Kevin Hageman @Factor_XII
Hospitalist via @gtown_medres & @PCOMGeorgia - #MedEd ; clinical/diagnostic reasoning, patient communication/education & transitions of care. Tweets/RT my own. tinyurl.com/The-HMJC Nashville, TN Joined May 2012-
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You don’t have always have to have a specific question for a consultant.
LLL pneumonia with flank pain WBC 33k —> 33k —> 25k “I’m feeling better, but I still have this left flank pain” Hmm. Not pleuritic. Incredibly sensitive CVA tenderness even to gentle touch. CT with obstructing left UPJ stone 🤷🏼♂️ #medtwitter
Does the adage “The sun never sets on a parapneumonic effusion” still hold true? Quote is from an OG pulmonologist at @gtown_medres
If you want to change behavior, show the data. So proud of @RabieeAnahita adding to evidence behind safety of naltrexone in cirrhosis. Among 2940 patients with cirrhosis started on naltrexone for AUD, zero cases of DILI was identified! #livertwitter sciencedirect.com/science/articl…
except when you are @DrSuoj
Is your patient on the "cusp" of benefiting from anticoagulation for their atrial fibrillation? Do they find the idea of apixaban sus? Use the GARFIELD-AF risk calculator - af.garfieldregistry.org/garfield-af-ri… It's in the 2023 ACC/AHA AFib guidelines and includes mortality and bleed risk.
If you live in the U.S. and treat "CAP," we're probably not thinking about Histo enough. Histo is endemic to the ENTIRE U.S. Nice graphic here re diagnostic considerations for the Big 3 fungal pneumonias. academic.oup.com/cid/advance-ar…
So while this doc could have gotten insured in training through the GSI they would now get denied. This is one of the reasons it is absolutely paramount that you secure disability insurance while in medical training. If you aren’t sure how here is the framework we use at MMM:
How much amphetamine and modafinil do we think was flowing through Biden last night?
The “diagnosis” of bronchiectasis is not the end of the road. At minimum, eval for: · Associated comorbidities w/ H&P (RA, CTD, etc) · CBC w/ diff · Serum total IgE & specific IgE or skin prick test to Aspergillus · Serum IgG, IgA, & IgM · Sputum culture for bacteria & NTM
It’s ok to have “boring” days as a hospitalist. My med student & I: -Decreased lab checks, stopped tele, pulled foleys -Liberalized diets -Picked up an eosinophilia -Secured a few solid BMs -Educated & reassured patients/families -Coordinated with consultants “Little” things
You don’t need a daily WBC. You don’t need a daily CRP. What you do need is vitals and a focused history and physical. Treat the patient, and stop ordering the number.
Any tips for working on Zone 2 exercise (60-70% max HR)? Very hard to stay under that 70% when jogging!
I see a few referrals a year for eosinophilia. I always just follow this algorithm and think. Always rule out secondary: Parasite Lymphoma Collagen vascular dz ⬇️Adrenal Meds Allergy If above negative then time for fun and do a marrow bx. tinyurl.com/2mu4mnk4
Seems like it’s low hanging fruit for the EMR or Stewardship to put a stop to the dose of pre-op abx when the patient is already on broad spectrum coverage 🧐
Journal of Brown Hosp.. @BrownJHM
323K Followers 635 Following Official account of ‘The Brown Journal’. We aim to provide practical information relevant to hospital & internal medicine. Posts ≠ medical advice.Reza @DxRxEdu
