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The public doesn’t realize this. They just see higher health costs. Doctors get blamed for costs but they’re getting the biggest pay cut in the health services pie.

You can’t hide from stress. At some point it’ll be there. Better to learn to cope with it, strategize to deal with it. The answer is not get rid of anything that causes stress for students, it’s to teach students how to deal with it.

This is spot on

This #JusticeForMoumita #KolkataDoctor

I really truly hope she learns that people in healthcare should not be ageist + feel inclined to withhold care for people because they are an arbitrary age. Context matters. Nobody should advocate for futile care, obviously. That said, age is just a number; biases matter.

Let physicians own hospitals. Put ownership of healthcare back in the hands of people actually doing health care.

An important cause , and a no-brainer Let’s get toxic chemicals that are outlawed accross the world also removed from the foods our kids eat in the US

For patients w cirrhosis + ckd, with volume mgt by lvp, any data in restricting vol with lvp+giving iv alb even w low vol?Most do both What about for pts admit w aki on ckd? Role of hemodynamics? Kavish Patidar Giuseppe Cullaro Elliot Tapper #livertwitter #GITwitter #MedTwitter

I’ve tried OCP for refractory gave 3 times in my career and the third times a charm. Pt w/ 5+ endoscopies with banding/apc/rfa for gave over the last half year, sees hematology on epo, iron iv etc. Amazing when something works so well. #livertwitter #gitwitter #MedTwitter

Diagnostic colon 30 yo M, no fam hx colon cancer, has small TA. What age should his first degree relatives be screened? Samir Gupta, MD Doug Robertson Aasma Shaukat MD MPH Jason Dominitz, MD, MHS Any quality data on this? #GITwitter #MedTwitter

Excellent post in light of recent chatter

Lot of hate out there towards Americans of Indian descent and Indian immigrants. For what it’s worth, the impact of this small portion of the US population objectively is a net benefit to the country. So even though you hate us, we typically make your life better.

Year ago screening colon no polyps, had “fair prep,” prior gi doc from another state said repeat in 5 years 🤨 Offered two day prep, colon with large flat polyp near AO En bloc resection TA with HGD! What’s your practice for fair prep? 5 years is absurd. #Gitwitter #MedTwitter

New cologuard “plus” 🙄 Great for detecting existing colon cancer. Poor for detecting advanced polyps (polyps most likely to turn into cancer if not removed). It’s what makes colonoscopy the superior test— because the goal is to prevent cancer! #GITwitter #medtwitter

Seen this about 5-10x in my inpt gi/liver experience Young, no PMH High cyclical fever Hepatosplenomegaly high ferritin Ddx stills disease, HLH, lymphoma (diffuse large B, hepatosplenic T) Have yet to see it be an obscure infection #MedTwitter #GITwitter #livertwitter

Superb episode Master class on how to think through these disease states and nuances in management Gideon is a rare breed where every word is chosen with intent and logic , a fantastic explainer