Dave Munson (@Bostonstreetdoc) header
Dave Munson (@Bostonstreetdoc) profile picture

Doc @BHCHP @MGHmedicine. alum @tuftsmedschool Luckily married @drsarahwakeman. Dad x3. City biker. 617 via 269. Tweets are my own.

Charlestown, MA
Joined February 2015
Photo by Dave Munson (@Bostonstreetdoc)Photo by Dave Munson (@Bostonstreetdoc)Photo by Dave Munson (@Bostonstreetdoc)Photo by Dave Munson (@Bostonstreetdoc)Photo by Dave Munson (@Bostonstreetdoc)Photo by Dave Munson (@Bostonstreetdoc)Photo by Dave Munson (@Bostonstreetdoc)Photo by Dave Munson (@Bostonstreetdoc)Photo by Dave Munson (@Bostonstreetdoc)Photo by Dave Munson (@Bostonstreetdoc)
First mayoral forum on the books Someone threw in the question "What ward do you live in?" Mayor Wu: Ward 18 Domingos DaRosa: 18 Josh Kraft: “I’m embarrassed to say I don’t know” Alex Alex also didn't know Wu leaned over to Kraft and held up 3 fingers, signifying Ward 3
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As winter cold continues to blanket Boston and other parts of the country, we recommend reading this short article with some helpful tips from our Dr. Becky Lee who cares for unhoused people living on the streets. Thank you for your extra care this season! bit.ly/40Szc9k
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Did you know that unhoused individuals have more than double mortality from lung cancer? Thanks to a charitable contribution from @bmsnews, we’ve added a patient navigator whose key focus is to increase our patients’ lung cancer screening rates.
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Offering buprenorphine to people at risk of OD in shelters saves lives—decreasing OD deaths by 10%—and actually saves money by decreasing OD-related health care costs (despite the costs of providing bupe) jamanetwork.com/journals/jam…
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⏰ Happening next week! Join BHHI to learn about unsheltered homelessness and best practices for decreasing it! September 25 | 12-1PM PDT Speakers: @marcformarc (BHHI); Ashley Meehan (CDC); and @CarterHewgley (LA County) Moderator: Dr. @MKushel (BHHI) homelessness.ucsf.edu/calend…
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Todd: Hello. Operator. Listen to me -- I can’t speak very loud. This is an emergency. I’m a passenger on a United flight to San Francisco. We have a situation here. Our plane has been hijacked. Can you understand me? Lisa: (exhaling a deep breath to herself) I understand. Can the hijackers see you talking on the phone? Todd: No. Lisa: Can you tell me how many hijackers are on the plane? Todd: There are three that we know of. Lisa: Can you see any weapons? What kind of weapons do they have? Todd: Yes. They don’t have guns. They have knives – they took over the plane with knives. Lisa: Do you mean -- like steak knives? Todd: No, these are razor knives -- like box cutters. Lisa: Can you tell what country these people are from? Todd: No -- I don’t know. They sound like they’re from the mid-east. Lisa: Have they said what they want? Todd: Someone announced from the cockpit that there was a bomb on board. He said he was the captain and to stay in our seats and stay quiet. He said that they were meeting these men’s demands and returning to the airport. It was very broken English, and...I’m telling you...it sounded fake! Lisa: Ok sir, please give me your name. Todd: My name is Todd Beamer. Lisa: Ok Todd, my name is Lisa. Do you know your flight number? If you can’t remember, it’s on your ticket. Todd: It’s United Flight 93. Lisa: Now Todd, can you try to tell me exactly what happened? Todd: Two of the hijackers were sitting in first class near the cockpit. A third one was sitting near the back of the coach section. The two up front got into the cockpit somehow; there was shouting. The third hijacker said he had a bomb. It looks like a bomb. He’s got it tied to his waist with a red belt of some kind. Lisa: So is the door to the cockpit open? Todd: No, the hijackers shut it behind them. Lisa: Has