Rural(ish)Heme/OncPA
@ruralfmpa.bsky.social
Inpatient heme/onc PA lamenting about the dumpster fire that is the US healthcare system (and the country in general).
#medsky #medtwitter
Mom of Chesty 🐶and Opha Mae 🐶 Bernese mountain dogs, Minnie 🐈⬛and Clyde 🐈.
She/Her
#medsky #medtwitter
Mom of Chesty 🐶and Opha Mae 🐶 Bernese mountain dogs, Minnie 🐈⬛and Clyde 🐈.
She/Her
Found out a family left a phone recording (audio only) while I was doing a procedure in a patient room.
I'm not at all worried, because I'm not an ass hole to patients ever--but that's just gross and weird.
End rant.
I'm not at all worried, because I'm not an ass hole to patients ever--but that's just gross and weird.
End rant.
August 27, 2026 at 6:43 PM
Found out a family left a phone recording (audio only) while I was doing a procedure in a patient room.
I'm not at all worried, because I'm not an ass hole to patients ever--but that's just gross and weird.
End rant.
I'm not at all worried, because I'm not an ass hole to patients ever--but that's just gross and weird.
End rant.
A story in 4 photos...
Some observations...
-Strap anchors are trash
-The person at the hardware who has helped me the last two weekends deserves a raise
-Floating shelves are actually pretty easy to hang when you have the right tools/hardware
-My house is about to get a bunch of floating shelves
Some observations...
-Strap anchors are trash
-The person at the hardware who has helped me the last two weekends deserves a raise
-Floating shelves are actually pretty easy to hang when you have the right tools/hardware
-My house is about to get a bunch of floating shelves
July 26, 2026 at 8:08 PM
A story in 4 photos...
Some observations...
-Strap anchors are trash
-The person at the hardware who has helped me the last two weekends deserves a raise
-Floating shelves are actually pretty easy to hang when you have the right tools/hardware
-My house is about to get a bunch of floating shelves
Some observations...
-Strap anchors are trash
-The person at the hardware who has helped me the last two weekends deserves a raise
-Floating shelves are actually pretty easy to hang when you have the right tools/hardware
-My house is about to get a bunch of floating shelves
I have kind of an interesting dilemma for all my medical folks.
My good friend has a medically complex kid trach/vent/g-tube etc. He's outlived his life expectancy by YEARS and is doing great
Her son asked why someone should go on life support (heard it somewhere).
My good friend has a medically complex kid trach/vent/g-tube etc. He's outlived his life expectancy by YEARS and is doing great
Her son asked why someone should go on life support (heard it somewhere).
July 23, 2026 at 11:29 PM
I have kind of an interesting dilemma for all my medical folks.
My good friend has a medically complex kid trach/vent/g-tube etc. He's outlived his life expectancy by YEARS and is doing great
Her son asked why someone should go on life support (heard it somewhere).
My good friend has a medically complex kid trach/vent/g-tube etc. He's outlived his life expectancy by YEARS and is doing great
Her son asked why someone should go on life support (heard it somewhere).
Reposted by Rural(ish)Heme/OncPA
I'm tired of the hypervigilance that comes with knowing that public health is being dismantled and preventable outcomes are becoming more prevalent.
July 14, 2026 at 11:18 PM
I'm tired of the hypervigilance that comes with knowing that public health is being dismantled and preventable outcomes are becoming more prevalent.
Sometimes when other consultants in the hospital are dicks, I enjoy being disgustingly nice and appreciative for their time and expertise.
Mmkaythanks buddy. 😘
Mmkaythanks buddy. 😘
July 9, 2026 at 11:05 PM
Sometimes when other consultants in the hospital are dicks, I enjoy being disgustingly nice and appreciative for their time and expertise.
