iiinova — where your digital self keeps evolving

Dan Zumsteg @zummie.bsky.social · 03/08/2026

At the gym listening to EM:RAP to flex my brain muscles when suddenly the MCW Trauma Service (Blank, DeMoya, et al) gets a shout out for their work on pneumothoraces! Proud to have trained with some of the best in their fields #medsky #mcw #emrap

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Dan Zumsteg @zummie.bsky.social · 01/08/2026

WestJEM’s latest issue features an article from Lee et. al for which I did a little promotional illustration I’m quite proud of #medsky #westjem #graphicmedicine

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Dan Zumsteg @zummie.bsky.social · 26/07/2026

Just EM Things: Using stir sticks as chopsticks to eat dolmas because I don’t touch food with my hands on shift.

A photograph showing laughably flimsy wooden coffee stir sticks bending to pick up a grape leaf wrapped dolma in front of a keyboard

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Reposted by Dan Zumsteg

Sarah E. Bond @sarahebond.bsky.social · 18/06/2026

Him: The Scottish drank every bar in Boston dry. Me: That’s why you send the Scottish games to Wisconsin. This would never have happened in Milwaukee.

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Dan Zumsteg @zummie.bsky.social · 01/05/2026

My fiancé and I have a long-running joke about the persnicketiness of NYT Cooking app commenters, but this takes the indulgent-but-needlessly-complex cake

A screencap of the pettiest comments section for the New York Times’ Cooking app. Below a post of user VicE patiently explaining that Elaine’s Fettuccine Alfredo recipe isn’t like the others because it’s made the way Elaine used to make it for her restaurant, user Elwood Tuna replied that the absence of nutmeg is a serious crime

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Dan Zumsteg @zummie.bsky.social · 20/04/2026

Saw some Art in Bloom today. This one by florist Roger Krawiecki stood before John McLaughlin’s #11 and kept the minimalist spirit

In the foreground, a flat, white, rectangular plinth is set with four vases. In the rightmost, yellow pincushin protea flowers rise from a cylindrical yellow vase. At the left, a sharp cluster of blue thistle sit in a taller, thinner, dark blue scalloped vase. Running between those two vases is a long, black-glossed thin rectangular vase with purple calla lilies reclined against dark ti leaves. Bone-bleached branches from a clear glass cylinder stand behind and to the right of the thistles. On the flat white wall behind the flowers, framed between the flowers, there hangs an abstract work of clear-edged lines of black and sky-blue divide a flat yellow field from a cream-colored field.

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Dan Zumsteg @zummie.bsky.social · 18/04/2026

Had a very wholesome morning at Wonderland bookstore listening to a book reading from author, pharmacologist, toxicologist, and mycologist @empoisonpharmd.bsky.social

Numerous children and pillows lay strewn around a brightly-lit room in a bookstore. With his back to the windows sits a man wearing a mushroom-print shirt holding a book out to the audience. The book is a rhyming educational guide to mushrooms

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Dan Zumsteg @zummie.bsky.social · 19/01/2026

I’m prepping for a lecture next week on hypothermia to be given at a sauna/cold plunge spot. After looking at the forecasted high temperature (3 F), I decided against giving the lecture whilst standing in the water—or even standing outside.

A notepad with an outline of hypothermia and cold injuries written in chicken-scratch cursive

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Reposted by Dan Zumsteg

Matthew Haughey @mathowie.xoxo.zone.ap.brid.gy · 08/11/2025

The Mamdani political sign generator is kinda fun homes.luddy.indiana.edu/ccshan/for/…

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Reposted by Dan Zumsteg

Sridhar Ramesh @radishharmers.bsky.social · 27/09/2025

Too many people want to waste their one and only life on Silicon Valley bullshit. And since you're competing with them for housing and such (since everything is a competition, for some reason), you are forced to waste your one and only life on Silicon Valley bullshit too.

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Dan Zumsteg @zummie.bsky.social · 26/08/2025

One of the bedrocks of treatment in the emergency department getting it’s due in today’s board review questions

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Dan Zumsteg @zummie.bsky.social · 09/08/2025

Songs like “After Forever” prove that Black Sabbath really is Old Testament Christian rock.

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Dan Zumsteg @zummie.bsky.social · 02/08/2025

Getting back into some of my old illustrations from residency #medsky

An ad for a fictional medical device called the Zebratron 5000, which looks like a metal box painted in zebra stripes, with a domed circular radar sweep on the front face above a few knobs and buttons with a glass cathode tube above the top. To the right, a comically-drawn zebra head says, “the ONLY thing you should think about when you hear hoofbeats!” The price, at bottom right of the image is $33,995, down from $35,000! There are user reviews at the bottom left, with Tania S. (PGY-5) reporting “zebra hunting has never been easier!” And John B. (PGY-2) reporting “I’ve been finding zebras everywhere!”

