Hector Rivera

I came here for the LOLs.

[Hector Rivera @hrivm]

@ecobici Muchas gracias por la información.

[Hector Rivera @hrivm]

@locatel_mx Muchas gracias

[Hector Rivera @hrivm]

@locatel_mx Perdonen buenos días. Me pueden confirmar si circulo en CDMX el día de hoy por favor?
Placa Querétaro
Terminación 1
Holograma 0

Gracias.

[Hector Rivera @hrivm]

@CFE_Contigo ¿pueden ayudarme con una solicitud de reconexion?

[Hector Rivera @hrivm]

@MarisasHorror @ElBadiablo quizá te interese como lectura

[Hector Rivera @hrivm]

@TELMEXSoluciona @infinitum @Telmex

[Hector Rivera @hrivm]

@theweekndmx hola! ¿Tendrán el setlist de los conciertos en cdmx?

[Amy Faith Ho, MD MPH @amyfaithho]

All I see here is:

incidentaloma, incidentaloma, incidentaloma…

What’s an incidentaloma?

A ditzle / wart / spot that may or may not be concerning, but ends up triggering a path of follow up scans ($), invasive/procedural diagnostics like biopsies and surgeries ($$$$$), complications of those invasive diagnostics (bleeding, infection, death), and anxiety and cost.

Add on the concept of “pre-test probability”, and elective full body scans can only yield higher false positive rates.

Based on existing studies in radiology literature for non-elective scans (aka, they were looking for some pathology based on risk factors or symptoms of the patients), here’s some stats:

🏥~40% of imaging results in incidental findings (incidentalomas).

🏥Of those, only 1.1% were actually clinically significant and/or cancer.

The rest is just $$$, complications, and anxiety…

Knowledge is power, but that power can be dangerous…

[Clement Lee, MD, MSc @ClementLeeMD]

Do you ever wonder if it was a mistake to become a doctor in this current economical and sociopolitical climate?

[Hector Rivera @hrivm]

Sometimes all you need is a cold beer😌

[Hector Rivera @hrivm]

Que bonita es la cdmx cuando no hay tráfico.

[ICU OnePager @OnePagerICU]

The ICU OnePager approach to pulmonary renal syndromes w/ @MithuRheum @RheumOnePagers
🤒Sx
🕵️‍♀️D/Dx: ANCA (GPA, EGPA, MPA), Goodpasture, etc
🔬Path: linear, granular, pauci-immune, etc
🫁DAH: imaging and BAL findings
💊Tx: steroids, PLEX, CTX, Rituximab

https://t.co/TeyFXxPOPO

[Hector Rivera @hrivm]

PEACHES PEACHES PEACHES PEACHES
P E A C H E S P E A C H E S P E A C H E S
P E A C H E S P E A C H E S 🍑

(Solo por ver el contexto de la canción quiero ver la película jajaja)

[claudia ₊˚⊹♡ @Kloquis]

como creen q se la este pasando dua lipa ahorita

[Hector Rivera @hrivm]

Parece chiste pero es anécdota esto del 19S

[Hector Rivera @hrivm]

Sam es el verdadero héroe del Señor de los Anillos.

[Hector Rivera @hrivm]

We understand life by looking back; but life can only be lived forward.

[Hector Rivera @hrivm]

Chaaaaaaleeeee 12 años aquí

#MyTwitterAnniversary

[Hector Rivera @hrivm]

El concierto de Selena en el Astrodome es patrimonio de la humanidad.