Lance Shaver

Internal Medicine Resident. MD, MPH, MSc (Aging & Health). Passionate about Mountains & Medicine. He/Him.

[Lance Shaver @LanceShaver]

@IM_Crit_ @HeavilandKelly Damn, it always feels good when someone in the lactate >20 club makes it.

[Lance Shaver @LanceShaver]

@IM_Crit_ 🫣

[Lance Shaver @LanceShaver]

@BrianElliottMD1 @ebtapper @IM_Crit_ WHAT. 20 LITRES?!?!

[Michael Justus @mhjrad]

a career in medicine

[Lance Shaver @LanceShaver]

@l_deliberto While I’m in IM and not surg, I’m at my peak fitness! It’s definitely doable. I get out to the mountains every weekend not on call, I run on post call days, and still have regular social gatherings/dinners with coresident friends. It’s very attainable and don’t settle for less :)

[Lance Shaver @LanceShaver]

Smelled something funny when examining my patient so I ordered a stool culture... and yep... it was C. diff.

[Lance Shaver @LanceShaver]

@A_Sapp12 Big yikes! Totally unacceptable for them to do that and give a MSI that many patients.

[Lance Shaver @LanceShaver]

@emily_fri It is helpful honestly as a junior being able to pronounce your attending last name to the patient …little awkward when you flub it 😅
Or even make a joke of it, “since no-one can pronounce my name right, this is how you say it for patients… but please call me Emily”?

[Lance Shaver @LanceShaver]

@emily_fri I usually introduce myself to patients saying “Hi, I’m Dr Shaver, but please, call me Lance”. Maybe you could do the same for your team? That way they hear how you pronounce your name, but you also give them permission to call you by ur 1st name?

[Lance Shaver @LanceShaver]

@KatyWyszynski @EmmaRoseDiFiore Honestly, it really is!!

[Lance Shaver @LanceShaver]

@EmmaRoseDiFiore @KatyWyszynski Honestly, words are hard!!

[Lance Shaver @LanceShaver]

@EmmaRoseDiFiore @KatyWyszynski There’s a medical term for that? 😅

[Lance Shaver @LanceShaver]

@KJPBurns @PulmCrit Interesting. In Canada I’ve seen Ceftriaxone+Azithro for the standard of practice. Might try and switch things up, seems promising.

[Lance Shaver @LanceShaver]

@AnnaGaddy Having not had this in my previous EMR system, I actually quite like it. Allows me to shoot the nurses a quick message/FYI, and vice versa. And it also is nice when you have a nonurgent question for a consultant but don't wanna bother paging them

[F. Perry Wilson, MD MSCE @fperrywilson]

Results of our ELAIA-2 trial, randomizing patients with Acute Kidney Injury and key drug exposures to alert vs. no-alert now online and free to view @NatureComms!
https://t.co/3wNaT2xEGt
(Thread)

[IMCrit @IM_Crit_]

ICU stories: 42 yo🙍🏻‍♀️w HTN / OSA-obesity (BMI: 40) presented to the ED w dyspnea/cough for 1 day. Vitals: bp 137/68, hr 82, rr 18, sat 88% (improved to 97% w 4 l/m nasal cannula). Labs: trop 0.4 (normal <0.1), BNP 1000 (normal <120), d-dimer: 3000. CT chest: acute bilateral PE

[Lance Shaver @LanceShaver]

@AJWPharm @PulmCrit Oooh I am excited for this!

[Andy Webb @AJWPharm]

As a resident, I loved the rabbit holes I was sent down trying answer to a question. I post many of them here, but I can't capture nuance in 280 characters

Introducing Neu℞oWise - a place to share some deep dives and thoughts on pharmacotherapy in NCC!

https://t.co/LFQkWp1Ajo

[Lance Shaver @LanceShaver]

@ashtroid22 @nooralsibai How did I miss the hilarity of this pronunciation until now??

[Lance Shaver @LanceShaver]

@ZarinIRahman Congrats on your match btw!!