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Jesse Couk

@jessecouk

Dad, ID doc, hospital tour guide, some hospital epi

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17.08.2023
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Latest posts by Jesse Couk @jessecouk

That is so sweet omg.

10.03.2026 00:27 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

There were no Captain Janeway lesions or Sir William Osler nodes detected.

10.03.2026 00:24 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

How many instances of The Doctor can be safely run at a time and do they all share a common memory?

Or are there alternative The Doctor personalities that are simply not utilized due to patient preference.

09.03.2026 18:18 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

It’s way better to say oil and people can either ignore you or listen to every damn word you have to say before knowing what oil you are referring to.

09.03.2026 16:26 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

This happens. Sometimes we get labs sometimes we work you in, sometimes we are like tough luck buddy I’m already 2 patients behind, see you tomorrow.

09.03.2026 15:30 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Guy parking a gender affirming vehicle in a city with parking spots shorter than its wheel base.

08.03.2026 17:51 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
Child’s Play, by Sam Kriss Tech’s new generation and the end of thinking

He grew up in Gwinnett but I think he is in Manhattan now. This is long, the author is problematic, but if you read about this kid you won't be surprised that he lied. harpers.org/archive/2026...

08.03.2026 13:19 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

He’s a local too.

08.03.2026 13:05 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Paramount:

P1: What are the most unhinged scenes we’ve ever recorded?

P2: Oh that’s easy we just released a film this summer that’s perfect. We shot this entire unhinged sequence and most of it ended up on the editing room floor.

P1: Great! Let’s see what we can use!

P1/P2: oh, oh my god.

07.03.2026 21:03 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I binge watched Voyager in spring of 2001 at the lowest time in my life. It’s not a perfect show but I loved everything about it. The characters are very human, flawed, but well meaning.

07.03.2026 20:43 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
a close up of a young boy 's face with the words " game ha " on the bottom right Alt: 1989 movie The Wizard the youngest star utters β€œCalifornia”. When this movie released gasoline was under a dollar a gallon in California.
07.03.2026 01:23 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

There was this weird time in the summer of 1998 when gas was under 79 cents a gallon. I helped my brother move from Seattle to Phoenix in a U haul truck and we had a great time watching for the lowest prices the whole way down (yes even in the state we spent the longest time driving in).

06.03.2026 21:48 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
Preview
The PCC Joins over 145 Orgs Urging Congress to Fully Fund & Staff AHRQ - PCC The Primary Care Collaborative joined more thanΒ 255Β organizations in signing onto the annual Friends of AHRQ appropriations letter. The letter urges Congress to fully fund AHRQ at $500 million in FY27...

The PCC joined more than 255 orgs in signing onto the annual Friends of AHRQ appropriations letter urging Congress to fully fund the AHRQ at $500 million in FY27 and ensure that the agency has sufficient staff to manage its obligations.

Read the letter ⬇️
thepcc.pub/fundahrqletter

05.03.2026 19:44 πŸ‘ 6 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0
Preview
Initial Vancomycin Taper for the Prevention of Recurrent C difficile Infection This randomized clinical trial tested whether a 4-week pulse and taper vancomycin regimen was superior to a 2-week pulse regimen for preventing recurrence among patients with a first episode or first ...

Practice-changing study: 4-week oral vancomycin taper superior to standard 2-week pulse in randomized double-blinded study of hospitalized patients

Hoping head-to-head against fidaxomicin comes soon!

#Cdiff

jamanetwork.com/journals/jam...

04.03.2026 13:58 πŸ‘ 6 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

I really like ivermectin shampoo for lice. Really easy (but expensive) one time treatment for multiple outbreaks in K-1st grade.

04.03.2026 06:07 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
Intravenous immunoglobulin treatment in patients with streptococcal toxic shock syndrome in southern Sweden – A retrospective population-based study In this retrospective study of 106 patients with streptococcal toxic shock syndrome, the results regarding the benefit of intravenous immunoglobulin were i

Should we use IVIG in Strep Toxic Shock Syndrome?

New multi-center πŸ‡ΈπŸ‡ͺ study:

-106 pts (53% treated w/ IVIG)

-In model accounting for (lactate, SOFA score, CCI and clindamycin use, and immortal time bias 😍) showed no benefit HR 0.69, 95% CI: 0.34–1.41

#IDSky

academic.oup.com/ofid/advance...

03.03.2026 01:53 πŸ‘ 16 πŸ” 2 πŸ’¬ 3 πŸ“Œ 0

Radio silence from them for my wife’s R01

03.03.2026 10:44 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

been thinking about the entire school of elementary school girls we exploded today

01.03.2026 02:49 πŸ‘ 122 πŸ” 28 πŸ’¬ 2 πŸ“Œ 0

I was feeling good about increasing my vxus exposure a year ago and I was going through its holdings with my FIL this past weekend (he’s very proud of his tsm and gold) and began to wonder how much of vxus performance is just explained by data centers.

26.02.2026 03:16 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
Guinea-Bissau officials stop CDC-funded hepatitis B vaccine trial The country's foreign minister told Reuters the controversial trial is "not going to happen."

The unethical study planned in Guinea Bissau is officially halted by Guinean authorities.
"Study was halted in response to criticism from researchers and members of the US Congress. β€œIt’s not going to happen, period" said the Foreign Minister.
A win for advocacy!
www.cidrap.umn.edu/hepatitis/gu...

25.02.2026 13:18 πŸ‘ 81 πŸ” 22 πŸ’¬ 1 πŸ“Œ 1
Preview
Alcohol Stocks Take $830 Billion Hit as Drinking Habits Change Shares of the world’s top listed beer, wine and spirits makers have shed a combined $830 billion in a little more than four years as the industry grapples with monumental change.

Stock value www.bloomberg.com/news/article...

25.02.2026 04:13 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Americans are about to discover the storage function of their dishwashers.

25.02.2026 04:04 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

How many times do I click play on an embedded video with that fucking guy and instantly regret it.

24.02.2026 23:01 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

They did a very good job not revealing too much with the trailer. Might be the top movie going experience for me.

22.02.2026 02:04 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The beltline is kind of perfect for a lazy river.

22.02.2026 00:07 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The battery efficiency decreases in cold weather which magnifies the issue. At least I’ve been fortunate enough to own models with heat pumps.

18.02.2026 22:49 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

In an EV idling uses almost no energy. Only time I was worried essentially idling was years ago when I still owned a leaf and I was blasting the heater and just crawling through the city due to snow.

18.02.2026 22:30 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

People ask me if I have range anxiety owning an EV and this is why that’s an easy β€œno”.

18.02.2026 22:23 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I thought we did the whole milk thing already. Does he need money to promote vaccines?

17.02.2026 23:21 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Peachtree City

16.02.2026 22:50 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0