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Prof Darrel Francis ☺ Mk CardioFellows Great Again
@ProfDFrancis
, 9 tweets, 4 min read Read on Twitter
HOW TO LIE WITHOUT LYING!
====================

Weekend tweetorial #MedEd #Foamed
See how to use the 3 most wickedly evil Aces up our clinical research sleeves.

Learn by doing!

CME credits from the Institute of Fake Science

Click this link to begin -> menti.com/dc1a1ee7
Once you have answered the last question on that, try out tinyurl.com/lying-removal

If you are too lazy, these videos show you what you would learn:

Video #1. Basics of the Fraudorama toolkit.
Video #2. How to use the REMOVAL tool to plan your frauds.
Video #3. Exactly how many do you really need to remove? Here is the answer.
Then Part 2 of How to Lie without Lying
==========================

Con-man's guide to getting any research result you want.

Click this link>
menti.com/f7734d7e
Part 2 ended with a question.

You can learn the answer for yourself at tinyurl.com/lying-reclass

*OR*

You can just watch these videos which give it away!

Video #4.
Video #5.
Video #6.
If you have done the 2 threads, and played with the spreadsheets (or watched the videos), you can now do:

HOW TO LIE WITHOUT LYING Part 3/3
=========================

Worth 9999 CME credits from the Institute of Cheating

Click Here > menti.com/c1ddccfd
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More from @ProfDFrancis see all

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Prof Darrel Francis ☺ Mk CardioFellows Great Again
@ProfDFrancis
Happy Memorial Day Weekend to all cardiology fellows!

I thank m'learned friend Prof Simon Thom for showing me the funniest paper of the year.

I will discuss it tomorrow.

What approach should I take?

#cardiotwitter
Thank you to everyone for paying attention to the buses I sent round that said there would by £350,000,000 per week for your country's health system, if you voted the way I wanted you to.

Now I can tell @rallamee that I am only listening to the Will of the People.
The problem with starting an article with a clear, true and useful statement, like this...
Read 117 tweets
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Prof Darrel Francis ☺ Mk CardioFellows Great Again
@ProfDFrancis
If any patients die during my procedure I will implement Francis Industries new strategy for handling the situation.

Step 1.
Say they are absolutely fine and went home. "I am as concerned as you are for the whereabouts of your father."
Step 2.
When the family show a video of him waving goodbye to his family and walking into the cath lab, but never re-emerging, I say they are fake news and will be accursed.
Step 3. I do interviews on TV saying I am very worried that there is no word of the patient. "After all, I put in a very fine DES, and with the greatest possible care. I didn't even disrupt the LMS, not even a tiny little bit. So I am very worried that he didn't get home ..."
Read 9 tweets
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Prof Darrel Francis ☺ Mk CardioFellows Great Again
@ProfDFrancis
If anyone wants to know how incorrect causal inference arises in cardiology, there's no need to do a PhD on it.

It's encapsulated in this thread. Unlike most of my threads it has a happy ending though !

First, a whole load of unsuspecting patients have PCI.
Then a bunch of cardiologists who are normally ultracompetitive decide to do something constructive for a change, instead of just doing each other down in cross-London acrimony.

Let's get together and ...

google.co.uk/url?sa=t&sourc…
They do what we always do when we cardiologists get together. Tell stories.

"I had a guy with 3 vessel thrombosis in cardiogenic shock, going into asystole as he was put on the table, but we still saved him!"
Read 64 tweets

Related threads

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Skyler Lentz
@SkylerLentz
Tips on the mechanically ventilated ARDS and sick hypoxemic patient.

Protect the lungs from the start! See the basics below.

#Tweetorial #foamcc #foamed

Based on prior work with @mattroginski @roo_atchinson

@UVM_EM

1/
What is the definition of ARDS?

The Berlin criteria: Acute onset within one-week, bilateral opacities on CXR not explained by cardiogenic pulmonary edema, pleural effusion etc. and a PaO2/FiO2 ratio of <300 mm Hg with PEEP 5 cm H2O.

jamanetwork.com/journals/jama/…

2/
More simply in the ED or acute setting I consider anyone with bilateral infiltrates + inflammation (sepsis, pneumonia, trauma etc) + hypoxemia to be at risk for ARDS and if intubated manage them with lung protective ventilation.
3/
Read 16 tweets
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Steven Chen
@DrStevenTChen
Want to hear a joke?

What's bumpy & painful, & "read" all over?

A #tweetorial/#medthread on ERYTHEMA NODOSUM!

