DoNoHarmProject

A project to remind patients and clinicians about harms that can occur from too much medicine -- by Tanner Caverly MD, MPH and Brandon Combs, MD

[DoNoHarmProject @DoNoHarmProject]

https://t.co/BfAcRAikOL via @NYTimes

[Prof. Feynman @ProfFeynman]

• See failure as a beginning.
• Never stop learning.
• Assume nothing, question everything.
• Teach others what you know.
• Analyze objectively.
• Practice humility.
• Respect constructive criticism.
• Take initiative.
• Give credit where it's due.
• Love what you do.

[Neil Keshvani @NeilKeshvani]

@JAMAInternalMed Teachable Moments Tweetorial #6
The Importance of Obtaining Sexual History in Older Adults: A Teachable Moment
by Dr. Nathaniel Pedley and Dr. Joshua Khalili @KhaliliJosh @UCLAIMChiefs @UCLAHealth #highvaluecare #tweetorial @JAMA_current

https://t.co/0Y1gkxPo1M

[Prof. Feynman @ProfFeynman]

It's OKAY
• to make mistakes
• to be less than perfect
• to not know things
• to be yourself
• to be wrong

[Lucy Kalanithi @rocketgirlmd]

“When we put people through things with a goal that’s not achievable, that allows people to suffer without a purpose.” @danielalamasmd https://t.co/mS0huH0soD

[John Mandrola, MD @drjohnm]

New book arrived today. Dr Lown wastes no time. This is the third paragraph. He wrote it 20+ years ago; perhaps it’s more true today. Can’t wait to get into this. #medicalconservative @lowninstitute

[Ken Covinsky @geri_doc]

Outcomes of Intensifying Older Adults Antihypertensive Regimens While Hospitalized: More complications, More readmissions, BP control at i year not better. BP needs management as outpatient Inpatient titration harmful. "Dont just do something Stand there" https://t.co/tKWzOXNPmC

[Prof. Feynman @ProfFeynman]

"Study the science of art. Study the art of Science. Develop your senses - especially learn how to see. Realize that everything connects to everything else."

-- Leonardo da Vinci (1452 - 1519)

[Ken Covinsky @geri_doc]

10 ways to have a better conversation Strongly recommend this awesome Celeste Headlee TED Talk! 11 minutes of wisdom- how go be a better listener and better communicator. Put your ego aside and prepare to be amazed by the person in front of you! #hpm https://t.co/JGcCy9n24l

[Prof. Feynman @ProfFeynman]

If you want to master something, teach it. The more you teach, the better you learn. Teaching is a powerful tool to learning.

[Atul Gawande @Atul_Gawande]

Thoughtful case from @RobertPearlMD that another factor driving physician burnout is the crude form of performance measurement we have in medicine. Certainly: current measures are not aligned with either the goals of patients or clinicians for care. https://t.co/zDXsMP5uY4

[Matthew Wynia @MatthewWynia]

This is tragic.
Among 454,813 opioid-naive patients with ankle sprains, 8.3% filled an opioid prescription within 7 days of diagnosis and of these, 8.4% were still using opioids 90-180 days later.
https://t.co/zoA3O90PAC

[Ken Covinsky @geri_doc]

Unbelievable. I really hope the MOCA developers reconsider this unfortunate path. Trying to worry MOCA users about liability is inappropriate and a disservice. I can almost hear my Grandma saying "What Chutzpah!"

[Victor Montori, MD 💙 @vmontori]

Congratulations on your commentary, @ldscherer in @JAMAInternalMed!! https://t.co/BEbMlD6YnE

[DoNoHarmProject @DoNoHarmProject]

The public health epidemic no one is talking about... - Lown Institute https://t.co/kzXv9gKlnp

[Tanner Caverly @tanner_caverly]

In praise of slowness and the need to develop *tiempo giusto* —

“you’ve got to have a range of speeds. Like any piece of music, you can’t have just one tempo.”

[Matthew Wynia @MatthewWynia]

Since 1996, the list price of insulin has increased by 1,300% in the U.S.

Patients w/o insurance or on #HDHP pay an average of $300 per vial for insulin.

Its discoverers sold the patent to a university for $3 (Canadian), so it would be readily available to all who need it.

[Lizzie Aby, MD @LizzieAbyMD]

Inaugural JAMA IM Teachable Moments Tweetorial:
The utility of urine eosinophils in acute kidney injury & acute interstitial nephritis based on the article by Anna Strasma & Shradha Kulkarni in @JAMAInternalMed! #highvaluecare #tweetorial @TWDFNR https://t.co/DgGKVeSd3A

[Ken Covinsky @geri_doc]

Medicare make it very hard for cancer patients to receive life prolonging RX+hospice simultaneously VA encourages concurrent care Study shows Concurrent care reduces costs+ leads to less burdensome rx at end of life Medicare must allow concurrent care #hpm https://t.co/GbQpSg5bvh

[Rita Redberg @RFRedberg]

We @JAMAInternalMed are delighted to welcome our next class, and thank the current TM Fellows. It was an amazing and accomplished applicant pool! Congrats to all