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Dan Zumsteg @zummie.bsky.social · 20/07/2025

Are med spas just safe injection sites by another name?

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Dan Zumsteg @zummie.bsky.social · 03/06/2025

Finally had a classic ED case of spontaneous delivery of a full-term baby to someone who didn’t even know she was pregnant

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Dan Zumsteg @zummie.bsky.social · 26/05/2025

Hooked on a case of fishhooks in a foot. ✅Nerve blocks ✅String-pull technique ✅Needle-cover technique

A pen and paper on a desk. On the paper there are several sketches of a foot showing cutaneous nerve distributions and anatomical cross-sections identifying nerves

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Reposted by Dan Zumsteg

Cliff Reid @cliffreid.bsky.social · 11/05/2025

Very easy to be inspiring when one has received such inspiration Our message to those dedicating themselves to the development of emergency medicine: Make everything you do about the PATIENT, not the SPECIALTY That is the Emergency Medicine we learned from John Hinds @DocJohnsMum

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Dan Zumsteg @zummie.bsky.social · 26/02/2025

The theme for today’s shift in the pediatric ED is “what can I eat that isn’t food”, featuring: -water bottle cap -penny -pop can tab -fruit fork

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Reposted by Dan Zumsteg

Dr. Canuck, MD @drcanuckmd.medsky.social · 25/02/2025

Fight for our national parks. Let’s leave this place better for our kids and all future generations.

"No one will protect what they don't care about; and no one will care about what they have never experienced"
David Attenborough

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Dan Zumsteg @zummie.bsky.social · 23/12/2024

Last overnight shift before the holidays so I got the gift of: ✅One priapism drainage ✅Two STEMIs go to cath lab ✅Two multi-GSW trauma alerts All in the 90 minutes before signout

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Reposted by Dan Zumsteg

😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 18/08/2024

My very first page I received in residency was from a nurse asking if a patient could have an order for Tylenol. My very second page I received in residency was from the same nurse asking if I could change that Tylenol order to PO from PR.

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Dan Zumsteg @zummie.bsky.social · 05/04/2024

Had an absolute win of a stroke case today!! TNK pushed within an hour of symptom onset (and < 30 minutes in the ED) taking an NIHSS of 18 all the way to 0 within an hour of hitting the door.

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Dan Zumsteg @zummie.bsky.social · 03/03/2024

Forget the Marvel Cinematic Universe, let’s have the Princess Bride Cinematic Universe. Give me a swashbuckling show about the training of the next Dread Pirate Roberts, or a Tom Stoppard-esque movie about the Brute Squad.

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Dan Zumsteg @zummie.bsky.social · 01/03/2024

The first draft for a infographic about Takotsubo cardiomyopathy #medsky

A digitally illustrated image of octopus legs coming out of an overturned ceramic jar with a narrow mouth and wide middle. One leg wraps the jar, another holds a kitchen knife, two legs walk forward. A rope wraps around the neck of the jar and trails behind, forming a EKG trace of an ST-elevation myocardial infarction

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Dan Zumsteg @zummie.bsky.social · 28/01/2024

Took care of a patient today with developmental delay. His caregiver at bedside said the patient was more comfortable with exams when someone is singing. So I sang him Louis Armstrong and Bing Crosby’s “Gone Fishin’”, pausing between verses to listen to heart and lung sounds.

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Dan Zumsteg @zummie.bsky.social · 07/12/2023

My illustration for EMCoach of where anticoagulants act. #medsky #foamed

A flowchart showing the coagulation cascade with color-coded highlighting of factors in accordance with the anticoagulant classes which act on that factor

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Dan Zumsteg @zummie.bsky.social · 05/12/2023

An infographic I made for WestJEM about a diagnosis that often hides beneath the surface—euglycemic DKA #medsky

A digital drawing of an iceberg that appears small, but hides a large volume of ice below the surface. The words “euglycemic DKA” appear on the underwater portion, with a small red flag reading “bicarb” sunk into the above-water portion

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Dan Zumsteg @zummie.bsky.social · 04/12/2023

A flowchart I made for a critical care lecture on refractory hypoglycemia #foamed #medsky

A text-based flowchart to work-up patients who present with hypoglycemia

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