I’ll continue to fight the good fight re appropriate use of the GI Pathogen Panel (multiplex PCR)! It should be reserved for: 1) Sick. Like sepsis sick. 2) Immunocompromised 3) Bloody diarrhea The health system I work for charges $1500. Often H&P and a C diff assay suffice :)

if your attending dresses like this, you better do a complete neuro exam

Just because an intervention exists does not mean you have to offer it. You are the expert. It’s your job to determine appropriateness. Eg) 1) BKA to a frail, contractured, 100 year old 2) PEG in advanced dementia 3) Chemo “when they get stronger”

What really happens when patients stop GLP-1s like semaglutide or tirzepatide? A new systematic review & meta-analysis in Obesity Reviews has answers—and they’re critical for anyone treating obesity as a chronic disease. TLDR: "Discontinuation of GLP-1RA treatment leads to

The Vitamin D research has got to stop. Department of Government Efficiency stop cutting our other research but feel free to cancel this garbage! thelancet.com/journals/landi…

Chest pain, normal ECG, and serial undetectable high sensitivity troponins. Should we do further testing? hqmeded-ecg.blogspot.com/2025/05/chest-…

Mobility is one of the most important - and most overlooked - ICU interventions. One challenge is its isn’t always obvious what mobility level a patient has achieved. I built these “flip books” using the JH-HLM scale to indicate (& motivate) mobility in every patients room.

I’ll Venmo $5 to the first person who can correctly guess the lab assay associated with this value.

Hot take: If you haven’t practiced inpatient medicine in some capacity in the past decade, you should not have admitting privileges. And I think that’s being generous. (I say this from a safety, resource utilization, and systems perspective)

For interns/residents and even attendings - you don’t have blindly follow consultant recs, especially if you don’t understand them. If something isn’t clear to me, I’ll say: “Just for my understanding, can you explain xyz?” “I’m genuinely curious why x and not y?” Just ask!

Nice review article published this month in The Rheumatology Oxford Journal Treatment guidelines for idiopathic inflammatory myopathies in adults: a comparative review👇#myositis #Rheumatology #MedTwitter Full Ref included below

It’s 2025. Atelectasis doesn’t cause fever.

Attendings trying to explain the actions of Interns on Day 1

Groundbreaking research here

Great to see this in Journal of Hospital Medicine Society of Hospital Medicine Offer naltrexone to patients with cirrhosis and etoh use disorder!!

The first person to develop a urinary procalprotectin is gonna be a billionaire