There's a Spartan warrior credo, “One who sweats more in training bleeds less in war.”

This saying beautifully encapsulates the essence of medical training.

#MedEd #Medicine"🧵1/6 2/6 Sweating in the context of #MedicalTraining refers to the countless hours of study, rigorous academic discipline, and countless sleepless nights.

It's the hard work we willingly undertake to become adept healers.

#HardWork #Dedication

A short thread related to a tough day.
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13 years ago today, I had an unforgettable experience that has stuck with me to this day.

I was sitting and praying quietly in church during service when someone came in the side door of and screamed, “John, please come outside now!“ 2/
I could definitely tell by the tone of voice that something was bad and I sprinted across the church and out the door. I saw one of my very good church friends laying in the parking lot unresponsive with agonal respirations.

I sprinted over to him

Former @USNavy Rear Admiral and previous @WhiteHouse physician?!

Dr Mariano for our @KelleyBizMed keynote tonight is a GREAT excuse for having to miss #ACC23

Amazing story and an amazing role model. 1/ 😮 @KelleyBizMed 2/

On this day, 20 years ago #September11 , I was attending the CVICU Service @BSWHTemple_IMED .

It was a very busy service and I was pre-rounding.

While listening to a patient’s chest, she gasped.

I took my stethoscope out of my ears and looked at a face of a woman in shock🧵 …not #CardiogenicShock , but this shock.

I sat on her bed and we watched together…in shock

I don’t know how many more minutes it was, but I eventually turned back to her.

She hugged me harder than I’ve ever been hugged before or since.

We cried a few tears 2/

As I embark on #PGY30 , I’m reflecting upon my transition to #Intern year and thinking of the new #Residents starting this week…a short thread 1/

#TipsForNewInterns Don’t listen to the #intern jokes.

You are a doctor now and fully a part of the #HealthcareTeam …a VERY important part! 2/

#TipsForNewInterns

I’ve spent a lot of time over the last few days just walking in different environs, observing people, and thinking...a short thread 1/ 2/ one of my fav #MedSchool profs was a Jewish man from NY. He came to TX by way of Miami COM.

Wonderful to have @LisaB_MD from @GistHealthcare giving the Paul Mason Lectureship for #IMED #GrandRounds today: The Future of #Healthcare
Always so insightful!

Follow thread... “Our #USEconomy in a nutshell? We are a huge insurance company w a bunch of tanks and planes!”- @LisaB_MD

A bit of a rough day for the Erwin Fam. Had to put old Obi to sleep. He was an #ODOT (Original #DogsOfTwitter )

Truly a friend...you’ll be missed😢
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#RIPObi #RIPObi #DogsOfTwitter
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#PregnancyCardiology Primer courtesy of a fantastic lecture by Dr. Sabrina Phillips from Mayo Clinic. Follow the thread #ACCFIT s for a good overview of considerations. #FelllowsFirst #MedEd

How does plasma volume and erythrocyte volume change during pregnancy? 1/12 #PregnancyCardiology Primer

Other important factors in the cycle of volume expansion and decreased SVR
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#FellowsFirst #ACCFIT