In trusting this concept are u still hesitant🤔?
No worries, we all know those cardiology♥️folks always know how to provide us with evidence!📜
Based on these findings👨🏫, what is our final conclusion❔
Driving changes within the institution🏥 is the best long term solution!👏
We stress the importance☝🏻of ⤴️resilience, but why has this strategy failed 2make a difference?🤷🏻♀️
As HCP👩🏻⚕️we've gone through extensive&intensive training➡️we couldnt be where we are today WITHOUT resilience so w/emphasizing this strategy what additional benefit r we gaining?🤔
Mitigating🔥out in this day&age👉stay engaged
☑️Fight hardships & workday rigor w/radiant energy&vigor
☑️Dont lose👀of ur goals w/depersonalization, find fulfillment in workplace &revive ur dedication
☑️Recall the career uve chosen& how important ur work is help remain focused✅
Now, As much as this tweetorial may have burned me out 😅 Brent’s words of wisdom did nothing but 🔥 me up!
Excellent presentation and happy to have shared his insights with the twitter community!
Last week I had one of my final presentations of the year! With a catchy title😉
Urine for an Update! Updates in the management of metastatic urothelial cancer
Hold your bladders, this is an extensive update! 😂 #oncopharm
Bladder cancer can be divided into two ✌️subtypes: 1) Non-muscle invasive: encompasses in-situ and localized disease➡️5-yr OS >70%
2) Muscle invasive: encompasses regional or metastatic disease➡️5-yr OS dismal especially for metastatic disease 😔
Cisplatin=SOC
50% of pts w are ineligible due to older age👵🏻, poor PS, ⬇️ renal function, ⬇️hearing, neuropathy, heart failure 🫀& other comorbities that ⬆️ risk of ⚠️
Carboplatin yields inferior responses➡️NOT 🙅🏻♀️ an equal alternative due to ⬇️ OS😢➡️pt left w/minimal tx options
What medications 💊 are should be avoided 🛑 or used with caution ⚠️ in patients with Myasthenia Gravis? 🤔
See 👀 the thread 🧵below⤵️ that summarizes an amazing grand rounds presentation by @UKPharmRes PGY1 @AliW_PharmD on key 🔑 medication considerations in MG
1️⃣Antibiotics to avoid or use w/caution🦠 💊
🛑FQs = FDA BBW for ⤴️ risk of MG crisis ➡️ avoid use if possible
⚠️ Macrolides ⤴️ rate of MG crisis (case reports)
⚠️ AG linked to ⤴️ ICU acquired weakness & exacerbate ‼️ MG crisis
📝Risk⬆️ w/neomycin vs. tobramycin & amikacin
Antibiotics considered to be SAFE alternatives to the above include
✅Beta-lactams
✅Tetracyclines
✅Linezolid
✅Bactrim
Ex. In an MG patient who presents 🏥 w/CAP 🫁 ➡️ choose ceftriaxone + doxycycline✅ OVER ceftriaxone + azithromycin🛑