Discover and read the best of Twitter Threads about #Physicians

Most recents (13)

It's my absolute honor to introduce today's speaker at the @StanfordWellMD Physician #Wellness Forum.

Dr. @MaryamSHamidi will be sharing insights on the “Nutritional Strategies to Improve Alertness and Mood”.

#doctorsarehumanstoo #preventburnout
It's important to eat meals early (within 60 minutes of natural waking) and weigh the first meal more than the rest.

#IntermittentFasting has so many benefits including decreasing body fat BUT NOT necessarily weight loss. The latter has to do with caloric intake.

#nutrition
Read 23 tweets
Thread: Behind the white coat & stethoscope we are just humans. I can’t explain the emotional load that comes from being the final say on orders that determine life or death for another person. Top that with the threat of your own life & it’s too much
google.com/amp/s/www.nyti…
Nearly 300 #physicians commit #suicide each year. 300. It happens without mention from media and patients alike. I fear what this number will be following #COVID19. Each one a person who dedicated their entire 20’s, a full decade, to learn how to keep others alive. (2/5)
Sacrificing holidays, delay starting family, 80-100hr/week as a standard work week. No such thing as shift work. You stay until the work is done. Until your patient is stable. Finish notes at home. 24 ICU patients, ED completely full & they are all yours. All depending on you. -3
Read 5 tweets
1). “Freedom is a road seldom traveled by the multitude”— Renaldo Williams started his #chieftalk this morning @VUMCSurgRes with this Frederick Douglass quote— and took us down several personal roads in an incredibly thoughtful and moving #grandrounds. Thread follows....
2). It was about roads— the many different types of roads that get us from one place to another— some unmarked, some treacherous, some worn, some patched. And he reflected on his road— from Holmes County #Mississippi where 45% live in poverty.
3). To successfully navigate any road, you need a map and a compass (value systems), rest stops (opportunities that open doors), and guides (mentors).
Read 10 tweets
#medtwitter and everyone. Pls read this thread. I want ppl to know what those in #nursinghomes and #PALTC med are doing, without the recognition. For every person u save from #COVID inpatient, please know, we're working non-stop to help you, and it's taking its toll. 1/
As early as 3/1 we've shut down visitors, tried to mitigate spread. But we're not the hospital and have less resources. And hospitals rely on us to d/c patients who can't go home. We're taking your pts, knowing full well they may bee carriers of #COVID but testing was not done.2/
Simultaneously we've been forcing the hard conversations, trying to get patients/surrogates to understand the futility in #fullcode status + even hospitalization right now. Meanwhile families have not been allowed to visit in 4 wks +. Despite r efforts, #COVID is in our own 3/
Read 9 tweets
I do not have a big following, nor do I desire one. This needs to be widely read. Please share.

Social psychologist Dr Erich Fromm first used the term “malignant narcissism” (MN) in 1964 describing it as a severe mental disorder. He called it “the quintessence of evil."
Dr Otto Kernberg introduced the concept to psychoanalytic literature in 1984. Keep in mind as you read this, that it ALL predates the #Trump presidency and none of it is discussing him directly. Compare what you see in his behaviour. Does it comport with what is written?
Dr Robert Hare devised a test to help psychiatrists, psychologists, and physicians diagnose psychopathologies, including MN, prior to 2000. He writes:
Read 22 tweets
1/The absolute key to beating this pandemic is testing to identify any and all positive patients, isolating them until they test negative. This will temporize the pandemic allowing us time to develop therapeutic drugs, study therapeutics in clinical trials, and develop a vaccine
2/Lessons from Singapore and Wuhan,China should serve as lessons for us here. Containment is always the primary objective. Let us not give up on containment.
Mitigation is not appropriate for #coronavirus. That maybe okay for the flu, but not #COVIDー19
3/ We must test, test, and test some more. We must identify all positives and isolate them until they test negative. We must use technology and track all their potential exposed contacts and test/quarantine them. Social distancing, lockdown, and testing will contain this disease.
Read 4 tweets
MAR 19 #WWIII #COVID19 MD THREAD 1: Most stories from WaPo: Siobhán O'Grady, Rick Noack, Marisa Iati, Alex Horton, Miriam Berger and Katie Mettler
March 20 at 7:31 AM PT .. skip all TRUMP lies, JUST FACTS HERE
tinyurl.com/ry9j5q7 FRONTLINE TROOPS @AMSA_News @ANANursingWorld
MAR 19 #WWIII vs #COVID19 MD THREAD 2: Way too late for #Fresno #McCarthy THIS IS #WWIII on our #AmericanSoil. Against tiny but vicious Enemy #COVID19 ...AND OUR #FRONTLINTROOPS Need #N95 masks #ProtectiveEquipment (Like #China has) HERE is a 60 page PDF #HANDBOOK @usairforce
MAR 19 #WWIII vs #COVID19 MD THREAD 3: FIRST the toll to date. 250,000 Reported CASES (Remember MANY Countries do not report..including #Turkey #Russia ) 11,000 DEATHS #Italy passed #China #Spain up 30% @WHO @maddow @CNN @JohnsHopkinsSPH @UCSF @BuzzFeed @SCMPNews @guardian
Read 33 tweets
Insurance Companies frequently send letters out informing patients that they will not any longer cover medications that I prescribe. It appears that they are targeting #Independent #Doctors that they cannot #Control.
Are there any other doctors that see this pattern? Why on Earth would I remove meds from patients that are doing so well & have no side effects? It would be against my medical oath of "do no harm."
Read the letter they sent to me. CVS writes: " CVS Caremark wants to help your patients stay adherent to their medication therapy." Really? So you discontinue coverage for patients that are doing so well & make them pay for it completely themselves, & you claim you wish to help?
Read 5 tweets
1/ It’s been a week.