48K Followers 1K Following @rabihmgeha brother | Co-founder @CPSolvers | https://t.co/M9uSEtorAX | @Gurpreet2015 mentee | Deep learner | Aghajoon's grandsonRobert Centor MD MACP.. @medrants
18K Followers 569 Following Academic internist focusing on teaching. Annals On Call podcast Unremarkable Labs @unremarkablelabRabih Geha @rabihmgeha
20K Followers 2K Following Bub. Dancing with older brother @DxRxEdu on https://t.co/A2e9Y4BLWP Co-founder @CPSolversThiago @EndoDialogues
6K Followers 751 FollowingAndrew Sanchez M.D. @ASanchez_PS
8K Followers 2K Following PGY-3 @YaleIMed Teaching/Learning Dx ❓, @ColumbiaPS @UF 👨🏽🎓, @CPSolvers Team Member 🕵🏽♂️ Interests: intercepting patients w/o answers, AI in DxManual Of Medicine @ManualOMedicine
199K Followers 17K Following Creating and sharing pictures, infographics, diagrams etc. in the field of medicine. #foamed #meded #medtwitterRafael Medina @Rafameed
4K Followers 1K Following One life, so many dreams | @cpsolvers co-director of internal operations l @CUDeptMedicine Intern-To-Be|@oficialuem |🏳️🌈Brian Grieb MD, PhD @BGriebMD
1K Followers 493 Following Husband, father of 3, physician-scientist, @VUMCHemOnc oncologist, transcriptional biologist, views are my ownVUMC Department of Me.. @VUMC_Medicine
3K Followers 1K Following Inspiring interest in prevention of disease, promoting human health, cultivating biomedical discovery and educating tomorrow's leaders. https://t.co/GqcACWRRw8Emily Fridenmaker @emily_fri
37K Followers 4K Following Wife | Mom | Appalachian | MD | Pulmonary & Critical CareAnn Marie Kumfer @AnnKumfer
4K Followers 932 Following she/her, hospitalist at UNC. Always learning. Occasional podcaster. Always looking for opportunities to talk about my dog.Kimryn Rathmell @KimrynRathmell
6K Followers 3K Following Physician-scientist, student of kidney cancer, reader/writer, explorer of medicine and medical education. She/her. Views expressed here are my own.Julie Bastarache @JulesBass6
5K Followers 1K Following Physician, scientist, mom. Basic and translational research on acute lung injury, alveolar capillary barrier. #ARDS #sepsis #CellBiology #PulmCCMGabe 🦊 @IdVilchez
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1K Followers 2K Following Assistant Prof Medicine @VUMChealth + Biomedical Informatics @vumcDBMI. Educator @VUmedicine. #clinicalreasoning = my passion. Tweets my own (≠ medical advice).H. Moses Murdock @haematognomist
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4K Followers 900 Following Hospitalist @LosAngelesVA | Anesthesiology Intern APD @UCLAAnes @UCLAHealth | Interested in #MedEd, curricular design, and operationalizing stuff | Views my ownPickles @Pickles1838616
2 Followers 960 FollowingAndrea @andrea_knisley
201 Followers 3K FollowingSiddharth Rao @SiddharthR2525
3 Followers 261 FollowingRichard Choi, DO @rkchoi
3K Followers 2K Following #neurocritcare @ChristianaCare Assoc SoMe Editor for @NeuroCritCareJ Chair Ethics Committee @neurocritical Passionate in #FOAMed #healthequity #DEIJohn C. Simon @simjotwtr
253 Followers 2K Following Dad - Physician - Businessman - Aged meathead 🇺🇦 🍉 ...Neil Floch MD @NeilFlochMD
132K Followers 100K Following Associate Professor @Yalemed #Obesity #SoMe Editor @soard_journal / bariatric surgery @MayoClinic trained - Tweets are my views and not my employer @yalesurgerySoe Wunna Shwe @SoeWunnaShwe
109 Followers 817 FollowingClarence Tsai, MD @clarencetsaiMD
590 Followers 3K Following 👨⚕️ @UCLAHealth & Leadership @glasshealthHQ | Leveraging AI to improve 🩺| Christian/Husband/👧- Dad | You had me at #MedEd | Tweets = My OpinionsGiuseppe Biondi-Zocca.. @gbiondizoccai
