iiinova — where your digital self keeps evolving

David Collins, MD, FACEP @ruralemdoc.bsky.social · 07/05/2025

No, and the one time I transferred a patient for one, the internist refused to do it once they got admitted

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 21/03/2025

You got a good one in Chloe! She is a hard worker. Proud of her work when she rotated on my pocus rotation!

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 21/03/2025

Beyond honored to be selected as one of the Dean’s Outstanding Clinical Community Faculty. Crazy how my graduation was already 8 years ago. To be receive this award so early in my career is a huge accomplishment.

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 17/03/2025

“When will the lesson be learned? WHEN will the lesson be learned? How many more dictators must be wooed, appeased - good God, given immense privileges - before we learn? You cannot reason with a tiger when your head is in its mouth.” - Gary Oldman as Winston Churchill in Darkest Hour

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Reposted by David Collins, MD, FACEP

MeidasGuy @meidasguy.bsky.social · 01/03/2025

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 28/02/2025

I wonder what our founding fathers would say to us publicly shaming a country trying to free itself from its oppressors? If I remember my US history correctly, France threw a lot of money at us to take down our oppressors. 200+ years later it seems we have forgotten our roots and what we stood for

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 05/02/2025

This is why you were one of my favorite Vikings.

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 29/01/2025

I firmly believe most Americans believe in science and the scientific process. Is the system flawed? Yes. Is there greed? Yes. Does the institution need review and change? Yes. The advancements for medicine in the last 100 years was made possible with science. Don’t undo it all now.

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 29/01/2025

If anyone else is experiencing this too, I just wanted to remind you all that what you do matters and someday it will get better.

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 29/01/2025

Yet, folks will stand their grounds they were lied to, misled, or ignored. At the same time, they tell me how they appreciate me listening and they feel like they can trust me. Then remain resistant to treatments, referrals, etc. It’s frustrating, but all I can do is listen and do my best.

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 29/01/2025

I don’t know how many else are seeing this, but in recent weeks, I have seen an uptick in patients coming in and stating physicians have lied to them about diagnoses, treatments, and complications. I’ve reviewed charts and listened to their experiences and validate where they are coming from.

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 23/01/2025

Well deserved! Keep up the amazing work!

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Reposted by David Collins, MD, FACEP

The Tennessee Holler @thetnholler.bsky.social · 23/01/2025

CARTOON OF THE DAY

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 20/01/2025

Time to distract myself from the world for awhile with a little world building and story writing. Thank you, @criticalrole.bsky.social for being a source of inspiration and helping me find something to calm me when the world feels dark.

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 19/01/2025

Rural doc problems: Transferring a patient to ivory tower, only to read note “rural FM doc” “diagnosed the patient…”. When can the ivory tower culture be squashed? Not all of us are rural country bumpkins. We are physicians who love caring for our rural patients. Our board certs are the same. Period

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 11/01/2025

From sunny beaches to windy snow-blown highways. Safely home with the cats closing in to snuggle us for the rest of the night. It was a great conference, @naemsp.bsky.social. New friends, old ones, as well as plenty of time to grow as a medical director. See you next year in Tampa!

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 11/01/2025

Happy I was able to encourage one of my rock star med students to @naemsp.bsky.social this year. She is gonna match into EM this spring and likely do an EMS fellowship after. She is gonna do great things for EMS and EM alike!

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 10/01/2025

In optimal heckling range of my mentors and friends Drs. Josh and Julie Stilley. It’s their fault I’m in EMS today. Thanks guys! #naemsp2025

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 09/01/2025

Marriage is fun. Find someone who wants to share in life’s journeys and occasionally enjoys ridiculous poses at restaurants.

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 08/01/2025

Resting up before the first official day of @naemsp.bsky.social. Excited to see everyone!

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 07/01/2025

@naemsp.bsky.social ‘s Foundations of Oversight of EMS Education Programs was a fantastic primer to all things EMS education. As an EM physician who did not do fellowship, it was a great introduction to give me the tools I need to take next steps to further the training of my teams. Would recommend!

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 05/01/2025

Me every time I tried to work with patients on this topic

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 04/01/2025

Up north we have… garter snakes? Salamanders? The west coast has more fun things…

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 04/01/2025

Through the TSA and about to fly out for sunny California. Excited for @naemsp.bsky.social 2025!

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 03/01/2025

Going with the flow is always the easier way to go. Happy I could help my team make a chaotic day manageable after a last second illness sidelined a team member.

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 22/12/2024

Overwhelmed after receiving this from my EMS team at the Christmas party. I love what I do and the people I work with. Thankful to make an impact in rural America EMS.

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 19/12/2024

I’ve got some awesome nurses. This appeals to my inner comic book nerd. @thesgem.bsky.social what do you think?

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 10/12/2024

Exactly my thoughts on this! Or perhaps Backyard Football?

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 02/12/2024

Been slacking a bit recently but finally got another episode up and running! Excited about what else we having coming down the pipe really soon!

open.spotify.com

EMS Across the Pond, Episode 03: The Heart of POCUS

Medics, Musings, and Mayhem · Episode

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 01/12/2024

The Minnesota Vikings are the non-adherent patient of the NFL. Has the same symptoms every week but not willing to make a change to improve their life. 🤦🏻‍♂️

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 01/12/2024

Christmas decorations, a roaring fire, LoTR Christmas music, and world building. Life is good.

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 26/11/2024

On dark days, I sit and embrace my inner @matthewmercer.bsky.social. Such an inspiration for those afraid to take risks, create stories for friends, to distract us when times are hard. Creative writing and story telling is my outlet and I have him and the @criticalrole.bsky.social crew to thank. 🙏🏻

media.tenor.com

a man says i thought everyone would be more excited i spent all night working on this !

ALT: a man says i thought everyone would be more excited i spent all night working on this !

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Reposted by David Collins, MD, FACEP

Thanh Neville, MD, MSHS @thanh-neville.bsky.social · 25/11/2024

A kind nurse told me she provided the family of a dying patient a lock of a hair in urine cup. These glass vials are like 50 cents. #kindness is affordable and I hope more hospitals will adopt the @3wishesprogram.bsky.social

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 25/11/2024

Where I come from, that’s called a “Collins special.” My nurses dread those days with me.

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 24/11/2024

I’m impressed the Minnesota Vikings doesn’t cause more heart attacks and strokes in our patient population. How they manage to blow games like this astounds me

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 24/11/2024

What’s wrong with this picture? Called to bedside for a patient complaining of sudden onset arm pain, numbness, and tingling from the elbow down.

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David Collins, MD, FACEP @ruralemdoc.bsky.social · 24/11/2024

I did during med school and residency. It was always a good time and helped us recharge to go back into the fray. Would love to them again now that I’m settled.

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