Sara U, MD

(she/her)
Emergency Behavioral Health Fellow
Emergency Physician
Formerly: ED RN, RPCV, Profesora
💚: POCUS, EM, & our 🌏
roots:WV | branches:MK-PDX-VA-MI

[Sara U, MD @sararish]

@MikePallaci @EMHighAK @emcrit @embouncebacks @HeySteveMD Push the nitro in 1-2 mg aliquots, like how you push Epi. Depending how your RN's set up the drip, the patient may not have gotten what you thought they were getting for up to 5 or 10 minutes.

[Alliance of Resident Physicians @ARPDetroit]

🥹🥳😎

[Sara U, MD @sararish]

@reverendofdoubt Use a neck collar or gentle leader. No harness. And watch Cesar Milan videos about how to walk your dog on YouTube.
https://t.co/n2bIXsF9UX

[Sara U, MD @sararish]

@pediadatrician Maybe KevinMD or Doximity. I can offer any assistance! Love the topic

[Amy Faith Ho, MD MPH @amyfaithho]

Q: Why are waits at emergency rooms so long?

A: Because the rest of the healthcare system is failing.

The patient did everything right, but the healthcare system did them so so so wrong.

🧵…

They call their PCP, but can’t get an appointment. So they turn to the ER.

They call their specialist, but the call line (automated, no human to respond) says go to the ER.

They try to pick up their new medicine, but it’s 3x their monthly rent $ and they already work 3 minimum wage jobs…so they turn to the ER to get a dose of medicine.

They try to get their imaging done, but can’t get the prior auth approved. So they come to the ER to get it.

Their employer won’t let them take a sick day without a work note (and the ER is the only thing open they can get into TODAY).

They need to see their doctor in the clinic, but can’t afford to take time off work to go, much less arrange childcare, and the ER is the only thing open when all those conditions sync up.

They lost their job and now have no insurance and can’t see their doctors anyways. So they come to the ER.

The list goes on and on and on…

Healthcare reform is not about healthcare — it’s about economics, corporate greed, lobby dollars, transportation, housing, politics/policy, culture, and more…

[Jimmy Turner, MD @TPP_MD]

The Doctrine of Charity asks us to assume virtuous intent. To assume the best of others.

When someone says something, what is the best they could have meant (instead of assuming the worst)?

When someone is failing to deliver is there something else going on?

4/

[Sara U, MD @sararish]

Omg. Elementary school graduation in the AM and residency graduation in the PM got me 🥺🥺! What a day!!!!

Congratulations to all the #EMBound residency grads on #MedTwitter

[Tara Lech PharmD, CACP @AnticoagPharmD]

🚨Reversal agents for current & forthcoming direct oral anticoagulants. Excellent review by Dr. Jeffrey Weitz &colleagues.
As novel agents are being trialed, we need to consider how we will manage associated bleeding events or need for emergent procedures.
https://t.co/Obrh0FWALu

[Detroit Receiving EM @ReceivingEM]

DRH Team 2, station 9 #Sonowar

[Detroit Receiving EM @ReceivingEM]

DRH Team 2, Station #10

[Sara U, MD @sararish]

My hot take: I love residency and being a doctor. Sure, complaints are ripe for picking, but the truth is, I am living out my dream of being an ER doctor and absolutely loving it 🥰

[Jimmy Turner, MD @TPP_MD]

Can we transition our focus from future moments to the present moment and enjoy right now?

Instead of focusing on the end product, focusing on the process?

Where and when do you find time flying ? What are the breadcrumbs that you should follow more often?

#MedTwitter

[Sara U, MD @sararish]

@wein_rachel @spencergraczyk She is amazing 🤩

[Sara U, MD @sararish]

@kim_p_flores HBO: white lotus, hacks, mare of Easttown

Netflix: Emily in Paris, Anatomy of a scandal, Queens Gambit, The Crown. (Movies: I care a lot, The Swimmers)

Hulu: Dopesick, Only Murders in the Building

Apple: 5 Days in Memorial, Ted Lasso, The Morning Show

Prime: Mrs Maisel

[Jason Hine @JayHineMD]

Our newest post is up!

Linton, Minnesota, and Blakemore Tubes Demystified

learn the basic anatomy of these tubes. They're not as hard as you think!

https://t.co/vNSeVoGlIe

@SimKitCo #MedEd #FOAMed

[Sara U, MD @sararish]

@SarahMiterMD19 @BIDMCSurgery @SidhuGang @SurgeryInova Yassssssss girl get it!!!!!!!!! 🩷🩷🩷 soooo proud #RNtoMD

[Sara U, MD @sararish]

@GamerEMDoc This is amazing! What grade??

[Sara U, MD @sararish]

@HeyDrNik @DescallarEd

[Sara U, MD @sararish]

@NICUintheD @DetroitNeurons @WayneStateNeuro @DMC_Heals @aksherma @MariaMuzammil5 Congratulations 🎉

[Amy Faith Ho, MD MPH @amyfaithho]

By nature of being an ER doc, I think about the end of life a lot.

But the conclusion of the story says a lot about the chapters before it.

Write your chapters knowing how you want the conclusion to look, and do it now.

[Sara U, MD @sararish]

@CorydonWW Isn’t that cause you want to find the barber first and then make sure you live close by? 😉