Internal Medicine Nerd. PGY-5.
UGA Alum. Sports enthusiast. 🇳🇮
Seek justice, love mercy, walk humbly.
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Jan 6, 2022 • 8 tweets • 3 min read
Some thoughts from my recent COVID service, a 🧵
When vaccines first hit, we saw a huge decoupling of cases from severe disease in the vaccinated.
Likewise, with this wave, I have noticed a huge decoupling of hospitalizations from severe disease.
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This decoupling is so dramatic that I'm convinced following hospitalizations in order to guide public policy is no longer useful.
Here's what I mean: since starting back after Christmas, the # of covid patients in house is climbing like crazy. My average patient census...
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Jun 29, 2021 • 12 tweets • 7 min read
The arrival of new interns in July is an excellent opportunity for us to revisit the basics- today let’s talk about a test that is simultaneously one of the most overused and poorly interpreted tools in medicine: the UA.
Say it with me now… INFLAMMATION ≠ INFECTION
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The UA is actually not one test but many! It can roughly be thought of in 3 separate parts: renal, metabolic, and inflammatory panels. Bundling these together can lead to diagnostic error and overtreatment of fake news “UTIs” that are not, in fact, infections.
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Apr 9, 2020 • 13 tweets • 6 min read
A 50 yo F presents with 8 weeks of fever + headache!
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