Discover and read the best of Twitter Threads about #tipsforolddocs
Most recents (10)
1/𧔠Giving & Receiving Advice:
My medical advice is not infallible. Maybe Iâm wrong and maybe my patient knows it? Maybe thatâs one reason she/he is non-compliant. Even if I am right, it might not be the time in that personâs life to hear the message.
#selfcare #medtwitter
My medical advice is not infallible. Maybe Iâm wrong and maybe my patient knows it? Maybe thatâs one reason she/he is non-compliant. Even if I am right, it might not be the time in that personâs life to hear the message.
#selfcare #medtwitter
2/ A pt may seem to be listening & carefully taking it all in. But later that morning she/he may leave against medical advice (AMA). What are we to think when we give our best #advice and others donât take it? Especially in the medical field?
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#tipsfornewinterns #tipsfornewdocs
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#tipsfornewinterns #tipsfornewdocs
3/ First of all, of course, unsolicited advice is #criticism. Especially when Iâm not with a patient, I try to resist all urges to give unsolicited advice.
Trigger alert đš: Hard to stomach but this hits so hard I want to face it. Segregation of Bloodđ©žby color of skin went on until 1972 & the â1-drop ruleâ persisted until 1983 in my home state of LA. đ© đ labels.
I pledge to fight #racism & lift each person.
#medtwitter #MedEd
I pledge to fight #racism & lift each person.
#medtwitter #MedEd
1/ Dr. Charles Drew, an African-American surgeon & father of blood banking, perfected techniques that saved countless lives. Yet he was prohibited from donating blood himself over âfearâ of his black blood. Read #2 w/ âđ»
bit.ly/2IRvJDW
#MedTwitter #MedStudentTwitter
bit.ly/2IRvJDW
#MedTwitter #MedStudentTwitter
2/ Dr. Drew âđ» this letter of protest because he wasnât being allowed tođ©ž: âI think the Army made a grievous mistake, a stupid error in first issuing an order to the effect that blood for the Army should not be received from Negroes. My 3 reasons are...â
1/ #COVID19 Journal: New Yorker
Dr. @danielleofri has gifted us w/her #COVID journal. Her beautiful edifying âđ» is a treat for your đ§ and super instructive about #Pandemic.
đExcerpt next tweets...
bit.ly/36vddL7
#medtwitter #TipsForNewDocs #tipsforolddocs #MedEd
Dr. @danielleofri has gifted us w/her #COVID journal. Her beautiful edifying âđ» is a treat for your đ§ and super instructive about #Pandemic.
đExcerpt next tweets...
bit.ly/36vddL7
#medtwitter #TipsForNewDocs #tipsforolddocs #MedEd
2/ Dr. @danielleofri writes in NYer:
âOn Friday, the magnolia tree next to the #covid tent bursts into riotous blossom despite the chilly weather. Until now, the flowers have been delicate cups of pink and lavender, spaced along the spindly gray branches...â
(She shared pic...)
âOn Friday, the magnolia tree next to the #covid tent bursts into riotous blossom despite the chilly weather. Until now, the flowers have been delicate cups of pink and lavender, spaced along the spindly gray branches...â
(She shared pic...)
3/ Dr. Ofri continues...
âNow theyâve abruptly reversed their concavity, spilling open into an unbroken blanket of defiant white.
Normally, the inner workings of the hospital are invisible to doctors and nurses. We show up every day and the patients are there, the beds...â
âNow theyâve abruptly reversed their concavity, spilling open into an unbroken blanket of defiant white.
Normally, the inner workings of the hospital are invisible to doctors and nurses. We show up every day and the patients are there, the beds...â
1/ In #COVID19, we must learn from #BRAIN masters Engel & Romano, who described #DELIRIUM to #DEMENTIA relationship in the 1950s! Here are my TOP 10 CLASSIC quotes from their famous 1959 article:
bit.ly/2SePA1a
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#medtwitter #meded #tipsfornewdocs #neurology #geriatrics
bit.ly/2SePA1a
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#medtwitter #meded #tipsfornewdocs #neurology #geriatrics
2/ The problem of delirium is far from an academic one. Not only does the presence of #delirium often complicate and render more difficult the treatment of a serious illness, but also it carries the serious possibility of permanent irreversible brain damage.
