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@gruntdoc

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Miscellaneous Ramblings from an Emergency Physician in Texas.

Fort Worth, Texas
Joined October 2007
Don't wanna be here? Send us removal request.
@gruntdoc
GruntDoc
3 months
Small town ERs are different. this evening I saw something I didn't know happened.  When I got to the ER for my shift, I was told about the patients in the ED, and that one room had a patient who had expired, waiting on the funeral home, along with the ones I can potentially
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@gruntdoc
GruntDoc
1 year
Grandkid #1 . Pretty darn happy.
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@gruntdoc
GruntDoc
2 years
@susanwherley And TWO SPACES.
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@gruntdoc
GruntDoc
3 years
This is a great week to ask your ER headache patients how they’re heating their homes. CO is sneaky.
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@gruntdoc
GruntDoc
3 years
Well. Some North Texas smaller ERs are closing tonight to consolidate staffs at other places. I’ve been doing this a while and this is the worst I’ve seen ERs ever. If you chose not to vax, from the bottom of my heart, screw you.
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@gruntdoc
GruntDoc
1 year
@OthrVirginiaGuy @Kinger_DC Why they had the money is explicitly nobody else’s business.
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@gruntdoc
GruntDoc
3 years
Dammit! My colleague Dr Kenneth Adams, stellar ER doc, and friend, died of Covid today. He leaves a widow. I have a lot of blame but it doesn’t help. My friend has died.
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@gruntdoc
GruntDoc
1 year
@RealJMPeterman Thank heavens it didn’t have the shoulder foldy down thing.
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@gruntdoc
GruntDoc
1 year
@EzraFBridgers Homeschooling is illegal in places where the teachers own the government, not anywhere parents love their kids more than government employees.
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@gruntdoc
GruntDoc
3 years
Walking into my Monday evening ER shift and this greets me. If you know you know.
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@gruntdoc
GruntDoc
7 months
@EM_RESUS I have a good idea what the diagnosis is, and there’s a slim chance he’ll win the Tour de France.
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@gruntdoc
GruntDoc
3 years
Buried mom today. Metastatic cancer, on hospice 2 days, a painless death 5 weeks after the diagnosis. Good service, just family and friends. I was blown away when a HS band bud I hadn't seen in 40 years walked in, flew in from Atlanta for the service he thought so much of mom.
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@gruntdoc
GruntDoc
14 days
@avrilanche There are 3,100 people in that boundary. Calm down.
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@gruntdoc
GruntDoc
28 days
@EODHappyCaptain Leave in plenty of time to change a tire or a transmission and still make the flight.
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@gruntdoc
GruntDoc
1 month
@Rainmaker1973 The third key is the person 5 feet away with the remote to hit the unlock button at the right time.
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@gruntdoc
GruntDoc
6 years
My relative had a moderately severe allergic reaction to nuts the other day. Given an Rx for Auvi-Q epi autoinjector. Denied by insurance. Walgreen’s cash price? $5,800. For one. That’s not a typo. This insanity has to stop.
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@gruntdoc
GruntDoc
4 years
And yesterday, I and my beloved did a thing…
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@gruntdoc
GruntDoc
8 years
@ericholder @realdonaldtrump @jeremyfaust You literally jailed a patsy filmmaker to sell a BS story about a film causing Benghazi.
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@gruntdoc
GruntDoc
2 months
@olsonplanner That cannot be legal. Please tell me it's not legal for an employer to penalize anyone financially for having a child.
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@gruntdoc
GruntDoc
7 years
“All you’re giving me is Motrin. That’s over the counter”. This and patient satisfaction got us the US opioid epidemic.
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@gruntdoc
GruntDoc
1 year
@thatnrselife Ask for the BMIs of the lunchroom observers sending these letters and watch this stop.
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@gruntdoc
GruntDoc
1 year
@MCCCANM @Greenpeace It makes sense when you realize greenpeace would be perfectly happy with a mass people die off.
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@gruntdoc
GruntDoc
5 years
This should get my nurses through tonight’s shift.
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@gruntdoc
GruntDoc
1 year
@RIDICULO_pathy @KeneAkers That's literally white girl privilege.
