Ed Profile picture
Jun 17 7 tweets 3 min read
If you’re an IMG who studied medicine in English and passed all #USMLE steps, you should NOT be required to sit for an English language exam.

Enough with the ripoff and making money out of the poor students.
If you’re an IMG (or US graduate) who passed all #USMLE steps and interested in primary care in rural areas (where there is DIRE need for primary care physicians), you should be offered contracts with competitive salaries.
If you’re an IMG (but a US citizen) who passed all #USMLE steps and interested in primary care, you should be offered a chance to do your residency training in the Indian Health System or Bureau of Prisons.
If you went to medical school in Puerto Rico you should NOT be referred to as “international” medical graduate and you should NOT be required to go through a visa sponsorship process.

Puerto Rico has, is, and will always be a part of the United States of America.
cc @AOC
If you’re an IMG who passed all #USMLE steps, you should be given PRIORITY in programs where there is a large population of residents who come from your country and speak your native language.
If you’re an IMG interested in doing you’re residency training in the United States, you should NOT pay a dime more than US medical graduates when applying for #USMLE and ERAS.

The LOVELY people running the systems should stop bullying students.
If you’re an IMG who passed all #USMLE steps and interested in what we call “competitive” residencies like neurosurgery, cardiothoracic surgery, orthopedics, radiology, ophthalmology and dermatology, you should have an EQUAL fighting chance like US medical graduates.

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More from @Rx_Ed

May 18
Pay attention to this thread:

Sodium/Glucose Cotransporter *2* (SGLT2) receptors are in the *1st* part of the proximal tubule, where 90% of glucose reabsorption occurs & also where SGLT2 inhibitors like empagliflozin work.

SGLT *1* receptors are in the *2nd* part of the tubule. Image
SGLT2i ↓ systolic HF mortality in patients with OR without diabetes.

Drugs that ↓ systolic HF mortality:
•ß-blockers (metoprolol, bisoprolol, carvedilol)
•ACEi
•ARBs
•MRAs
•Hydralazine (with nitrates)
•Neprelysin inhibitor (sacubitril)
•SGLT2 inhibitors Image
Additionally, SGLT2 inhibitors ↑ sodium delivery to macula densa and SLOW the progression of GFR decline in kidney disease by restoring the tubuloglomerular feedback (TGF) and are associated with DECREASED mortality from kidney disease among patients with diabetes. ImageImage
Read 8 tweets
Oct 20, 2021
The FDA committed an act of STUPIDITY today.

Correction: an act of social injustice!

Thread/
Earlier today, the FDA approved two drugs that have been available generically for years (celecoxib and tramadol), by allowing the pharmaceutical mafia to combine them into a single pill, and market as a NEW medication to treat acute pain!

drugs.com/newdrugs/fda-a…
First, selective COX2 inhibitors like celecoxib have been marketed as “renal & heart safe” to differentiate them from the non-selective COX inhibitors like naproxen — but the fact is that this class of drugs is NOT safe in kidney disease & are also associated with heart disease.
Read 6 tweets
Aug 21, 2021
Here is a thread for those of you who don’t know the history - just so you get an idea of how bleak the situation in #Afghanistan really is. And it’s not only about the US citizens over there, it’s about an ENTIRE nation and it’s people.

1/n
In 1996, after a long, brutal war against the Western Allies that saw thousands of nmicent civilians (mostly children) die, the Taliban gained power in #Afghanistan. Once in control, they issued & broadcasted SIXTEEN decrees on “Islamic Sharia Radio”

The read as follows:

2/n
1. Prohibition against female exposure.

Unlawful for taxi drivers to pickup women not wearing the “Burka”. Any woman seen without it will be imprisoned and the driver whipped and imprisoned. Her husband will also be whipped and imprisoned.

3/n
Read 21 tweets
Dec 5, 2020
Part of the reason behind the skepticism of nearly 50% of Americans in regard to the #coronavirus vaccine is related to what they perceive as “hastened” or “political” approach to emergency use authorization. But what most don’t realize, the vaccine saga began over 250 years ago!
In colonial America, “doctors” did not study medicine at school. Instead, they trained through an “observership” with a local practitioner (typically from Europe). In fact, the earliest medical schools in colonial America didn’t start awarding medical degrees until decades later.
It is typically thought that smallpox originated in Egypt more than 3,000 years ago. The earliest evidence of the infection comes from the Pharaoh Ramses V (died 1145 B.C.).

And in the early 1700s, smallpox reappeared in West Africa, killing thousands of people everyday.
Read 27 tweets
Dec 2, 2020
FYI: Even with a #coronavirus vaccine, this pandemic will get WORSE in the next few months & more people will die. It’s how pandemics work.

In about a year from now, there’ll be ANOTHER wave of coronavirus infections. Hopefully the vaccine will lessen its impact.
The presence of a vaccine against a disease is NOT synonymous with disappearance of the disease.

The basic public health measures like physical distancing, masks especially indoors, and personal hygiene are invaluable in curbing the transmission of infections.
The reality is life will NOT return to “normal” anytime soon, no matter how much you want/force it to.

Even with a vaccine, masks will still be required till the end of 2022 (at least). Schools will be closed periodically. Restaurants & bars will minimize staff/operations.
Read 12 tweets
Mar 12, 2020
Here are a few ideas and thoughts I put together as a pharmacologist on possible theoretic interventions and theoretical mechanisms of action of drugs against #Covid_19.

Thread.
Coronavirus virus particles contain FOUR main structural proteins. These are the spike (S), membrane (M), envelope (E), and nucleocapsid (N) proteins. Targeting any of these proteins with drugs will be a potential pharmacological intervention.
The initial attachment of the virion to the host cell is initiated by interactions between the S protein and its receptor.

This S-protein/receptor interaction is the primary determinant for a coronavirus to infect a host species and also governs the tissue tropism of the virus.
Read 12 tweets

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