anyone been injured? Todd: Yes, they…they killed one passenger sitting in first class. There’s been lots of shouting. We don’t know if the pilots are dead or alive. A flight attendant told me that the pilot and copilot had been forced from the cockpit and may have been wounded. Lisa: Where is the 3rd hijacker now Todd? Todd: He’s near the back of the plane. They forced most of the passengers into first class. There are fourteen of us here in the back. Five are flight attendants. He hasn’t noticed that I slipped into this pantry to get the phone. The guy with the bomb ordered us to sit on the floor in the rear of the plane...oh Jesus...HELP! Lisa: Todd, are you ok? Tell me what’s happening! Todd: Hello. We’re going down. I think we’re going to crash. Wait – wait a minute. No, we’re leveling off...we’re ok. I think we may be turning around. That’s it – we changed directions. Do you hear me? We’re flying east again. Lisa: Ok Todd, what’s going on with the other passengers? Todd: Everyone is really scared. A few passengers with cell phones have made calls to relatives. A guy, Jeremy, was talking to his wife just before the hijacking started. She told him that hijackers had crashed two planes into the World Trade Center. Lisa is that true?? Lisa: Todd, I have to tell you the truth. It’s very bad. The World Trade Center is gone. Both of the towers have been destroyed. Todd: Oh God -- help us! Lisa: A third plane was taken over by terrorists. It crashed into the Pentagon in Washington DC. Our country is under attack, and I’m afraid that your plane may be part of their plan. Todd: Oh dear God. Dear God... Lisa, will you do something for me? Lisa: I’ll try if I can. Yes. Todd: I want you to call my wife and my kids for me and tell them what’s happened. Promise me you’ll call.. Lisa: I promise – I’ll call.
Readers added context they thought people might want to know
‪Looks like the transcript in this long form is fiction: ‬ ‪snopes.com/fact-check/tra…‬ ‪leadstories.com/hoax-alert/202…‬
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Every year on 9/11, I watch ESPN's "The Man in the Red Bandana," which tells the story of Welles Crowther, a former college lacrosse player who saved a dozen people in the South tower. If you've never seen this, take 13 minutes and watch it now.
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Dave Munson retweeted
guys JOE MAZZULLA LITERALLY CLOSED THE FUCKING BRIDGE
This Post is from an account that no longer exists. Learn more
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1/ New in @NEJM, we discuss the implications of the recent @CMS place-of-service code (outreach site/street) for delivering care to patients experiencing unsheltered homelessness across the US and necessary steps to help sustain and scale street medicine. nejm.org/doi/full/10.1056/NE…
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Dave Munson retweeted
An injury thread. 🧵 🍀
#Celtics center Kristaps Porzingis injured his left ankle in the 3Q of game 2. He tore the flexor retinaculum of his inner ankle, which is a small band of tissue that holds, among other things, the tibialis posterior tendon in place, causing the tendon to pop out of its groove. (1/many)
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CPR should be taught in schools
A man just collapsed at the ATL airport. Unresponsive. Not breathing. Turning blue. All in an instant, strangers raced to his aid—some administering CPR, others grabbing the defibrillators nearby—as several of us stood praying. After a scary minute or so, he kicked a leg and started breathing, It would be another 5 minutes before paramedics arrived on the scene. Were it not for the immediate action taken by those strangers—people who knew nothing about this man, people who would soon scatter to their own destinations, people this man will never get the opportunity to thank—he would be dead right now, headed to the morgue instead of home to his family. A vivid reminder of our shared humanity. One I won’t soon forget.
