Discover and read the best of Twitter Threads about #physician

Most recents (13)

This is extremely concerning. Where is the #patientcentered care? What if the medications that the #patient had been on were working? My kids have an extensive history. They have tried multiple medications and treatments some to their great detriment, should there 1/
not be a discussion w #patient and/or #caregiver on needs, concerns, desired outcomes previous treatments tried? I would never want to again have my kids be placed on a medication & or have treatment that did not work or worse caused harm previously. Due to the #CDC 2/
guidelines, the reinforcement of these guidelines by other governmental entities such as @CMSGov physicians have stopped assessing need and providing legitimate care - there actions are based on what is best for their organization and themselves. @CDCInjury and @SeemaCMS have 3/
Read 8 tweets
#Ayurveda #Herbal #real #Tales
1
Saw 64y old #patient with #jaundice and severe #itching all over #body (called #cholestatic #hepatitis) in OPD. Went to 3 other #hospitals prior, always evaluated for #liver and #bileduct #Cancer. Always cancer tests #Negative. Liverbiopsy👇 Image
2
Biopsy shows severe #bile stagnation (#cholestasis) in liver #cells and bile-ducts with #inflammation and #swelling of livercells (#hepatocyte) - classical picture of cholestatichepatitis. CT of liver normal, #MRCP (to see bile ducts) - normal #livertwitter #pathology
CAUSE👇 Image
3
Patient has #diabetes. Tired of #insulin #diet control. #Ayurvedic #physician advises - stop insulin, start #natural side effect free #treatment. Gives these #CAPSULE . After 6 months on #tablet - liver injury and symptoms start. #nutrition deprived, sugar controlled. #MedEd
Read 6 tweets
#Ayurvedic treatment of fatty #liver – real world evidence: A #Thread
1/n
Overweight woman, early 40’s. Routine liver tests, mild enzyme abnormalities. Advised #ultrasound liver, showed grade 2 #fattyliver. GP advised vitaminE and #weightloss, review in 3mo
#livertwitter
2/n
Patient and husband doubtful. Hears fatty liver disease can lead to #cirrhosis. Seeks advice from #Ayurvedic practitioner nearby #home since #Herbal #DRUGS = safe. Assures complete #cure through #Ayurveda. Prescribes multiple #medicines, advises almost all foods restriction.
3/n
Lets look at medicines. #tablet APFIL. Packet mentions ‘for liver #diseases’. Which liver disease? There is #alcohol related, #hepatitis B/C, #NAFLD, primary biliary #cholangitis and more causes. Nine #herbs extract combo - clinical #evidence on safety and benefit ❌
Read 14 tweets
#CuratedTruth

"#Homoeopathy is a branch of universal #medicine based on the ‘principle of the like’ (Similia Similibus Curentur = Like treats Like) and in #minimum doses." .. I
It means that a #substance in a massive dose generates #pathological #symptomatology; has the possibility to #cure it, if applied in the #minimum doses obtained by #dilution and intense #agitation, in other words, #homoeopathic #succussion. .. II
#Homoeopathy is derived from a #Hippocratic #concept developed by the #German #physician, Samuel Hahnemann (1755–1843), with serially #diluted #medicines (1:9, 1:99, 1:999 and others) in water-ethanol vehicle alternating #dilution with #succussion. .. III
Read 28 tweets
These are a few of the questions I am often asked by junior physicians, or even peer physicians. I thought I’d share with you some the top 10 pearls I share with others, as we focus on many of these in the Brave Enough Master Class. #tweetorial #medicalstudents #medicalschool
2. Take a vacation every 3 months. Especially in the first few years. Trust me. Time away = burnout prevention. #tweetorial #medicine #mentor #physicianwomen #womeninmedicine #medicalschool #residents #medicalstudents #author #braveenough #gritandgrace #burnoutsyndrome #selfcare
Read 11 tweets
It’s amazing how different outcomes are when a #patient is treated humanely and listened to. My daughter just got off phone w me. She was in tears describing the care she was receiving. Tears of thankfulness. She said that she felt listened to by the physicians 1/
have been caring for her. They have also answered her questions and not dismissed her concerns. Months ago I told @SanfordHealth that I feared they were not adequately caring for my daughter and were dismissing her to implicit biases as well as blatant judgements. I was 2/
assured by patient relations that was not case. Obviously it was the case as the physician at the hospital she is currently in are dumbfounded this was not caught much earlier. How you treat patients matter. It’s critical as physicians you are not making judgements 3/
Read 6 tweets
Tomm we start a journey at @ZuckerSoM w/ 3rd yr #MedicalStudents to enhance #Awareness #Education #Skills #Comfort #Hope re: #OpioidCrisis

