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Jeffrey Wonoprabowo, MD Profile picture
@JeffreyMD
Apr 25, 2020 • 3 tweets • 2 min read • Read on X
Theoretical Case #medtwitter #COVID19 #covid4MDs:

45 M with well-controlled HTN, DM2 (A1c 6.7%), and obesity (BMI 34) has been waiting for knee surgery for 1 year while trying to lose weight. As elective surgeries are resuming, he comes to for advice. You recommend:
Assume that no further cardiac testing is indicated and this question is being posed to you in the area you practice and with the #COVID19 info known to you as 4/25/2020.
or with the #COVID19 info known to you as of the time you vote. 🤷🏻‍♂️

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More from @JeffreyMD

Jeffrey Wonoprabowo, MD Profile picture
Oct 4, 2020
It was announced that Trump has been prescribed dexamethasone, a corticosteroid medication that has been recommended for use for hospitalized patents with severe and critically ill patients. #medtwitter

Image below is from the Infectious Disease Society: idsociety.org/practice-guide… Image
Dexamethasone is NOT recommended for use in hospitalized patients with non-severe disease who do NOT have hypoxemia (low blood oxygen levels).

Therefore, Trump is either 1)more ill than the WH is willing to admit or 2) he is NOT getting standard of care.

So…
Does it matter?

Take a gander at this tweet:
Read 7 tweets
Jeffrey Wonoprabowo, MD Profile picture
Oct 1, 2020
One of the most important ideas we can teach or pass along is the humility to accept and admit we were wrong.

Nothing is further from the spirit of evidence-based medicine than becoming so entrenched in our ways that we refuse to consider new data.
Just watched the podcast by @ZDoggMD where he interviews @VPrasadMDMPH about schools re opening. Link:

A few personal takeaways I had while listening:
1) Let’s figure out our destination and our goals. If we can identify a shared goal, we can then start the give-and-take about how to get there ideologically, and then more importantly, practically.
Read 7 tweets
Jeffrey Wonoprabowo, MD Profile picture
Jun 30, 2018
Just spent my Friday night creating a PDF scut sheet if anyone is wondering how much of a party animal I am.
It’s a PDF document that has room for 4 patients per page. Here is a sample of what part of it looks like. Image
It is my own version of the one available on MedFools.com but formatted so that I can easily import it into Notability on my iPad and not notes down when I’m pre-rounding and looking up info on a computer.
Read 6 tweets
Jeffrey Wonoprabowo, MD Profile picture
Jun 19, 2018
This is something to consider as our country continues its policy of separating families and traumatizing innocent children. #meded #childhoodtrauma #healthcare #health

hsph.harvard.edu/news/hsph-in-t…
From the article:

“Exposure to trauma during childhood can dramatically increase people’s risk for 7 out of 10 of the leading causes of death in the U.S.—including high blood pressure, heart disease, and cancer—and it’s crucial to address this public health crisis…”
In other words, we are systematically causing bad health outcomes to innocent children as a policy.
Read 4 tweets
Jeffrey Wonoprabowo, MD Profile picture
Mar 19, 2018
Excited to hear about this. Glad to see these topics coming up this year at #AIMW18 Image
Even though I’m an Asian-American, it’s hard for me to remember being negatively discriminated against in the workplace. I cannot tell if this is something I have blocked out or a result of the cultural makeup of the area in which I live and work.
Curious to find out if I have experienced microaggressions and just have not been able to pick it up.
Read 5 tweets
Jeffrey Wonoprabowo, MD Profile picture
Nov 21, 2017
Trump is now appealing to the notion that party lines must be protected no matter the cost.

nbcnews.com/politics/donal…
I suppose this comes as little surprise based on what he has done in the past.
The GOP had the opportunity to take a stand for what is right. Ryan and McConnell came out against Moore. Yet AL GOP refused to take away endorsement. Now Trump jumps into the fray supporting Moore.
Read 4 tweets

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