Daniel Goldstein, MD on LinkedIn: Pain Doesn’t Belong on a Scale of Zero to 10 (2024)

Guns and Hospitals: This is Beyond Pathetic6/25/24If you want to get into my hospital, you need to walk through metal detectors - a la TSA. To shelter these facilities from the dangers of gun violence, state legislatures have enacted laws to reduce the carrying of firearms on hospital premises. However, these efforts currently face serious Second Amendment challenges in federal courts Numerous physicians and hospital personnel have been killed at work by gunmen https://lnkd.in/eKVsTn5H and https://lnkd.in/ejhphEwf and https://lnkd.in/eriPrZ_GWhy are we having a discussion about whether it’s ok to carry arms in a hospital?? Is there a chance of running into an aggressive bear in the hallway leading to the visitors’ cafeteria? Is the Taliban hiding around the corner from the CT scanner in the ER? Is there an AR-15 target shooting range next to the medical ICU?? Enough with these ridiculous “Second Amendment challenges” to common sense. #guns #hospitalshttps://lnkd.in/eqbFJAw9

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How Cardiothoracic Surgeons USED to be…..🤦🏽😆https://lnkd.in/ez3khUW2

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This 👇….from the Heart Transplant Program with the lowest hazard (observed/expected) for death in the entire country!!

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Covid Vaccination and Heart Failure 6/21/24The study’s authors compared 73,559 vaccinated patients with 73,559 unvaccinated patients in South Korea, matching them 1:1 according to age, sex, comorbidities and other relevant patient attributes. The median follow-up period was six months.Overall, COVID-19 vaccination was associated with/1. 82% lower risk of all-cause mortality, 2. 47% lower risk of hospitalization for HF and 3. 13% lower risk of testing positive for COVID-19. Vaccinated patients also had LOWER rates of stroke, heart attack, MYOCARDITIS/PERICARDITIS and venous thromboembolism during that six-month period. Messaging remains remarkably consistent (it’s the T-cells) - vaccination reduces serious complications and death while being less able to reduce infections per se. #covid #mrnavaccines #heartfailure #southkorea

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College Enrollments: Where Did the Jewish Students Go??6/20/24Hope many of these colleges (the list is long and the Ivy Leagues top it) face the same shortcomings in enrollment and the inextricable financial consequences that will ensue. There has to be a price to pay for the administrators of these centers of higher learning for covering their eyes, ears and mouths when overt, despicable, harassing and often, violent antisemitism was in full display.Paraphrasing the ADL, a factor that has allowed anti-Semitic arguments to proliferate on campuses is the notion that the First Amendment requires their airing. Nowhere in the Constitution is there an obligation for universities to host everyone who wants to speak or write there, nor does it require campus newspaper editors to publish every item submitted to them. Campus leaders and journalists have the job of responsibly drawing a line between valid, fact-based opinions and outright bigotry. Moreover, free speech is a two-way street. Students and school administrators have the right and responsibility to condemn and counter hatred - it somehow this essential function seemingly failed to manifest. Their failure to do so not only contributes to the spread of hate-filled rhetoric, but causes victimized students to feel defensive, angry and isolated. Similar hate displays against ANY OTHER GROUP would have been met with swift condemnation, encampment disbandment, and terminations - for students and teachers engaged in said bigotry. Jewish students and their parents have responded - https://lnkd.in/ez77n2yz. Hope you enjoyed the lovely campus decor provided by your moral-clarity-lacking encampments. I anticipate that you will feel the pain. Where it hurts you most. No tears shed here. #college #antisemitism #collegeenrollmenthttps://lnkd.in/eqvbiMqx

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GLP-1 Drugs: State-of-the-Art6/17/24While I have been tracking and sharing the emerging data on GLP-1 agonists for the past few months, it hasnt been delivered as a total package. Hence, I am sharing a superb, precise and nearly all-encompassing summary written by the incomparable Katelyn Jetelina (aka Your Local Epidemiologist)From mechanistics and trial data demonstrating its several benefits (though their early data on addictive behaviors - gambling, alcoholism, and drug abuse - as well as on sleep apnea are not discussed), to potential adverse events and impacts on public health and the economy are all covered. Missing are the upcoming new agents with triple receptor activity as well as the likely availability of pill forms of these drugs which will make them even more palatable and attractive. Thank you YLE! #glp1 #ozempic #wegovy #mounjaro #zepbound. https://lnkd.in/eNEbDwyn

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Thirteen Infectious Diseases Surging Around the World6/16/24In this epidemiological report from Airfinity/Bloomberg, a global analysis on the comparative incidence of 13 common infectious diseases between pre pandemic levels (2017-19) and post pandemic (2022-24). The causes for these rises - some uncomfortably and precipitously higher - should come to no surprise:1. Decrease in vaccination of children: Measles, Tuberculosis, Polio and Pertussis (whooping cough). This is likely a combination of reduced access to care during pandemic and the unfortunate impact of the anti-vax movement. 2. Declined Immunity due to Social Isolation: Influenza (also vaccine), RSV, Chicken Pox (also vaccine), Mycoplasma Pneumonia and Group A Strep and Parvovirus B193. Climate Change: Dengue and Cholera. Global warming has allowed mosquitoes to travel northward and spread disease to previously unaffected areas. Limitations of the study are related to the robustness of each countries data acquisition and possibility of greater testing (and thus greater diagnoses of infection) after the pandemic. #covid #pandemic #infectiousdisease #vaccination #socialisolation #climatechange

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Father’s Day: Laughter and Reality6/15/24On this Father’s Day weekend, no one like Bill Maher to set the record straight on what it is to be a good father….grasp the multiple truisms as you drown in your own laughter….#fathersdayhttps://lnkd.in/e-q5GGTR

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Gaza’s Civilian Deaths: “Necessary Sacrifices”Sinwar says it all. This is how he sees the war

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