13.5 hours - "#OpioidEpidemic" themed week (3rd iteration)

Follow/RT as Students, Colleagues, & I tweet - #OURcrisis

#MEDeD #RecoveryMonth
1️⃣0️⃣0️⃣ MS3 #Students

6️⃣0️⃣ Faculty/Facilitators

3️⃣0️⃣ Clinical/Non-Clinical Depts

#OURcrisis @ZuckerSoM

@GIMaPreceptor @DrYili @MartinsWelchMD @JoeCMD @medicmin911 @ektrenchard @ethanfried @ginofarina @LindaWDeMasi @AFornari1 @joemd @DrAhuja @santhoshpaulus6 @TomMcGinn4
#Strategic Full Circle
1. from Health System (need)
2. to School of #Medicine (access)
3. to Health System (access/mission)

Our #OpioidEpidemic themed week is part of a 30+hour 4-yr longitudinal 'Addressing #SubstanceUse' curriculum
#OURcrisis #MEDeD
🔗: sgim.org/File%20Library…
Read 28 tweets
1/21 “Is there a nurse or doctor on board?”

Clinicians—have you ever responded to one of these?

Last week I left the hospital and boarded a flight for my vacation. I then responded to the mother of all in-flight emergencies…
2/ This was a flight with hundreds of people from Boston, so I estimated there would be at least 15 doctors. Turns out I was the only adult medicine doctor, BUT there was a cardiac nurse with me.
3/ The patient was middle-aged and experiencing crushing chest pain. We asked for the medical kit, took vital signs and performed an exam. By the way, you cannot hear sh*t through a stethoscope in the air. I could hear bilateral breath sounds, but that’s about it.
Read 24 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
I have been a loyal #tweep now for over 5 years. I have obeyed, I have promoted, I have taught, I have listened I have helped those who misunderstood and tried to convince those who did not believe in #twitter. I believe and I want others to believe in its #freedomtotweet
I have done my best as a #physician #surgeon and communicator to help other doctors learn the benefits of #twitter - I have talked at over 20 local, national and international meetings about the benefits of this incredible application #twitter - recruiting #doctors - #meded
I have been loyal to #twitter defend it. Investing in it when the chips were down and speaking of it in the highest regard - #tweep #meded #medtwitter
Read 17 tweets
Born & raised in #Fanar #Lebanon, a tiny country in the middle east with a lot to offer. I always had a positive outlook on life maybe because of the culture or values🤷‍♀️.
If you don't know #Lebanon or a #lebanese then you should start mingling 🤣
@IWS_Network #VoicesIWS
I grew up surrounded by a loving, joking & tough type of family that always support each other even amidst fighting. You can imaging being 4 kids in different age groups can cause a lot of fights growing up 😂 #siblingsfight #family #VoicesIWS
@IWS_Network
I have my issues🤷‍♀️! I always wanted to prove myself & make my family proud(2nd child). A pressure that was just in my head; they were always proud of us. I wanted to grow up to be a doctor or an army officer like my dad. Let's just say I changed my mind! #VoicesIWS @IWS_Network
Read 27 tweets
THREAD: The #MarchForOurLives via @AMarch4OurLives –– March 24, 2018
Information and twitter vignettes from around the world.
The major #MarchForOurLives via @AMarch4OurLives is in Washington, D.C
INFO: washingtonpost.com/news/dr-gridlo…
ROUTE: 🔽 Screenshot from excellent explainer video within the article
Via D.C. Metrorail: Metrorail Info @Metrorailinfo
Follow @wmata and @Metrorailinfo for updated information on Metro service before, during and after #MarchForOurLives #MarchForOurLivesDC #MFOLDC #wmata
How To Use The DC Metro freetoursbyfoot.com/use-washington… cc @AMarch4OurLives
Read 15 tweets

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