Discover and read the best of Twitter Threads about #Medtwitter
Most recents (18)
(THREAD)
By @rwyeh request, I bring you this brief introduction of joint frailty models and their application in the #COAPT trial...
By @rwyeh request, I bring you this brief introduction of joint frailty models and their application in the #COAPT trial...
Please be advised that @graemeleehickey and others are more expert than I am in the direct, real-world application of such models, but here I am, so whatever. Read it, or don’t.
Suppose you’re just reading along in the #COAPT primary paper, found here:
nejm.org/doi/full/10.10…
when you encounter this bumfuzzle:
nejm.org/doi/full/10.10…
when you encounter this bumfuzzle:
[cw trans slurs, misogyny]
hey, #medtwitter, if anyone knows who this guy is, slide into my DMs. (I'll provide a Signal # if you want encryption & disappearing messages) I'll file the complaint with the board of medicine myself, your fingerprints won't be anywhere on it.
hey, #medtwitter, if anyone knows who this guy is, slide into my DMs. (I'll provide a Signal # if you want encryption & disappearing messages) I'll file the complaint with the board of medicine myself, your fingerprints won't be anywhere on it.
[cw rape apologist, misogyny]
Because if you know who this is? And you're not doing anything about it? The very least you could do is let someone else take action.
Because if you know who this is? And you're not doing anything about it? The very least you could do is let someone else take action.
1/ A long thread on LifeVest. I promise it will be entertaining. If you find any inaccuracies please let me know.
Paper of VEST published here - will discuss background to WCD and #VEST but not the trial itself nejm.org/doi/full/10.10…
Paper of VEST published here - will discuss background to WCD and #VEST but not the trial itself nejm.org/doi/full/10.10…
2/ In 2001, FDA gave approval to Lifecor for the first WCD. Later Lifecor was acquired by Zoll (2004 agreement, 2006 acquisition). Zoll maintains a registry for prescribed LifeVests. But lets go back to the FDA approval process.
3/ Lifecor presented 2 separate prospective studies to the FDA; WEARIT and BIROAD. FDA asked for both to be combined into 1 study, and each study representing a subgroup. A total of 289 patients were included.
I’m over this dude & the mansplaining about how we shouldn’t get angry in the face of injustice, like sexism & racism at work. But he still has over 40,000 people listening to him, so here’s my take for #medtwitter.
Dr. Reid is afraid of anger. I’m not. Here’s why.
Dr. Reid is afraid of anger. I’m not. Here’s why.
First off: the fact that women physicians are mistaken for nurses constantly is because of sexism. It’s a belief that doctors are more powerful than nurses, men are more powerful than women. This is a problem. We’re a team. We complement eachother. The hierarchy needs flattening.
What often happens is that a patient sees a health provider, interprets their [age] [gender presentation] [race] [national origin], calculates their expected level of societal power, then assigns them a role on the health care team. “I’m Dr. McNamara” becomes “My nurse is here.”
There is a line between sickness and health where we stop treating the person like a person, “hi it’s Dr. Reid here, nice to meet you,” and start treating them like a situation or a procedure “hand me that suction, this is a tough one.”
When I was a rookie, this line was way out here towards health. To the the point where the patient might say, “I can hear you. I’m right here.”
With time, I’ve moved the line out to death. Then I heard a bunch of pathologist on #medtwitter talk about how using good manners around the dead is necessary to maintain their humanity. So I’m trying to get rid of the line altogether.
Thank you so much to @PlenarySessShow @Plenary_Session for having me on episode 4 to talk about the benefits of #medtwitter! It was great to find another venue (ie not typing in < 280 characters) to discuss its role in learning, patient care, advocacy, & professional development
shout out to @ReneeDversdal (about a minute after my segment starts ~24:30) and another podcast (wink, wink, nudge, nudge @thecurbsiders)
HT also to my closest #medtwitter network, who I've gotten to collaborate with after meeting on twitter, one of the benefits discussed, with subtle nods to past and current projects!
