1/ Why is lactate elevated in sepsis or septic shock? Russell Dolan, MD & I explore this common #ICU pimp question via #tweetorial. We're taught that ↓O2 revs up anaerobic metabolism causing ↑ lactate. But wait, there's more... #medtwitter #FOAMed #meded #FOAMcc #criticalcare

Pulled out several schema from The Clinical Problem Solvers during night float the last 2 weeks to start the workup on my patients! Thanks for all your hard work! #FOAMed clinicalproblemsolving.com/reasoning-cont…

Clinic in the morning, a hike to Cecret Lake with the fam in the evening! Utah IM CMRs #UtahIMmountainchallenge #ResidencyElevated

When you get a day off in SLC, you don't sit around... #DonutFalls #FamilyHike #UtahIMmountainchallenge Utah IM CMRs

Today I cared for a hard-of-hearing patient who I swear couldn’t hear me and was just nodding along and smiling. So I place my stethoscope in his ears and spoke through the diaphragm. His eyes lit up like the 4th of July! I think this counts as a #TipsForNewDocs

Does Vitamin C, Thiamine, and Hydrocortisone cure sepsis? Is this "cocktail" the wonder drug that the media hype implied in 2017 based on ONE before-after retrospective study? Answers from the 1st major international randomized control trial ARE HERE! JAMA. THREAD!

My win of the week: convincing a patient who “doesn’t get flu shots” to get BOTH a flu shot and the PPSV23 shot in the same visit. The selling point? His infant grandson living under the same roof. #humblebrag

COVID-19 Internet Book of Critical Care 📖 chapter: 🦠Protection: hand hygiene more important than fancy N95🤯 🦠Dx: neg RT-PCR doesn't exclude 😬 🦠Rx: less is more. avoid fluid & steroid. overall strategy = *usual* supportive care for viral PNA (link bit.ly/2Tu8CAS) #COVID19foam #zentensivist

We are incredibly proud to announce our new resident-led and produced podcast #PrimaryCareAnywhere! Check it out buzzsprout.com/1280639 and major kudos to Joel Money, guinn ellen dunn, Elena Gibson, Kasey Stoutin, kathryn schmidt, and ex-CMR @jgarciawright. This week: #osteoporosis

The alert fatigue can be real at the VA. But the amount of alerts I’m getting for all my primary care patients getting their Covid vaccines is definitely helping with that fatigue! #HappyPCP

Excited to be presenting 3 abstracts at #ATS2021 on family Post-ICU syndrome. Grateful for the mentorship from Sarah Beesley, and the encouragement to learn R from Samuel Brown so I could do the statistics myself!

Pumped to see who’s matching to the mountains today! Welcome to Utah! #MatchDay2021 Utah IM CMRs

My first #ATS2022 in the books! Big shoutout to my research mentor Sarah Beesley and the whole #UtahATS crew who supported me. Keep an eye out for a publication about #FamilyPresence in the near future!

Stoked to announce I matched to MayoPCCM for fellowship! Really grateful for all the support I've received from my family and the great training at Utah IM CMRs!