, 33 tweets, 13 min read Read on Twitter
Thread: Top 20+ things that will change your clinical practice this year @dominof. 1/x #AAFPFMX
Follow parents up for more than six weeks screen for heart failure and depression postpartum #AAFPFMX 2
Less than 60 min of screen time for kids #AAFPFMX 3
Read to your kids! Parents are most engaged with children with print books! #AAFPFMX @reachoutandread 4
Pediatric suicides is the second leading cause of death in children. Increasing in girls. We need to connect to teens. #AAFPFMX 5
2/3 of all gun related deaths are suicide. Ask patients about plans if they have SI #AAFPFMX 6
Access to guns increases gun related deaths. Ask parents about locking their guns #AAFPFMX 7
MMR still doesn’t cause autism #AAFPFMX 8
1/600 flights ask for medical professionals in planes: most common is vasovagal events due to hypoxia. @JAMA dec 2018 article, look it up! #AAFPFMX 9
Junk food = death. high sodium, lack of whole grains, decreased Fritos and vegetables. Americans eat too much processed foods and meats. #AAFPFMX #foodismedicine 10
BEER-HIIT study; HIIT decreases adipose and increases lean body mass, even if they were drinking alcohol. #AAFPFMX #exerciseismedicine 11
Keep in mind the environmental working group’s #dirtydozen for pesticide exposure #AAFPFMX 12
Breakfast is not bad #AAFPFMX 13
HLD treatment is dietary history, sugar checks and decreased alcohol. #Fishoil doesn’t really help. #AAFPFMX 14
Watch out for studies done entirely by pharma #AAFPFMX 15
AHA/ACC guidelines: obtain lipid for age 40-75, non fasting,

Most of this is not A or B level data, didn’t take primary care into consideration? Check our the @AFPJournal article #AAFPFMX 16
Instead of Ca score, use the decision making calculator from AHA/ACC #AAFPFMX 17
#PrEP: discuss with patients with MSM, HIV+ partner, inconsistent condom use, h/o STI, IVDU #AAFPFMX 18
Teenage pregnancy has dropped dramatically, abortions dropped dramatically: because of sex Ed, increased birth control. We need to support a women’s right to choose. #autonomy #AAFPFMX 19
Ways to treat #ProstateCancer: use NEJM website #AAFPFMX 20
Plantar fasciitis is not caused by bone spurs, don’t remove bone spurs or inject them for plantar fasciitis. Best is soft tissue manipulation. Free up anterior tibialis with massage and mobilize the fascia. Patients love it! Navicular sling for calcaneus can also help #AAFPFMX 21
Sharks kill 4 ppl/yr, snakes kill 75,000. Mosquitos kill the most, humans after that. #AAFPFMX 22
Periodontal care is correlated with decreased A1c in diabetes!!! Send patients to the 🦷 dentist and look in their mouths! #AAFPFMX 23
13+ grams of psyllium fibers can help with diabetes. #AAFPFMX 24
Patients don’t need preop eval for ophtho surgery #AAFPFMX 25
What should we do for preop? Check social support too!!! #AAFPFMX 26
Fibromyalgia and metformin can lead to resolution of pain? Try adding to whatever treatment they are on, small study, but maybe worth a try #AAFPFMX 27
Tape for snoring: porous paper tape on mouth might help with snoring! Not for severe OSA, but worth a try. 🤷🏾‍♀️ #AAFPFMX 28
Muscle strength + 25-30g protein might help prevent fragility! #AAFPFMX 29
Television (3.5 hr/day) can decrease cognition. Get your seniors out and socializing #AAFPFMX 30
Family medicine certification longitudinal assessment: helps assess using clinical references. @TheABFM @AFPJournal #AAFPFMX 31
Spending time outside: 120 min/week of outside time can improve physical activity and overall well being (even in the cold!) #wellbeing #exerciseismedicine #greenspace #AAFPFMX 32
Thanks @dominof for another great session!!!! #AAFPFMX 33/33
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