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@gruntdoc
GruntDoc
2 years
@RozehnalMd The wall around that will be a crime scene in a week.
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@gruntdoc
GruntDoc
3 years
@liz_lapoint If your premise starts with 'why should people be ALLOWED to...' then you need to soak your head for a bit and go read a book.
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@gruntdoc
GruntDoc
3 years
I’m going to start writing ‘throw your blood pressure machine away’ on discharges from the ER. There’s nothing out there causing more anxiety and ER visits than home BP machines.
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@gruntdoc
GruntDoc
6 years
@DGlaucomflecken (Walks up to podium at major Emergency Medicine conference) (Taps mic) Me: Really we’re all just glorified Family Practitioners with a CT scanner. (Beaten to death with personally owned handheld sono probes)
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@gruntdoc
GruntDoc
5 years
This is cool. Our nursing leadership has arranged for nightly food trucks and it’s doing a lot for morale.
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@gruntdoc
GruntDoc
5 years
Pro tip: the hallmark of the diagnosis of a compartment syndrome cannot be made until the orthopedic consultant tells you the patient cannot possibly have it. Never fails.
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@gruntdoc
GruntDoc
3 years
I’m sitting in a hospital room with my folks. Moms third ER visit in 8 days and she’s dehydrated. Metastatic cancer, pathologic fx, etc. I tell you this to mention I have No Idea how regular non medical humans navigate healthcare. It’s Byzantine. T&P appreciated.
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@gruntdoc
GruntDoc
2 years
@OGdukeneurosurg I’m not a surgeon, but how can this be blamed on anesthesia?
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@gruntdoc
GruntDoc
1 year
@HarmfulOpinion @LegalizeitLala We ran off perfectly great nurses we needed then and now over this shot.
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@gruntdoc
GruntDoc
1 year
ER docs, please, don't let patients suffer because they're pregnant. Recently cared for a pregnant woman who was beside herself with anxiety due to untreated pain, 'they said I can only have Tylenol because I'm pregnant'. It happened in a different ER.
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@gruntdoc
GruntDoc
1 month
@EM_RESUS Cutlery smuggling. Also a pretty large ventral hernia.
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@gruntdoc
GruntDoc
3 years
Am I an ER doctor with a CT scanner, or am I an ER doctor because I have a CT scanner?
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@gruntdoc
GruntDoc
5 years
Based on the nurses in my FB feed there’s some WA state senator who needs to look into the witness protection program. And the pic if from my nurses at work, playing cards as usual
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@gruntdoc
GruntDoc
6 months
@armyemdoc You must have others to fight your fights for you. Because if you had to do this yourself you wouldn’t. Full opioid forced withdrawal is cruel and unneeded. It’s immoral, awful, brutish, terrible and wildly unnecessary. It says nothing good about you that you advocate for it.
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@gruntdoc
GruntDoc
4 years
@GeorgeTakei What an ugly heart.
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@gruntdoc
GruntDoc
6 months
@Shadow0pz Who is 'we'? BTW 'we' just tucked tail and ran away from 20 years in Afghanistan. Afghanistan. Twenty Years against an adversary without anything other than a will to win and time. 'We' keep getting our asses handed to 'us'. Please read a book.
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@gruntdoc
GruntDoc
8 months
@JonathanACBrown @EliLake If they’ve been engaged in a genocidal project for decades then they suck at it.
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@gruntdoc
GruntDoc
1 year
@ElieNYC What a horrible person you are. Do better.
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@gruntdoc
GruntDoc
6 years
Twitter folk, @realEDdoc has a kid in the hospital, in serious condition. I’m certain he’d appreciate a kind thought or word. Let’s be a community today. @realEDdoc
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@gruntdoc
GruntDoc
6 years
My favorite recent EMR find.
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@gruntdoc
GruntDoc
7 years
My 90 room ED has 86 boarded patients. Ask me about my hallway medicine practice.
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@gruntdoc
GruntDoc
9 months
@ClareZimMD It was a task oriented order, it was followed. No issue.
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@gruntdoc
GruntDoc
3 years
Truth from FB.
