📣 New in @JACCJournals
“From Nonobstructive Plaque to LAD Thrombosis in a 26-Year-Old”
🏋️ 26-year-old Athlete
⚠️ Heavy anabolic steroid + energy drink use
🫀 Initial angiography: nonobstructive LAD plaque
🚨 Weeks later: acute thrombotic LAD occlusion causing anterior STEMI
I’m honored to have been selected as a Chief Resident at Baptist Hospitals of Southeast Texas for the 2025–2026 academic year.
Big thanks to my mentors, the program leadership, and my co-residents for their guidance and encouragement. I’m looking forward to this next chapter with gratitude and a deep sense of responsibility. #medtwitter
Antibiotic Susceptibilities in ICU: A guide for Gram-positive & Gram-negative bacteria, from MRSA to Pseudomonas. Essential for critical care. #CriticalCare#Antibiotics#MedTwitter
@Delta AI customer service isn’t the way to go, major airlines relying on chatbots is making solving issues much more complicated. Talking to a real human much easier.
@clanceeinfinity@Mrwhosetheboss Not true at all. It’s not the video quality, if anything the videos have improved massively. It was just a one off video that didn’t peak my interest.
@Mrwhosetheboss I think this was one of the first videos of yours I closed midway! For me personally it was because I’m not interested in either one of those phones.
Do you want the best skin of your life in 2024? I'm a dermatologist and don't do ANY paid collaborations - let me tell you exactly what you need to do, and what you should avoid 👇
1) Moisturize 💧: nothing fancy needed here. Get a product with ceramides in there, available at <$20. Why? Your skin's main job is to be a barrier keeping the outside world outside, and water inside. Some people's barriers are naturally leakier than others, so water gets out and irritants get in. This leads to inflammation, itchiness, and ultimately pigmentation and damage. When you add a moisturizer regularly, you're filling in any cracks in the skin to keep it all nice and calm. DON'T GET AN EXPENSIVE MOISTURIZER. Literal vaseline is the best barrier repair that we have, but it feels too greasy for most people. Point being, more expensive does NOT mean 'more moisturizing'.
2) Sunscreen ☀️: using SPF 35+ sunscreen on a daily basis will have the single biggest net benefit to your skin in the long-term. Why? The sun fires DNA mutating UV rays at your skin all day for your whole life. Your body repels these with melanin pigment, but a lot gets through.
Your skin cells are constantly experiencing DNA mutations, and then repair cells are there to fix these 🧬. But they're not 100% successful. Un-repaired mutations lead to skin cancer and 'photodamage' (pigmentation, collagen/elastic fiber breakdown), accelerating wrinkles. Get your vitamin D supplementation orally if you're concerned that you're THAT good with your SPF sunscreen that no sun is getting through (you're not...)
3) Retinoids🥕: topical retinoids (vitamin A derivatives) are an excellent daily addition to a skincare regimen for anyone not pregnant/breastfeeding. They fight pigmentation, oily skin, skin cancer, acne, and are anti-wrinkle. The closest thing to a 'miracle ingredient' we have.
Over the counter 'retinols' are available in many anti-aging products, and prescription strength retinoids like tretinoin are available from dermatologists or DTC online companies. Again, more expensive anti-aging products ARE NOT by default better than cheaper ones. Pricing in skincare, as with other industries, is mainly determined by marketing budgets, NOT how effective the products are. Here's a link to my thread on retinoids:
https://t.co/sYQ7VMckyY
4) Don't Overdo It🥵 : in my clinic, I see FAR more patients overdo their skincare routine compared to under-do these days. They use every acid under the sun, exfoliate daily, get peels weekly, do manual extractions, throw on whatever the latest TikTok trend is etc. This is ESPECIALLY the case in the New Year when everyone is in a rush to 'fix their skin' as a resolution.
Simplicity is key in skincare. The evidence base for so much of the skincare/beauty world is incredibly dubious. But that doesn't stop a lot of influencers recommending a new product every few days and fueling skincare addiction. Don't buy into this. Keep it simple, understand it will take months to see a different, and get comfortable with that truth.
5) See a professional🥼: no matter what cleansing diet, holistic treatment, or even evidence base skincare regimen you use, some of you will have skin problems that are too severe for these. You're not 'doing something wrong' here. It's likely your genetics.
If your parents have given you the gift of severe cystic acne on your face, chest and back, you can't chlorophyll or Korean skincare your way out of it. I promise you. So if you're in that position (or have eczema, psoriasis, rosacea etc.) don't waste YEARS, go see a derm!
Prescription strength creams, tablets or injections can make these chronic problems DISAPPEAR. I know because I do this in my clinic and see the patients come back somehow shocked that I was able to 'cure' them. I'm not a genius - these are easy diagnoses/treatments and AI models will replace me very soon.
😠🗣"wELl yOu wOuLD SaY tHaT yOu'Re tRyIng tO mAkE mOneY hErE". I'm a part-time dermatologist who spends most of his days working in tech. I'm also salaried, and don't put appointment links for me anywhere. Trust me, your co-pay to the clinic I work at is not my motivator here. I genuinely just want to stop people wasting thousands of dollars on BS skincare which claims it can cure their severe, hormonal, cystic acne with scarring. It's just NOT true.
That's a wrap! If you enjoyed this thread:
Follow me @usamasyedMD for more advice on getting the best skin of your life in 2024 and bookmark this to reference it later!