@RJmdphilly @gretchendiemer @MargMChapman @michellebr00ks @WrayCharles @tony_breu
@RJmdphilly @gretchendiemer @MargMChapman @michellebr00ks @WrayCharles @tony_breu
#Disability twitter, #medtwitter , let us have a discussion about patients discussing #MedicalTrauma on here. A Thread:
#chronicillness #ChronicPain #Chroniclife #MedTraumaChat #Spoonie
#chronicillness #ChronicPain #Chroniclife #MedTraumaChat #Spoonie
2) Last night, a fellow advocate posted a very handy guide for HCPs & patients abt treating patients who are trauma survivors: Trauma Informed Care - Disclosures and Care Transitions healthasahumanright.wordpress.com/2018/08/23/tra… #medtwitter #Disability #chronicillness #medtraumachat #spoonie
3) It's a good resource for both #patients & HCPs, please read it if you have a moment.
This led to a helpful discussion about #MedicalTrauma between an HPC and the person who wrote this guide, who has had experiences with this,
#Disability #medtwitter #chronicillness #Spoonie
This led to a helpful discussion about #MedicalTrauma between an HPC and the person who wrote this guide, who has had experiences with this,
#Disability #medtwitter #chronicillness #Spoonie
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.
1/n #Tweetorial: As an Assistant PD for @OHSUIMRes focused on scholarship, #medtwitter, & #hcsm (health care social media), I’m often guide residents and colleagues on how to best use Twitter for academics, networking, learning, etc...
2/n recently, while welcoming newbies (esp students) and “onboarding” them to #medtwitter & #hcsm, I was asked to put together advice for IM applicants on how to best use social media during application/interview season. I think this advice is applicable beyond IM, too.
3/n First, tell me about yourself:
Great Q! Esp for #WomeninMedicine already with uphill challenge to promote our own work. Podcast interview > "media coverage", this is substantial teaching (and time commitment). Fortunately for this @thecurbsiders is earns CME so I would put there on CV! 1/n
I think also until CV outlines, educator portfolios, and P&T systems "catch up", find other ways to at least save it not share evidence of reception, impact, "ripple effect"
Ex word document with links #medtwitter comments/discussions 2/n
Ex word document with links #medtwitter comments/discussions 2/n
not trying to be overly self-congratulatory here, but sharing the wisdom esp for #Womeninmedicine of "selling" ourselves...here's a recent example for me. I will save this link on my CV for now in connection w my recent #GrandRounds
1/ Thread: This morning I gave Dept of Medicine #GrandRounds @OHSUSOM @OHSUNews. In #medtwitter’s spirit of sharing & learning, here is my first #Tweetorial summarizing highlights & crediting #hcsm’s incredible contributors & source material 
2/ 4 months ago EBM & cardiology expert Dr. Milton Packer published a blog post detailing how he found Twitter uninformative and emotion/opinion driven
Is this the reality of #medtwitter??
medpagetoday.com/blogs/revoluti…
Is this the reality of #medtwitter??
medpagetoday.com/blogs/revoluti…
Serious question for #medtwitter: If you show up at a code, and the patient is a centaur who had a cardiac arrest, ignoring the joules question, where do you think the defib pads should go? A, assuming the heart is in the human part, or B, assuming the heart is in the horse part?
Do you guys suppose *all* centaurs have the same cardiovascular anatomy? Or are there some that are horse-heart-dependent and some that are human-heart-dependent? I'm guessing human-heart-dependent centaurs would be smaller and more intellectual. Nerd-centaurs, if you will.
