Discover and read the best of Twitter Threads about #periopmedicine

Most recents (4)

A Thursday #MedThread #Tweetorial. Consider this an “ode to uncertainty and curiosity” meshed with my clinical practice passion #periopmedicine inspired by many recent #medtwitter, podcast, & IRL role models and conversations about… 1/X
* Stepping into the tension of clinical uncertainty
* Self-reflecting & identifying when we’re on
the edge of uncertainty
* Being able to say “I don’t know”
* Seeing what’s on the margin of our knowledge
* What it means to be “curious”
@ETSshow @CPSolvers @DxRxEdu
2/X
Also drawing from @Gurpreet2015 OHSU #GrandRounds week—as adult learners & clinicians, we must create micro-learning challenges for ourselves:
* What’s the next step
* What else
* What if
* What’s the next logical question to ask the patient, myself, a colleague?
3/X
Read 22 tweets
I’ve been musing re aortic stenosis so it’s #periopmedicine #tweetorial #MedThread time!
This is a composite of multiple patient encounters w common themes:
Goals:
-review periop guidelines re aortic stenosis
-some physical exam teaching
-discuss role of patient counseling 1/N
2/N
First, how good are we at diagnosing severe AS by exam?
3/N Hypothetically:
patient comes for a preop evaluation/risk assessment (not “clearance”) and reports a history of a murmur
You ask more Qs-how long have you know, what have you been told about it, when was your last ECHO, what kind of follow-up were you were told you needed?
Read 20 tweets
THREAD Friday mini #tweetorial! Despite having a learner w me in #periopmedicine clinic the last two days, I neglected to tweet any #postitpearls (though lots of great learning + pt care!). BUT had 2 back-to-back cases raising questions of weight we place on self-reported pt info
2/ will be intentionally vague to protect PHI without diluting learning value...for all the talk re #EHR clutter, EHRs helping propagate accurate info but also "chart lore" false info, #backtobedside, #patientsbeforepaperwork...when can you "take a pt's word for it" in preop?
3/ pt A-early 50s, elective ortho surgery (though pain affecting QOL & activity levels), VERY vague "MI" and "CAD" history in chart from decade ago, no immediately available records, some risk factors for premature CAD (tobacco) but no interval events...
Read 18 tweets
#periopmedicine clinic #postitpearl with new learner type for me—NP student all day! Great conversation even before 1st patient of the day, starting with best case/worse case model
here's the link to the article itself ncbi.nlm.nih.gov/pubmed/26280462
my NP student also found this great youtube video walking through the conceptual framework!
Read 3 tweets

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