Dmitriy Golovyan

pccm doc

[Dmitriy Golovyan @ZIMAgo]

@kojrey_codes @billyjhowell Plant some at Pine Gap?

[Dmitriy Golovyan @ZIMAgo]

@franciscojlk @DrDaleNeedham There may be some overstated point to this post (minor) but the styling is all click-on-me rhetorically optimized, cadenced AI slop ruining #meded

Sweet emojis tho

[Dmitriy Golovyan @ZIMAgo]

@IM_Crit_ Shit article barely grazes the real problems and focuses on cheap points already beaten to death in mainstream media. Basterdization of EBM, abandonment of physiology and critical thinking, algorithms tha don’t require personal understanding and can be followed by nondoctors

[Dmitriy Golovyan @ZIMAgo]

@DogsMumm @SikandarAdwani The history is combined with the physical examination. No doctor would look at a robust patient and nod and agree with a self serving family member describing him as frail. This is still a hands on field

[Dmitriy Golovyan @ZIMAgo]

@aclong111 @SikandarAdwani Truth. And frailty is huge contributor to baseline health. It’s the depleted savings account where health points needed to pay for recovery from critical illness were stored.

[Dmitriy Golovyan @ZIMAgo]

@SikandarAdwani Frailty, ICD diagnostic code R54, is probably the most underdressed and ignored diagnosis in critical illness, to imply that it should get less frequently acknowledged in prognostication, rather than more than it currently does, is an awful approach to medicine. Fully disagree.

[Dmitriy Golovyan @ZIMAgo]

@thayern @drkeithsiau Affability always struck me as the most superficial subtype of being likable. C- connection

[Dmitriy Golovyan @ZIMAgo]

@drkeithsiau Field dress a deer?

[Dmitriy Golovyan @ZIMAgo]

@rbarbosa91 @pabloperezc Also doesn’t account for some intrathoracic kinks that can form functional one way valves. Also a 14F CT is no match for a 7.5mm ETT if the lung defect is big enough

[Dmitriy Golovyan @ZIMAgo]

@emireles_c @ClevelandClinic @escardio @SimulacioVH @carlosalviar @JordiBaneras @AndreaElliottUM @ASionis Where’s next years summit?

[Dmitriy Golovyan @ZIMAgo]

@NEJM Guessing $5mil equivalent dollars and 50,000 man hours was spent proving that a single intervention replaced by a near equivalent intervention for a 4 hour period don’t move the coarsest of outcomes in critical care. Next noninferiority trial of scrubs v shirts and ties.

[Dmitriy Golovyan @ZIMAgo]

@cryptodaaddy @NEJM Negative Batman

[Dmitriy Golovyan @ZIMAgo]

@ross_prager Or maybe it just means that usual care based on a debunked but engrained 25 year old study worsens outcomes?

[Dmitriy Golovyan @ZIMAgo]

@venkmurthy It’s incredible that time and gold got devoted the answering the question of whether delaying an arterial line insertion by 4 hours increases all cause mortality.

[Dmitriy Golovyan @ZIMAgo]

@nickmmark Than this alternative.

[Dmitriy Golovyan @ZIMAgo]

@ApuAkkad1 @austincamp When do icu physicians compwlte 14 day courses of abx for gnb? Thats dispo planning stuff

[Dmitriy Golovyan @ZIMAgo]

@JRidd_317 @gbosslet Only two options in the am with earth about to turn towards the sun

[Dmitriy Golovyan @ZIMAgo]

@gbosslet Yah

[Dmitriy Golovyan @ZIMAgo]

@ahalraiyes Wait. Please explain why prone

[Dmitriy Golovyan @ZIMAgo]

@Mandogmatique @benonwine Nope he’s got one more coming