Buzz Killington

Resident emergency medicine physician and trading enthusiast. My PFP is satirical you fucks.

[Buzz Killington @JarrodKeef]

@JordyGrewal Sounds like a great learning case!

[Buzz Killington @JarrodKeef]

@JordyGrewal Looks like something obstructive too.. maybe autoimmune

[Buzz Killington @JarrodKeef]

@JordyGrewal Chooo yea that’s high. They’ve been like that for awhile? Or is this acute ?

[Buzz Killington @JarrodKeef]

@JordyGrewal What kind of numbers?

[Buzz Killington @JarrodKeef]

@JordyGrewal This being said, if you have a patient who has been in shock and you see AST/ALT shoot into the 3ks and upwards, you immediately need to think about shock liver.

[Buzz Killington @JarrodKeef]

@JordyGrewal NAC is going to be your “throw the sink at it” therapy when you have to do or die. It’s why there’s a specific time window for administration in Tylenol OD

[Buzz Killington @JarrodKeef]

@JordyGrewal Initial insult *

[Buzz Killington @JarrodKeef]

@JordyGrewal I’m using mild very broadly to say not in acute liver failure. Transaminitis will vary according to etiology/time from mutual insult. AST/ALT levels don’t say a ton by themselves.

[Buzz Killington @JarrodKeef]

@JordyGrewal Unless fulminant, hepatitis is more or less a mild condition. Is your patient acutely encephalopathic? Is their liver synthetic function acutely impaired(inc pro time, INR), platelets dropping? ascitic? Acutely jaundiced? These are the things that are going to indicate severity

[Buzz Killington @JarrodKeef]

@JordyGrewal Tbh wouldn’t recommend pushing for NAC unless the patient is in liver failure. No indication for it.

[Buzz Killington @JarrodKeef]

@JordyGrewal liver failure or just hepatitis?

[Buzz Killington @JarrodKeef]

@AustinRyanHunt @namemeansking @ftrlatinadr @TaneishaRenae Be my guest and hit that block button, compadre. Wouldn’t want to hurt your fragile feelings

[Wilfred Reilly @wil_da_beast630]

Not having a stable, two-parent household with a father present is by far the greatest predictor of child poverty - leagues ahead of race and region, and rendering both of those insignificant or close to it in multi-variate models.

That's the tweet, as the kiddos say.

[Buzz Killington @JarrodKeef]

@wil_da_beast630 Don’t tell this to all the SJWs

[Buzz Killington @JarrodKeef]

@namemeansking @ftrlatinadr @TaneishaRenae White incel. Lol

[Buzz Killington @JarrodKeef]

@ftrlatinadr @TaneishaRenae As it should