Jennifer Zagursky

Hospitalist, Physician Advisor
Tweets are my own & don’t reflect the views of my employer nor are they medical advice

[Jennifer Zagursky @JennZag4]

I wish you the best. And if I can impart only one thing, let it be this – remember, we are here for you, you just have to ask.

[Jennifer Zagursky @JennZag4]

Open letter to medical students and residents
This is the time of year when transitions happen. Medical students and residents start their clinical rotations. I remember the excitement and the anxiety that came with this. I just wanted to take a moment to say – you got this!

[Jennifer Zagursky @JennZag4]

You have at your disposal an international network of people who have been exactly where you are right now. So please use us. Remind us of that time. Remind us of how amazing our profession is. Remind us of being human.

[Kimberly D. Manning, MD, MACP @gradydoctor]

1/
The night before this day—20 years ago—I was a senior #MedPeds resident finishing up the last days of my rotation in the cardiac ICU. I was on pre-millennium eve overnight call that night.

Yup.

I remember because that was the same night that my dad had an ST elevation MI.

[Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD]

1/

There seems to be an association between the use of "normal" saline and acute kidney injury (when compared with other IV fluids).

Why would that be?

#medthread #medtwitter #tweetorial

[Jennifer Zagursky @JennZag4]

@DrGolfShirt I love this

[Jennifer Zagursky @JennZag4]

This is absolutely fantastic!

[Kimberly D. Manning, MD, MACP @gradydoctor]

1/
“This picture isn’t clear to me—especially this piece. Why don’t we call our colleagues up and get their expertise?”

My intern sighed and countered, “Would a curbside do instead? Who wants to be the late consult that every person dreads?”

[Jennifer Zagursky @JennZag4]

Great case example of keeping the patient in the forefront. We are great at testing, looking at labs, etc but the physical exam can tell so much. Unfortunately it is slowly being lost...

[André Martin Mansoor @AndreMansoor]

A 70 y/o man presents with new exertional dyspnea, orthopnea/PND, wide pulse pressure (~100 mm Hg), and elevated JVP. A physical finding is identified (video). Echo: preserved systolic function, no valvular disease. Thoughts? What would you do next? #PhysicalExam #cardiotwitter

[Jennifer Zagursky @JennZag4]

Yes! Transparency. Without it there can be no trust. #JHMchat

[Jen Readlynn, MD, FHM (she/her) @jenreadlynn]

@JHospMedicine A4: Communicate. We need transparency both ways and to remember that each of us has our own agenda but we can work together. #JHMchat

[Jennifer Zagursky @JennZag4]

Just don't forget to let the nurses know you told them this was ok. Otherwise the paging overhead ensues...@jenreadlynn #JHMchat

[Jennifer Zagursky @JennZag4]

Yes!!!! #JHMchat

[Subha Airan-Javia MD FAMIA (she/her) @subhaairan]

@wargote4 @FutureDocs @RJmdphilly @Potato_Chip @aoglasser we need "night mode" in the hospital #JHMchat

[Jennifer Zagursky @JennZag4]

T3 I think like @FutureDocs said, doing things like changing the timing of vitals, labs checks. It is a major culture shift. But so is working as teams and not as silos like what used to be the norm Need to involve patients as part of the team #jhmchat

[Jennifer Zagursky @JennZag4]

From the family side of things, having had both of my parents in the hospital recently, we as docs need to sit more. We need to slow down for just a moment and just listen. Speak like one human to another #jhmchat

[Jennifer Zagursky @JennZag4]

Exactly what I was thinking! Of course there is that whole culture to overcome. But we will prevail! #JHMchat

[Jen Readlynn, MD, FHM (she/her) @jenreadlynn]

@FutureDocs @JennZag4 @JHospMedicine .@JennZag4 Our self-made #QI group needs to get on this. #JHMchat

[Jennifer Zagursky @JennZag4]

I think this has been made even more difficult to batch with electronic medical records - labs are auto-timed for a certain times, vitals for another, meds for another #JHMchat

[Jennifer Zagursky @JennZag4]

@esteckler2 #JHMchat. Great point! We should have people be able for eat what they are going to as an outpatient so that, not only can we adjust medication as needed, but so that they can learn how to manage in the “real world”

[Jennifer Zagursky @JennZag4]

Hello all. I am Jenn Zagursky, Hospitalist in Rochester, NY #jhmchat