Should I start this inpatient on thiamine? Should I replace the sponge in the kitchen sink? If your brain has enough subconscious concern to ask itself either of those questions, the answer is yes.
@zach_london SO AGREE!!!! if anyone has rounded with me, they know my deep love of thiamine replacement
@zach_london I often ask my residents the downside of empiric high dose thiamine just to watch them flail a little until I say “nothing”.
@zach_london @PulmCrit During residency, I had one attending tell me it was a life goal of his to give someone thiamine toxicity 😂😂😂
@zach_london But does even having to think about it mean to put the sponge back intravenously three times a day? I see a lot of hedging halfway if we/they don’t *reaaaaallly* think the sink is empty.