¿Sabían que las dudas sobre los riesgos en el neurodesarrollo con el uso del paracetamol en el embarazo comenzaron hace más de una década? Hablemos un poco sobre paracetamol, autismo, Trump y cómo la evidencia ha ido tomando forma alrededor de este tema.
@WilliamAird4 It’s usually a pain to investigate, specially in young and healthy, otherwise asymptomatic. Once I saw a pregnant lady who turned out to be acute myeloid leukemia
ISOLATED NEUTROPENIA
Saw a young white man in clinic today with isolated neutropenia. Went to brush up…and was struck by how little we actually know about this condition compared to anemia or thrombocytopenia. A diagnostic blind spot in hematology.
See: https://t.co/ESa7MjSbCP
1/3
Non-anemic iron deficiency: a fragile equilibrium
I keep seeing patients with ferritin <10 for years without development of anemia.
How?
They’re in a narrow equilibrium (pseudoequiibrium?): every scrap of dietary iron goes to the marrow → Hb preserved, but no reserves.
ELEVATED VITAMIN B12
High vitamin B12? 🧪 Unlike deficiency, elevated B12 usually isn’t about diet or supplements. It’s often a marker of disease.
... but no consensus on whether/how to investigate!
See: https://t.co/y7y87wqlyU
IT TAKES A VILLAGE TO MAKE A RED CELL
Oxygen and Fe balance is a team sport: kidney (EPO), marrow (RBCs + ERFE), liver (hepcidin), gut (iron). A whole-body conversation we rarely talk about - usually reduced to a series of ‘feedback loops’, which focus on mediators, not organs
🚨Atención a esto🚨
El Dr. Jonás Sánchez hizo pública una denuncia de injusticia en el proceso de obtención de residencias para la especialidad de Urología.
Con un RT están ayudando a que esto llegue lejos 🙏🏻