Again for the people in the back: a patient who walks into the hospital with stable vitals and a subacute history and a hemoglobin of 4 g/dL isn't critically ill.
Hemoglobin of 3 g/dL? I'm even LESS worried.
The way you get a paucisymtomatic, hemodynamically stable, profound anemia is subacute/chronic blood loss with sodium retention (euvolemic anemia).
@PulmCrit@kidney_boy Exactly. My hard stop is always “well, I mean, unless they’re just *lying*” but turns out that is very possible and also the motivation is very real. Not that that is unique to industry.
I consult for 4 reasons:
1. I need a procedure that I cannot do (scope, cath, etc)
2. I need someone to manage the condition (check levels and labs, adjust doses, see the patient in clinic)
3. I have a complicated situation and even though I “know” the answer, I need an expert to look over the chart and make an experienced and qualified decision
4. I need an answer that I do not know: What is the best antibiotic to treat this steno
Even in the last situation, it still needs a chart review and an H&P, prior antibiotics, imaging findings.
AI can do none of those.
#bmtsm #txid
Part two of our three part arc on chapter 23 Hypoosmolar States – Hyponatremia is out
This is a good episode (They’re all good episodes, Brant)
Link: https://t.co/yp6aUx6Xst
Each chapter is fully referenced and every episode has chapters
Had the absolute honor to meet @AmakaEMD in real life and hear her talk about her work and lessons learned. I also got to catch up with former American Society of Nephrology STARS alum @DrJangamK at the Kidney Care Center retreat. Nephrology is amazing
Have you ever noticed that when you're driving on a highway, everyone faster than you is a maniac and everyone slower is an idiot?!
I heard this probably in some stand-up comedy show but don't remember who said it.
It applies to pretty much everything.
- Early adopter vs later adopter
- Too much communication vs too little communication
- Very aggressive vs very conservative
For the first time, @GlassockJ describes the rationale and clinical use of the UpToDate stratification of IgA nephropathy, The Rule of Three. @fervenzaf@core_kidney