Mmkaythanks buddy. 😘
Mmkaythanks buddy. 😘
Reposted by Rural(ish)Heme/OncPA
If anyone out there is writing a healthcare romance novel I give you permission to use “wetter than the last wipe in a purple top container”
June 25, 2026 at 12:42 AM
If anyone out there is writing a healthcare romance novel I give you permission to use “wetter than the last wipe in a purple top container”
Reposted by Rural(ish)Heme/OncPA
Pediatrician Here 👋🏻
Cherry Picking the one study that you Think supports your conspiracy theory while simultaneously ignoring decades of evidence and data to the contrary is Peak logical fallacy.
Cherry Picking the one study that you Think supports your conspiracy theory while simultaneously ignoring decades of evidence and data to the contrary is Peak logical fallacy.
June 4, 2026 at 1:56 AM
Pediatrician Here 👋🏻
Cherry Picking the one study that you Think supports your conspiracy theory while simultaneously ignoring decades of evidence and data to the contrary is Peak logical fallacy.
Cherry Picking the one study that you Think supports your conspiracy theory while simultaneously ignoring decades of evidence and data to the contrary is Peak logical fallacy.
One of my attendings referred to the cost of a medication to the patient as the "financial toxicity" and this is one of my new favorite terms.
April 29, 2026 at 12:55 AM
One of my attendings referred to the cost of a medication to the patient as the "financial toxicity" and this is one of my new favorite terms.
Reposted by Rural(ish)Heme/OncPA
Listen up: I am one of those rare sex assault victims who actually took the guy who did it to court. It was a local scandal that put my initials on the front page of the local paper (not my whole name because I was a minor).
You have no idea what happens to women on the stand or in the press.
You have no idea what happens to women on the stand or in the press.
April 11, 2026 at 7:51 PM
Listen up: I am one of those rare sex assault victims who actually took the guy who did it to court. It was a local scandal that put my initials on the front page of the local paper (not my whole name because I was a minor).
You have no idea what happens to women on the stand or in the press.
You have no idea what happens to women on the stand or in the press.
We have a new Thai food truck in town. This is BIG news in rural Maine. To order, you can send them a facebook message, which I did today.
Got a message back a few minutes later that said "it's ready, my mom just finished cooking it!"
...if that didn't melt my cold dead heart 🥹
Got a message back a few minutes later that said "it's ready, my mom just finished cooking it!"
...if that didn't melt my cold dead heart 🥹
April 4, 2026 at 10:18 PM
We have a new Thai food truck in town. This is BIG news in rural Maine. To order, you can send them a facebook message, which I did today.
Got a message back a few minutes later that said "it's ready, my mom just finished cooking it!"
...if that didn't melt my cold dead heart 🥹
Got a message back a few minutes later that said "it's ready, my mom just finished cooking it!"
...if that didn't melt my cold dead heart 🥹
ATTENTION!!
The rural medpups (and Clyde) met cousin Telos today! 😍🥰😍🥰
The rural medpups (and Clyde) met cousin Telos today! 😍🥰😍🥰
March 15, 2026 at 6:34 PM
ATTENTION!!
The rural medpups (and Clyde) met cousin Telos today! 😍🥰😍🥰
The rural medpups (and Clyde) met cousin Telos today! 😍🥰😍🥰
I don’t think the education around antibiotics and thrombocytopenia is adequate…
I feel like that’s half our consults. 😛
I feel like that’s half our consults. 😛
March 4, 2026 at 1:05 PM
I don’t think the education around antibiotics and thrombocytopenia is adequate…
I feel like that’s half our consults. 😛
I feel like that’s half our consults. 😛
Me too, my dude. Me too.
February 22, 2026 at 2:42 PM
Me too, my dude. Me too.
Woah
The Olympic women's short program is today, and this is my preview / reminder for those who may be wondering what happened since the last Olympics.
At the last Olympics, as many of you know, the breathless talk of the commentators was about women doing quad jumps! Wow! Amazing!
At the last Olympics, as many of you know, the breathless talk of the commentators was about women doing quad jumps! Wow! Amazing!
February 18, 2026 at 1:50 AM
Woah
Reposted by Rural(ish)Heme/OncPA
Not sure who needs to hear this but the voter fraud rate is a mere 0.000003%. Anyone telling you otherwise is making shit up so they can take away your right to vote.
