Emergency Medicine physician

Alabama, USA
Joined January 2009
A high single dose of creatine can partially reverse metabolic alterations and cognitive deterioration associated with sleep deprivation. 🧵1/9
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Mark Christensen retweeted
There's been big drama about this technology recently. Back in 1999, a man named Steve Gass invented a system that sensed flesh and allowed the blade to stop and retract before it could cut into hands and fingers. This wasn't some gimmick. It actually worked. 40,000 people in the US alone end up in the ER because of table saw injuries. When a human makes contact with a 2lb blade spinning at 5000rpm, the outcome is never a couple of stitches and a bandaid. This is when you go to hospital with your fingers in a zip bag and beg doctors to reattach them. Or when the blade goes between your fingers and bifurcates your hand in two. Nasty catastrophic injuries. Gass' invention fixed this. The brake worked fast enough to prevent almost all these bad injuries. What could be a major catastrophe turns into a small scratch and a $150 brake and blade replacement. And it was commercially viable too. The tech worked with any regular metal blade, and the brake mechanism could be made for under $100. The brake was just a consumable item that could be replaced quickly with no tools. Initially Gass tried to license this technology to all the major saw manufacturers. But they all turned him down. The speculation is that manufacturers couldn't afford to put this on their low end saws because of the added cost of the brake and the need to make the saw sturdy enough to support the energy absorbed from the brake. Some low end saws retail for $150-$300, so even though the brake was cheap, it would have made that product segment unviable. And if manufacturers chose to put the brake only on their higher end models, they were afraid they'd open themselves up for lawsuits if they possessed the safety technology and intentionally omitted it on the cheaper models. So they didn't want anything to do with this. Then Gass went to the government and lobbied for regulators to compel the use of this technology. But back then there was no appetite for that kind of intervention and Gass got a lot of bad PR for trying to impose this on the public. So Gass decided to go with the free market approach, and started a company called SawStop which made table saws using this technology. And he proved that a lot of people were willing to pay an extra $200 to save their fingers. Who knew? In time, the other manufactures lost almost all market share to SawStop for the medium to high end saws. Almost any new saw sold in the US over $800 was a SawStop. And miraculously, the manufactures had a change of heart! Now they wanted this technology. So a few of them began developing their own versions. Almost none managed to bring anything to market, but at one point Bosch developed a similar technology called Reaxx and started selling these saws in the US. But SawStop sued them for infringing on their patent. In the end, the court ruled that Bosch couldn't sell these saws in the US, and this ticked consumers off because they said this was further proof that SawStop was more interested in money than safety. But shortly after SawStop won that lawsuit, they changed their mind. They gave Bosch a free license to use their technology. But Bosch still didn't bring back their Reaxx products. Some say that Bosch never managed to implement a reliable solution and they realized their solution would be compared to SawStop's and it would harm their brand if it didn't work as well. Fast forward to today, 25 years after Gass invented this system. The political situation is very different, and now it's looking very likely that SawStop technology will be mandated for all new table saws sold in the US. SawStop still have a patent for this technology until 2033, and if this regulation passes the other manufactures would theoretically have to pay license fees for every saw they sell in the US. But in a shocking move, SawStop said that if the regulation passes, it will release the patent for free to the public. The US public safety commission, prepared for a fight, was baffled by this news. When the news sunk in, they concluded that at this point there are no more barriers for any other company to match SawStop safety. This means that SawStop will give their rivals permission to use their technology. It doesn't mean that it will sell the parts to them, but they are not going to sue anyone who tries to make their own version. They are basically giving up their monopoly on this technology. But the manufactures are still unanimously opposed to this regulation (except SawStop of course). They claim that this will put them out of business and that cheap affordable saws are going to be a thing of the past. The cheapest SawStop table saw costs $899, while most manufactures sell saws under $300. Since they're not selling any high end saws anymore (SawStop took all of their business), the low end is what's making them money at the moment, and now this regulation will force them out of the market completely. If this regulation passes, we're likely not going to see saws on the market for under $700 anymore. And this will be a real obstacle for people looking to get started in woodworking, carpentry, and other construction trades that need to buy table saws. The regulation will also likely incentivize manufacturers to recall all the old saws, and that would make it hard for consumers to find cheap used saws without this safety feature. (This already happened with Craftsman's radial arm saws in the early 2000s.) But what about the saved fingers? 400,000 catastrophic injuries and amputations over the next 10 years could be saved if this regulation passes. That seems substantial. This feels like progress. This is what an advanced society does. The end consumer will ultimately pay for it, but would you want the cabinet maker of your next kitchen remodel risk fingers and permanent catastrophic injury just to save a $100 part? Hell no!
The blade of a saw carries a small electrical signal. When skin contacts the blade, the signal changes because the human body is conductive and the change to the signal activates the safety system. [📹 SawStop]
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Mark Christensen retweeted
-Failure has 7 letters but so does success -Negativity has 10 letters but so does positivity You always have a choice, choose the better side of things even if it’s difficult.
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Tesla full self driving (FSD) saving lives and improving lives of others. Proud to have been part of the movement since it launched beta testing years ago.
