Francisco de Lima @franciscodlima

Primary Care Physician #FOAMed & #medtwitter Joined January 2011

Tweets

621
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129
Following

166
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579

Alexander Chaitoff @AlexChaitoff

4 years ago

@JAMAInternalMed recently published a fascinating article about clinical reasoning in primary care that inspired me to reply with some thoughts in a Letter to the Editor. Join me for a short #Medtwitter #Tweetorial about uncertainty in medicine! 1/14 jamanetwork.com/journals/jamai…

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Stephen W. Smith @smithECGBlog

5 years ago

Interventionalist at the Receiving Hospital: "No STEMI, no cath. I do not accept the transfer." hqmeded-ecg.blogspot.com/2020/09/interv…

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Stephen W. Smith @smithECGBlog

5 years ago

A man in his 50s with 2 hours of chest pressure. You may think this is diagnostic, but not everyone agrees. See what happened. hqmeded-ecg.blogspot.com/2020/09/a-man-…

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Matthew Sparks, MD @Nephro_Sparks

5 years ago

and here we go #BRACECORONA #ESCCongress

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David Juurlink @DavidJuurlink

8 years ago

Loeb's Rules of Medicine: 1. If what you're doing is working, keep doing it 2. If what you're doing is not working, stop doing it 3. If you don't know what you're doing, do nothing 4. Never make the treatment worse than the disease Robert F. Loeb, 1895-1973

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Dr. Glaucomflecken @DGlaucomflecken

6 years ago

Avoiding burnout in medicine is simple, all you need is staff to handle billing/coding, someone to coordinate referrals/prior auths, an IT person, a scribe, a practice manager, a personal chef, a sleep coach, & somebody to whisper in your ear how amazing you are every couple hrs.

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Eric Topol @EricTopol

6 years ago

How to obtain a full 12-lead electrocardiogram via the @Apple watch (which normally gets one lead, lead 1) annals.org/aim/article-ab… by @cobos_cardio @AnnalsofIM w/ demo tracings from patients with a heart attack and an instructive video

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Rabih Geha @rabihmgeha

6 years ago

1/The base rate…a double-edged sword. A mini-tweetorial on this crucial concept in clinical reasoning.

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Tony Breu @tony_breu

6 years ago

1/16 Why does prerenal acute kidney injury lead to an elevated BUN/Cr ratio? I always assumed the kidney increased urea reabsorption but never gave much thought as to where or how or why? It's far more interesting than I'd expected...

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JAMA @JAMA_current

6 years ago

Less medicine is better medicine. Physical exam maneuvers are more performative than informative. Physicians complete suicide. These modern concepts are documented in a novel that recently celebrated its 40th anniversary, Samuel Shem’s The House of God. ja.ma/2yY1GSt

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Alt Schwift X @AltSchwiftX

6 years ago

Imagine: The Battle for Winterfell plays out the same as S8E03, Arya kills the Night King. But when NK falls – shock – the other walkers and wights continue attacking the living. All hope seems lost. But the dragonglass shard that created the NK drops to the ground…

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Elon Musk @elonmusk

7 years ago

Switched souls with The Museum of English Rural Lofe

The Museum of English Rural Life @TheMERL

7 years ago

Switched souls with The Museum of English Rural Lofe

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Cecile Janssens @cecilejanssens

7 years ago

Opening slide of our course on Critical Thinking. Can't think of a better start. With too much text on a slide ... but that is sort of the message. #tbt

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Dominic D'Agostino @DominicDAgosti2

7 years ago

Sickeningly Sweet news.weill.cornell.edu/news/2019/03/s…

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Nathan W Pyle @nathanwpyle

7 years ago

Strange Planet: peculiar hydration collection

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Tony Breu @tony_breu

7 years ago

1/ Why do we administer potassium to a goal of ≥4.0 mEq/L? As an intern, potassium (oral or IV) was likely my most common order. How did this become a key part of inpatient providers' days? Let's have a look at potassium and find out why we "replete".

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Michael Shermer @michaelshermer

7 years ago

Hard to believe this was written in 1993. Could be 2018. From the prescient @jon_rauch and his remarkable book Kindly Inquisitors...

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Neil deGrasse Tyson @neiltyson

7 years ago

HAPPY BIRTHDAY Isaac Newton Born December 25, 1642 (on the Julian Calendar in use at the time in England) who, by the age of 30, would transform civilization, showing that the universe was mathematically knowable and predictable. Art: Godfrey Kneller (1689)

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National Air and Space Museum @airandspace

7 years ago

#Apollo 8 is known for the iconic Earthrise photo. But did you know that that image wasn't the first? Just minutes before taking the color photo we know today, Anders took this with a black and white camera. #Apollo8 #Apollo50

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GE HealthCare @GEHealthCare

7 years ago

#VscanExtend handheld #ultrasound is now priced at under $5000, complete with 2 transducers in 1 probe. Plus new apps like Lung M-Mode and 3 Scan Coach apps at no cost. Empower yourself with Vscan Extend today! #POCUS