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#dementia #COVID
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#dementia #COVID
3/ The deficiencies in the education of many physicians ill equip them to recognize any but the most flagrant examples of delirium.
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#A2Fbundle #tipsforolddocs
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#A2Fbundle #tipsforolddocs
1/ Most indicative of my ignorance as a young ICU doc in 1990 was my off-service note for a 28 year old w/ PROFOUND post-ARDS #PICS: âHowever, amazingly enough, she still manifests only single organ damage (lungs) w/ good renal, GI, & CV fxn.â
#medtwitter #pulmcc #TipsForNewDocs
#medtwitter #pulmcc #TipsForNewDocs
2/fin #longhaulcovid
Apparently, neither her brain nor neuromuscular system were on my đ§ radar, because both organ systems were newly, severely, & permanently diseased as I penned that statement. Beware now in #COVID
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#medstudenttwitter #dementia #TipsForNewDocs #tipsforolddocs
Apparently, neither her brain nor neuromuscular system were on my đ§ radar, because both organ systems were newly, severely, & permanently diseased as I penned that statement. Beware now in #COVID
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#medstudenttwitter #dementia #TipsForNewDocs #tipsforolddocs
By the way, of course, I showed that note đ and use this patientâs example with written permission from her son who wants others to learn from the experience of his mother.
1/ Vaccine Hope in #COVID19: JAMA
Mechanism & Facts -
After #COVID, only 1/3 have Ab w low spike Pr titers & viral neutralizing. Given variability in Dz severity, this is expected. Highest Ag burden & Ab titers seen in severe disease.
bit.ly/32lhQ87
#medtwitter #meded
Mechanism & Facts -
After #COVID, only 1/3 have Ab w low spike Pr titers & viral neutralizing. Given variability in Dz severity, this is expected. Highest Ag burden & Ab titers seen in severe disease.
bit.ly/32lhQ87
#medtwitter #meded
2/ Vaccine Hope in #COVID19: JAMA
SARS-CoV-2âspecific CD4+ and CD8+ memory T cells are also generated across asymptomatic to severe disease that express antiviral cytokines, control viral replication & should prevent recurrent severe infections.
#tipsfornewdocs #pulmcc
SARS-CoV-2âspecific CD4+ and CD8+ memory T cells are also generated across asymptomatic to severe disease that express antiviral cytokines, control viral replication & should prevent recurrent severe infections.
#tipsfornewdocs #pulmcc
3/ Vaccine Hope in #COVID19: JAMA
Abs to #SARS-CoV-2 spike protein show there may be 10X more SARS-CoV-2 infections than reported cases (=40-50 million or 15% of US population) to date.Â
#tipsforolddocs #criticalcare
Abs to #SARS-CoV-2 spike protein show there may be 10X more SARS-CoV-2 infections than reported cases (=40-50 million or 15% of US population) to date.Â
#tipsforolddocs #criticalcare
1/ CXR Rounds â° #26:
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Mediastinum refresher!
See anatomy below. Look at CXR. What compartment is this lesion in?What is the differential dx of lesions in this space?
bit.ly/2YuB2OR
#tipsfornewdocs #medstudenttwitter #medtwitter #pulmcc
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Mediastinum refresher!
See anatomy below. Look at CXR. What compartment is this lesion in?What is the differential dx of lesions in this space?
bit.ly/2YuB2OR
#tipsfornewdocs #medstudenttwitter #medtwitter #pulmcc
2/ CXR Rounds â° #26:
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CXR on tweet #1 was Adenoid Cystic cancer in MIDDLE + POST MEDIASTINUM.Â
You canât distinguish those two compartments easily on CXR so they go together for Diff Dx! See these other masses below in the same space. What are they?
#radiology #tipsforolddocs
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CXR on tweet #1 was Adenoid Cystic cancer in MIDDLE + POST MEDIASTINUM.Â
You canât distinguish those two compartments easily on CXR so they go together for Diff Dx! See these other masses below in the same space. What are they?