11K Followers 3K Following Cardiologist, scientist & former airborne officer https://t.co/ZE49jsBLQJRemi Slankard @re_slanka
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87 Followers 5K FollowingKaitlin Bussey @BusseyKait39064
83 Followers 5K FollowingAdam Rodman @AdamRodmanMD
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65 Followers 5K FollowingHarper-rose Rosenbarg.. @HRosenbarg10317
77 Followers 5K FollowingJonnie Rivers @jonni_rive
49 Followers 5K FollowingFerne Angelou @FerneA84310
15 Followers 2K FollowingKaroline Bayes @karol_bay
42 Followers 5K FollowingLiz Pousson @l_pouss
77 Followers 5K FollowingElizbethTolbert @ElizbethTo85943
132 Followers 2K FollowingChere Hernandes @ChereH78549
80 Followers 5K FollowingLin Vivian @Vivian1986Lin
1K Followers 2K Following Travel ✈️ |Beach 🌊|Yoga 🧘♀️|Tennis🎾|skiing🏂⛷|Golf🏌️♂️| Love to read 📚|Hardworking person|Like to explore and experience new things|#windenergy|#travelAyda Schells @AydaSchel
12 Followers 2K FollowingSunday Ruthman @SundayR8236
44 Followers 5K FollowingBlissfulSway @BlissfulSw60992
42 Followers 2K FollowingNiyati Goradia @niyati_goradia
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19 Followers 183 FollowingBritt Chamley @BChamley39142
37 Followers 5K FollowingKevin Isidro @DrKCI8
330 Followers 2K Following Hi! Hospitalist passionate about learning and mindfulness. He/him/his. Do you and do good. Spread love. Tweets are my own. CA➡️NY➡️AZ🇺🇸🇵🇭🏳️🌈reshamrahat @resham_r
389 Followers 458 Following Academic Hospitalist, Johns Hopkins Hospital @oslerresidency | Thayer Firm | University of Mississippi School of Medicine @ummcnews | Millsaps CollegeAmith Reddy Seri @amithseri
133 Followers 230 Following PGY-3 Internal Medicine Resident @McLarenHealthCare | Research Collaborator @MayoclinicAZ | Cardiology Aspirant | Osmania Medical College Alum | @LFHS Alummq @dog_food_baby
164 Followers 944 Followingcolmeg @colmeg3
81 Followers 739 FollowingSalman Saeed @SalmanS92863593
8 Followers 281 FollowingNikhil Vojjala, MD @nikhil_vojjala
377 Followers 2K Following MD (Internal Medicine) @TrinityHealthMI @WayneState, GLUE Scholar @WayneState, Alum @PGIChd, @Omc Aspiring future Hemato-Oncologist, RT ≠ endorsements.Adal Guzman @AdalGuzmanMD
2K Followers 5K Following Chief Resident at @UPMC Harrisburg | Incoming GI Fellow @uams_GIHep | @LiverFellow Content Writter | @Goldfdtn 💛|Co-Founder of @smartmed_sv |🇸🇻 |RT my own|Journal of Brown Hosp.. @BrownJHM
323K Followers 635 Following Official account of ‘The Brown Journal’. We aim to provide practical information relevant to hospital & internal medicine. Posts ≠ medical advice.Aaron Goodman - “Pa.. @AaronGoodman33
135K Followers 424 Following Hematologist/Bone marrow transplanter at UCSD/educator - loves teaching all of Twitter medicine, husband+father/Guitar 🎸/Nirvana best band ever!/Loves tacosAvraham Z. Cooper, MD @AvrahamCooperMD
116K Followers 3K Following Pulm/Crit physician and PD @OSUPCCM_Fellows • @JournalofGME editor • Podcast @curiousclinpod • Dad/husband • Views my ownDr. Glaucomflecken @DGlaucomflecken
710K Followers 438 Following Ophthalmologist. Comedian. Speaker. Tiktok. Contact: [email protected] *Personal views only* https://t.co/GMXSgqZUvFTony Breu @tony_breu
87K Followers 979 Following Hospitalist, VA Boston. Assistant Professor, @harvardmed and @HMSbioethics. Co-host, @CuriousClinPod. Usually at #AMreport. Views are my own.Reza @DxRxEdu
