Dan

[Tony Breu @tony_breu]

1/14
What is the mechanism of night sweats?

We ask about "fevers, chills, and NIGHT sweats", not "fevers, chills, and DAY sweats." Why?

To understand the answer, we'll need to cover temperature regulation, circadian rhythms, and more...

[Rachel Thee-in-pray-oon, MD, MSCS @RThienprayoon]

I've been thinking about compassion and pediatricians.

There's an idea that pediatricians are "softer" than internal medicine docs because we take care of kids. And kids are cute! Funny! Sticky! 1/

[Susie Dent @susie_dent]

Two once very literal expressions: a ‘backlog’ was a large log at the back of the fire that kept smouldering away while smaller wood came and went. And the original ‘deadline’ was a boundary around a prison: any inmate attempting to cross it was liable to be shot.

[marquelawyers @marquelawyers]

Whether or not Pell was a child sex abuser himself, he was an enabler and protector of child sex abusers and the architect of an institutional cover-up that was designed to and did silence and retraumatise victims. That is what he did, prince of the church that he was.

[Peter Neville @peteneville65]

For those who don't fully understand what is up with the NHS, here is a thread for you that might help.

I'm a consultant physician working as a doctor in the NHS in Yorkshire and Wales for 32 years now. I have experienced the NHS at its best (2008) and its worst (2022).

[6529 @punk6529]

1/ On How Short Life Is

A few years ago, I was walking around in a blizzard in SoHo (New York). It was late, midnight, and it was beautiful.

Some friends, about 15 blocks away, called: "come over?"

It was late, it was cold, was tired, thought "maybe not worth it" but then...

[Paul Wappett @PaulWappett]

So, after taking a deep breath this morning after seeing the Nine newspapers and the ABC continuing their deliberately provocative - and misleading - story about Medicare/bulk-billing rorting, I thought I might offer some observations. .../1

[The Problem With Jon Stewart @TheProblem]

Jon interviewed Leslie Rutledge, Arkansas Attorney General, about why her state banned gender-affirming care for minors - ignoring the guidelines of major medical organizations and taking the decision out of parents’ hands. Watch the full interview on @AppleTVPlus

[Josh Inglis @inglisjosh]

You’re an intern called to review a patient with an isolated BP of 170/100.

They're admitted with community-acquired pneumonia.

Would you prescribe an antihypertensive? Open this thread and I’ll share my approach.

#HighValueCare #ChoosingWisely
#MedTwitter #MedStudentTwitter

[Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD]

1/

There seems to be an association between the use of "normal" saline and acute kidney injury (when compared with other IV fluids).

Why would that be?

#medthread #medtwitter #tweetorial

[Emily Walsh Melbourne @EmilyWa99459675]

There is much discussion in the Australian medical community about the Medicare freeze and what this means for general practice. Understandably the Australian population is not sympathetic to doctors crying poor when we earn above average incomes. This is fair enough

[Colin Kinner @ColinKinner]

Australia's COVID situation is out of control.

A mega-thread looking at where we are, how we got here, and what we need to do to get out of this shitshow.

🧵 . . .

[Tony Breu @tony_breu]

1/12
🤔Why does iron deficiency cause fatigue, even in the absence of anemia?

I have often equated iron with hemoglobin and oxygen-carrying capacity.

But there is so much more to it!

[Lea Alhilali, MD @teachplaygrub]

1/Radiologist not answering the phone?Just want a quick read on that stat head CT?

Here's a little help on how to do it yourself w/a #tweetorial on how to read a head CT!
#medtwitter #FOAMed #FOAMrad #medstudenttwitter #medstudent #neurorad #radres @medtweetorials #neurosurgery

[Cliff Reid @cliffreid]

Here's a reflection on how the management style of the emergency physician in charge (EPIC) can mean the difference between life and death

(Long 🧵)

[Dan @DanKimber19]

Fascinating thread. This ‘narrative’ seems to be the belief of the general public and many in healthcare. This sort of nuance really gets missed in the conversation.

[Dr. Deepti Gurdasani @dgurdasani1]

And also important to reflect on the narrative that 'hybrid immunity' is always better, and infection is a 'good booster' to vaccination. Not only does infection come with serious risk of long COVID & severe illness (despite boosting), it may impair response to future variants.