Adam Rodman Profile picture
Internal medicine physician, educator, co-director New Media Initiative @BIDMC_IM, host of #histmed podcast @BedsideRounds @ACPInternists. Opinions my own.
shrivatsa nadiger Profile picture 1 added to My Authors
30 May
@COREIMpodcast Interesting thread, though some very common misconceptions about "primum non nocere" are present here. First do no harm is not in the Hippocratic Oath at all, and the "non-malfeasance" present in oath would likely make most modern doctors squeamish.
@COREIMpodcast It has diktats against performing abortion, and against physician-assisted suicide. Even the commonly cited "do not cut for stone" isn't because of preventing harm, but suggesting that a lithotomist do it.

(good translation here: nlm.nih.gov/hmd/greek/gree…)
@COREIMpodcast The closest quote comes from Epidemics I:

"The physician must ... have two special objects in view with regard to disease, namely, to do good or to do no harm"

(source: perseus.uchicago.edu/perseus-cgi/ci…)
Read 9 tweets
13 May 19
It’s time for another #histmed Tweetorial -- this time I'm going to talk about the pesky definition of a fever, and where the 98.6 F average body temp came from!

Full disclosure: will use C AND F for temp, but no K or R.
FYI this is a complementary Tweetorial to @tony_breu's amazing one on why we have night sweats
Let’s start with a case!

A 29 year-old woman presents with a week of cough, myalgias, and chills. Her temperature is 99.9 F (37.7C). She tells you, “This is a fever for me because I run low.”
Read 31 tweets
12 Jan 19
It's time for me to channel my inner @tony_breu -- which means it's Tweetorial time!

So let's talk about azotemia (elevated blood urea nitrogen) after an upper gastrointestinal bleed!
It’s a well-known phenomenon on the medical wards that after an upper gastrointestinal bleed, the blood urea nitrogen will rise considerably more than the creatinine. In fact, it’s a common teaching “pearl”
But why does the urea nitrogen rise?
Read 22 tweets
12 Sep 18
Time for a Tweetorial! Though this will only be partially #histmed and mostly about philosophy. Inspired by @chrischiu -- so let’s talk about Occam’s Razor and Hickam’s Dictum!
But before we get going, let’s start with a little pre-test. Case #1. A young man presents with acute onset of severe fevers and chills, rhinorrhea, headache, confusion, and neck stiffness. What does he have?
And case #2, a middle aged woman presents to clinic with a nocturnal cough which she has had for a number of years. What is the most likely diagnosis?
Read 27 tweets
23 Aug 18
Hey #medtwitter, it’s time for another #histmed #FOAMed Tweetorial! I’m giving a couple of lectures this fall, and in the spirit of #FOAM I’m going to (try my best) to do a Tweetorial for each, so anyone can benefit/watch me flounder/vehemently disagree with me.
So thank you to @BostonChiefs, and let's talk about semiotics and the development of the physical exam!
First, an opinion poll. Do you think that the physical exam as it is practiced today is useful for care of our patients? When I poll people, I’ve noticed dramatic response differential between training levels.
Read 47 tweets