Paul Sufka, MD @psufka
Rheumatologist at @twincitiesortho paulsufka.com Twin Cities, MN Joined October 2008-
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Common reasons for elevated inflammatory markers (CRP, ESR) that seem to be overlooked: - fatty liver/NASH - poor dentition Most other things seem to give symptoms that aren't as easily overlooked. Anything you would add to this list?
Sharing @DGlaucomflecken's latest newletter because it's worth reading his cancer story. Both informative, and as expected, humorous! Take you for everything you're doing for medicine, Dr. G! us21.campaign-archive.com/?u=25ff7fcc4bc…
The American drug middleman got ratioed & turned off replies to this post because it's just NOT a "#FACT" that #PBMs save money. Each dollar of their rebates siphons $ from health care & raises drug prices, while they restrict pharmacy choice & abuse pharmacists. Time for reform!
This is great (although I set mine to use Perplexity): Forget Siri. Turn your iPhone's 'Action Button' into a ChatGPT voice assistant instead tcrn.ch/3usFoZ9 via @TechCrunch
On the bridge of the container ship Dali, 4 minutes from disaster, there's one critical moment we haven't heard about yet. The very moment the ship lost power the 1st time. What did the pilot do, right then? His first thought, apparently, was safety — the bridge looming ahead.…
Decided I like Perplexity enough that I subscribed... and if anyone else wants to, here's a $10 off referral link / promo code (I'll get $10 credit too): perplexity.ai/pro?referral_c…
Decided I like Perplexity enough that I subscribed... and if anyone else wants to, here's a $10 off referral link / promo code (I'll get $10 credit too): perplexity.ai/pro?referral_c…
FINALLY: Results of CAR-T cell therapy for #Sjogrens disease (SjD) and rheumatoid arthritis #RA: nature.com/articles/s4139… These results are historical for Sjogrens! It shows that clinical trials with CAR-T cell therapy can meet the very difficult to achieve improvements in…
Finding that @perplexity_ai right now provides the best researched answers to questions, provides sources and is faster than ChatGTP.
While I'm okay with using AI to help in scribing clinic notes, I worry that some clinicians will defer to generative AI for clinical decision making completely. Certainly it's a valuable tool -- if you haven't used it to generate a differential diagnosis yet, you should -- but…
While I'm okay with using AI to help in scribing clinic notes, I worry that some clinicians will defer to generative AI for clinical decision making completely. Certainly it's a valuable tool -- if you haven't used it to generate a differential diagnosis yet, you should -- but…
Thinking a lot about strategies for effective & efficient clinic charting. How do we teach this to trainees as they transition to their attending roles? What available resources are there so we don’t need to reinvent the wheel? @kristenyoung @emily_fri
I'd like to see a better breakdown of what qualifies as bad processed foods. eg: technically, things like frozen vegetables/fruits are processed. Things like oatmeal or granola are processed, but much less so than something like macaroni and cheese. There's a bit of "you know…
I'd like to see a better breakdown of what qualifies as bad processed foods. eg: technically, things like frozen vegetables/fruits are processed. Things like oatmeal or granola are processed, but much less so than something like macaroni and cheese. There's a bit of "you know…
Did you know? NASA only uses 15 digits of π for calculating interplanetary travel. At 40 digits, you could calculate the circumference of a circle the size of the visible universe with an accuracy that'd fall off by less than the diameter of a hydrogen atom. #piDay2024
Dr. John Cush @RheumNow
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That’s my line
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First exterior aero kit for the new Tesla Model 3 Performance🔥
Introducing the first-ever exterior aero kit for the 2024 Tesla Model 3 Performance! This carbon fiber aero kit takes a form-meets-function approach and includes: - Front Lip Spoiler - Front Canards - Front Side Deflectors - Front Racing Diffuser - Side Skirts - Rear Side Spats…
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@psufka I never knew this. Mom died of NASH and her pulmonologist always thought she had some kind of lung inflammation going on. She was neg for lupus, but I think that's all they ever tested for. Thanks for this info -
@psufka High BMI (and mechanical joint symptoms rather than inflammatory arthritis)
@psufka Older age, monoclonal gammopathy, anemia
@psufka Sleep apnea by itself raises CRP (independent of BMI) and is something to consider when searching for a cause of isolated CRP elevation (ahajournals.org/doi/10.1161/01…—%20OSA%20is%20associated%20with,to%20cardiovascular%20and%20cerebrovascular%20disease)
@psufka How much elevation can occur due to MAFLD or poor dentition?
@psufka Uncontrolled Diabetes is another big one!
@psufka Some Autoinflammatory Diseases, although many have regular CRP/ESR.