An epidemiologist, a scientist and a doctor walk into a bar... ...just kidding, they know better.

Hi, ER Doc here. RT if you’ve ever done CPR on someone and they survived. Trying to prove something.

Reading applications for fellowship I see a lot of personal statements. Most are about as spicy as white rice. But this sentence...😍

Echo is one of the more skilled ultrasound exams you can do. Having learnt it and now teaching it, I see the same mistakes being made over and over again. I have put together thread on beginner mistakes in echo. #tweetorial #POCUS #FUSIC #askpocus

She knocked it out of the park!

1/ A patient receiving his first-ever dose of IV Iron (ferumoxytol) suddenly develops diffuse face & trunk flushing, chest pain, myalgias, and anxiety. Blood pressure is normal and lungs are clear. You are called to the bedside to assess. How likely is anaphylaxis?

Fantastic to see Atrium Health Wake Forest Baptist Atrium Health team working on the crucial issue of community health worker integration. Society of General Internal Medicine (SGIM) #SGIM2023 @DPalakshappa Iris Cheng CMC IM Residency Wake Forest University School of Medicine

A patient with long-standing renal failure has a cardiac arrest on commencement of dialysis. You achieve ROSC, and do a focused echo. Here are the views you achieve. Parasternal long axis...

Would also note that this case highlights the importance of putting a probe on someone’s chest before deciding on ICU vs floor status even after you know about the PE.

Can GPT-4 solve really hard medical cases and come up with a good list of differential diagnoses? @zahirkanjee Byron Crowe and my study is out in JAMA , and the short answer is, “Yes.” But what does this all mean? 🧵⬇️ x.com/JAMA_current/s…

Reason #56786 why #pocus is important: chest x-rays are not sensitive enough, especially in the setting of other cardiopulmonary disease. Middle aged man with recent ablation presented to the hospital with tachycardia, hypotension and cough. Initial chest X-ray:

Our first TNR of the year: 67M s/p OLT (2022) for HCC with recent recurrence now on lenvatinib, known PFO presents with 2wks worsening of dyspnea on exertion. What’s your approach to this patient? Tune in later for the reveal! #FOAMED #internalmedicine #CMCIM

I was watching Lord of the Rings last night and realized there are many parallels with academia! A thread 🧵👇

Today Avraham Z. Cooper, MD 🩺 and my essay on AI/LLMs and medical education comes out in NEJM , about the challenges our field faces and what we should do about it. I wanted to give some context for this essay, and talk about some of the things we can be doing NOW. A brief 🧵⬇️

New publication from our group. Severe Hyponatremia Correction, Mortality, and Central Pontine Myelinolysis | NEJM Evidence evidence.nejm.org/doi/full/10.10… American Society of Nephrology

Please read this twice, fellow docs. Terms like ‘non-complaint’ and ‘against medical advice’ pigeonhole already marginalized patients and can literally contribute to adverse outcomes. We need to do better.

Beware the peak of the Dunning Kruger curve! Exposure to #POCUS leading to overconfidence and poor clinical integration can lead to patient harm.

Where is your God now? Has he forsaken you?