Adam Long

Hospitalist. Love #meded, fitness, gaming, EDM. Tweets not med advice. He/Him. Married to @tara_d_long

[Adam Long @AdamLongMD]

@tracybeanz That study is famous for being a ridiculous overestimate, try 1-5% like 35k or less per year: https://t.co/URmdQw2MkC

And I think you're missing the larger point- not doing necks specifically. There is some data to suggest chiro can help with low back pain (and doesn't kill ppl)

[Adam Long @AdamLongMD]

@studentdrdemon Zoloft is most commonly prescribed, good range of doses, more activating than lexapro which could be nice given your s/e issues with that. Prozac (for some) is most activating, less dose ranges but less withdrawal if you forget doses occasionally.

[Adam Long @AdamLongMD]

@ecgandrhythmRoe As someone who's had palpitations and checked w/ apple watch, most likely artifact, especially if palpitations throughout the 30s single lead strip. First 10s usually a good amt of finger mvmt despite best efforts, abnl area w/ wandering baseline and some p waves c/w this

[Adam Long @AdamLongMD]

@joshmcgoo The latter, because medicine is a unique field where dx/tx has real (occ. irreversible) outcomes. I realize the premise is B- skills not like F, but still; similarly, B- bedside manner not that bad, can work on that as a skill as well (F level empathy hard to fix tho, I agree)

[Adam Long @AdamLongMD]

@Dr_Oubre Even more hardcore take: it's ok to copy/paste some of ER/others' notes into yours (I usually label "per ED HPI:"). I often use this when ED has collateral, called facility or POA, etc.

Do you all include ED ddx they're treating for in that section, or just the data to be pure?

[Adam Long @AdamLongMD]

@DrNadolsky I feel attacked

[Adam Long @AdamLongMD]

@emily_fri @nickmmark @ShreyaTrivediMD related question! Given hospitalists often have to tx "suspected" COPD (or asthma) exacerbation, what is your guys' clinical practice for discharging? If mild I see dc with just albuterol, but technically hospitalization for AECOPD = LAMA+LABA+/- ICS (and albuterol), pending PFTs

[Adam Long @AdamLongMD]

@nickmmark @ShreyaTrivediMD Cool, this is helpful, I always wondered, based on the guidelines...

[Adam Long @AdamLongMD]

@Dr_Oubre Preach. This is my pet peeve.

[Adam Long @AdamLongMD]

IM Resident diary: It is day 10 of [redacted] shifts str8. I am starting to smell colors and see sounds. I believe I have a murmur that is telling me to do unspeakable things, like order Colace, or make an AM lipid panel STAT when it isn't drawn by 6AM. I fear for my brethren.

[Adam Long @AdamLongMD]

@Dr_Oubre Follow up question then- Initial c/f GIB, randomly gets CHF exacerbation after (covid, volume, whatever)--should you recode it as AECHF? In epic i can relabel principal hosp problem as later complication- don't they have to bill on CHF, or do CDI folx backtrack and keep it GIB?

[Adam Long @AdamLongMD]

Rumors our hospital is losing uptodate due to $$...

[Adam Long @AdamLongMD]

@NadijaRieser "please tell us if you agree" 😭😵‍💫 #2ndopinion

[Adam Long @AdamLongMD]

I feel like I'm in that twilight zone before becoming an attending where you know you can probably handle most things, but you will also be that early attending consulting half the hospital for toe pain.

[Adam Long @AdamLongMD]

@PaulNWilliamz Nier. monster hunter world was decent, persona5 is not truly open world but some freedom, pokemon-esque battles, and the daily time management will be relatable as a doctor lol, I enjoyed it. Sekiro shadows die twice is great (dark souls-esque but i did find it a bit easier FWIW)

[Adam Long @AdamLongMD]

And I must shoutout our Mainer (read: super kind) landlord for literally driving to our place with a portable generator multiple times throughout the night and day so my wife, 2 cats, and puppy don’t become cryogenically frozen.

[Adam Long @AdamLongMD]

Working christmas eve and christmas as days 6 and 7 of your 12 day gen med wards stretch while your power is out at home for past 1+ days (w/o heat) is a new level of residency I haven’t achieved before.

Feeling #blessed

[Adam Long @AdamLongMD]

My patients seem to appreciate the Christmas continuity, however, even though I’m mostly getting pained looks re: lie to me and say I’m ready to go home before the holidays.

[Adam Long @AdamLongMD]

@AnandJag1 Incredible. Another life saved 👍🏻😂

[Adam Long @AdamLongMD]

@EMSwami @nytimes That’s a stunning success rate