Interesting case: called to a rapid response for neck & chest pain in 63yo M with hx of SCC of tongue now 3 months post-glossectomy & laryngectomy. Initial vitals stable. EKG below - previous EKG with TWI in aVL. Do you activate STEMI team? What are your next steps? #FOAMed #EKG

This was one of the most interesting manifestations of a common disease I’ve ever seen. Thanks to JGIM Journal of General Internal Medicine for publishing our report!

Tucked into this remarkable WIRED reporting on the most progressive approaches to opioid addiction is the stunning finding that heroin users randomized to prescription heroin vs. prescription hydromorphone cannot distinguish between the two. wired.com/story/one-doct…

#NACCT2019 golden hour in GI decontamination with #activatedcharcoal is changing in many toxic ingestions. Evidence and expert opinion suggest it could be safe up to 3-4 hours in certain overdoses. @sgosselinmd

a fresh meta-analysis of steroids shows that they increase GI bleeds! sounds scary, but let's look into this further... (#rantorial 1/7) x.com/yourICM/status…

We have so many people who lack even the most basic, elementary school-level science literacy in this country, who cite "decreased oxygen intake" or "carbon dioxide retention" as a reason it to not wear a mask in public. #wearyourmask #DoBetter #PublicHealth #TrustANurse

Carbapenem antibiotics reduce valproic acid (VPA) concentrations quickly and dramatically Why does this happen? /1

3 days of abx is equivalent to 8 for non-severe CAP per the PTC trial - but a single dose of ceftriaxone cured 90% of community-acquired PNA in these interesting daptomycin studies. There's likely a group of CAP pts who would do well w/ single dose tx. thelancet.com/journals/lance…