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@gruntdoc
GruntDoc
7 years
Merry Christmas from the ER. Everyone here is sick tonight, as you’d expect. Y’all sleep well, we got this.
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@gruntdoc
GruntDoc
4 years
@DGlaucomflecken I would find it WILDLY unsettling if my parents eye dentist called them to talk about end of life desires. Like what in the World? Please keep being funny. We need humor!
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@gruntdoc
GruntDoc
7 years
My patient held my hand, told me i was the best doc ever Then asked for Dilaudid. Well.
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@gruntdoc
GruntDoc
3 years
One of our nurses died very suddenly and unexpectedly. There’s a lot of love in this family. Fortunate to be included in it.
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@gruntdoc
GruntDoc
4 years
What am I noticing at work with the lockdown eased in Texas? Slowly increasing ER volumes and a lot of people with fresh haircuts.
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@gruntdoc
GruntDoc
4 years
via @EmergencyDocTX Here’s the name of the Emergency Physician hero who was the first, and not the last of us, to die of Covid-19, Dr. Frank Gabrin. Thank you for your work Sir, we will try not to disappoint.
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@gruntdoc
GruntDoc
4 months
@OGdukeneurosurg No anesthetist, no med student holding a hook being blocked out by an R2.
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@gruntdoc
GruntDoc
2 years
@sweetchinchilla And boo on the manager who didn’t just round file that complaint. Just because there’s a complaint doesn’t make it valid or actionable. Be a filter not a conduit.
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@gruntdoc
GruntDoc
8 months
@JaredSandler What am I feeling? Rangers have been ONE OUT AWAY, TWICE. Victory is not assured. Win. Now.
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@gruntdoc
GruntDoc
1 year
Well. Turned 60 today. When I was but a lad 60 was Seniors menus and bedtime by 5, at least in my mind. Nope. A little physically slower and not as fit as I was as a lad, but still here and still in the game! Thanks to my 5 friends here, and the rest of you, too.
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@gruntdoc
GruntDoc
1 year
@EM_RESUS Everything everywhere all at once.
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@gruntdoc
GruntDoc
11 days
@ShitpostGate Apparently AI doesn't watch TV yet.
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@gruntdoc
GruntDoc
3 years
@JackPosobiec Takes some weird Hubris to show up as the Romans to shut down church right after Good Friday.
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@gruntdoc
GruntDoc
7 years
Nurse and I just fell over praising a patients family member for the beautiful med list! It doesn't take much to make us happy.
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@gruntdoc
GruntDoc
2 years
I have decided to give up motorcycle riding as a hobby. For no reason whatsoever.
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@gruntdoc
GruntDoc
2 years
@RoseSilicon @WaltDisneyCo What part of not teaching 3rd graders about sex is an abuse of human rights? Be specific.
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@gruntdoc
GruntDoc
6 months
@EM_RESUS 1: traumatic pneumothorax 2: probably breast cancer having been treated with a left mastectomy and placement of a port to facilitate chemo.
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@gruntdoc
GruntDoc
7 years
Was just asked ‘What kind of ER doctor are you?” ‘better than average’ was all I could think to say.
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@gruntdoc
GruntDoc
8 months
@EM_RESUS Too much news.
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@gruntdoc
GruntDoc
3 months
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@gruntdoc
GruntDoc
1 year
@Meghann_MT @bendreyfuss Please tell me she’s getting roasted.
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@gruntdoc
GruntDoc
1 year
@Huff4Congress @DeptofDefense @USArmy Amazing. DOD destroying itself is such a weird phenomenon.
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@gruntdoc
GruntDoc
1 year
@thenephrologist Seriously, in the 2020s we are to believe there is a wave of uncontained racism in medical training? In todays political and legal environment? I’d believe the Easter bunny is real first.
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@gruntdoc
GruntDoc
6 years
The sono cord and its natural enemy, seen in the wild. This is why we can’t have nice things.
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@gruntdoc
GruntDoc
1 year
I apologized for someone else's lack of knowledge, treated her pain, fixed her issue and she couldn't have been happier. Don't leave patients in pain, there are many many safe ways to treat pain in pregnant women beyond Tylenol. (Even the IV version).
