⚠️ TPN does NOT increase risk of INFECTION! 4 large randomized ICU trials in high impact journals show no association of #TPN with infection of any kind! ⬇️ Please email me: [email protected] for copies of papers! #SCCMSoMe #MedTwitter #MedEd #ICUNutrition #FOAMcc

Physician specialties with the highest burnout rates in 2022 beckershospitalreview.com/hospital-physi…

We need a total overhaul of US health systems. Rather than taking refuge in illusions that for-profit healthcare, biotech corporations, and biosurveillance can produce health, we need to invest in essential welfare systems and a model of public health as direct service provision.

Omentum

Three important equations: 1. Stress + rest = growth. 2. Happiness = reality - expectations 3. Suffering = pain x resistance

“… interest in labor movements is likely due to house staff exploitation via high medical-education costs, undercompensation, excessive work hours, and an infantilizing hierarchical culture characterized by intensive personality policing…” jamanetwork.com/journals/jaman…

⁦👏 ⁦@lubitz_carrie⁩ saving more lives with her bravery and honesty 🙌 ⁦The Guardian⁩ ⁦Assoc4AcademicSurgery⁩ ⁦⁦⁦American College of Surgeons⁩ ⁦AMA⁩ Surgeons are killing themselves at an alarming rate. One decided to speak out theguardian.com/us-news/2023/s…

Rest in peace, Erfan. Thank you for your example of unwavering dedication to SUNY Downstate General Surgery Residency and SUNY Downstate. We miss you. If you would like to share memories of Erfan, please feel free to DM this account. Panos Kougias MD MSc

What predicts performance? In a study on elite field hockey players, athletes performed better when they had: -Sense of Autonomy -Sense of Mastery -Feel Belonging -See the game as a challenge instead of a threat Satisfying our basic needs predicted performance.

I would predict this extends beyond sports into professions requiring a high level of skill and mastery…such as surgery!

Too much pain will lead to trauma and helplessness. Too little pain will lead to entitlement and selfishness. But just the right amount of pain and struggle: that’s what allows us to feel a sense of accomplishment and meaning in our lives.

NIH NEJM #Plastic present in atherosclerotic plaques in the carotid artery are associated with a 4-5 times higher risk of a cardio metabolic event. 14/ Microplastics and Nanoplastics in Atheromas and Cardiovascular Events | NEJM nejm.org/doi/full/10.10…

Narcissistic leaders are threatened by talent. They want to be the smartest person in the room. Humble leaders are drawn to talent. They surround themselves with people who make them smarter. Great leaders grow talent. They strive to make everyone in the room smarter.

When we are alone, we judge hills to be steeper than if we are with a friend, according to research. Being with others makes the difficult seem just a bit more manageable.

On living life a little differently to achieve health and fitness Living a lifestyle that prioritizes health & fitness often means making choices that might seem odd to others. This piece was prompted by a post from Alan Couzens yesterday that sparked something within me

NEW: South Park rips the American healthcare system for being incredibly complicated and inefficient. Pure gold. The South Park boys were trying to get medical help for Cartman. When they told their insurance provider that they were trying to file a claim for medication, the

In this one, poor cardiorespiratory fitness was more strongly associated with stroke than any of the traditional risk factors examined regardless of age, sex, or race in patients with hypertension with a mean age of 59.4 years during a median follow-up of 10.6 years.

roger federer on letting go and overcoming hard moments

“Nearly 2,000 children under five are dying every day from air pollution, which has overtaken poor sanitation and a lack of clean water to become the second biggest health risk factor for young children around the world. More than 8 million deaths, of children and adults, were