February 14, 2026 at 12:10 AM
Not sure who needs to hear this but the voter fraud rate is a mere 0.000003%. Anyone telling you otherwise is making shit up so they can take away your right to vote.
My bestie sent this today…
Enjoy
Enjoy
February 7, 2026 at 6:39 PM
My bestie sent this today…
Enjoy
Enjoy
“I’m not mad” and “are you ok?” Are not things domestic terrorists say…
He was a fellow ICU nurse, whose alleged last words were “are you ok?” to the woman he was protecting before ICE assaulted and executed him.
We go into this profession to help people. To protect and heal our communities. To say I’m devastated and outraged is an understatement
We go into this profession to help people. To protect and heal our communities. To say I’m devastated and outraged is an understatement
Alex from our time working together, while he was in nursing school. Later, he moved to ICU, working as a nurse to support critically ill Veterans. He had such a great attitude. We’d chat between patients about trying to get in a mountain bike ride together. Will never happen now
January 25, 2026 at 1:46 PM
“I’m not mad” and “are you ok?” Are not things domestic terrorists say…
Post an emergency cat pic
January 24, 2026 at 1:23 AM
Post an emergency cat pic
Reposted by Rural(ish)Heme/OncPA
Maybe reducing healthcare coverage and increasing drug prices while also increasing preventable diseases and shuttering healthcare facilities will end up working out well
January 20, 2026 at 2:54 AM
Maybe reducing healthcare coverage and increasing drug prices while also increasing preventable diseases and shuttering healthcare facilities will end up working out well
Anyone else still reflexively saving N95’s after use “just in case”? Just me? 🤣🤣
January 15, 2026 at 3:43 PM
Anyone else still reflexively saving N95’s after use “just in case”? Just me? 🤣🤣
Reposted by Rural(ish)Heme/OncPA
Right wingers during COVID: “Do not comply!”
Right wingers after a mother was murdered: “She should have just complied.”
Right wingers after a mother was murdered: “She should have just complied.”
January 14, 2026 at 2:27 AM
Right wingers during COVID: “Do not comply!”
Right wingers after a mother was murdered: “She should have just complied.”
Right wingers after a mother was murdered: “She should have just complied.”
Reposted by Rural(ish)Heme/OncPA
A Black man was killed by ICE (off duty) in Los Angeles on New Year’s Eve. And like Renée Good, he was an American citizen. But most people have not heard about Keith Porter.
I need y’all to realize this. Black people experience this lack of visibility all the time when it comes to being victims.
I need y’all to realize this. Black people experience this lack of visibility all the time when it comes to being victims.
January 10, 2026 at 3:24 PM
A Black man was killed by ICE (off duty) in Los Angeles on New Year’s Eve. And like Renée Good, he was an American citizen. But most people have not heard about Keith Porter.
I need y’all to realize this. Black people experience this lack of visibility all the time when it comes to being victims.
I need y’all to realize this. Black people experience this lack of visibility all the time when it comes to being victims.
STOP what you are doing.
January 10, 2026 at 2:56 AM
STOP what you are doing.
Reposted by Rural(ish)Heme/OncPA
And once again: ALL OF THIS COULD HAVE BEEN AVOIDED IF A TINY PERCENT MORE OF THE POPULATION HAD JUST FILLED IN A LITTLE OVAL NEXT TO THE BLACK LADY’S NAME.
We ALL fucking warned EVERYONE, but too many didn’t listen or shrugged it off.
We ALL fucking warned EVERYONE, but too many didn’t listen or shrugged it off.
January 3, 2026 at 4:39 PM
And once again: ALL OF THIS COULD HAVE BEEN AVOIDED IF A TINY PERCENT MORE OF THE POPULATION HAD JUST FILLED IN A LITTLE OVAL NEXT TO THE BLACK LADY’S NAME.
We ALL fucking warned EVERYONE, but too many didn’t listen or shrugged it off.
We ALL fucking warned EVERYONE, but too many didn’t listen or shrugged it off.