Ars Medica

Senior resident in internal medicine and gastroenterology, interested in emergency and critical care, aspiring clinician-scientist, travel-enthusiast.

[Paul Sax @PaulSaxMD]

For those who do hospital-based medicine, the ritual of the daily exam discussed here. We're probably going to keep doing at least some of it even though it usually yields nothing. Here's why.
(Link in ⬇️) @NEJM @NEJMClinician

[Ars Medica @Eitschpie]

@drkeithsiau Get better soon!

[IMCrit @IM_Crit_]

Nice summary on hantavirus infection

[Ars Medica @Eitschpie]

@IhabFathiSulima Seen this once in a patient due to levamisole adulterated heroin-abuse.

[Jose Ramos Vivas @joseramosvivas]

Especial médicos🩺⚕️🏥👨🏻‍⚕️👩🏻‍⚕️.
Os dejo esta carta en JAMA. Se la pondré a mis alumnos en la próxima clase:
He elegido estas frases :
👇🏻⏰
«La medicina puede tener un significado extraordinario. Pero no puede sustituir el estar presente en tu propia vida. El mundo puede necesitarnos como médicos. Pero las personas que nos aman nos necesitan como nosotros mismos. Y ese es el rol que nadie más puede llenar.»

«La residencia refuerza la lección de que las instituciones están diseñadas para perdurar más allá de los individuos. En cambio, las familias no.»

«Creo en formar a la próxima generación. Creo en el significado de este trabajo. Lo que ha cambiado es mi disposición a absorber el desgaste sin cuestionarlo.»

«Ya no estoy dispuesta a seguir posponiendo la vida. La medicina exige mucho. Y nosotros damos profundamente. Pero no puede tomarlo todo.»

«El significado de mi trabajo es profundo. El significado de mi presencia en casa es irremplazable.»

[Ann L. Jennerich, MD MS ATSF @aclong111]

1/ There is a lot about my job in pulmonary and critical care medicine that I find deeply meaningful. But one thing really weighs on me these days, and it is this. 🧵

[SCCM Midwest Chapter @SCCMMW]

1/ Code blue. The patient is 30 weeks pregnant. 🤰 Does ACLS change for pregnant patients? This thread will cover the 2025 AHA ACLS guidelines for pregnancy, highlighting the updates and what remains unchanged.

[alex | all r equal @oxbits]

BREAKING:

"Our findings redefine SARS-CoV-2 infection as a condition of long-lasting immune compromise."

- December 5, 2025

https://t.co/c9dfrcZygp

[Ars Medica @Eitschpie]

@drkeithsiau The lenghts people go to....! 🤪

[IMCrit @IM_Crit_]

Life in the #ICU is not always fun...

#MedTwitter

[Dr. Rick Pescatore @Rick_Pescatore]

The Illusion of Hard Work

For a long time, I worked constantly. Nights. Weekends. Always “on.”
I thought I was doing the right thing—grinding.
But I wasn’t moving. Just spinning.
🧵

[Nathan Lands @NathanLands]

I'M BLOWN AWAY.

Andrej Karpathy just explained Software 3.0 at YC.

BIG IDEAS: English is coding. AI is electricity. And, build for LLMs, not just people.

Key takeaways:

[Elliot Tapper @ebtapper]

Have you ever wondered ... how beta-blockers treat #cirrhosis?

Here's a #tweetorial featuring:
1⃣Pathophys!
2⃣controversy!
3⃣Cheap, life-saving interventions!

#livertwitter #gitwitter #meded

1/

[The Lancet Gastroenterology & Hepatology @LancetGastroHep]

New research - Pre-emptive TIPS for gastric variceal bleeding in patients with cirrhosis (GAVAPROSEC): an open-label randomised clinical trial

https://t.co/nFIsFl6cQp

#LiverTwitter #MedTwitter

[Ars Medica @Eitschpie]

LLMs outperforming doctors in some areas doesn’t mean medicine is simple, just that parts of it were made simple enough. Future doctors may thrive at that frontier: breaking down complex problems so machines can help. Everyone wins.

[Ruben Hassid @rubenhassid]

The research revealed three regimes:

• Low complexity: Regular models actually win
• Medium complexity: "Thinking" models show some advantage
• High complexity: Everything breaks down completely

Most problems fall into that third category.

[NephroPOCUS @NephroP]

Latest post on NephroPOCUS - When “Helpful” Isn’t Helpful: The Ongoing Undervaluation of #POCUS in #Nephrology
#Nephpearls #FOAMed
🔗 https://t.co/CV6Cksen6l

[Ars Medica @Eitschpie]

Great work, as always on the basic sciences of endoscopic technologies! Congratulations to @florian_mi74462 and the entire endoscopy team of @UK_Frankfurt! #endoscopy #Gastroenterology

[AJG - The American Journal of Gastroenterology @AmJGastro]

In the #RedJournal:

A New Drying Method of Thermolabile Flexible Endoscope Channels by Laminar and Turbulent Airflow: A Prospective, Randomized-Controlled, Single-Center, Proof-of-Concept Trial
Michael, et al.

📕 https://t.co/7xURzTruj6

@florian_mi74462

[Dr. Rick Pescatore @Rick_Pescatore]

Top 10 tips for young ER docs exploring “alternative” paths: A thread.

🧵

[Giacomo De Luca @jackdeliuc]

...🧵This is a thread about 8.4% sodium bicarbonate (aka bicarb amp) in critical care.

This the first part in a series of three about sodium bicarbonate 🧂in critical care:
🧐I will get in deep to complexities, benefits, risks and clinical implications of this (overused) drug.

[Ars Medica @Eitschpie]

@jackdeliuc @emcrit @ross_prager @PulmCrit @katiewiskar @IM_Crit_ @critconcepts @CriticalCareNow @iceman_ex @Wilkinsonjonny @CritCareTime Awesome summary! Thanks!