#radiology #tipsforolddocs
3/ CXR Rounds #26:
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First, what is the Diff Dx of lesions in Mid/Post Mediastinum?
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Answer: Bronchogenic Cysts. Infxn â Mediastinitis. Neoplasia â goiter, cancer, lymphoma, mets, esophageal CA. CV â Aortic Aneurysms. Traumatic Hemorrhage. Hiatial Hernia
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First, what is the Diff Dx of lesions in Mid/Post Mediastinum?
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Answer: Bronchogenic Cysts. Infxn â Mediastinitis. Neoplasia â goiter, cancer, lymphoma, mets, esophageal CA. CV â Aortic Aneurysms. Traumatic Hemorrhage. Hiatial Hernia
1/ #Sedation & #Delirium in #COVID19:
The cornerstone of best sedation practice in #COVID is not a specific drug. Itâs about lightening whatever you use to allow the brain to take over again as captain of the bodyâs ship.
#medtwitter #tipsfornewdocs #medstudenttwitter #pulmcc
The cornerstone of best sedation practice in #COVID is not a specific drug. Itâs about lightening whatever you use to allow the brain to take over again as captain of the bodyâs ship.
#medtwitter #tipsfornewdocs #medstudenttwitter #pulmcc
2/ Personally, & this is a share of my own weakness, it makes a huge difference when my patient is awake & not sedated. Awake patients immediately become humans with real lives beyond the ICU.
#meded #sccm
#meded #sccm
3/ The outer shell of patients changes in my mindâs eye when they are lying in a drug-induced coma - the person becomes disembodied. I am blind to the person, who doesnât seem to be with her own body. I know this is a defect in my own abilities as a physician.
#tipsforolddocs
#tipsforolddocs
1/ of 13:
QOL & #Disability: NYTs Classic
PRO TIP: do NOT project onto a person her Quality of Life. Ask & learn instead!
@benmattlin w/ incurable spinal muscular atrophy writes beautifully:
âI never walked or stood on my own.â Read on...
nyti.ms/2E7jK2g
#MedTwitter
QOL & #Disability: NYTs Classic
PRO TIP: do NOT project onto a person her Quality of Life. Ask & learn instead!
@benmattlin w/ incurable spinal muscular atrophy writes beautifully:
âI never walked or stood on my own.â Read on...
nyti.ms/2E7jK2g
#MedTwitter
2/ Mattlin: For people like us, simply enduring can feel like a tremendous victory. One bad cold, though, could spell our end. If our lungs fill with phlegm, we lack the muscle strength to cough them clear. Pneumonia is common.
#MedStudentTwitter #meded
#MedStudentTwitter #meded
3/ Mattlin: Itâs not generally acceptable in my segment of disability community to harp on our defenselessness. Rather, the idea is to assert core competencies, to distance ourselves from the Jerryâs Kidsâ model and anything else remotely pitiful.
#TipsForNewDocs #tipsforolddocs
#TipsForNewDocs #tipsforolddocs
As #ChangeOver wednesday beckons and my twitter feed fills up with #TipsForNewDocs, I thought I'ld buck the trend and share some #tipsforolddocs based on my 11 years as a junior doctor, 7 (and counting) of which as a registrar. A thread (1/n)
Your F1s weren't born Drs
Don't assume what you've learnt over 5, 10, 20 years is common knowledge to them. No other profession comes close to the relationship of a jedi master/ young padawan as what we've in Medicine. Nurture and cherish this relationship. #tipsforolddocs (2/n)
Don't assume what you've learnt over 5, 10, 20 years is common knowledge to them. No other profession comes close to the relationship of a jedi master/ young padawan as what we've in Medicine. Nurture and cherish this relationship. #tipsforolddocs (2/n)
Repeat after me, "I will remove the phrase "back in my days" or other similar phrases from my vocabulary." You aren't in your juniors shoes. So stop comparing. Makes you sound like an old prick. (3/n)
