VC

Community Based Internal Medicine Program Director. Father. Horrible golfer. Tweets are not medical advice.

[VC @doctorvec]

I think we have answered this question. But just in case its needed.

https://t.co/vggyBJwDQv

[VC @doctorvec]

Great review article on DKA and EDKA (SGLT-2)

https://t.co/7YmnSwo14B

[VC @doctorvec]

Welcome the GSMC IM Class of 2023. Looking forward to working with all of you.

[VC @doctorvec]

74 year old admitted with pneumonia. Nurse calls you at 2 am for BP of 210/104. She has no symptoms. Renal function that am was normal. EKG is normal. Vitals otherwise normal. She took her AM anti-HTN medications.

What is you current practice?

[VC @doctorvec]

More evidence we are harming and certainly not helping patients with asymptomatic severe HTN by treating with IV anti-HTN. When will it stop!!!!

https://t.co/WIs5W79zFj

[VC @doctorvec]

It is my experience we (me included) often under-dose diuretics and do not follow up to assess response.

Below is a great table on how to approach initial dose. I also am attaching a link to the article in CCJM.

https://t.co/3MXAlSR2Xx

[VC @doctorvec]

Am I the only one who thinks Pure Wick catheters were invented to immobilize patients and increase admissions to rehab facilities

[VC @doctorvec]

I have failed as a medical educator.

[VC @doctorvec]

Not a perfect trial but not the result I expected.

https://t.co/br1yzgcpiI

[VC @doctorvec]

Today is my 50th bday. My residents all dressed in black to signify the death of my youth.

[VC @doctorvec]

As a primary care physician or hospitalist how do you approach patient the HFrEF not on GDMT who follow long-term with Cardiologists. #medtwitter #cardiotwitter

[VC @doctorvec]

So I decide not to change back into formal clothes after taking an afternoon walk prior to a late meeting. Great timing for presenting me with a plaque recognizing my commitment to GME at our institution. I need a retake!!

[VC @doctorvec]

I am hoping this is a sign that my faculty are out doing bedside rounds.

[VC @doctorvec]

I need an APD and a inpatient core faculty if anybody wants to move to Myrtle Beach

[VC @doctorvec]

Most often, people are doing the best they can.

[VC @doctorvec]

@KapM23 Only 12

[VC @doctorvec]

Did my annual don’t aggressively treat asymptomatic inpatient HTN talk to the new interns. Hoping this will be the class to stamp out the hydralazine epidemic.

[VC @doctorvec]

Small study. But compelling for early use of SGLT-2 inhibitors in acute heart failure.

https://t.co/eH5NcNolsV

[VC @doctorvec]

I like this!!