PHixie MD

[Nick Mark MD @nickmmark]

ABIM (finally) does something I agree with: striping board certifications from Pierre Kory & Paul Marik

[Pyrls @PyrlsApp]

⚠️ Topiramate can cause metabolic acidosis. Regular monitoring of bicarbonate levels is necessary.

#ClinicalPearls from @PyrlsApp 📱✨

[Adrià Roset Altadill @ARosetAltadill]

#3 Abnormal right paratracheal stripe🫁

Right to the trachea you should only see the SVC contour and/or the right paraspinal line

1⃣ Normal appearance
2⃣3⃣4⃣ Different causes of abnormal right paratracheal stripe (see CTs👇)

#radiology #radres #chestrad #FOAMrad #MedTwitter

[Daniel @kacang_tua]

@atrupar I wonder if he will bury his X on the golf course, like someone else we know

[Josh Farkas MD 💊 @PulmCrit]

Great article!!

if you don't have access to this journal, what you need to know about early basal insulin for DKA is here: https://t.co/vGEdYcXv93

[PHixie MD @PHixieMD]

@PulmCrit We asked for multiple settings including busy, do not disturb and an OFF feature cz the ICU RNs now had 4 different ways of asking to renew restraints and report critical K+s. ER RNs kept sending us critical chart chats wayy after we went home after the shift. Much better now.

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

🔓The results of this analysis provide evidence to support avoiding use of clinical examination to exclude oesophageal intubation👇

@VirtueOfNothing @jadamlaw @NicholasChrimes @AndyHiggsGAA @doctimcook

🔗https://t.co/YMmsikCdDK

[Stefan Milutinovic @stefankmil]

📄 20 studies that Internal Medicine Residents should read in the first year 👇

1/ 🏃‍♀️ RACE II trial: Lenient resting HR < 110 was non-inferior to a strict HR < 80 in patients with atrial fibrillation.

🧵

[Health Nerd @GidMK]

Jesus Christ. This is a short case series, but of the 57 sports supplements they tested:

- 23 (40%) didn't contain any of the substances on the label
- 28 (49%) had the wrong amount
- 6 (11%) had the correct quantity
- 7 (12%) had illegal additives
https://t.co/XaPo7cE4iv

[Professor Ahmed Hankir @ahmedhankir]

‘Twitter is like being able to read every toilet wall in the world’ Ricky Gervais

[Dr. Jonathan N. Stea @jonathanstea]

In cancer care, use of “alternative/integrative medicine” is associated with decreased survival.

39% of people in the US believe that alternative medicine can cure cancer without the use of standard cancer treatments.

Not good.

https://t.co/AihtVQfJ59

[PHixie MD @PHixieMD]

@SaltyEMNY @mahrukhrizvi_MD Yep. Can’t tell you how many times during my morning “pre-rounds” I’ve pushed the panic button when the “septic shock” admitted overnight was cold to the touch and obviously in cardiogenic shock.

[Tim Cook @doctimcook]

@sally_ghazali @SorbelloMax @GAMCLondon My first four rules of airway management

1 Don’t intubate if there is no good reason
2 Do intubate if there is a good reason
3 If intubating use a muscle relaxant
4 Position before all airway management

[Michael Mina @michaelmina_lab]

IMPORTANT:

RAPID TESTS DO WORK WITH OMICRON

"But why are some people staying negative in the first days they have symptoms??"

This is expected. Symptoms don't = contagious virus
This is literally a reflection of the fact that vaccines are doing their job!

PLEASE READ

[Michael Mina @michaelmina_lab]

Measles was eliminated in the US and much of the world for years

Reduced vaccination undermines elimination & measles will return across the US / beyond

Measles harms children and adults whose immunity has waned - and causes serious disease

We don’t want measles to return.

[Peter McCormack 🏴‍☠️🇬🇧🇮🇪 @PeterMcCormack]

Migrants are not the enemy and should be treated with empathy.

Birth is a geographical lottery and anyone should be supported in wanting to better their lives.

https://t.co/0uDU2Kl40M

[Josh Farkas MD 💊 @PulmCrit]

some evergreen wisdom here for all of us:

forgive yourself

be human

[PHixie MD @PHixieMD]

Trapped at work: Immigrant health care workers can face harsh working conditions and $100,000 lawsuits for quitting https://t.co/EXmvYEPEAw via @nbcnews

[Nick Mark MD @nickmmark]

Pulmonary teaching case: you are called to the bedside of a 60yo man who was admitted for pneumonia a week ago. You were called because “he coughed and now his chest is PULSATING!”

This is what you see at the site of a previously removed chest drain:

What’s the diagnosis?
1/

[Will Stancil @whstancil]

I was told not to tweet this until the houses adjourned for fear of jinxing it, but the Minnesota legislature just completed what is probably the most productive session anywhere in the country since probably the New Deal. Sweeping bills and reforms across every area of life.