Mahima Viswanathan

ECFMG certified US IMG| Intern at med tech startup Buddies Space| Views expressed are my own

[ICU OnePager @OnePagerICU]

ICU OnePager approach to interpreting acid-base.
#MedTwitter
https://t.co/6TfHwVx0M7

[Robert Oubre, MD | The Doctor of Documentation @Dr_Oubre]

The 5 social "drivers" of health CMS will be monitoring:
1. Food insecurity
2. Housing instability
3. Transportation needs
4. Utility Difficulties
5. Interpersonal Safety

[Robert Oubre, MD | The Doctor of Documentation @Dr_Oubre]

@AWangMPH @amybtatom There’s never any big fanfare announcements from CMS about these things. It’s buried among a list of updates in the 2024 IPPS proposed rule:
@NorwoodCDI
https://t.co/Py4vWcY4Jm

[Robert Oubre, MD | The Doctor of Documentation @Dr_Oubre]

Finally. Social determinants of health are being taken seriously.

CMS has announced that in 2024 homelessness will affect reimbursement (by becoming a CC)

(Code Z59 for the real nerds out there.)

[Just Jack @7Veritas4]

Adversity introduces a man to himself.

This man is a leader.

[philip lewis @Phil_Lewis_]

A Republican state representative asked Rep. Justin Jones what he means by the chant “No Justice, No Peace.”

His response is worth hearing in full:

[philip lewis @Phil_Lewis_]

NOW: “I’m about to speak because the people of district 52 sent me here to speak. Speaker Sexton is not my constituent, Speaker Sexton is not a king, Speaker Sexton is not God” - Rep. Justin Jones

(You can watch this happening live below)

https://t.co/DSbvKDj8Rd

[philip lewis @Phil_Lewis_]

Wow: Tennessee state Rep. Justin Jones, one of the Dems that the GOP is trying to expel from state legislature to protesting gun violence, calls out his colleagues on the floor

‘For years, one of your colleagues, an admitted child molester, sat in this chamber – no expulsion’

[Ed4MedUS @Ed4MedUS]

More Questions to ask the residents.

Courtesy: @Inside_TheMatch

[Josh Trebach, MD @jtrebach]

After taking tons of tests over the years, I have honed a study technique that works well for me.

And hopefully, it works for you too!

A thread on the study technique that got me through med school, residency, fellowship, and one of the hardest board exams I’ve ever taken:🧵📚

[IMCrit @IM_Crit_]

ICU stories (a boring one…): If you work in a general ICU of a community hospital in United States, one of the common admissions you will get is the unfortunate resident of a nursing home or rehabilitation center that lives there for several decades & at some point becomes

[Robert Oubre, MD | The Doctor of Documentation @Dr_Oubre]

What should you call that elevated Creatinine?

That's the easy question.

But what is their baseline?! That's tougher.

A thread 🧵

[Matt Tsai @thematttsai]

First time on the wards as a senior resident this week, with @ShreyaTrivediMD as my attending (talk about pressure to impress)!

I'm prepping a talk to my interns on Acute Kidney Injury. Here is a tweetorial 🧵 on how I think about AKI. Take-home graphics at the end!😀 /1

[Josh Farkas MD 💊 @PulmCrit]

finally: a solid algorithm for evaluating interns 👏

[Alissa Higinbotham, MD @AlissaHigMD]

@RodGerardo I used to make a rotation preparation spreadsheet prior to going on service that I would keep with me and update at the end of each day.

Here’s a made-up example template spreadsheet from The 6Rs for Residency Rotation Success https://t.co/yXlB3jkDqE

[Lakshman Swamy @laxswamy]

@MedEdPGH I like the rule of thumb framework Medow & @CatherineRLucey teach-- if test is not a "gold standard" (and most aren't), it should at most move you one "category" - - from very likely to likely, for example. Can't make very likely become unlikely! https://t.co/FWlxx1itXr

[Lakshman Swamy @laxswamy]

I've barely scratched the depth on the one-liner & problem representation. For more reading, check out this great article on problem representation for starters in @NEJM https://t.co/Uy9gCen3Yo

[Lakshman Swamy @laxswamy]

Recently had the chance to be the *very first person* to teach a student how to write a note(!) Sharing a few of my teaching points on crafting the critically important ✨ONE-LINER✨ here for beginners! This is medicine focused & I apply it to both my inpt & outpt notes.🧵

[Kay M. Dingwell🍁🩺🏳️‍🌈 @CanadianKayMD]

It’s mildly uncomfortable (I have a deviated septum so can only do one side) but tolerable. I’m able to do it to myself without difficulty. Kind of like a COVID swab.

https://t.co/kRiGIy9b3S

[PUNS @ThePunnyWorld]

A priest, a pastor and a rabbit entered a clinic to donate blood. The nurse asked the rabbit: “what’s your blood type?”

“I’m probably a type O”, said the rabbit.