It’s well into Friday evening & I just got off the phone with a patient who had urgent radiology results. This was after spending > 40 min on the phone w another patient discussing the same this afternoon.

(18 more to come; stick with me.)
2/ I only got 2 items on today’s long “to do” list done — but that’s on me. I was finally able to sit down for a couple hours uninterrupted and dig deep into a few patient cases from the week.

(And I “don’t work” on Fridays.)
3/ As I hung up the phone, I reflected on how #directprimarycare has enabled me to get to the heart of medicine & the doctor-patient relationship.

During that call, my patient’s spouse broke down and — through sobs — simply said: “Thanks for being so kind.”
Read 19 tweets
On a serious note:
Tuesday is my father's 2nd yahrzeit
Sunday 4/21 was the 2y anniversary of his death.

In reflecting back, I have some thoughts for #medtwitter, #Jews and the general public...
1/

#death #dying #grief #PalliativeCare #medicine
1. Condolence notes just need to say, "I am thinking of you" or "I was sorry to hear your news" or "I am sorry for your loss."

Don't overthink it, and don't offer false platitudes. Send your note or make your call, and the person who is #mourning knows you care.
2/
2. Show up.
For #shiva, for #kaddish. The first week, there's a lot of people around in a #Jewish house of mourning. Then everyone goes home, and we are left alone.
Offer to go to lunch. Bring dinner. Take a walk.
Join us in shul. Kaddish that first time in services was hard.
3/
Read 14 tweets
Wonderful to have @LisaB_MD from @GistHealthcare giving the Paul Mason Lectureship for #IMED #GrandRounds today: The Future of #Healthcare
Always so insightful!

Follow thread...
“Our #USEconomy in a nutshell? We are a huge insurance company w a bunch of tanks and planes!”- @LisaB_MD
#physicians need to use their voice for advocacy for our practices and our patients”- @LisaB_MD
Read 13 tweets
@RichDuszak 1- MT @Aiims1742 “This @katekelly article reads like a paid infomercial for EPIC (in fact, I actually looked for the “This is an advertisement” disclaimer). Would have been nice to have interviewed one or two end users of the chocolate factory product.”
nytimes.com/2018/12/20/bus…
@RichDuszak @Aiims1742 @katekelly 2- Nice digs, clever marketing spin, BUT Epic highly disliked by users. #EHR has significantly disrupted relationships w #patients, #ptexp, led to clinician & pt dissatisfaction, & is seen as one cause of #burnout. @JackMurtha hcanews.com/news/ehrs-are-… @BarbaraMcAneny @meggerber
Read 28 tweets
@Aiims1742 @katekelly Nice digs, clever marketing spin, but EPIC is highly disliked by end users. #EHR has significantly disrupted relationships with #patients, led to clinician & pt dissatisfaction, & is seen as one cause of #burnout. @choo_ek @darakass @tgoetz @tmprowell @cardiobrief @DrMJoyner
@Aiims1742 @katekelly @choo_ek @darakass @tgoetz @tmprowell @cardiobrief @DrMJoyner @GregT_156 @rgergelymd @matthewherper @charlesornstein @ddiamond @JeffYoung @sarahkliff @adamfeuerstein @dariustahir @ReasObBob @EJSMD “I began to see the insidious ways the software changed how people work together. They’d become more disconnected; less likely 2 see & help one another, & often less able to”–@Atul_Gawande newyorker.com/magazine/2018/… @GavinPrestonMD @agropper @joyclee @LaurentLantieri #EHR @BobLeeMD
Read 11 tweets

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