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The University of Chicago, as usual, striking the right balance. Worth reading in full. It is exactly right. President Alivisatos’ Note on the Encampment (April 29, 2024) Dear Members of the University Community, Just a few hours ago, a group of students established an encampment on the Main Quad as a form of protest. This particular tactic is now in widespread use at universities across the country. At some, encampments have been forcibly removed, with police arresting students and faculty in chaotic scenes that are disturbing. At others, encampments have persisted, despite attempts to shut them down with force. In some cases, encampments have resulted in major disruptions to learning and the activities of the university community. Free expression is the core animating value of the University of Chicago, so it is critical that we be clear about how I and my administration think about the issue of encampments, how the actions we take in response will follow directly from our principles, and specific considerations that will influence our judgments and actions. The general principle we will abide by is to provide the greatest leeway possible for free expression, even expression of viewpoints that some find deeply offensive. We only will intervene when what might have been an exercise of free expression blocks the learning or expression of others or that substantially disrupts the functioning or safety of the University. These are our principles. They are clear. Two recent examples illustrate how we bring these principles into real action. First, last quarter a student group secured university permission to cover a large fraction of the Main Quad with a massive Palestinian flag consisting of thousands of tiny colored flags. The exhibit was accompanied by signage exhorting passersby to “Honor the Martyrs,” and it was staffed by students at tables during certain hours. Those students could explain to passersby why they thought it important to feature this installation, why they thought that language was appropriate, and any other views occasioned by their installation. While this protest and accompanying message were offensive to many, there was no question that it was an exercise of free expression. It stood for weeks until the end of the approved time, at which point the student group removed it, making way for others to express their views in that space as they might see fit. This example should make it clear that we approach the issue with no discrimination against the viewpoints of those participating in this encampment. We adhere to viewpoint neutrality rigorously. As a second illustrative example, in November, a group of students and faculty undertook an occupation of Rosenwald Hall, a classroom and administration building. That was a clear disruption of the learning of others and of the normal functioning of the University. After repeated warnings, the protesters were arrested and released. They are subject now to the University’s disciplinary process, which is still pending. In short, when expression becomes disruption, we act decisively to protect the learning environment of students and the functioning of the University against genuinely disruptive protesters. There are almost an unlimited number of ways in which students or other members of the University community can protest that violate no policies of the University at all; the spectrum of ways to express a viewpoint and seek to persuade others is vast. But establishing an encampment clearly violates policies against building structures on campus without prior approval and against overnight sleeping on campus. I believe the protesters should also consider that an encampment, with all the etymological connections of the word to military origins, is a way of using force of a kind rather than reason to persuade others. For a short period of time, however, the impact of a modest encampment does not differ so much from a conventional rally or march. Given the importance of the expressive rights of our students, we may allow an encampment to remain for a short time despite the obvious violations of policy—but those violating university policy should expect to face disciplinary consequences. The impact of an encampment depends on the degree to which it disrupts study, scholarship, and free movement around campus. To be clear, we will not tolerate violence or harassment directed at individuals or groups. And, disruption becomes greater the longer the encampment persists. With a 24-hour presence, day after day, we must for example divert police resources away from public safety for our campus and our community. If necessary, we will act to preserve the essential functioning of the campus against the accumulated effects of these disruptions. I ask the students who have established this encampment to instead embrace the multitude of other tools at their disposal. Seek to persuade others of your viewpoint with methods that do not violate policies or disrupt the functioning of the University and the safety of others. Sincerely, Paul
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Team #wutrain then and now.
Replying to @SueOC_NBCBoston
Wu's approach to decision-making is characterized by a focus on facts, data collection, results, and setting and achieving goals, rather than aligning with any specific political ideology. 6/
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Street medicine provides direct, comprehensive care to those living on the street and under bridges, as those experiencing homelessness often suffer from poorer health and have an average life expectancy of 30 years shorter than their housed counterparts: youtube.com/watch?v=RWVt_arz…
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The NYC Homeless Healthcare Fellowship has an unexpected opening to start late July 2024. We welcome graduating residents & early career physicians trained in FM, IM, or EM for this 1yr training program. Here are past fellows describing their experiences: helmsleytrust.org/news-and-i…
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With tremendous joy, I share that our patient who received a gene-edited pig kidney transplant was discharged home today after removal of his dialysis access. We hope that this is a first step that will bring hope to many patients waiting for a kidney transplant #xenotransplant
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OK -- so CDC has come out with new guidance saying if you have COVID Isolate while you have a fever but... you can stop isolating once your fever is better and symptoms are resolving Seems right to me What you ask? Has the science changed? Why do this now? Good questions 🧵
CDC’s updated guidance streamlines recommendations for dealing with a range of common respiratory viral illnesses. The updated recommendations continue to protect those most at risk for severe illness. See more details: bit.ly/3P5TlUl

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