Crazy example of Vfib during CPR followed by ROSC #MedTwitter

Working with an attending that actually enjoys working with students >>>>>>>

When I was a medical student, I vividly recall taking care of very very sick patients with acute pancreatitis in the ICU. Remarkable to see how APOC3 inhibition (here, olezarsen) is now shown to be a highly effective therapy for severe hypertriglyceridemia, esp among those with

One of my favorite parts of the doctor–patient relationship is asking a simple question: “What is your goal for today’s visit?” Their answer gives me immediate insight into their priorities, expectations, and what “success” truly means to them. Early in my career, I assumed

ICU nurses are fucking incredible. The end.

A radiologist reached out: “So many of my patients will never know how much I think about them, gather second and third opinions about them, and ruminate about whether I've given them the best version of myself. I know I'll never meet them, but I hope they know how much I care.”

If you’ve ever wondered why the Philadelphia chromosome is so heavily emphasized in medical education, one reason is because it was the first chromosomal abnormality ever linked to a human cancer (discovered in 1960). That finding launched the field of cancer genetics.

I recently heard a doctor unironically say "You have to swell to get well, and pee to get free" about ICU patients. Becoming volume overloaded is harmful, not helpful in critical illness. Focus on: 1. Thoughtful fluid boluses informed by hemodynamic markers (low SV, fluid

I did a ‘Timeout’ before carving the turkey.

(1/9) Academic writing in 2025 is still broken. Word. ChatGPT. Reference managers. Formatting. Reviewer #2. Copy paste. We built a better workflow. Introducing Livewrite, your new AI research assistant that runs directly inside Microsoft Word.

Finally got my hands on it! I have been following Michelle Kittleson MD PhD for a while and learning all the pearls she drops here. Excited to see what this book holds!

Sometimes I get caught up in how busy I am during clinical days that I forget how much work and time it takes for patients to come see me. Some travel six hours round trip. Some arrange rides. Some wake up early. Some take off time from work. May we remember this.

A severed nerve doesn't have to mean permanent loss of function. This patient accidentally cut their median nerve. To fix it, we performed a cable graft—essentially building a bridge for the nerve fibers to grow across and reconnect. This is the reconstruction side of

In medical school, we are taught a golden rule: "When you hear hoofbeats, think horses, not zebras." It is a reminder to look for the common explanation before the exotic one. But after decades in cardiology, I’ve learned that if a patient is still suffering after the "horses"

Cool part about being a physician is that you get accused of being a pharma shill & forcing pills down peoples’ throats and get yelled at for not prescribing antibiotics for asymptomatic bacteriuria both in the same day.

Every time you get a cancer biopsy, the lab makes a tissue slide that costs about $5. It shows the shape of your cells under a microscope, and every cancer patient already has one on file. There’s a much fancier version of that test called multiplex immunofluorescence (basically

The reason we know dinosaurs existed, and were wiped out by an asteroid, is that no matter where you dig in the world, you’ll find a distinct layer of clay. All dinosaur fossils are found below this layer, and never above it! This layer has iridium that is very rare on earth but

Right ventricular (RV) involvement complicates >30% of acute inferior STEMIs, though hemodynamically significant RV infarction occurs in ~10–15% of cases. The classic teaching is that when a patient w inferior STEMI becomes hypotensive & has clear🫁on physical exam, the treatment

Clinical judgment is built through exposure. You can learn a lot from books, simulation, and excellent teachers. But there is no substitute for seeing a high volume of real patients with real variation.

Takotsubo cardiomyopathy. A reminder to take mental health seriously. Your emotions can make your heart stop working.