Brian Schnettgoecke

Academic hospitalist @BCMHouston. #MedPeds trained, #MedEd enthusiast, and #STLcards fanatic. Views my own.

[Mark R. Brown, AICP, CNU @CompletedStreet]

Bad urban design can encourage loneliness.

Good urban design can create communities.

[Andy Boenau @Boenau]

This is one of the best explainer videos for induced demand.

[Sam Balto @CoachBalto]

People like riding bikes. They don’t like being vulnerable. That’s why people don’t ride bikes. Remove whatever is making people feel vulnerable & more people will ride bikes.

[Ben Tietje still tweets 🐦 @Tietje]

“Do you have a flavor?”

La Croix: “I have the concept of a flavor.”

[Brian Schnettgoecke @bschnett]

Full text article (great read): https://t.co/A5UuuYUwOb

[Brian Schnettgoecke @bschnett]

Love this simple, yet effective illustration of the 3-dimensionality of the IVC. Highlights the ellipsoid shape with varying degrees of rotation that are seen in SAX and missed in LAX. #medtwitter #pocus

[Brian Schnettgoecke @bschnett]

This surfaced at a very opportune time for me. Of late have been dealing with this gray zone quite a bit. Thanks for sharing and making this a bit more clear.

[Elliot Tapper @ebtapper]

Would you like some expert recommendations for anticoagulation in atrial fibrillation and DVT/PE when it happens in #cirrhosis?

Yes?

Here you go

https://t.co/pQCVztyNzq

#livertwitter

[Medical Axioms @medicalaxioms]

You know those adult patients who get admitted “all the time” and “every resident knows them”?

I will tell you something you don’t know. 1/

[Brian Schnettgoecke @bschnett]

I’m continually amazed at patients’ ability to live and cope with multiple life-altering (and significantly life-limiting) illnesses.

I sprained my ankle a couple months back and lost myself.

Find inspiration each day in the hospital, it’s right in front of you. #medtwitter

[Brian Schnettgoecke @bschnett]

A GI bleed, even if significantly post-pyloric (or even post Treitz) may present with hematemesis as only symptom - ie not melena.

[Brian Schnettgoecke @bschnett]

Anticoagulation can make the occult apparent. Recently reminded of this, unearthed endometrial carcinoma with VKA initiation.

Made me think. Not to supplant age-appropriate ca screening, but maybe benefit to an AC stress test as screening method for GU/GI ca?

#MedTwitter

[Brent Toderian @BrentToderian]

WATCH: If you STILL don’t understand how car-dependent suburbia is HEAVILY SUBSIDIZED by downtown & all the urban parts of your city, watch this EXCELLENT video by @notjustbikes with @UrbanThree & @StrongTowns. And then please SHARE it as much as possible. https://t.co/e3A9Yo8ZSJ

[Brian Schnettgoecke @bschnett]

Great review of PJP.

https://t.co/wNQgHXoVaW

Take-aways:

Risk of discontinuation d/t toxicity ⬇️ by 1/2 when 3X/wk compared to daily DS tablets used.

Bactrim superior to alternative ppx agents.

*When first ID’d, initially thought to be T Cruzii

#IDtwitter #MedTwitter

[Brian Schnettgoecke @bschnett]

Inpatient, time is scarce. Many issues can be deferred to “follow up as outpatient”. However, don’t let this deter you from investing time to help your patient make a plan to address these OP issues. Every hospitalization is an intersection. Be the sign that gives direction.

[Emily Fridenmaker @emily_fri]

Every so often I pick a topic to deep dive into in order to decide what my practice will be.

6 months or a year later I won't be able to tell you all the details of why I made the decision I did, but I will remember that at one point I weighed all the evidence.

[Brian Schnettgoecke @bschnett]

@LerfaldNate @Dr_Oubre Is there a particular study you can provide as a reference? Would be very interested to read.

[Brian Schnettgoecke @bschnett]

Patients’ reactions when you tell them you’re rotating off service and will have a new primary hospital doctor the next day may be telling.

[Brian Schnettgoecke @bschnett]

Countless times I’ve debated whether I should return to a patient’s room in the evening to discuss results, plan of care, or just reassure, when I felt like just going home instead.

I have regretted this decision ZERO times.

[Brian Schnettgoecke @bschnett]

Ok this is insanely awesome. 👀

[Keith Siau @drkeithsiau]

Slit lamp examination of the eye showing movement of red blood cells🩸🤩

[Brian Schnettgoecke @bschnett]

#Medtwitter #Medicine #Healing

[Brian Schnettgoecke @bschnett]

“Just because our technology has gotten sophisticated, that doesn’t mean that our human needs change.”

I imagine not the point intended, but my take away: That pt you KNOW needs that CXR, echo, etc no matter what story they tell you, still deserves the⏱️to have that story heard.

[Stanford Medicine 25 @StanfordMed25]

"If you listen to patients, you'll get a lot that you're not going to get from the chart," explains #StanfordMed25's @abe_verghese in an @AAMCtoday interview. "The physical exam derives information that often can't be obtained any other way." https://t.co/1L0bbYh3bh