Lance Cecilia

You can’t ever reach perfection, but you can believe in an asymptote toward which you are ceaselessly striving. -P. Kalanithi. #FOAMed #MedEd. Tweets mine. 🇵🇭

[Lance Cecilia @_lancececilia]

My 13 y/o sister asked me about the heart. 20 min later

Me: “If the left ventricle is enlarged, which leads will show an increase in the spike (R)?”
Her: “V4-V6”

Realization: No topic is “too hard,” as long as it is broken down and taught well. Also I am too excited to teach.

[Lance Cecilia @_lancececilia]

Haven’t felt this degree of loneliness in a while

[Lance Cecilia @_lancececilia]

Not in a good place, mentally. 🙁 konting pahinga muna tapos laban ulit

[Keith Siau @drkeithsiau]

A lesson in life.

Call from a colleague today…

“Keith, I’ve got a 80 year old man with jaundice and fever from a large 2cm gallstone wedged in the bile duct. He’s on anticoagulation for PE. I just have a bad feeling about him and I think he needs an ERCP today.”

[Lance Cecilia @_lancececilia]

Sometimes I wonder.

[Lance Cecilia @_lancececilia]

@jeremyceriales Tama! Praise publicly, criticize in private

[Rovi Samedra @RoviSamedra]

So alam ko na what the issue is about the PGI… well, sana maalala mo na we all started somewhere, I’m sure di ka pinanganak na perfect mag hx/pe at magendorse… at for sure di ka padin perfect ngayon (dahil kung feeling mo eh perfect ka na, good luck talaga…) ❌❌❌

[Lance Cecilia @_lancececilia]

Surprised to see the culture of clerks and interns outside our hospital. Pantay dapat clerks and interns kasi both students diba :))

[Edgar V. Lerma 🇵🇭 @edgarvlermamd]

RENAL LIFECYCLE Trial: Efficacy and safety of dapagliflozin 10 mg vs placebo #Nephpearls
✅ eGFR <25
✅ Patients on dialysis with residual diuresis >500 ml/24-hour
✅ Kidney transplant recipients with an eGFR </=45

📌 PRIMARY ENDPOINT: Composite end point of kidney failure, heart failure hospitalization, or all-cause mortality

#VisualGraphic by @deniise_am

👉 https://t.co/BKKRwUmxla

[Lance Cecilia @_lancececilia]

Isa na namang thank You.

[Lance Cecilia @_lancececilia]

Thank You.

[Jason Ryan @jasonryanmd]

When I took Step 1 the treatment for heart failure was beta blocker and ACEi. Now it’s BB-ACEi-ARB-ARNI-SGLT2-Ivabradine-ICD-BiV pacer. Students today have to MEMORIZE it all for the test plus the outdated stuff like digoxin. And that’s just one disease. Result=burnout.

[Janine Mendoza-Torres, MD, MCMMO @pottipotty]

🌻THE HABIT: A thread🌻

[Lance Cecilia @_lancececilia]

Learning curve is insane. Sometimes I need to be kinder to myself.

[Lance Cecilia @_lancececilia]

HEE HEE HEE

KOO KOO KOO

[Lance Cecilia @_lancececilia]

Lord, grant me the grace of wisdom, patience, tolerance, and faith

[Lance Cecilia @_lancececilia]

Wishing everyone better physical, mental, social, and emotional health this time of the year :))

[Lance Cecilia @_lancececilia]

@_karmelalala Netopia lang lods

[Lance Cecilia @_lancececilia]

Me for the next few days:

Fasting tayo

[Lance Cecilia @_lancececilia]

@oeycalderon Panget —&gt; fibrosis, fibrosis, fibrosis.
Anong chapter?