Well, this was a silly thing I was pondering while eating cold pizza late at night. I didn't expect the tweet to get much attention and now I feel awful for not crediting the artist. Pls know this centaur is the work of Minoh Kim: facebook.com/minoh.kim.3
Dear #hospitals:
Your discharge planning sets #patients up for failure. How? Let me explain (again, & again, & again). #PtExp #PtSafety #PtEng #EHR #interoperability #PatientAdvocacy #medtwitter #GMDD #hcldr
Photo Credit: Rob Potter (Unsplash)
Your discharge planning sets #patients up for failure. How? Let me explain (again, & again, & again). #PtExp #PtSafety #PtEng #EHR #interoperability #PatientAdvocacy #medtwitter #GMDD #hcldr
Photo Credit: Rob Potter (Unsplash)
1)Follow up appts, essential to a patient’s health & recovery, are listed as part of the discharge summary. These appts are recommended to be scheduled within 7-10 days. To be best prepared, patients need their records. #healthcare #PtExp #PtSafety #PtEng #EHR #GMDD #medtwitter
2)All records from a patient's hospital admission should be AUTOMATICALLY sent to every listed follow-up physician. Hospitals, you know which drs patients need to see; it’s listed in the discharge plans. This step needs to be embedded in the workflow #PtExp #EHR #interoperability
In commemoration of 3 years of emailing hundreds of papers/ resources to my @OHSUIMRes ward teams & thanks to the amazing educators here and on #medtwitter #meded
My 10 greatest hits based on learner feedback:
My 10 greatest hits based on learner feedback:
10/ AGC “Approach to abnormal LFT” guidelines - for all those times when it’s not acute liver failure, but those LFT’s look like they need some investigating - ht Dr Jou gi.org/guideline/eval…
9/ “Normotensive ischemic acute renal failure” - can’t tell you how many times this has come in handy where I’ve slipped this to my resident, antihypertensives were backed down and a mysterious AKI disappeared; ht Dr Chiovaro nejm.org/doi/full/10.10…
This is my commentary on #twitter #movements. Before I go I want to preface this with a statement: I love humans. We're amazing creative & powerful beings. I'm fascinated by human behaviour and the hidden motivations underlying our basic need to belong. 1/
I've observed some movements taking off on Twitter. Some for #MedEd, raising awareness, knowledge sharing, inspiration and sharing failings, wounds & triumphs. Generally they support creative expression in 280 characters. Awesome! 2/
As these movements gain momentum, more people want to join in b/c #belonging. I'm seeing a disturbing trend of sharing experiences of patients/clients to promote how deep & human they are. Some are purely intended, some not. 3/
OK, folks. Let’s all sit down for a quick chat about this article the “Annals of Medicine” coughed up a few weeks ago about RCT’s: tandfonline.com/doi/full/10.10…
This will be my longest TWEETORIAL yet, but that’s because we have a LOT to talk about here
Several others have discussed this recently on Twitter and I welcome their thoughts as well (@statsepi, @stephensenn, @briandavidearp, @Prof_Livengood, @learnfromerror)
Wellbeing preservation in healthcare (within your control)
1. Stable & trusting connections to others
2. Connection to self - meditation, self-reflection, self-examination ie. quiet time
3. Connection to your environment/Nature
#medtwitter #phdchat #MH4Docs #womeninmedicine
1/
1. Stable & trusting connections to others
2. Connection to self - meditation, self-reflection, self-examination ie. quiet time
3. Connection to your environment/Nature
#medtwitter #phdchat #MH4Docs #womeninmedicine
1/
4. Connection to your purpose (your Why) & desire to serve wellbeing of others
5. Peer support & group reflective practice w/ agreements to preserve confidentiality, respect, non-judgement & openness
6. Mentoring by someone who has qualities you want/admire & skills you need
2/
5. Peer support & group reflective practice w/ agreements to preserve confidentiality, respect, non-judgement & openness
6. Mentoring by someone who has qualities you want/admire & skills you need
2/
7. Therapy with someone who can see in you what you can’t ie. your strengths, growing edges & blind spots)
8. Have a life & interests outside of your profession
9. Trust your intuition by listening to it and following through. If something feels ‘off’ it is.
3/
8. Have a life & interests outside of your profession
9. Trust your intuition by listening to it and following through. If something feels ‘off’ it is.
3/
Tomorrow is match day for ophthalmology. I'd like to share my match day experience from 5 years ago. Here we go...
3 days before match, I was diagnosed with testicular cancer. As an MS4, I knew enough to recognize that my testicle was not supposed to grow another testicle, so I went in to the doctor
Ultrasound-->Diagnosis. I had trouble believing it at first. I vividly remember my 11 mo old daughter toddling around the exam room, carefree, while a big vascular tumor lit up the ultrasound screen
