Kevin Hageman

Hospitalist via @gtown_medres & @PCOMGeorgia - #MedEd ; clinical/diagnostic reasoning, patient communication/education & transitions of care. Tweets/RT my own.

[Kevin Hageman @Factor_XII]

@drkeithsiau Hmm not sure GCA/PMR explains everything. What was her CK? What do you mean by “vasculitis screen?” Agree though, a nuanced history is often abandoned in favor of “shotgun” testing!

[Kevin Hageman @Factor_XII]

The PEth never lies.

[Kevin Hageman @Factor_XII]

@SpartyBasketbal @PulmCrit 😬

[Kevin Hageman @Factor_XII]

@RepJackKimble Too late.

[Kevin Hageman @Factor_XII]

@Papa_Heme *Doxorubicin has entered the chat*

[Kevin Hageman @Factor_XII]

@VincentRK @UpToDate I love UTD but how much did they pay you for this tweet

[Kevin Hageman @Factor_XII]

CT Surgeons just found their Hype Man

[Football Forever @fballforeverhq]

EXCLUSIVE: Raiders star DE Maxx Crosby released a new song titled “PlaqueBoy Maxx”, and it’s now available on all platforms 🏴‍☠️

(🎥: Maxx Crosby)

How do you rate it?

[Kevin Hageman @Factor_XII]

omg thank you for letting me know this didn’t come up once in 16 years of med school or residency or practice or cme

[Mikhaila Peterson @MikhailaFuller]

RFK Jr. isn’t forcing anyone off psych meds. That’s insane. If anything he’s alerting physicians to the fact that sudden cessation, or even missing a few days, can put people in acute withdrawal. He’s educating doctors that 2-4 week tapers can cause neurological damage, sometimes permanent.

The pushback is so insane it boggles the mind.

This isn’t a political issue.

1/6 people are on meds that are more dependency forming and cause more neuro adaptation than classically addictive drugs. It’s a complete catastrophe.

Anybody who wants to be on one can stay on it but they should know if they miss a few days after 2+ years of treatment it could trigger a neurological nightmare.

They should know they might have to take them for life.

They should know that new psych symptoms might be neurological damage from the medications.

They should know the serotonin imbalance is a myth.

They should know the ketogenic diet is more effective and treats the metabolic underlying issue.

And even more importantly, so should their doctors.

[Kevin Hageman @Factor_XII]

@JordanAbbottMD Wife had “rosacea” misdiagnosed for a year on her nose via midlevel. We move, gets a derm MD, BCC requiring extensive Mohs 😞

[Kevin Hageman @Factor_XII]

@davidcarr333 My number one rule is “What have we done to potentially harm the patient” and it’s likely part of the answer 50% of the time.

[Kevin Hageman @Factor_XII]

Thanks! Pulled the trigger on upfront taper. Maybe word will spread around here.

[Kevin Hageman @Factor_XII]

What’s the consensus on initial oral vanc taper v fixed duration for first episode C diff (it’s a real colitis I promise)? @BradSpellberg @ABsteward @DrToddLee

[Kevin Hageman @Factor_XII]

The GI pathogen PCR panel must be the most expensive over-ordered reflexive test there is. No thought behind it and a $1500 charge to your patient. I’d rather someone order 10 useless UAs than this test 🤦🏼‍♂️😩😤

[Kevin Hageman @Factor_XII]

@jasonryanmd The lost art of the chief “complaint”

[Kevin Hageman @Factor_XII]

The amount of people kept on full dose DOAC after a remote thrombotic event blows my mind —- is this just a big knowledge gap?

[Kevin Hageman @Factor_XII]

@MohammedAlo Take the DO off your name you’re making us look bad

[Kevin Hageman @Factor_XII]

@muscleforlife You’re an idiot.

[Kevin Hageman @Factor_XII]

@doctor_roig @AThomazAndrade @adribaran @ekgdx @KostekMilan @smithECGBlog @CardioBornan @ecgandrhythmRoe @MaruanCarlos @syamkumarmd @CircAHA EKGs are a weak point, but at 52 with MI it’s VT until proven otherwise!!

[Kevin Hageman @Factor_XII]

@BrentAWilliams2 I’ll just leave this here for you big dawg

[Kevin Hageman @Factor_XII]

Megace is a “bandaid” that risks VTE and adrenal insufficiency in patients already at high risk! It’s one of those meds that makes the physician feel better and just adds to the polypharmacy.