Dan Kramer, MD

Pulmonary & Critical Care in Philly. Work passions: Sarcoidosis and Sjogren’s lung diseases. Life passions include food & fitness

[Dan Kramer, MD @DRKramerMD]

@Gooodmorninguys @the1975_thteam It’s so hard to rank these. Completely based on my mood. But I think ILIWYS is still #1. I’m surprised to see BFIAFL low on your list. Has the album not aged as well for you? I absolutely love it but understand it’s more straightforward which is not typical of your music.

[Dan Kramer, MD @DRKramerMD]

@nickmmark @anandiyermd Why do you find this setup more fulfilling? Very curious

[Dan Kramer, MD @DRKramerMD]

@Lisalolaann @elonmusk It’s apparently Elon Musk’s Starlink satellites

[Dan Kramer, MD @DRKramerMD]

@eliefares @JeffPulmonary Congrats Elie!

[Dan Kramer, MD @DRKramerMD]

@pedrocaiado3 @LandsbergManual Very much this.

[Dan Kramer, MD @DRKramerMD]

@LandsbergManual This is a nuanced topic, appreciate your input.

[Dan Kramer, MD @DRKramerMD]

@LandsbergManual This just doesn’t fit with my personal clinical experience. There are cases where this matters. But it’s extremely rare I’ve had to increase FiO2 on the basis of an ABG. If hypoxemia does not equate to hypoxia. Patients with PaO2 55-60 are rarely hypoxic absent other issues

[Dan Kramer, MD @DRKramerMD]

@LandsbergManual @PulmCrit thoughts?

[Dan Kramer, MD @DRKramerMD]

@LandsbergManual Often? I think stating that every patient in respiratory failure needs an ABG for O2 titration is potentially harmful. I strongly disagree with this recommendation

[Dan Kramer, MD @DRKramerMD]

@emily_fri I get the sense PJP prophylaxis in patients on prednisone alone is overly done and not backed by good evidence. Potential adverse reactions to Bactrim worries me more than extremely low risk of PJP, personally.

[Dr. Glaucomflecken @DGlaucomflecken]

Cigna uses an automated system that allows “medical directors” (doctors employed by @Cigna) to deny a claim in 1.2 seconds without opening the patient’s file.

Please read this, share it, and help us (metaphorically) burn these companies to the ground.

[Dan Kramer, MD @DRKramerMD]

⁦@jess_sims⁩ what in the world was this class?! You certainly have a talent for keeping things interesting to say the least #dead https://t.co/ujLrPjifWt

[Dan Kramer, MD @DRKramerMD]

@emily_fri @AbbieBegnaud I’m in a very similar boat. I think this needs to be better defined for us heavily focused on clinician educator roles.

[Dan Kramer, MD @DRKramerMD]

This really resonated with me. Research, while important, is way overvalued in academia relative to contributions clinically and educationally. Both are important and should be equally valued and rewarded

[Talal Hilal 🩺 @THilalMD]

I did not expect this piece to resonate with so many people. This is dedicated to all the clinicians in the trenches. https://t.co/BfDLUH5lmq

[Dan Kramer, MD @DRKramerMD]

@THilalMD @barttels2 @RogueRad @AaronGoodman33 Love this piece. Thank you for writing this.

[Dan Kramer, MD @DRKramerMD]

@FurtherFromSky @KPmusik Perfect album. She deserves way more recognition

[CHEST® Journal @journal_CHEST]

"Belly down, sats up!" Read this CHEST Review to learn more about #pronepositioning. Read the full research in the February issue: https://t.co/JziTlOyI1U
#JournalCHEST #CHESTCritCare #MedEd

[New York Times Opinion @nytopinion]

Why are doctors quitting? @_Eric_Reinhart argues it’s a loss of faith. “What has been identified as occupational burnout is a symptom of a deeper ‌collapse. We are witnessing the slow death of American medical ideology,” he says. https://t.co/ZKlIquB1wq