Parents: Please check your kid's halloween candy! I just found a copy of First Aid for the USMLE Step 1 in my kid's bag. There's some sick people out there!

How I teach my residents to present in the ICU: - one liner (NOT including full PMH) - overnight events - pertinent vitals/exam - Is/Os, drips, vent settings - pertinent labs/studies - assessment and plan (I do problem based) - FASTHUGSBID

#TipsForNewDocs If your history or physical don't suggest a given diagnosis, don't order a test looking for it. Abnormal result + no context for interpretation = confusion, which benefits neither you nor the patient. #kittlesonrules

When a patient says “I feel like I’m gonna die”, they are about to code until proven otherwise. Trust me on this one.

#TipsForNewDocs Anxiety is a diagnosis of exclusion. Before you make it, make sure you have performed an adequate history and physical and directed testing to exclude cardiac/pulmonary causes of chest pain, shortness of breath, and palpitations. #kittlesonrules

#TipsForNewDocs Pt w/edema- they don't have "heart failure." Figure out and document: HFrEF due to ***, HFpEF due to ***, cirrhosis, kidney disease, venous stasis, etc. Hard to unring the bell of misinformation- do your part to avoid chart rumors! #kittlesonrules

I had one attending in fellowship who really modeled healthy boundary setting. He was also a very good, conscientious clinician and one of our best educators, so he convinced me that a dedicated worker and teacher could still say no.

Excellent review of associations between sarcopenia & cardiovascular diseases in Circulation. Abdulla A. Damluji, MD, PhD, et al discuss diagnosis & management; point to areas for future study. Dr. Chris Defilippi Wayne Batchelor, MD Christopher O'Connor ahajournals.org/doi/10.1161/CI…

#TipsForNewDocs We all want a definitive test to tell us if a pt is sick/not sick. BNP, troponin, lactate, procalcitonin are not it. It’s not that simple. The best test of sick/not sick starts with the pt. Interpret tests results through the lens of the H&P. #kittlesonrules

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🔥Burnout in interventional cardiology: ❓Real or exaggerated ❓Is it all coming from above ❓Inevitable or preventable In this piece👇l discuss an actionable approach to this multifaceted but increasingly recognized issue jacc.org/doi/10.1016/j.…

#TipsForNewDocs As an on-call resident, I would run the list with my intern on call nights, playing the "worst-case-scenario" game. Figure out pts at risk for decompensation and why --> appropriate contingency plans --> better care for pts, less stress for you. #kittlesonrules

Charlotte’s Web Mary Poppins Alice in Wonderland Coraline The Graveyard Book Narnia Series The Hobbit Fantastic Mr Fox Stuart Little Harry Potter 1-3 BFG Old Yeller Plus he reads all the Dav Pilkey stuff plus a bunch of other elementary type chapter book on his own.

“You will continue to suffer if you have an emotional reaction to everything said to you. True power is sitting back & observing everything with logic. If words control you, everyone else can control you.” Attributed to several famous people but true author unknown.

Pharmacological Treatments in Heart Failure With Mildly Reduced and Preserved Ejection Fraction: Systematic Review and Network Meta-Analysis - ScienceDirectd sciencedirect.com/science/articl…

We are prone to making mistakes, regardless of how careful or conscientious we may be. However, it is crucial to recognize that when we make mistakes, we should take responsibility for them and make amends. There is no shame in acknowledging our faults or shortcomings, as this

GLP-1 receptor agonists and vascular protection | American Journal of Physiology-Heart and Circulatory Physiology journals.physiology.org/doi/abs/10.115…

I don’t think every healthcare worker needs to be 100% clinical. I don’t even think every HCW needs to stay clinical for their whole career. But if you’re in a position of telling other HCWs what to do, you should probably be doing some clinical work.

Our fellows took part in the Bruce protocol challenge! A major shout out to Richard Carrick & David Polhemus for completing all 21 minutes of the challenge!! Hopkins Pulmonary and Critical Care Medicine we heard you also like to stress test 👀🤝👀?

Sometimes life works out & you get to do something you enjoy with people who mean the world to you! Having all the feels as the JCF community and broader family & friends enhance the positive impact on pts with HF Onward we go! Anu Lala-Trindade Journal of Cardiac Failure Michael Felker James Fang