Maxim Dulgher

[Michelle Kittleson MD PhD @MKIttlesonMD]

Sometimes the most caring answer is no.

A Worthwhile Trade

https://t.co/tDfsJ8PoV2

[Maxim Dulgher @MaximDulgher]

@RobertHermanMD @smithECGBlog @ManualOMedicine Still not available in US?

[Maxim Dulgher @MaximDulgher]

@SeeFisch On Amazon 50$ for 8 doses

[Sergio Kaiser MD, PhD, FACC, FESC 🇧🇷🇮🇱🇷🇴🇺🇦 @pabeda1]

Medicine is difficult! Standing over my 46 years of clinical practice, I couldn't agree more...
doi:10.1136/bmj.q2163 @Drlipid @DrMarthaGulati @PamTaubMD @biljana_parapid @AmarPut @AndrewJSauer @ErinMichos @SABOURETCardio @ctinocomesquita @OtavioBerwanger @JohnKastelein 👇🏽👇🏽

[Maxim Dulgher @MaximDulgher]

@SeanDreyer 42 and all useless

[Maxim Dulgher @MaximDulgher]

@DBelardoMD Recently had a patient in his early 30s with vertebral artery dissection, and quite disabling PICA infarct after a visit to chiropractor. Devastating 😟

[Maxim Dulgher @MaximDulgher]

@DineshDSouza You are garbage

[Maxim Dulgher @MaximDulgher]

@Paddy_Barrett Any lifestyle interventions that help lower it ?

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

The pendulum has swung too far.

Penalizing falls in the hospital has resulted in patients who aren’t allowed to get out of bed.

They get weaker, depressed, constipated, pressure ulcers and ultimately need SNF placement.

Ambulation should be viewed as a key to healing.

[Neal Barnard, MD @DrNealBarnard]

The most obvious benefit of a vegan diet is to the animals. Americans currently eat 1 million animals every hour. We can protect our health, our planet, and the animals we share it with by leaving them off the plate.

[Michelle Kittleson MD PhD @MKIttlesonMD]

#TipsForNewDocs

A pt disagrees w/you- focus on facts, avoid anger/irritation, and end amicably. You may have lost the battle, but play the long game- preserve the relationship so you can continue the conversation and attempts to provide best care.

#kittlesonrules

[Maxim Dulgher @MaximDulgher]

@drjkahn @IDF Yeah, none of them worked though 🤷🏼‍♂️

[Maxim Dulgher @MaximDulgher]

@Paddy_Barrett Nothing about the diet ?

[Maxim Dulgher @MaximDulgher]

@PaulNWilliamz Will need to experiment 🤞🏻

[Maxim Dulgher @MaximDulgher]

@PaulNWilliamz Can you recommend any vegan cake recipe?

[Maxim Dulgher @MaximDulgher]

@DrRabinBasnet1 @SeeFisch It doesn’t deserve any priority

[Maxim Dulgher @MaximDulgher]

@MaxHodl1 @WCInvestor Good luck

[PETA @peta]

JAW DROP.

Sending a HUGE congratulations to #vegan Joaquin Phoenix for winning Best Actor!

Joaquin has dedicated his life to ending speciesism and that speech was proof that he is never afraid to speak up for ALL beings. #Joker #Oscars #EndSpeciesism

[Michelle Kittleson MD PhD @MKIttlesonMD]

#TipsForNewDocs

On night call, I used to answer: “What's the emergency?"

Then, I needed on-call peds for my kid- his first words: “How can I help?"

That’s how I respond now.

Not being nice won't limit calls, it just makes them unpleasant for all involved.

#kittlesonrules