883 census is hung very prominently on a wall in my living room

0161

Petulant Skeptic @petulantskeptic.bsky.social · 16/05/2026

I don't think we're going to agree. I think a lot about this passage from 'The Unforgiving Minute' when I think about who should serve and why (it's a big part of why I served!). I think a system where only true believers join is bad for the military on many fronts

150

Petulant Skeptic @petulantskeptic.bsky.social · 15/05/2026

Yakima is the Palm Springs of Washington I am reliably informed (by the billboard saying so in Yakima)

020

Petulant Skeptic @petulantskeptic.bsky.social · 13/05/2026

I disagree about how deeply the senior leadership understands these problems. I made this meme about how deeply that misunderstanding runs at DHA a few years ago though it's pretty generalizable (also the COL should prob be a 1 or 2-star)

180

Petulant Skeptic @petulantskeptic.bsky.social · 06/05/2026

Everyone who declines a medical recommendation for their infant should be shown this picture and have it explained to them. The natural state of things is an infant mortality of >15% (1880 American mortality rate for infants <1 year).

150

Petulant Skeptic @petulantskeptic.bsky.social · 29/04/2026

I'm getting out of the military and a number of people feel the need to constantly remind me, "You know there's lots of hassles and inefficiencies in regular hospitals too" and I've been saying this so I made it a comic

000

Petulant Skeptic @petulantskeptic.bsky.social · 18/04/2026

When my daughter was an infant in the PACU she woke up screaming and I promptly swaddled her like this and awed the PACU nurses and had to teach them how to do it

110

Petulant Skeptic @petulantskeptic.bsky.social · 26/03/2026

Dog has a cut on his shoulder that he won't stop licking so now he gets to walk around the house like a child getting ready for a t-ball game.

020

Petulant Skeptic @petulantskeptic.bsky.social · 22/03/2026

I figured out why the chest tube wasn't draining…

020

Petulant Skeptic @petulantskeptic.bsky.social · 08/03/2026

May we all enjoy the peace of my family’s newly adopted rescue dog

020

Petulant Skeptic @petulantskeptic.bsky.social · 29/10/2025

I am not a scientist* but I will point out that we used to tell people this and when we did there was no autism.

020

Petulant Skeptic @petulantskeptic.bsky.social · 26/10/2025

I have this print hanging on the wall of my living room, it's a great way to filter out people I don't want in my house ever again. It's from the 1880 census.

Infographic from the 1880 census showing a 16.2% death rate for white, male infants in their first year of life.

291

Petulant Skeptic @petulantskeptic.bsky.social · 14/10/2025

This is definitely the result of losing a fantasy sports league or some other bet between gentlemen… right?

010

Petulant Skeptic @petulantskeptic.bsky.social · 11/05/2025

It seems the most generalizable finding ever published in a medical journal is in the news again

A figure showing that a large number of physicians think gifts from pharmaceutical companies have no influence on their own prescribing patterns but a little to a lot on the practices of others.

000

Petulant Skeptic @petulantskeptic.bsky.social · 27/01/2025

I rearranged @pulmcrit.bsky.social’s table of pressors for when I lecture the residents. Dopamine gets its own slide (after the others)

130

Petulant Skeptic @petulantskeptic.bsky.social · 04/01/2025

Relatedly: pmc.ncbi.nlm.nih.gov/articles/PMC...

000

Petulant Skeptic @petulantskeptic.bsky.social · 09/10/2023

my favorite movie blurbs are the ones you find on bootleg dvds find in foreign countries eg

000

Petulant Skeptic @petulantskeptic.bsky.social · 28/09/2023

It's not a bad idea. My kids do "workouts" with the 2, 5, 10 lb dumbbells we have. I also can't really judge to harshly since we own one of these that my 4yo rides while mom is on the real Peloton (bought it used, has been great, the iPad games via bluetooth keep the kids engaged)

100

Petulant Skeptic @petulantskeptic.bsky.social · 16/09/2023

the showers were (probably still are) much worse

010

Petulant Skeptic @petulantskeptic.bsky.social · 16/09/2023

the photo doesn't show it but there was another row of toilets facing these. every morning was an epic game of battleshits

180