Lynn McAlister

Your enthusiastic neighborhood hospitalist. Tweets ≠ medical advice.

[Lynn McAlister @LynnieMacDO]

No more antibiotics for patients with acute uncomplicated diverticulitis, cool! https://t.co/Io525ENZ4b

[Lynn McAlister @LynnieMacDO]

This is a huge cultural problem in medical training.

[Sarah Kleinschmidt @Dr_Schmidty]

@m4betch Multiple times the people who offered support in medical training:

1) could/would not provide support I needed

2) used my disclosures to harm me, without my consent and in professional evals

I’m so sorry this happened and I hope you have other support outside this system.

[Lynn McAlister @LynnieMacDO]

@KBrookeGolisch Heard that! Also I like all your plants.

[Lynn McAlister @LynnieMacDO]

@WFKARS Seriously. I saw parainfluenza today. It’s been a while since I’ve told a patient they have a cold.

[Lynn McAlister @LynnieMacDO]

@TheRealDoctorT Grief strikes differently when it’s mixed with the frustration and anger of knowing that it was likely avoidable with a vaccine. And that the dead patient likely infected others who you will be treating tomorrow.

[Lynn McAlister @LynnieMacDO]

@MeganAttridgeMD Right?! My mushy, itchy, old mask… that I’ve already sneezed into twice today.

[Lady Glaucomflecken (she/her) @LGlaucomflecken]

My favorite so far is “forgotten patient” (and likewise ��co-patient”/“co-survivor”). https://t.co/etU3xdbaqV That feels true on this end. I suspect the healthcare system takes issue with it. But language affects treatment. Labels should center those to which they are applied. 7/8

[Brad Spellberg @BradSpellberg]

Updated Shorter Is Better Tables, with the new (3rd) Gram Negative Bacteremia RCT incorporated, and clarification that skin infection trials include cellulitis, wound infections, and major abscesses.

[Josh Farkas MD 💊 @PulmCrit]

epinephrine stops mast cells from degranulating (exploding), whereas antihistamines just block histamine. that’s why epi is critical in anaphylaxis. #StopTheMastCellExplosion

[Lynn McAlister @LynnieMacDO]

Continue metformin inpatient unless severe sepsis, hypoxia, decompensated CHF, or AKI. Oh, and continue it during contrast-enhanced CTs unless GFR <30 or AKI. https://t.co/mzo6UmWWyF

[Lynn McAlister @LynnieMacDO]

@kidney_boy Switched losartan to valsartan? Can you explain what you mean by better pharmacokinetics?

[James L. Kay, DO @DrJamesKay]

@A_DelermeMD https://t.co/ho7Pjgx0ka

[Lynn McAlister @LynnieMacDO]

https://t.co/A4eLYYiYg5 Recommend, but add more white rice vinegar, and double the recipe because you're gonna want to eat it all in one sitting.

[Lynn McAlister @LynnieMacDO]

https://t.co/yV5gxs3Jjw Recommend, but add a diced pickle

[Dr. Lucky Tran @luckytran]

So... today I discovered that Asian riot grrrl is my favorite genre of music https://t.co/U76caAQ75Z

[Lynn McAlister @LynnieMacDO]

@mcsassymd I refinanced ~18 months ago with Laurel Road. I was afraid to go with variable, but I did it, with a 5-year term. Super happy now with my 0.05% interest rate.

[Shunichi Nakagawa @snakagawa_md]

Those Qs are

1) What is the goal of this surgery?
2) Any worries about the surgery?
3) Are there any conditions unacceptable?
4) How much are you willing to go through?

These Qs are marvelous. I will tell you why.

https://t.co/zMIjPYm9pr
by @zaracMD @Atul_Gawande

4/

[Shunichi Nakagawa @snakagawa_md]

First of all, we need to decide whether or not to do surgery.

The best tool for this is BC/WC model by @GretchenSchwa10

The beauty in this model is, by giving the WC of surgery and the BC of no surgery, you can create the story for both options.

2/

https://t.co/73LLMy1Zlz

[Lynn McAlister @LynnieMacDO]

“Bacterisputia” doesn’t really roll off the tongue though

[Lindsay Petty @lindsay_petty]

Asymptomatic bacterisputia= ASBS ... name it, study it, fix it ... using the ASB framework to improve patient care and curb unnecessary abx. @owenralb will lead the charge! @jpogue1 @Keith_S_Kaye https://t.co/4rj84rqZCh #IDtwitter #stewie