Addie Burtle, MD

🏳️‍🌈｜they/them.
Docu filmmaker.
Emergency Medicine Resident @WUSTL_EM.

Passionate about health equity for individuals + populations

[Addie Burtle, MD @SocialMeasures]

@RobertHermanMD @The_Nanashi_O @smithECGBlog @BrooksWalsh @AslangerE @PendellM @ekgpress @EM_RESUS @DidlakeDW @ecgrhythms @marioalrb84_a @brun_dav @MaruanCarlos @UlhasDr @Vadeboncoeur_Al @cummingb1 @EMS12Lead I think your app has a lot of potential as an educational tool. On this one though it fails to capture the proper QRS height on V4 (compare V1&4 QRS in your image to original). Maybe because tracing is too light? I tried to see if it would do for me; diff result but still off.

[Addie Burtle, MD @SocialMeasures]

@JustChhavi @SaunaAika @joelbervell DMs should be open now. Not sure if you're aware of this 2011 thesis project to develop an 8 wavelength pulse ox, but it really illustrates a lot of the challenges in adding wavelengths to generate better signal. https://t.co/4SYOCAypvN

[Addie Burtle, MD @SocialMeasures]

@SteveCurryMD @ToxAndHound Beryllium. https://t.co/AGAVVEFada I considered non-occupational silicosis and looked at a few papers, but the data seem less than persuasive that this is happening via family members' clothing. Also considered (historical) radium exposure, but struck out there too.

[Addie Burtle, MD @SocialMeasures]

@GamerEMDoc Plenty of folks enter interview season thinking they know their top choice ahead of time. Then that place falls flat, and a darkhorse program they almost didn't apply to totally blows them away. For programs that don't get a bunch of signals: seize the chance to be a darkhorse.

[Addie Burtle, MD @SocialMeasures]

@Ddrekonja @gbosslet @tnicholsmd ...and for the specialties where this is truly a detraction for all applicants, the supply-demand curve of the Match is such that almost all programs fill. They just won't fill with the *same* folks who would otherwise have been willing to top rank those programs. [2/2]

[Addie Burtle, MD @SocialMeasures]

@Ddrekonja @gbosslet @tnicholsmd I would argue that a big proportion of the folks attracted to EM (particularly to training at safety net hospitals) understand that serving the marginalized necessarily means being subject to [some of] the same structural violence (including that of geography and policy) [1/2]

[Addie Burtle, MD @SocialMeasures]

@jessiegirl_girl @TransNursing We immediately treat an OB patient with BP of 170/110 because of association w/ preeclampsia. We typically don't treat the same if asymptomatic + non-pregnant, because connection to bad outcomes is unclear (https://t.co/k6w1PTfhLo), and rapidly dropping the BP may actually harm.

[Yasmin Rafiei @YasminRafiei]

Just over a year ago, I read a paper which showed that when private equity buys nursing homes, death rates go up 10%. I was a med student at Stanford, but I halted my studies to investigate. Today, that investigation was published in @NewYorker https://t.co/cQzbWggk46

[Addie Burtle, MD @SocialMeasures]

"A nasopharyngeal swab specimen that tested negative for SARS-CoV-2 was positive for monkeypox virus DNA." While this doesn't tell us about viral load, it reiterates what all literature prior to 2022 says about orthopoxviruses: they are airborne. @DrEricDing @ChristosArgyrop

[Dana Parish @danaparish]

NEW: 🐒🦠 report from @CDCgov:

“His primary risk factor was close, NONSEXUAL contact w numerous unknown ppl at a crowded OUTDOOR event. His case highlights potential for spread at such gatherings, which may have implications for epidemic control.”

H/T @sri_srikrishna

[Addie Burtle, MD @SocialMeasures]

@XavierHelgesen @StaerkChristian Imagine a silent (but eventually deadly) condition that 1 per 1000 people have. Can be cured with brain surgery if caught early. MRI has 1% false positive rate (99% true positive!). You get MRI 'just because' & it's positive :( ...Do you need brain surgery?! 90% chance you don't.

[Addie Burtle, MD @SocialMeasures]

@JakeHoyne @KeenanMahan @reverendofdoubt @cleebennett Recently started writing for cefadroxil and price here is roughly equiv to cephalexin and BID dosing so much more convenient for patients.

[Addie Burtle, MD @SocialMeasures]

@egottliebMD @RozehnalMd I assume you're referring to tubule dysfunction, but there's also Fanconi-Bickel syndrome [aka GSD XI] (which is protean in manifestation, but can involve hypoglycemia and glycosuria; in a young child, especially with hepatomegaly, would be worth considering).

[Addie Burtle, MD @SocialMeasures]

@kymdavis73 @NoyesJHumphrey @sammy4723 The (IPV) vaccine we've used for 20 years protects individuals, but still a risk of (asymptomatic) intestinal infection + then shedding virus. "It is concluded that IPV vaccination alone is insufficient to induce a mucosal IgA response against poliovirus." https://t.co/OB1bJIojlE

[Addie Burtle, MD @SocialMeasures]

@_bonewizard Treadmill desk. Stopwatch. Walk while studying. Anything non studying, pause timer. Set a goal ahead of time for how long you need to study. Once I got in my groove I managed to read prolific amounts of material in my preclinical years. Also avg'd 30-50k steps most days.

[Addie Burtle, MD @SocialMeasures]

@JMR213 Asking myself "what value does a YT video add to this" vs, say, a standalone site where narrative experiences can be explored. If the answer is 'more engaging' or 'more likely to go viral, have bigger reach,' ...well, YT only serves that end w/ shortform + high production value.

[Addie Burtle, MD @SocialMeasures]

@JMR213 I appreciate the sentiment, but not sure that YT video is the right format as it (1) would risk glossing over the vast heterogeneity of experiences and approaches inherent in trans/NB and MD/DO/PhD experiences, plus (2) collaborators may lack the technical skills and equipment.

[Addie Burtle, MD @SocialMeasures]

@caseyjkim "...maximum QTc lengthening is 17-20 msec after IV 32mg ondansetron dose ... 5.8 msec after an 8mg IV dose ... to our knowledge there are no reports documenting QTc prolongation after oral administration." ...Sublingual an option if truly worried. https://t.co/KAP2vfLU3P

[Addie Burtle, MD @SocialMeasures]

@BRosolowskiMD Agreed. This is not an obscure virus, it's meat and potatoes from the 'pandemic playbook.' We've invested billions of dollars in orthopoxvirus vaccination infrastructure and now millions of doses sit in cold storage, helping no one. Truly baffling. https://t.co/nldVkRJOyH

[Addie Burtle, MD @SocialMeasures]

@andyaschmidt @ChristosArgyrop Despite low Re, in West Africa and Congo Basin, MPXV is still endemic, with thousands of yearly cases thanks to (poorly characterized) animal reservoir. One concern (of mine) is if we have enough cases, establishment of reservoir may become inevitable. https://t.co/rGhFhTncHx

[Addie Burtle, MD @SocialMeasures]

At the moment, the cases in multiple countries are worrying for at least smoldering community spread taking place. And while it may not be that transmissible among humans, that isn't necessarily the case for, say, squirrels. [12/?] https://t.co/jwkpn6QweT