You've probably heard that Bicarbonate has to turn into CO2 to raise the pH. “Don’t give bicarb if you can’t increase ventilation.” But how much CO2 is there in an amp of sodium bicarbonate? A bicarb 🧵 1/

All 4️⃣ GI Society Guidelines in 1️⃣ Place Gastroenterology 48 guidelines ACG 55 guidelines ASGE GI Endoscopy 83 guidelines AASLD 23 guidelines Google folder: 🔗 drive.google.com/drive/folders/… Save this link & quickly download all PDFs Updated as 🆕 guidelines published!

58M with pmhx of HTN, HLD, CAD, CHF, COPD, DM, CKD, ESRD, GERD, PVD, DVT, PE, AFib, TIA, CVA, MI, RA, OA, IBS, IBD, UTI, BPH, ED, HIV, STI, PTSD, ADHD, OCD, MS, ALS, SLE, GBS, AML, CML, ALL, CLL, ARDS, DIC, SIRS, PNA, TB, ABPA, HFrEF, HFpEF, ILD, VTE, CRVO, NAFLD, HCC, HCV, HBV,

A brilliant 🧵 on VEXUS!

Art from heartbreak

Gukesh’s smile says it all 🙂 With this win India secures its first-ever gold in a #ChessOlympiad! 🏆

The Champions of Chess Olympiad 2024 🎉🥳🙌 Edit: Abhyudaya Ram #chess #chessbaseindia #ChessOlympiad

Hello #MedTwitter ! I'm Akash, an IMG from India🇮🇳, applying to #internalmedicine this #Match2025. Outside of medicine, I love football, podcasts, and Urdu poetry. AAMC ID: 16406056 Wishing the best to all the fellow applicants and excited for the upcoming interview season!

Hi #MedTwitter I'm Sagar, an IMG from India🇮🇳, applying to #InternalMedicine this #Match2025. In addition to medicine, I love Photography and Gaming. AAMC ID: 16416273 Wishing luck to my fellow applicants for the interview season. #Match2025 #acgme #usmle #ecfmg #nrmp

The real size of things ~ A Thread🧵 1. If Saturn were as close to Earth as the Moon, this is what it would look like:

#HurricaneHelene damaged the factory responsible for manufacturing over 60% of all IV fluids used in the US, leading to a major national shortage. As clinicians what can we do to about the #IVFluidShortage and how can we prevent this crisis from happening again? A thread 🧵 1/

I wish we followed clears 2 hours prior to procedure knowing that its a strong ASA recommendation. Anxiety of a procedure + intense hunger/thirst is clearly not helping patients. IV fluids are most definitely not the answer!

Cognitive errors and distortions are common in the ICU Here are the 6 most cognitive errors I see in the ICU (and how to avoid them) A 🧵 #medtwitter #FOAMed #cognitivebias

I love the power of music in medical procedures! Alan Jackson's Chattahoochee was what made a paracentesis more pleasant for my 75 year old patient who was short of breath and felt so much better at the end of it. Chattahoochee is iconic!

Grateful and thrilled to have presented at #ACG2024 this year! So inspiring to meet co-residents, fellows, and attendings who all share the same passion! Till next year ACG, hopefully as a fellow! #GITwitter

Alhamdulillah! Super excited to share that I matched at Henry Ford GI! Grateful to all my mentors and colleagues who helped and supported me to get here! 🥳 الحمد لله Henry Ford Health Gastroenterology Fellowship

So proud of my buddy/mentor since 2021! Fortune favours the brave and he's the bravest. Congratulations Bilal! 🤩❤️

A phenomenal talk by Pierre Gholam on Incretins, MASLD and interesting future avenues at Tufts Medical Center Medicine grand rounds. Exciting to see this ubiquitous group of medications change the landscape for chronic illnesses (Obesity/T2DM/HFpEF/OSA, PCOS? infertility? MASLD? AUD?)

Thank you to Raffi Karagozian, MD & the Tufts Medical Center DOM for the invitation to give medicine grand rounds. Visiting professorships are great opportunities to interact with young & bright minds that shape our future! #livertwitter #gitwitter Tufts School of Medicine Sonia Friedman

Happy #WorldLiverDay 2025! 🌍 Your liver performs over 500 vital functions—from detoxifying harmful substances to metabolising nutrients and regulating hormones. It deserves attention and care. This year's theme, #FoodIsMedicine, underscores the profound impact of our dietary