Ian Downs

endocrinology fellow. interested in metabolism, diet, hormones, inflammation. cycling enthusiast. twitter novice.

[Ian Downs @UpsideDownsMD]

Taking a break from social media hiatus to congratulate my better half on her wonderful work! Much agreed from my time as a resident/hospitalist that the people in project ASSERT do amazing humanitarian work!

[Jessica Faiz, MD, MS @im_jesssayinn]

New pub alert 🔊 Really excited to share our work that shows how a community-based, diverse SUD treatment team linked to the ED can actually MITIGATE previously reported racial disparities in OUD tx @The_BMC https://t.co/w30Ia6UegZ 🧵 1/

[Ian Downs @UpsideDownsMD]

@im_jesssayinn 👀👀

[Ian Downs @UpsideDownsMD]

Going through second licensure process in as many years, couldn’t agree more. But also opportunities to expand telehealth... https://t.co/WyvXskGBMj @JAMAInternalMed

[Ian Downs @UpsideDownsMD]

@TwitterSafety @realDonaldTrump @TwitterSafety So, violent insurrection. I guess that was the line? Do better, earlier next time, please.

[NAACP @NAACP]

And you thought "Taking A Knee" was too much!?!

[Ian Downs @UpsideDownsMD]

@kzhuangmd You did a covid adtc presentation.... in January??? I’m impressed.

[Ian Downs @UpsideDownsMD]

What a wild year. From @im_jesssayinn getting sick in March, to hundreds of difficult conversations with Covid patients and their loved ones, to now, when a handful of my cells are churning out spike protein from an effective mRNA vaccine. Feeling hopeful.

[gh0stn 🦍 @_gh0stn]

LMAOOO IM NEVER DELETING THIS APP

[Jessica Faiz, MD, MS @im_jesssayinn]

Traded in scrubs and emails (mostly) for something different this weekend! #JustMarried #covidwedding @UpsideDownsMD

[NEJM @NEJM]

Why has the United States handled this pandemic so badly? The Editors note that although we came into this crisis with enormous advantages, our current political leaders have demonstrated that they are dangerously incompetent.

[Alex Garbarino (he/him) @DrGarbs]

"we've got insulin everywhere, it's like water."

I'm a physician. It's not. Raise your hand if you've admitted a DKA patient who couldn't afford their insulin.

[Ian Downs @UpsideDownsMD]

@LashNolen @BostonGlobe @GlobeOpinion @im_jesssayinn

[Ian Downs @UpsideDownsMD]

@DocBrock9 @davidcsnow @EMRAPCC @amalmattu @Yuv90 @RWBonner91 Curious about this definition as well after a recent case... Sources (UpToDate) suggest new AKI and hematuria in combo with BP elevation = hypertensive nephrosclerosis (an emergency). Not sure abt proteinuria. A follow up q, does this necessitate a drip?

[Ashish K. Jha @ashishkjha]

He may know more about infectious diseases than anyone else in America.

But boy does he need to work on the curve ball.

Dr. Fauci. We love you. We respect you. America needs you.

But please stay away from the pitcher's mound.

We can't have you on the DL

[Ian Downs @UpsideDownsMD]

@ndrach1 I’ve always wondered that... is anyone really paying $39.95 to read this random article with an audience of like maybe 500 academics? I feel like this is the tip of the iceberg of some kind of academic publishing debate...

[Ian Downs @UpsideDownsMD]

@BMCimRES In that case can have a risk benefit discussion with regards to the marginally increased risks. Probably favors proceeding with surgery.

[Ian Downs @UpsideDownsMD]

Short, poignant, unfortunately relatable. Must read for anyone in the ICU over the last five months.

[NEJM @NEJM]

The morning you die, I don’t want to be there — like most mornings now, when I rise against my will and crawl dejectedly into scrubs. I don’t want to be a plague doctor or a hero on TV. I look for hope and find none, but I’m not allowed to admit to total free fall. #COVID19

[Ian Downs @UpsideDownsMD]

@PaulDGeorge You probably need to let your note writing go a bit. Train of thought HPI and minimal written thought process for routine issues. Follow up visits are easier, build good rapport. Prechart and pend orders. Sign ASAP. Grain of salt, now a hospitalist 😉