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Mike Johansen

@mikejohansenmd.medsky.social

Primary Care doc, likes research, teaches residents, #HSR, #MEPS, #FamilyMedicine

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Latest posts by Mike Johansen @mikejohansenmd.medsky.social

Sometimes the shame acupuncture is enough.

07.03.2026 00:43 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The meritocracy that never existed is really dead.

07.03.2026 00:42 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

This is a major problem.

07.03.2026 00:17 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

He's got more free time to edit his wikipedia page.

06.03.2026 23:40 πŸ‘ 16 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Chevy Bolt to the rescue.

06.03.2026 22:48 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

there are a large number of ways in which the republican party is learning, apparently for the first time, that your adversary gets a vote

06.03.2026 20:01 πŸ‘ 575 πŸ” 79 πŸ’¬ 20 πŸ“Œ 3

I look forward to the trump press conference where gas executives agree to lower it to 4.85 from 5.

06.03.2026 20:44 πŸ‘ 4 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

If you are a doc and want to be humbled on the regular; work somewhere with high levels of syphilis.

06.03.2026 20:19 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Perhaps making a podcaster a high level FDA official was not well-thought-out?

06.03.2026 19:08 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Public charging (outside of long distance travel) makes no sense.

06.03.2026 17:12 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

EV sales ftw.

06.03.2026 16:15 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
Preview
a man in a suit and tie is sitting at a table and pointing up with his finger . ALT: a man in a suit and tie is sitting at a table and pointing up with his finger .
06.03.2026 14:56 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

This is so spot on.

06.03.2026 13:27 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Also strong evidence that trying to implement the giant algorithm is a giant waste of time compared to current SoC.

06.03.2026 13:03 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I'm sure there are subsets of patients that would benefit, but so many of these patients have reasons for their hyponatremia that dwarf the hyponatremia's importance.

06.03.2026 13:02 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I'd bet against anything trying to correct this level of hyponatremia. (i.e. IQR 124-128).

06.03.2026 13:01 πŸ‘ 4 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

The finding is exactly what one would expect. Anyone at risk has safely cut SNF d/c's. These places often keep people for max days and then d/c (ready or not). Agree re: 5-7 days to re-coop after acute illness. Most locally are a little better than nursing homes.

06.03.2026 12:48 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I really encourage everyone to spend some time with the DHS Flickr page, which in one year posted thousands and thousands of glamour shot propaganda photos of Kristi Noem and little else. Our tax dollars! www.flickr.com/photos/dhsgov/

06.03.2026 12:15 πŸ‘ 663 πŸ” 190 πŸ’¬ 12 πŸ“Œ 20

Is it really a big problem? SNF's have been cut b/c they cost a ton and the care they provide hasn't been shown to be helpful in many patients.

06.03.2026 12:20 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

While the nba endless debates stopping tanking. The epl has a solution.

06.03.2026 00:53 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Joe Biden earned far more media fury for ending a war than Trump will for starting one.

06.03.2026 00:15 πŸ‘ 316 πŸ” 52 πŸ’¬ 2 πŸ“Œ 2

"Indian politician Supriya Shrinate said on social media: 'These Iranian navy men parading at an event in India, were our guests. Invited by us.'"

05.03.2026 16:07 πŸ‘ 156 πŸ” 76 πŸ’¬ 9 πŸ“Œ 5

I'll say it. I hate log transformed dependent variables. Sorry to all those economists out there.

05.03.2026 14:24 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Occasionally, you get a review that is so good that you'd like to give the reviewer an award. πŸ†

I would like to offer an award to an unnamed reviewer today who wrote the best manuscript review that I've seen in the last ~3 years.

05.03.2026 14:10 πŸ‘ 4 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

This is a critical argument against the win ratio statistic. This is essentially a woefully under-powered non-inferiority study.

04.03.2026 20:18 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
A Randomized Trial of Telemedicine Models of Care on a Mobile Stroke Unit Mobile stroke units (MSUs) accelerate prehospital acute stroke care and improve outcomes. Both onboard and telemedicine neurologist models of care are used but have not been directly compared. MSU-...

This is so silly. So the tele-neurologist wins b/c they don't need to spend all their time on stroke care. I really didn't need a study to tell me that. Whether the -4 minutes difference with ride along to time delineation might actually matter.

evidence.nejm.org/doi/full/10....

04.03.2026 20:12 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 1
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Maybe just maybe the Ukrainian policy of reducing the number of their troops on the front line was the right one and the Russian one of slaughtering their own population the wrong one.
Thankfully the Ukrainians did not listen to the terrible western analytic community on this.

04.03.2026 10:49 πŸ‘ 648 πŸ” 157 πŸ’¬ 9 πŸ“Œ 3
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This is kind of a super fun modeling problem. Good luck team.

www.cbsnews.com/news/yellows...

04.03.2026 11:42 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
Preview
A medical journal says the case reports it has published for 25 years are, in fact, fiction A Canadian journal has issued corrections on 138 case reports it published over the last 25 years to add a disclaimer: The cases described are fictional. Paediatrics & Child Health, the journal…

This story is nuts

The journal β€˜Pediatrics and Child health’ has been published an article type, for case reports, that are made up and fictional without having any clear notice 😱

retractionwatch.com/2026/03/03/c...

04.03.2026 02:06 πŸ‘ 245 πŸ” 105 πŸ’¬ 9 πŸ“Œ 38