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Michael Crichton’s novel “Jurassic Park” had a series of fractal iterations forming a “dragon curve.” With each iteration was a description of how hard it was to see the final image with only the initial pattern being repeated. It’s also a description of how systems can fail…

1/ After residency at Mass General Hospital, I reported to Atlanta to meet my fellow CDC Epidemic Intelligence Service Officers. I have never felt so intimidated by my peers The best and the brightest, they were star clinicians, had served in disaster zones; MD/PhDs and MSF.

Now hollow fires burn out to black, And lights are fluttering low: Square your shoulders, lift your pack And leave your friends and go. O never fear, lads, naught’s to dread, Look not left nor right: In all the endless road you tread There’s nothing but the night. A.E. Housman

Someone’s gotta do it.

Benjamin Franklin:

I remember the cystic fibrosis patients I took care of 20 years ago. I also remember the dedicated HIV wards in the hospitals, and that Princess Diana made headlines for shaking hands with AIDS patients. Progress has been incredible. Miracles are where you choose to see them.

"Iris" was released on the 'City of Angels' movie soundtrack on this day in 1998. 27 years & 2 BILLION+ streams later, and it's still one of the most popular songs of all-time. Thank you for this gift 🙏

I wrote the thread below during one of the many COVID surges that followed the initial tsunami. I talk to people about healing and moving on, but a part of me feels like it’ll always be in that ICU. The past is never far. “The Ghost on the Corner.” 1/6/22.

When you’re trying to do some teaching but you’re also easily distracted…

Sometimes I almost forget how beautiful this place can be. Breathe. #texashillcountry #SanAntonio

This tactic is part of the foundation of toxicity in modern medical practice. Physicians lack dedication, devotion, resiliency, you name it. The system is never at fault. The system must never change. Our problem is we just went to medical school to take the easy route…

Chris Gitter These Vital Signs by Sayed Tabatabai, MD is my favorite and can be picked up and put down (a series of small stories,) so perfect for busy lives and intern year. Copy on its way to you! Bonus cuz he’s a Nephrologist and came to Nephrology Journal Club meet up!

Excellent gift for the new med student or intern! Warm, humane, and a needed reminder of the intrinsic magic of healing - for both physician and patient.

It is with heavy hearts that we share the passing of Dr. Samantha Garza. In honor of Sam's life, we invite you to donate in her memory to fund brain tumor research. Thank you to everyone who supported Sam throughout her battle. We love you forever, Sam. gofund.me/94b84c9b

I own a medical billing company, so trust me when I tell you: The United States is the only country on Earth that employs more people in the business of blocking access to healthcare than it employs in the business of providing healthcare. You got suckered. And it shows.

Give me a dusty used bookstore and a few hours on an idle Tuesday afternoon. Bliss.

I’m gonna miss this place. Almost exactly a decade after I first arrived in San Antonio, I’m going to be moving this Fall. Down the road to Houston. I have lived in many places, many countries, but the warmth and kindness of this place will stay with me. #sanantonio #satx