48K Followers 1K Following @rabihmgeha brother | Co-founder @CPSolvers | https://t.co/M9uSEtorAX | @Gurpreet2015 mentee | Deep learner | Aghajoon's grandsonElliot Tapper @ebtapper
39K Followers 758 Following Hepatologist @michiganliver @vaannarbor; #cirrhosis; encephalopathy; frailty; quality improvement; father; husband. #livertwitter Co-EIC of @HepCommJournalRobert Centor MD MACP.. @medrants
18K Followers 569 Following Academic internist focusing on teaching. Annals On Call podcast Unremarkable Labs @unremarkablelabAndré Martin Mansoor @AndreMansoor
46K Followers 427 Following Clinician. Author of #FrameworksForInternalMedicine. Cofounder https://t.co/tknXc0rwOV. https://t.co/gRv9lQrnRk𝙟𝙤𝙨𝙝 𝙛.. @PulmCrit
62K Followers 548 Following zentensivist 😷 FOAMite 🌊 diuresis jedi 💦 leader of the rebel alliance ⚔️ resuscitationist 💉 humanist 😢 writer with aweful speling 😬 no COI 💰Rabih Geha @rabihmgeha
20K Followers 2K Following Bub. Dancing with older brother @DxRxEdu on https://t.co/A2e9Y4BLWP Co-founder @CPSolversKimberly D. Manning, .. @gradydoctor
114K Followers 1K Following Internist, teacher, thinker, doer | @EmoryDeptofMed VC for @EmoryDOMRYSE & Professor |@HumanDoctoring podcast | @JHospMedicine LPD | #HBCUMade | she/her/ma’am🔺NEJM @NEJM
942K Followers 434 Following The New England Journal of Medicine is the world’s leading medical journal and website.Thiago @EndoDialogues
6K Followers 751 FollowingBrad Spellberg @BradSpellberg
23K Followers 191 Following CMO Los Angeles General Medical Center, hospitalist, infectious diseases expert, researcherAntibiotic Steward Ba.. @ABsteward
56K Followers 125 Following Stay up-to-date in Infectious Diseases, Clinical Pharmacist, Antibiotics #IDXposts AKA #IDTwitter T🌟P influencer,@Wiki_Guidelines ,#Interstellar,🌹❤️MiskAshley Winter MD || U.. @AshleyGWinter
155K Followers 3K Following Urologist + sex med doc. Views my own. She/Her. IG/threads: @ashleygwinterKeith Siau @drkeithsiau
170K Followers 4K Following GI doctor with interests in endoscopy, gut health, liver & medicine. 💜 #GITwitter #LiverTwitter #MedEd. Occasional silliness. Siau rhymes with meow 😺Fragility Fracture Ne.. @FF_Network
3K Followers 3K Following We aim to optimise the multidisciplinary management of patients with a fragility fracture, including secondary prevention.Richard Choi, DO @rkchoi
3K Followers 2K Following #neurocritcare @ChristianaCare Assoc SoMe Editor for @NeuroCritCareJ Chair Ethics Committee @neurocritical Passionate in #FOAMed #healthequity #DEIThomas Dayspring @Drlipid
36K Followers 594 Following MD, FACP, FNLA - Clinical Lipidologist: Tweets/Re-Tweets do not represent endorsements/medical adviceMatt Harmon @MattHarmon_BYB
166K Followers 1K Following Football writer and analyst for Yahoo. Creator of #ReceptionPerception methodology for wide receiver evaluation. I did it my way.Annals of Int Med @AnnalsofIM
69K Followers 3K Following Annals publishes content to inform medical professionals and society, advance standards of medical research, and improve the health of people worldwide.Metro Nashville Socia.. @NashvilleMSS
830 Followers 168 Following Providing counseling, services for those experiencing homelessness, nutritional support & case managementAdam Hutchison @TheRealAdam_H
7K Followers 918 Following Physical Therapist (DPT) l @Footballguys staffer | Lover of Big Ten Hoops #Purdue 🚂 | #valgusJeff Mueller, PT, DPT @jmthrivept
