Ezekiel Nkereuwem

Writer and surgeon-in-training. #Retweets do not necessarily mean endorsements.

[Dr. Khaled @kh505043]

You might think it’s a seizure… but the truth is: after a group A streptococcal (GAS) throat infection, the immune response can misfire—cross‑reactive antibodies can disrupt the basal ganglia, leading to involuntary, dance‑like movements..😳😳

What is the diagnosis and treatment ?!

[AJOG @AJOG_thegray]

AJOG Expert Review: Asthma in pregnancy: contemporary management - Adverse pregnancy outcomes by asthma severity (pooled adjusted odds ratios) https://t.co/4nmy06Aiwu

[Maria Popova @themarginalian]

“Little Prince” author Antoine de Saint-Exupéry, who vanished over the Mediterranean on this day in 1944, on mortality and love https://t.co/xlzx7BqN3M

[Dr. Priyam Bordoloi @DocPriyamMD]

A final year med student asks, "Sir, I have my exams coming up, but the moment I finish lunch or dinner, I feel such a heavy, irresistible urge to sleep that I cannot keep my eyes open. Why does this happen and what to do?"

[Ezekiel Nkereuwem @ohsurgeon]

@ShopKonga Thank you. I have received the package.

[Ezekiel Nkereuwem @ohsurgeon]

@ShopKonga I placed an order for package F704386159001 on July 2, 2026 fully paid. The estimated delivery date was July 24, 2026. Today is July 27 and I have yet to receive the package even though the timeline of the movement of the package on your

[Corporate Machiavelli @Mach_Tactics]

To win the respect of dumb people, display a high stress tolerance and a capacity for ruthlessness.

To win the respect of smart people, display intelligence and wisdom.

[Incentivising @incentivising]

Game theory explains why rules apply differently to people at the top, and it's not simply hypocrisy. Enforcement of rules carries a cost, and this cost scales with the status of whoever is being enforced against. Disciplining a junior costs nothing, and it's usually expected. Disciplining the person who brings in the revenue risks revenue and relationships while simultaneously triggering a fight the enforcer might lose. Thus, the cost of enforcement exceeds its utility, rendering it undesirable. The rules were never applied evenly because rules are nothing more than the preferences of the enforcer, transformed into a law. That's the whole reason why "but the policy clearly says (x)" has never saved or punished anyone. So, stop asking whether something breaks rules and instead ask what enforcing them against this specific person would cost. You'll know the results in advance.

[The Marginalian (formerly Brain Pickings) @brainpickings]

Very necessary qualifications of a great storyteller: https://t.co/qmPWHHl8qk

[AJOG @AJOG_thegray]

Antenatal magnesium sulfate prior to very preterm birth in routine care is associated with increased survival without cerebral palsy https://t.co/KRTy93mecF

[Dr. Priyam Bordoloi @DocPriyamMD]

Night shift. You are the ONLY doctor in casualty.

4 critical patients arrive at once.
​What is your exact priority order (1st to 4th) and why?

​A) Bee sting, facial swelling
B) Left-sided paralysis, BP 170/90
C) Crushing chest pain, sweating
D) Asthma, silent chest, SpO2 84%

[The Marginalian (formerly Brain Pickings) @brainpickings]

"The most regretful people on earth are those who felt the call to creative work, who felt their own creative power restive and uprising, and gave to it neither power nor time."

Mary Oliver on creativity https://t.co/IDByzl8RlK

[The Paris Review @parisreview]

“I want fresh water to always be flowing into the poem, like in a spring-fed lake.” —Henri Cole https://t.co/pEQnso9HqK

[Machiavelli Bot @UnmodernmanBot]

Every man needs to be feared & respected.

Prerequisite for a leader.

Being feared and respected is very different to solely being feared.

And being respected without the element of being feared will never let you elicit the survival instincts in people,

necessary to lead them effectively.
When the two co-exist, it creates a synergy that constitutes a large part of what makes up leadership.

Leadership cannot exist without this synergy. Most men opt to being feared, because it is very difficult to be respected at the same time.

Here's how you attain both.

If you want to be feared, you need to first have your life sorted. You need have a purpose.

You need to know where you are, where you want to be, and a direction of how to get there.

Then you need to devote yourself to it and become unavailable.

Then be very hard on yourself.

Men who are easy on themselves but hard on others are weak, complacent & hypocritical.

You must first be hard on yourself. Then expect the same of others.

This then allows you to cultivate intolerance, which is what upholds your values & incites fear in those who don't.

If you want to be respected, provide value for nothing in return.

Most men dont know how to do this. And if they do, they ask for something in return.

Yes, providing value should be exchanged, but only after you have proved yourself.

You have to provide first, frequently, without ulterior motives aside from putting the other person in a better state then you found them.

This is how respect is obtained. It is not given. It is not demanded.

It must be earned.

The combination of being unavaiable, helping people for nothing in return, while being intolerant to those without values,

is what makes a man feared and respected.

Each 3 elements MUST exist to evoke both responses:

-unavailability
-intolerance
-compassion

If you're too available, then you're not devoted to your purpose & therefore cannot be taken seriously.

If you are tolerant, then you lack values and stand for nothing.

If you lack compassion, then you are not fit to lead.

Work on all three. Be feared and respected.

[Sahil Bloom @SahilBloom]

A rule that saves a lot of pain: When emotions are high, speed should be low. You don’t have to answer the email immediately. You don’t have to respond to that slight. You don’t have to make that decision. You don’t have to do anything. Slow down. Create space to think clearly.

[Keith Siau @drkeithsiau]

Gastroparesis - summary of the new JAMA review (July 2026):

1️⃣ Pathophysiology
2️⃣ Risk Factors and Epidemiology
3️⃣ Diagnostic Tests
4️⃣ Management

📸: https://t.co/LsCcKvntc0

[Keith Siau @drkeithsiau]

Statins are best taken at night, except for atorvastatin and rosuvastatin 💊

[AJOG @AJOG_thegray]

AJOG Images in Obstetrics: Fetal skull fracture with overlying hematoma after a high-speed motor vehicle collision with limited maternal trauma - Prenatal CT of abdomen pelvis with three-dimensional volume rendering (red arrow points to fracture) https://t.co/wzxlQw5Wq5

[rosie @therosieum]

https://t.co/F2G1usjT2E