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Lasix is NOT nephrotoxic 🫘 Please retweet so we can end this myth once and for all 🦄 Rising creatinine is more often an indicator of inadequate Lasix dosing than excessive!! Lasix can only harm the kidneys if it decreases cardiac output by dropping preload to the point of

🧵 Antimicrobial Susceptibility Testing of Burkholderia cepacia Complex (BCC) *Can* we test? *Should* we test? 👇

Want to perform high quality clinical research? The best piece of advice I've received is to focus 10x more on creating an unimpeachable research protocol. This is how I do it step-by-step: 1) I start with a manuscript template for the study design I am using (linked below 👇)

"Learning is cheap, education is expensive." Naval

Questions often teach more than answers.

I have a presentation today on contrast induced nephropathy. It was one slide:

Detachment is not that you should own nothing, but that nothing should own you.

Knowledge grows when you ask stupid questions. Stupidity grows when you don't ask anything.

(1/x) Authors have sued the six largest academic publishers for running an illegal cartel that violates US antitrust law. Here are the key points from the biggest lawsuit in academia 🧵 Please retweet to help promote FAIR publication.

"The difference between slaves in Roman and Ottoman days and todays employees is that slaves did not need to flatter their boss." - Nassim Nicholas Taleb in The Bed of Procrustes

60y male, came with hypovolemic shock due to spleen rupture. Patient on noradrenaline and vasopressin. On insertion of the femoral arterial line we see this. What's happening here? korbinhaycockmd Philippe Rola Ross Prager Parijat Sen 𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 ANDROMEDA-SHOCK Eduardo R Argaiz Rory Spiegel

hyponatremia treatment app .

1/ Most people think the heart drives circulation. But what if that’s backwards? Anderson’s model flips the whole idea of cardiac output on its head — and it changes how you think about fluid, flow, and failure. 🧵👇 #physiology #FOAMed #MedTwitter #criticalCare #cardiacOutput

🧵 Lymphangions: The Hidden Pump Protecting You From Oedema 1️⃣ What if I told you that you have hundreds of tiny hearts quietly pumping litres of fluid every day? They’re called lymphangions—segments of your lymphatic system that actively contract to return interstitial fluid to

Yesterday’s thread challenged how we teach Starling’s Law. But there’s a bigger problem hiding underneath it... “Preload” might be the most misleading term in clinical physiology. I’ll post a thread soon. It’s time we talked about what to say instead. #MedTwitter #FOAMed #FOAMcc

Eduardo R Argaiz Turning the Tide Ashley Miller Raising CVP in order to “preload” the right ventricle raises thoracic duct pressure”after load” and slows the return of ISF to the circulation.

I’ve been a surgeon for over 30 years… There are many lessons that I’ve learned: Rehab works… more often than you think. Surgery Helps Less Than You Think—But Rehab Helps More After three decades in the operating room, I’ve come to a surprising conclusion—one I wish more

🧵 "What really determines tissue perfusion?" – and why most explanations get it wrong. Let’s sort out MAP, CVP, CCP, autoregulation, vasopressors, and the flow that actually reaches your organs. 👇

🧵 What is Critical Closing Pressure — and why does it matter for perfusion? A thread to clear up one of the most misused and misunderstood ideas in circulatory physiology. 👇