1st week in MICU as a fellow ✔️
1st Intubation as a fellow ✔️
1st Chest tube ✔️
Really busy but a great week of learning! ✔️
Was blessed to have a great team of residents, students, RTs, nursing staff, and most importantly the boss @PaulBozykMD !
On being a good doctor.
The number of research publications don’t tell you how good a doctor is at being a doctor.
Neither do the number of book chapters or grants. Or academic rank.
It’s a different skill set.
Good doctors have stellar clinical acumen & empathy.
#MedTwitter
‼️Combined HCC-cholangiocarcinoma ‼️
A unique clinical entity.🧵
cHCC-iCCA is characterized as a PLC comprising the characteristics of both unequivocal hepatocytic and cholangiocytic differentiation with transitional features within the same tumor.
Basically, there are only two indications for albumin use in critically ill adult patients supported by data.
1. Cirrhosis and large volume paracententesis (>5L)
2. Cirrhosis and SBP
https://t.co/9dATNcSsSZ
I’ve gotten DMs asking “How could the USMLE prove they cheated? High scores alone don’t prove that!”
-and-
“How do I know my high score won’t be flagged as evidence of cheating just because of where I took the test?”
Lemme explain how I think these cheaters were caught.
(🧵)
Congratulations to @MGBUnited residents, interns and fellows for organizing to form a union with @cirseiu! I stand with these workers in their fight for better wages, benefits and work conditions.
https://t.co/RGJvKkPD7i
This HBR review found that healthy “Freemium” businesses convert 2-5% of users from free to premium each month.
https://t.co/l43q7owuP7
In contrast, in 6 months, Twitter converted <500k paid users out of 450m MAU: A <0.2% *annual* conversion rate, which is just terrible.
This is wonderful! More than 1/3 of the incoming class is represented by IMGs. Thank you for promoting diversity in Medicine and creating a culture of inclusivity. @MarkDSiegel1@YaleIMed#ProudIMG
Parkland shooting was exact 5 years ago.
MSU today.
Not even two full months into 2023 and this marks the 67th mass shooting of the year.
When will this stop?