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@gruntdoc
GruntDoc
4 years
Times are changing in North Texas with Covid-19. I just did an entire shift without putting on PPE beyond the normal surgical mask. It’s nice.
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@gruntdoc
GruntDoc
3 months
@janjapi43 It was exceptionally dusty in there.
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@gruntdoc
GruntDoc
1 year
@BJacksonWrites You served for the Pride flag? Was that even a thing then?
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@gruntdoc
GruntDoc
3 years
@adamgreattweet For $500 I’ll wear my white coat, rip off my mask and yell ‘WE NEED YOU IN THE ER NOW’ and you’re free of awkward time spent with whomever you need to escape.
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@gruntdoc
GruntDoc
5 years
Some days my biggest contribution to my ER is restarting computers. I’m wildly overpaid for that role, but there you go.
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@gruntdoc
GruntDoc
1 year
@PhysicianDoodle Our system has put a timer on releasing ED ordered results until 2 hours after discharge to try and handle this issue.
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@gruntdoc
GruntDoc
4 years
Huh. I accidentally joined a club!
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@gruntdoc
GruntDoc
3 months
@DrLongissimus Until you need one.
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@gruntdoc
GruntDoc
1 month
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@gruntdoc
GruntDoc
7 years
Pt I quit donuts after diagnosed w diabetes Us good Pt I heard cinnamon is good for DM Us maybe Pt that’s why I switched to cinnamon rolls
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@gruntdoc
GruntDoc
6 years
There may be a good reason and I don’t know it, but, why do I keep seeing patients with a less than 6 month life expectancy on statins?
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@gruntdoc
GruntDoc
6 months
It’s always nice when the ER patient asks if you have an office practice because they want you to be their doctor. It’s flattering as hell.
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@gruntdoc
GruntDoc
1 year
@Taraballs Grandma skills.
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@gruntdoc
GruntDoc
24 days
@MatthewGuoMD I'm a dad, and I'm proud of you. Imagine how thrilled he'd be with what you're doing.
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@gruntdoc
GruntDoc
1 year
Docs, does anyone believe Tessalon Perles ( aka Benzonatate) helps with cough? I don’t, haven’t prescribed them in forever, but keep seeing them prescribed.
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@gruntdoc
GruntDoc
1 year
@emrazz It’s too bad she didn’t prank him back with shots from her pistol.
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@gruntdoc
GruntDoc
1 year
@JoyceCarolOates Madam, what country were you raised in? Because USA seems to be out.
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@gruntdoc
GruntDoc
7 years
Disclaimer: tweets are paraphrases, all errors mine. Don’t change medical practice based on reading tweets, do your homework. #ACEP17
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@gruntdoc
GruntDoc
7 years
So, what’s the over/under that we’re going to get one of our emesis bags returned with a urine specimen?
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@gruntdoc
GruntDoc
4 years
I will not denigrate those who watch NASCAR. For those of you who watch NASCAR, denigrate means talk down to.
@sonodoc99
Art Fougner PGY50
4 years
@gruntdoc Hey NASCAR is back
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@gruntdoc
GruntDoc
1 year
@MBurt34 Retirees.
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@gruntdoc
GruntDoc
1 year
@thenephrologist @healwj2 @acgme @sickledoc @BlackDocVillage So data that cannot be published is the data you want to claim racism for? That’s not scientific, or even credible.
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@gruntdoc
GruntDoc
1 year
@EM_RESUS Years ago at an ACEP class, the lecturer said 'never forget, people get very anxious just before they die' and I didn't hear anything else he said. Stuck with me.
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@gruntdoc
GruntDoc
1 year
@EMPAthy_atrophy Tried it many times, personally and professionally. No.
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@gruntdoc
GruntDoc
3 years
Anyway, friends can be lifelong, fantastic, and surprise you. Mom would have loved it.
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@gruntdoc
GruntDoc
4 years
An actual Hero. Well done!
@Not_the_Bee
Not the Bee
4 years
Watch this hero teen save his choking friend with the Heimlich maneuver during lunch at school
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@gruntdoc
GruntDoc
1 year
@h_pytori The ace inhibitor he takes for HTN.
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