Now that I've lost a few hundred followers from that terrible opener😳, let's get started👇👇

#MedEd #FOAMEd #dermatology #dermtwitter #medtwitter pc: @dermnetnz
1/
Why talk about erythema nodosum (EN) in the first place? Well, most medical professional recognize it, will see it, but may need some help past that! If that's you, read on.
1st, exam: As the name implies- red nodules! It's usually on the legs, & they are often ill-defined.
2/
EN is commonly seen in young healthy pts, & women >> men. Of course, the patient's history is critical, as EN is a reactive process to something else! It's inflammation in the subQ fat (a panniculitis). The rash itself isn't dangerous, but should prompt looking for a trigger.
3/
Read 13 tweets
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Nick Ingraham
@Nick_Ingraham
#Tweetorial vs. #UnsolicitedAdviceThread
🤔"What I wish I knew"🤔
#tipsfornewdocs #2wk✅

I was asked to do a wonderful Q&A during @umnmedresidency's first intern academic 1/2 day

Complied all tips👇

(💪work @Kay_L_Ingraham, @VigneshWP, @PendlKM) with co-panel (@jenwong101)
Before we begin.

Aside from trying to coax you to try twitter for #FOAMed #MedEd ...

Please know👉🏽not every tip will work for every person. Find what works for you!

Don't be overwhelmed
👉 Focus on something new each week or month!
** Audience ?s **

🗝️ Step 3 😱?👉focus on patient care unless you are taking w/in 3 months, just get signed up (it'll be OK)

🗝️ Research?👉focus on patient care and being a wonderful doctor (till spring @ earliest)

🗝️ Reading?👉read to care for your patient's illness

#theme?
Read 18 tweets
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Sagger Mawri, MD
@SaggerMawri
(1/18) A Brief History of Coronary Angioplasty and the Roots of the Interventional Cardiology Field -- a #Tweetorial

#Cardiotwitter #FOAMed #ACCFIT #histmed @ACCCardioEd

Courtesy of @PopmaJeffrey & @ACCinTouch
(2/18) Dr. Werner Forssman (🇩🇪) performs 1st human #RHC (1929) by inserting a 65cm urologic catheter into his own antecubital vein and walking up to the X-ray department for imaging. Reportedly, he did this repeatedly! He left urology for primary care & shared @NobelPrize (1956).
(3/18) Dr. Fariñas (🇨🇺) performs aortography via femoral🔪 cut down (1941). Dr. Euler (🇩🇪) performs thoracic angiography by direct aorta puncture via esophagus (1949). Drs. Cournand & Dickinson (🇺🇸) open 1st US #cath lab (1945), publish extensively, and shared @NobelPrize (1956).
Read 26 tweets
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Steven Chen
@DrStevenTChen
Thanks, @MelBreggs for the mention, and thank you to @gopiastik for a great #tweetorial on #AGEP (acute generalized exanthematous pustulosis). I would add a couple thoughts here. Please read on!

#MedEd #FOAMEd #derm #dermatology #dermatologia #medthread PC: @dermnetnz
1/
First of all, the name AGEP can be confusing, but really all it is a description (we dermatologists just like to sound #fancy). If you break it down, Acute (really quick onset) generalized (everywhere), exanthematous (rash-y), pustulosis (pustules)!
2/
The exam is red plaques studded with pustules (see photo). These pustules can coalesce and become "lakes of pus!" The 2nd picture doesn't have pustules b/c all of them came together, lifted off, and left the "collarette" of scale (which means there's a footprint leftover!
3/
Read 12 tweets
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Sean Lena
@seanlena
Question: Why do we worry about giving Ondansetron to patients with prolonged QT? What is the risk of cardiac arrhythmias in the average patient with long QT? Follow me down the rabbit hole of my first tweetorial! @tony_breu @thecurbsiders #MedEd #FOAMed
Case: You are the night float resident, and get called by the nurse for an 84 y/o patient with gastritis, having intractable vomiting. She asks you for an antiemetic. You go to order ondansetron, but stop b/c you notice the patient's EKG--the QTc is 495! What do you do?!!
Before we answer this question, lets review some cardiac physiology. Cardiac myoctes have a negatively charged resting membrane potential that is maintained by the active movement of charged ions, primarily via Na+/K+ ATPase, and Na+/Ca2+ exchange, across the cellular membrane.
Read 25 tweets

Trending hashtags

#Check #FRAUD #backwards #EndDeathByPowerpoint #tactics #teaching #econtwitter #POCUS #FOAMed #pulmcc #law #publications #Tweetorial #FOAMcc #Cardiotwitter #GUESS #PhD #LAWYER #believewomen #PTCAs #DianeAugat #Full #LIVEPD #DIRTY #MedEd
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