Jonathan Adrian, MD

🇮🇩 Doctor + Writer. Tweeting about my IMG journey to the UK 🚗

[Jonathan Adrian, MD @adrnjonathan]

Why do we need to target a lower SpO2 in patients with COPD?

- A mini thread 🧵 (1/7)

[Jonathan Adrian, MD @adrnjonathan]

@FPLKarim_ @FPLUpdates_Tips Already have him 🤩

[Jonathan Adrian, MD @adrnjonathan]

@FPL_Brandon Virgil in for Salah. CoVar could not have worked better for me this week 🤝

[Danielle Belardo, MD @DBelardoMD]

My brilliant med student asked me to explain correlation, causation, confounding &collider bias. I used the following ex… so sharing here in case anyone finds it helpful!

PS -I have learned much from @dnunan79 @Catalogofbias - a great resource for EBM. hopefully he approves😅

[Jonathan Adrian, MD @adrnjonathan]

5. I’m applying to specialty training
Deciding between an F3 year and specialty training was an easy choice for me. The non-training job market looks grim, and full-time locum work isn’t an option because I need a visa. I’m going all in on a specialty training post next year.

[Jonathan Adrian, MD @adrnjonathan]

🏥 Life updates 3 months into my standalone FY2 year

1. I’ve become much more comfortable in my role and feel confident managing most cases. I know when to escalate and can pace my clerk-ins smoothly. Most importantly, I’ve learned I don’t have to get everything right.

[Jonathan Adrian, MD @adrnjonathan]

4. I bought a car
A blue 2010 Ford Focus with 73k miles on the clock that I’ve grown to love. I bought it from a dealer with a warranty and a new MOT. Drives well and reasonably cheap to insure. Hopefully easy enough to sell on when I decide to upgrade.

[Jonathan Adrian, MD @adrnjonathan]

@thelasthazel I never totally understood the fuss with NHS staff shortages until I became a part of the NHS. My hospital has no middle grades and it’s been like that for years. We have 2 on-call medical SHOs & 1 F1 on nights.

We are always 2 simultaneous emergencies away from total carnage.

[Jonathan Adrian, MD @adrnjonathan]

How my first week as an FY2 felt like (I’m new to the NHS)

- Like I’m demanded to magically know how to do my job instantly
- Like a civilian being placed in the middle of a war-zone
- Like I’m expected to go from level 0 to 100 in a day

[Jonathan Adrian, MD @adrnjonathan]

@f_sarasw For the first few months at least (I hope), until I understand the system & job description. It’s a problem of understaffing that they are unable to provide us with enough orientation. That’s my main issue, not the system nor the welfare.

[Jonathan Adrian, MD @adrnjonathan]

@drkeithsiau Raynaud’s phenomenon

👉🏽 Part of CREST syndrome (limited scleroderma)

🥛 Calcinosis cutis
🥶 Raynaud’s phenomenon
😖 Esophageal dysmotility → reflux → epigastric pain
👋🏽 Sclerodactyly
🕷️ Telengiectasia

👁️Also causes sicca (dry eyes)

(+) anti-centromere antibodies

[Jonathan Adrian, MD @adrnjonathan]

@drkeithsiau Now that’s brilli-ant! 🐜

[Jonathan Adrian, MD @adrnjonathan]

And that’s a wrap for cardiology! 🫀It’s gloomy where I’m at but I hope you all have a wonderful Sunday & week ahead 🙌🏽

[Jonathan Adrian, MD @adrnjonathan]

10 CARDIOLOGY mnemonics to help you memorise pearls for board exams and clinical practice – A thread 🧵

#MedTwitter
#MedEd

[Jonathan Adrian, MD @adrnjonathan]

10. AV node blocking agents ➡️ ABCD

🤨 Adenosine, amiodarone
🐢 Beta-blockers
🥛 Calcium-channel blockers
🐕 Digoxin