Sam

Dr. Pepper is a woman. OMS-IV 🥼 she/her

[Tyler Olson, EA @olsonplanner]

The Twitter algorithm discourages posts with a link in it.

I challenge you to stick it to them and repost this so that as many graduating med students as possible can see the opportunity for six hours of free and relevant financial advice, March 19-21.

https://t.co/pWD9StDRI1

[Molly Taylor @MollyTaylorMD]

Something personal

https://t.co/7lmMtEp8oT

@pcresilience @seattlechildren

[John Shields, MD, FAAOS @jointdocShields]

Today I had a surgery denied. The denial letter gave me a # to call for an appeal at @WellcarePlans

I called the number - on hold way too long. Then someone answered, asked all the information, numbers, story, etc. Then told me she couldn’t help me and to call another number

[Ashley Winter MD || Urologist @AshleyGWinter]

I get asked all the time why I, as a urologist, talk abt vaginal estrogen. Let me tell you. I was practicing as an attending for 5 years in a large managed care organization. Two of my most common referrals were:
1) post menopausal woman w recurrent UTI
2) " " " w micro hematuria

[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…

[Levi's® Stadium @LevisStadium]

Friendship bracelets will be permitted at Taylor Swift | The Eras Tour concerts at Levi’s Stadium. We are enchanted to see you one week from today.

#SantaClaraTSTheErasTour

[Dr. Glaucomflecken @DGlaucomflecken]

Oh you’re going to a teaching hospital in July? Well get ready…

for the most compassionate care from extremely empathetic interns along with their vigilant supervising attendings. Hope you like open ended questions and doctors listening to you bc you’re gonna drown in it.

[Hannah Riley Fernandez @hannahcrileyy]

if you're just tuning in to what's going on in Atlanta, three organizers with the Atlanta Solidarity Fund -- the city's largest bail fund -- were arrested this morning at their homes. ASF provides jail support to ensure those in police custody have their rights protected 1/

[Sheryl Recinos MD @MdSheryl]

I remember sitting at the nurse’s station in January of 2018, writing a note. One of the nurses asked me a personal question and I told her, “You know, I think I finally realized that my life was just meant to be hard.”

She laughed and said, “Come on, you’re a doc. You probably-

[Sheryl Recinos MD @MdSheryl]

Had I grown up easy? No. Absolutely not.

Had I come through it with an unwavering desire to make the world a safer, easier place for young people? Absolutely.

[Dr. AP | Action Potential Mentoring, LLC @action_ap]

How to Call a Consult as a Resident 📲🤙

Tbh, I just got one of the most organized consults I’ve ever received, so I wanted to write a quick thread on how this medicine resident did it 👍

(Will share at the end what she did that really stood out)

🧵 /

[David Begnaud @DavidBegnaud]

BREAKING: The CEO of @Hertz wrote a letter to Puerto Rico‘s representative in Congress stating that Hertz has rewritten its policy to make it abundantly clear that Puerto Rico is a U.S. territory - not a foreign country - & because of that Puerto Rico driver’s licenses are not international IDs they are just as valid as any ID from any state in this union. This news follows the story I first reported last week, where a Puerto Rican man at the New Orleans international airport was denied a rental car because at least two Hertz workers said his license was international. On top of that, the man who recorded the incident, had the police called on him by a Hertz employee who said he can never rent from Hertz again because he recorded the incident. *She was wrong; he can rent from Hertz again*. The police officer who responded to the call was dismissive and rude and is now the subject of an internal investigation by his police department because the customer, Mr. Humberto Marchand, filed a complaint with the @KennerPolice. Following our report, Representative @Jenniffer wrote a letter to Hertz asking for a companywide educational campaign, and she got it.
Lastly: Puerto Ricans are United States citizens. Please share.

[Shematologist, MD @acweyand]

PSA:

Your period should not
🩸last longer than 7 days
🩸interfere with your life
🩸happen more than monthly
🩸require product changes more than every 2 hours
🩸have clots larger than a quarter
🩸cause debilitating pain
🩸require double product coverage
🩸make you anemic

[Sam @sametaphase]

@ArianaSOtto THRIFT STORES, BABY 🔥 until I can afford to shop elsewhere, the thrift stores are the backbone of my wardrobe! Example: Calvin Klein matching skirt and blazer set, new with tags, $7

[Dr. Christian Casteel @DrCasteelEM]

Ppl in medicine who understand this, go into emergency medicine. You don’t know it yet but you’ll be so good at your job.

[Yeonsoo Sara Lee, MD @ysaralee]

A thread of study guides for STEP 2 I am making/made during dedicated:

Kicking it off with biostats - a topic I think is easy to gloss over but might be helpful to draw out/think through (or jot down quickly at the beginning of the exam, which is what I did for stats exams).

[ProPublica @propublica]

Lee Mazurek had been on medication to keep his chronic disease at bay for nine years when a @Cigna employee flagged his case for review.

The company estimated it could save $98,000+ if he switched parts of his treatment plan. Then came the denial. 🧵👇👇

[Sam @sametaphase]

@claudegstone Excellent fund, thank you!! Very interested to read!!

[Sam @sametaphase]

@claudegstone 😓😓

[Sam @sametaphase]

@olsonplanner So far? About $323k, baby✨ and 1 more year of loans to take out still