We can now read the Imperial College report on COVID-19 that led to the extreme measures we've seen in the US this week. Read it; it's terrifying. I'll offer a summary in this thread; please correct me if I've gotten it wrong. imperial.ac.uk/media/imperial…

The Journal. - A Vaccine Trial Recruiter Battles Mistrust podcasts.google.com/feed/aHR0cHM6L…

Hey #MedTwitter ! Academic nocturnist here. Several IM residents have asked for more practice with ekg interpretation. Does anyone have an app or website they like for honing up on ekg skillz?

You ever meet those people who are amazing conversationalists? Who make you feel better, smarter, or more insightful than before you spoke with them? Great article on having more productive conversations using "advocacy" & "inquiry" H/T Jessica Eng, MD (also on Blue Sky) thesystemsthinker.com/productive-con…

Great comments! This is a frequent scenario we encounter on our overnight shifts.Brendan Robinson

GREAT example of asterixis 🎥 Juan Carlos Q Velez #medtwitter

I had the most astonishing, embarrassing, and inadequate experience of my life with @UVAhealth last night/early this AM. The symptoms started at around 8:30p (1/many)

1/ We often check SPEP and/or immunofixation in patients with neuropathy. Why bother, and what should I do with the results? Welcome to Paraproteinemic Neuropathy: A #tweetorial for neurologists who order tests they have no business interpreting.

#UncleBob proudly presents: Annals On Call - Procalcitonin in the Diagnosis of Bacterial Infection Annals of Int Med acpjournals.org/doi/10.7326/A2… with Dr. David Gilbert Brad Spellberg martin rodriguez Jeanne Marrazzo UAB Infectious Diseases Division UAB Tinsley Harrison IM Residency Rachael Lee, MD MSPH

1/ #NeuroPostItPearls #8 (early!): Practice thinking like a Neurologist. To help you, a #Tweetorial Case adapted from my colleague and dear friend Ethan Meltzer, MD's new book “How to Think like a Neurologist.” amazon.com/How-Think-Like… ✨The Case✨ The Man Who Began To Drool.

Confession: I have been a doctor for 11 years and still have not spelled amitriptyline correctly without looking it up.

When an athlete is told to run at 85% they run faster than if they're told to run at 100%. It's called the 85% rule and here's why it works:

#medtwitter Q: Do people use midodrine for sepsis with hypotension in pts w/o cirrhosis, ESRD or known orthostatic hypotension? Like as a vasopressor sparing agent?

Julie WAS the reason i was the guy i was on the field today! It takes everyone but she lead the charge all week!!! Now let’s get Super Bowl ready!!

CASE STUDY 1/11 74 yo F presents with CBC shown in graphic below. You will note she has macrocytic anemia, which has a wide differential diagnosis (also shown in graphic).

What does it feel like to skip your morning cup of coffee in the name of science? David Larson, one of the #CRAVE study participants, shares his experience. eviden.cc/3pv9xo5 #ClinicalTrials #MedTwitter #CardioTwitter

Emergency medicine consults

Pro tip: Never order a foley for urine collection in a patient who: 1) does not have urinary tract obstruction and 2) can collect urine responsibly on their own. The practice of AKI= foley causes harm to patients.

Twice this week a resident asked an interesting question to which I quipped, “ Good question, Aguado!” and I learned that my night float residents have not seen Ace Ventura and now I feel old.