Alya Usman

Doctor & Mom. Attending physician - adult hospital medicine 🇵🇰🇺🇸

[IMCrit @IM_Crit_]

The fetishization of #albumin is perpetuated by persistent misconceptions & entrenched beliefs among both nurses & physicians

A new graduate nurse (still working under supervision and alongside a preceptor) just asked me if I want to give albumin to his pt who is still on norepi

[Alya Usman @alya_writes]

@JulianMaamari @ABIMcert @bmc_brighton congratulations Julian!

[Alya Usman @alya_writes]

@BrdKhsrv @bmc_brighton Good luck Bardia! It was a pleasure working with you. You truly were the best intern!

[Boston Medical Center - Brighton @bmc_brighton]

New Name. Renewed Commitment.

St. Elizabeth’s Medical Center is now Boston Medical Center – Brighton. Your same trusted doctors and nurses — backed by a health system centered on clinical excellence and community health.

Learn more: https://t.co/1zXU7mTt0w

[Ashwin Rajenesh MD @ashwinrajenesh]

"Is there a doctor on the plane?"✈️🩺
Responding to in-flight medical emergencies.
#MedTwitter

[Mujeeb Zubair, MD @MujeebZubair]

Walnut size heart ready to be transplanted in a 6 day old 🫀🫀

[The Olympic Games™ @Olympics]

Believe it, Nadeem.
You just became Pakistan's first ever athletics Olympic champion. 🇵🇰🥹

[Alya Usman @alya_writes]

@mohdtarawneh95 Good luck Mohammad!

[Alya Usman @alya_writes]

@Ahmed_usman_ 🤨🤨

[Michelle Kittleson MD PhD @MKIttlesonMD]

#TipsForNewDocs

If the only justification you can muster for ordering a test is "the results would be of academic interest” or “I just want to know,” then don't order the test.

#kittlesonrules

[Mark Lewis, MD, FASCO @marklewismd]

Kate Middleton's appearance -- as one of the most photographed people in the world! -- is proof that you can't tell someone has cancer (or is on treatment) just by looking at them

Her weight has fueled all sorts of speculation, and unintentional loss is one sign of malignancy (caloric balance can shift unfavorably on both sides: less intake with appetite suppression, more consumption by hypercatabolism)

But even once systemic therapy begins not all chemo causes hair loss, vomiting, or immunosuppression

I often tell my trainees that, in the oncology waiting room, they may not be able to distinguish the patients from their caregivers!

So once again we shouldn't leap to conclusions based on superficial judgments, whether it's celebrities (see also: Chadwick Boseman) or our neighbors

To quote Philip Larkin:
We should be careful, of each other, we should be kind
While there is still time

[IMCrit @IM_Crit_]

ICU Pharmacology Secrets:

Some drug side effects, even if relatively rare, are well entrenched in our memory. For example, most intensivists & hospitalists are aware of cefepime-induced neurotoxicity or clindamycin’s association w C difficile infection (or even the seemingly

[Echo 🔆 @TheEcho13]

It’s illegal to sell a puppy within 8 weeks of birth because it’s deemed cruel to separate it from its mother but corporate America expects women to return to work 4 weeks after giving birth.

[Sam Ghali, M.D. @EM_RESUS]

Hi, ER Doc here.

When a patient says “I feel like I’m gonna die”, they are about to code until proven otherwise. Trust me on this one.

[Asad Naveed @dr_asadnaveed]

How to read a paper?

Here are 7 guides from The BMJ on how to read and interpret different types of research papers:⬇️

[Allison Fitzgerald, MD, PhD @allisonoconn]

Tragic

[Kabeer aka Dead Guy @Kabeermkk98]

Nobody talks about the deep loneliness you feel when you go abroad, specifically to western countries. I really miss Pakistan. I miss my family. I miss my friends. I miss my pashtun community. I miss hearing the azaan 5x a day. You sleep at night thinking, "was it worth it?".

[Ayushi @ShutupAyushiii]

Me fr

[Alya Usman @alya_writes]

@Bireera1 @ProjectImg @StoriesImg Good luckk Bireera!