24K Followers 2K Following Philippians 3:7-14. Doctor of Physical Therapy. FF Injury Analyst @DestinationDevy ; Writer @DLFootball, @4for4football, @BetspertsGarret Price @DynastyPrice
20K Followers 3K Following Christ Follower, Husband, Dad. Podcaster & Head of Content with @DynastyNerdsWilliam Wright @wwrighID
862 Followers 102 Following ABIM Infectious Diseases | ABP Clinical Microbiologist (Yale) | MPH Biostatistics Epidemiology | Clinical Researcher | Clinical Director | OPAT Director |Mark Dankenbring @MarkDank
5K Followers 363 Following Player Projections & Props @EstablishTheRun and @EstablishRunNBAMedEd Models @MedEdModels
2K Followers 265 Following Eye-catching Tweetorials & Visual Abstracts on key #MedEd concepts & theories for busy medical educators | #MedEdMaster GPT | HPE-Global Online CourseDerek Brown @DBro_FFB
56K Followers 936 Following NFL/Fantasy/Betting: @FantasyPros • @BettingPros • Former FSWA DFS Writer of the Year Finalist •Nick Giffen @RotoDoc
14K Followers 3K Following Math PhD | Predictive Analyst @ActionNetworkHQ | IndyCar value destroyer | StackingDennys w/@FanRacingOnline Running Hot w/@Stevietpfl | @KKirkwoodRacing #1 fanJetPack Galileo @JetPackGalileo
20K Followers 991 Following The Father of Modern Science. Chief Rocket Scientist of the @FF_Astronauts Film. Analytics. Astronomy. Free 1200+ Member Discord: https://t.co/0ahMFX7qqTJacob Gibbs @jagibbs_23
33K Followers 772 Following We are here for now ✌🏼 you can find my work on @SportsLine @CBSFantasy. Beyond the Boxscore on @FFTodayAhmed Teebi, MD MPH�.. @Teebi_MD
7K Followers 5K Following Cardiology Fellow| Future EP ⚡️| MSc in Clinical Trials @UniOfOxford| MPH @HarvardChanSPH| #Epeeps #HCM #AFib |tweets/Likes ≠ mine|Alabama over TCU @BP76104
117 Followers 176 Following Physician, #medtwitter, facts matter, lifelong student of medicine, interested in clinical and diagnostic reasoningJesse Morse, MD @DrJesseMorse
85K Followers 2K Following Sports & Family Medicine Physician - an expert in non-surgical treatment of knee, shoulder and hip injuries with regenerative medicine.@EternalVitPod 🎙️Nashville SC @NashvilleSC
86K Followers 331 Following ⚽️ Nashville's Major League Soccer Team || Next Home Match: Saturday vs. San Jose || #EveryoneNStephen Jenkins @sjenkinsmd
1K Followers 954 Following #Hospitalist @UofUHealth | #thrombosis | medical education | @LastWeekinMed podcast | @NatalieswishJuan Carlos Q Velez @VelezNephHepato
13K Followers 2K Following Academic Nephrologist @OchsnerNephro | @OchsnerHealth | Ochsner Clinical School-@UQMedicine FacultyYoussef Saklawi @SaklawiMD
2K Followers 3K Following Resident @EmoryMedicine, #IMG MD @AUB_Lebanon. Interested in clinical reasoning, med ed, & storytelling. @CPSolvers member. Views are my own.Matt Krantz, MD @MattKrantzMD
553 Followers 1K Following Allergist/Immunologist | @VUMC_Medicine Post-Doc/MS Student | #Bioinformatics | #DrugAllergy | #AIMedEd | #GraphicMedicine | #CommuteByBike | Views my ownIM Fast Facts @IMFastFacts
2K Followers 5 Following Digestible infographics and videos by internists! Look out for #FastFactsFriday. @SatyaPatelMD @TylerLarsenMD @KelleyChuangMD @SimonWuMD @PriMoolMDSunjay R Devarajan, M.. @SunjayMD
1K Followers 732 Following Pulmonary/Critical Care doc @BCMHouston #Bronchiectasis #CysticFibrosis #NTM This is my tweet. There are many like it, but this one is mine.Bijoy Telivala @BijoyTelivala