My dad, who doesn’t have the use of his legs, got FSD 12 for his car. We went out today for lunch and tested it, he said multiple times, “it drives better than me”. He loved it. For people like my dad, it’s almost heaven sent. This is his driving set up.
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From the GOAT in EM Cardiology @amalmattu . Share this link with your colleagues and learners!
9th Annual UMEM Emergency Cardiology Symposium concluded, awesome lectures by the speakers. ecs.umem.org Conference is entirely #FOAMed and you can access the lectures at this link: bit.ly/3U1r1FA
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Mark Christensen retweeted
9th Annual UMEM Emergency Cardiology Symposium concluded, awesome lectures by the speakers. ecs.umem.org Conference is entirely #FOAMed and you can access the lectures at this link: bit.ly/3U1r1FA
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Did……….Harlem shake?
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Mark Christensen retweeted
Teams test the new emergency chutes from the pad 40 crew tower in Florida
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Read the latest Educational Pearl on Which Vasopressor Should You Use to Manage Shock After Cardiac Arrest? at umem.org/educational_pearls/…
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Mark Christensen retweeted
Falcon 9 lit up the sky ahead of the first stage returning to Earth after launching Crew-8 to the @Space_Station Sunday evening
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Mark Christensen retweeted
Y’all. The end of sunset tonight over Lake Guntersville. 📸: Donna Prickett
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Mark Christensen retweeted
Concussions don't always present as just a headache. Listen to Dr. Christensen, Director of Emergency Medicine at Cullman Regional, explain how BrainScope has helped clinicians assess mild head injuries and provide patients with a sense of ease. #PatientStory #ConcussionCare
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Mark Christensen retweeted
You know it’s cold outside when you go outside and it’s cold
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John Mayer: “So wherever you go, just make a home right there and do that thing…Wherever you are, go, 'this is where it's at right now.' ... I’ve been having the time of my life because I figured that out...” — J.M.
At a show on his Solo Tour, John Mayer confessed: “I wait for most things to be over. I wait for this to be over to do the next thing and the next thing and the next thing and the next thing...” To counter this tendency, he implemented a rule. “Because I’ve realized, he said, “Everything you love and hate leaves at the same speed: Done. Done. Done. The thing you hate that you have to do tomorrow will be over before you know it, and the thing you're looking forward to tomorrow will be over before you know it.” “So I have a new rule in my life,” Mayer said, “and the rule is: Never wish for less time. Waiting for things to be over is just wishing for less time. Waiting for this to be over to get to the next thing—that's just wishing for less time.” “So wherever you go, just make a home right there and do that thing…Wherever you are, go, 'this is where it's all at right now.' I’ve been having the time of my life because I figured that out…” Takeaway 1: John's realization—that “everything you love and hate leaves at the same speed”—made me think of something that Dr. Anna Lembke writes about in her book Dopamine Nation: “One of the most remarkable neuroscientific findings in the past century is that the brain processes pleasure and pain in the same place. Further, pleasure and pain work like opposite sides of a balance.” “And one of the overriding rules governing this balance,” she said, “is that it wants to stay level…With any deviation from neutrality, the brain will work very hard to restore a level balance—what scientists call ‘homeostasis.’ … With any stimulus to one side, there will be a tip of an equal and opposite amount to the other side.” Pain and pleasure, good days and bad days, the things you're dreading and the things you're looking forward to—everything leaves at the same speed. Takeaway 2: The brain’s tendency to think about the next thing is called “prospection.” “Our brains were made for nexting,” the psychologist Daniel Gilbert writes in a chapter titled “Prospection” in his book Stumbling On Happiness. “When researchers count the items that float along in the average person’s stream of consciousness, they find that about 12 percent of our daily thoughts are about the future.” In other words, the average person spends 1 out of every 8 hours thinking about the next thing, “which is to say…each of us is a part-time resident of tomorrow.” We are constantly nexting, Gilbert explains, because of “the illusion of foresight”—the illusion that “prospection can provide pleasure and prevent pain.” The reality is that “the future is fundamentally different than it appears through the prospectiscope.” The reality is that (whether through the prospectiscope or in the present) everything—pain and pleasure, the things you're dreading and the things you're looking forward to—leaves at the same speed. - - - “So wherever you go, just make a home right there and do that thing…Wherever you are, go, 'this is where it's all at right now.' ... I’ve been having the time of my life because I figured that out...” — John Mayer Follow @bpoppenheimer for more content like this!
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Vehicle deaths per year. While drastic improvements have been made over the last 100 years, the US has not continued trend w/rest of developed world. Source: @nytimes and OECD. #PublicHealth #EmergencyMedicine #EMS
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Interventions like #FullSelfDriving #Tesla can help, but also begs the question what basic things are other countries doing that we’re not?
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Mark Christensen retweeted
Beats a Porsche 911 while towing a 911
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Mark Christensen retweeted
Yesterday was the busiest day ever at airports in the US, with the @TSA reporting 2,884,783 people screened. It was also an incredibly smooth day of travel with fewer than one-half of one percent of 51,332 scheduled flights canceled.
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