NEW: Match Day for student doctors across nation finding out where they’ll spend their residency. All have learned through the #Covid#pandemic, tonight I focus on brand new med school w/ @HMHNewJersey My story at 5:30 @NBCNewYork
After returning from medical leave, taking a moment to reflect on attending my first American Thoracic Society conference. I had the opportunity to present my case reports 🫁
🧵 Just published: USPSTF recommends all women undergo routine #breastcancer screening every other year beginning at age 40, an update from the 2016 recommendation to start at age 50.
https://t.co/xDPK4qu7JH
One thing I wish I had done throughout med school/residency is keep a running list of all the awesome things I’ve done: difficult diagnoses I’ve made, patients I’ve helped, kudos from attendings, etc.
Because my dumbass brain only wants to remember all the times I’ve fucked up
New guidelines on Acute Respiratory Distress Syndrome #ARDS from @ESICM were published Friday in @yourICM https://t.co/IwmJCHIRrN
Derek Angus @seymoc@PittCCM & I summarize the highlights & offer reflections in this JAMA Clinical Guideline Synopsis https://t.co/1GAkZ7ZCKz
ICYMI - The Medical Student Research Day held on May 5 was a resounding success, and the totally in-person event drew more than 130. Read a write-up of some of the highlights on the School's News page:
https://t.co/D8MLxoK4ab
Represented @HMHSchoolofMed by presenting a poster regarding concurrent and unusual presenting infections in the immunocompromised at the Society of Hospital Medicine annual conference! #SHMConverge23
🔥 off the 📰(@NEJM): CAPE COD
Phase 3, double-blind, multi-🏥, & placebo-controlled RCT evaluating hydrocortisone vs. placebo in severe CAP🫁
Use of hydrocortisone:
⬇️ 28 day mortality
⬇️ Vasopressor utilization
⬇️ Intubation
🔗: https://t.co/MAMv4QvOhl
#IDTwitter#TwitteRx
Non-vasodilating beta-blockers (atenolol, metoprolol, and propranolol) are associated with a worsening of glycemic and lipidic control.
In contrast, vasodilating beta-blockers (carvedilol, labetalol, and nebivolol) reduce peripheral vascular resistance but have little or no effect on cardiac output and are preferred in type 2 diabetes.
Drugmaker Eli Lilly will cap the cost of insulin at $35 a month.
The change takes effect immediately for people on private insurance — and the uninsured. The cap puts them in line with a provision in the Inflation Reduction Act, which capped the cost for certain seniors.
I'm guessing most people don't realize their physicians go home after work or post-call and have trouble sleeping. Not asking for sympathy, just saying, we toss and turn and ruminate about every decision we make at work. We really care about you. That's all.
Just a reminder that patients on ventilators can often hear us.
Talk to them how you would if they were awake. Introduce yourself. Be kind. Explain what’s happening (before you examine them or do a procedure). They deserve this. #meded
Told a peer to peer reviewer this week that if they refuse my patients standard of care imaging, I would need their full name so I could include it in the chart for why care was being denied to protect myself in case I was sued...Imaging approved #FixThePriorAuth
Social Determinants of Health are being tracked by CMS (no financial impact currently but likely coming soon).
ANYONE can capture them (CM, SW, etc) but if you see SDoH impacting the patient / your care, document it.
Ex: homelessness, food insecurity, financial limitations, etc
During my Internal Medicine training, I wrote 100s of discharge (d/c) summaries.
In my PGY4 chief year, I was an outpatient attending and reviewed many d/c summaries.
Here are some tips and tricks for your d/c summaries.
-thread 🧵-
#MedTwitter#MedEd#Cardiotwitter#IMG