4K Followers 1K Following Partner physician at Cancer Specialists of North Florida , Jacksonville. All views are my own . Not medical advice Cricket/Pickleball/Bridge/Coffee /India/USAMithu Maheswaranathan.. @MithuRheum
7K Followers 904 Following Rheumatologist at Duke 🧑🏽💻💉🏥 | Creator of Rheum OnePagers | Infographics • Lupus • Health Literacy | Tweets are my own.Shunichi Nakagawa @snakagawa_md
28K Followers 521 Following Director, Inpatient Palliative Care Services at Columbia University Irving Medical Center. Associate Professor @ColumbiaMed. Clinician-Educator.Bryan Carmody @jbcarmody
51K Followers 941 Following The Sheriff of Sodium | Pediatric nephrologist | Associate professor | APD | Husband | Dad | Virginian | Advocate for medical students and common senseKurt Pfeifer @KurtPfeifer
1K Followers 453 Following General Internist. Perioperativist. Med Education Enthusiast.Emmanuelle Duceppe @EmmaDuceppe
282 Followers 306 Following Internist @chumontreal, researcher @crchum @PHRIresearch, and proud mother, trying to get this balance work-family-life thing rightTerry Shaneyfelt @EBMTeacher
653 Followers 206 Following Clinician-educator at UAB School of Medicine. My teaching interests revolve around EBM and educational technology. Any views expressed here are mine.ICU OnePager @OnePagerICU
80K Followers 2 Following OnePager summaries of #CriticalCare topics 1️⃣📟 | critical care education one page at a time | free & open source | #FOAMed #FOAMcc | created by @nickmmarkAustin Baraki, MD @AustinBaraki
5K Followers 589 Following Internist, FACP, Educator @WBAMCArmyMed, Asst Prof @USUhealthsci, Faculty @bcom_nm, Coach @BarbellMedicine, Trained @evmsedu @uthsaimRyan Caputo, PharmD, .. @RyanCaputo1
313 Followers 100 Following Cardiology Pharmacy Specialist | PGY1/PGY2 cardiology @OSUWexMed | @Waynestatepharm | Tweets are my own opinion |Mick Ciallela @themick23
6K Followers 3K Following Husband. Senior Analyst @Fantrax HQ. Writer @FantasyPros, @BettingPros, @TheGameDayHQ. Most Accurate MLB Rankings, 2020-2022. 2X Overall #FantasyFootball ChampAlex Godshall @alexgodshall
1K Followers 180 Following I am fantasy football’s expert of experts. I analyze them like they analyze players. I build on top of their rankings, so I don’t deserve full credit.Kevin Hanson @EDSFootball
8K Followers 599 Following FantasyPros Fantasy Football Accuracy — 15th in 2023, 8th in '22, 6th in '21, and 9th in '20. Previous: @SInow. #SFB13Chris Raybon @ChrisRaybon
66K Followers 1K Following @ActionNetworkHQ & @FantasyLabs * NFL/NBA * Top 5 in #FantasyFootball rankings accuracy in 2019, 11th in '20 , 2nd in '22 * Follow my bets on the @ActionAppBill Enright @BillEnright
9K Followers 2K Following Sports Betting and Fantasy Football @SINow @SI_Fantasy @SI_Betting. @NewhouseSU AlumBilly Muzio @FFMuzio
12K Followers 1K Following COO at https://t.co/dPMO6gRYHL & https://t.co/ig3jSARsU1 @Fantasypros 2021 #1 most accurate Draft Ranker & 2022 #4 In-Season-Rankerkev mahserejian @RotoSurgeon
15K Followers 1K Following let me cook? @FoxSports | @RotoBaller | @USC ‘17Sola Orimoloye @solaorimoloye
401 Followers 244 Following Cardiology Fellow @nmcardiovasc. Interested in heart failure and cardiovascular disease preventionJulia Seller @JuliaSellerm
5K Followers 441 Following Cardiologist in Marina Salud Hospital (Dénia) Heart failure unit. Every month 🗓 Top3 #HF trialsDavid Li, MD @DavidYujieLi
151 Followers 77 Following Nephrologist@UCSFNephrology |@VUMCHealth, @VUSM and @JohnsHopkins alum | tweets and opinions are my ownJames Januzzi Jr MD @JJheart_doc
16K Followers 3K Following Adolph Hutter Professor at Harvard and @MGHHeartHealth. Director of HF and Biomarker Trials @BaimInstitute. @RedSox team doc. ACC Trustee. Frustrated guitarist.WikiGuidelines @Wiki_Guidelines
2K Followers 11 Following WikiGuidelines is a collaborative effort to transform how clinical guidelines are constructed. We seek to incorporate humility of uncertainty into guidelines.As @LAGenHospMed indicated, Hospital Medicine is leading the way in @LAGeneralMed 's journey to high reliability. From our Governing Body report. Amazing transformation of both mortality and length of stay. More exciting news about our hospital-wide transformation coming soon!
@DrToddLee @DrNeilStone Highlights the need for a highly effective #hospitalist group. @LAGeneralMed our #hospitalist group has driven down LOS *and* inpatient mortality to among the lowest in the @Vizient network
One of the best CT fellows I have ever trained is a DO grad. She subsequently turned down a job with us for a private practice job in the south. Everyone should be evaluated with an open mind when it comes to determining who will be given a chance for a post-graduate fellowship.
Public service announcement : Please do not send TB IGRA tests to diagnose active TB Yours sincerely Your consulting ID doctor
Sometimes, this is all one needs for what we do. Actual appreciation. Not just pizza on a Tuesday. #burnout #burnoutprevention #physician #physicianled
@stephanamayer We don’t know if these pathways are cost-effective worldover. They have only been shown to be so in very highly resourced environments with high intensity care from prehospital to rehabilitation. We need data from outside HICs.
A great @VUMC_Medicine Grand Rounds by @RajivAgarwalMD on supportive and palliative care program building within the @VUMC_Cancer. Integrative care should happen early, often and evolve with advances in care. @VUMCHemOnc @jordanberlin5 @CathyEngMD @KristenCiombor
Here is another study which shows just how unhelpful GI pcr is academic.oup.com/cid/article/78… 1. More diagnoses but most are c diff (don’t need pcr) or virus (often don’t need a diagnosis) 2. No difference is any clinical outcome
Junior docs - please don’t ’prep’ patients for me. Work the patient up, go and see them, make your own decisions. Go on, I will support you! You are not my glorified scribe!
@JournalGIM @Factor_XII And the neuro exam, the B12 and the copper?
In 2019, I signed a contract with the Philadelphia Phillies. 5 years later, I haven't played in a single MLB game. Here's how the Minor Leagues work (and what it's like to be one):
Quick guide for initiating insulin in individuals admitted with hyperglycemia and who are insulin-naive: Total insulin daily dose (TIDD): -Underweight, elderly, HD: 0.3 U/kg - “Normal" weight: 0.4 U/kg - Overweight: 0.5 U/kg - Obesity or starting steroids: 0.6 U/kg +
I am exactly this old
Listening to your consultant tell a patient on ward round that they’ll be “home by this afternoon”, when u full well know they’re on 32 different medications in a dosette and have an 8-week long admission discharge letter that needs writing
This is the face of a woman who can’t believe her job still requires using a fax machine
HCV treatment via telemedicine integrated with addiction care. 92% DAA initiation. ITT cure rate of 90% with telemed vs 39% usual care. Population - people with opioid use disorder. Trial was pragmatic. Programs like these should be implemented WIDELY bit.ly/3TCfxHa