@esaagar
@elonmusk
“The news is moving very quickly”
Fabricates a sense of urgency as a smokescreen for not truly caring about getting a response from you.
@DGlaucomflecken
Trauma chief to one of my classmates during our surgical clerkship: “Don’t stand with your hands behind your back during rounds. Only attendings can stand like that.”
One thing about nephrologists I wish everyone knew during an AKI course:
I PROMISE that if dialysis helped speed up renal recovery or shortened the process (and might in a congestion scenario), we’d all jump to do it.
But it doesn’t. And can harm/protract that recovery. Let
It’s 2020 and I’m still getting radiology requests to “coordinate dialysis after contrast” for euvolemic, long-term HD patients.
The glacial inertia of medicine in the face of greater knowledge/data might be the most frustrating clinical part of practice.
What a day - lots of hydralazine writing for HTN, ran some acute RRT based purely on creatinine, gave Mucomyst for renal protection, and ordered albumin to aid diuresis.
#AprilFools
@LyftGyft
I’ve attached a screenshot with the date of the upload. I’m not someone that can poorly attempt to date cars by wheels, so date stamps are super helpful for me.
NB: That tweet wasn’t trying to be funny. Just found the instant negativity and Spiegel tag…interesting.
If the serum sodium is 158 and you’ve not been giving hypertonic saline, I can guarantee you that giving back a couple L of water will not adversely affect pulmonary status.
I’ve always been impossibly proud of my dad and his coaching career. Nearly 3 decades
@RSCCBasketball
and now
@TJCAAthletics
Hall of Fame (and the
@Citadel1842
Athletic HOF).
An incredible father, husband, teacher, and mentor. And he’d never tell you any of this. So I will!
Somebody, anybody, tell me what it means to “optimize renal function” to help with imaging/procedure. Like it’s a verb phrase/procedure to make numbers better.
In the meantime, I’ll go wave my optimization wand.
@Caulimovirus
The act of appropriately not dialyzing also takes a lot more thought and effort.
From my unfortunate exposure to a “Doctor B” it’s as much laziness or lack of effort/thought/caring for why they just dialyze. And when they UF them into kidney oblivion, it also becomes easy $
@bsimeone
@WholeMarsBlog
Just drove us 8 miles on 10.6.1 to a doctors appt. Driveway to parking lot. Not even a need for me to hit accelerator. No takeovers. No disengagements. Can’t wait for 10.7.
Have to agree with
@MilMileBattery
on
#FSDBeta
10.5. After a number of issues with 10.4, I just drove from the hospital to home - 11 miles with multiple left turns - with no disengagements and only one intervention (accelerator to start moving at a R on red). Impressive.
Something I read today:
“Impressive edema. I do realize the risk of putting him into worsening renal failure with Lasix.”
I want to start a GoFundMe to raise money for a national ad campaign to put this incredibly widespread misunderstanding to bed.
Who’s with me?
My 8yo looking at onion skin under her new microscope: Look dad! You can see the lines!
Me: Awesome! You know sometimes at work to help people with kidney problems I look at their pee under a microscope.
Her: I really wish you hadn’t told me that...
I am rapidly approaching a point in my life where I’d simply prefer non-nephrologists not say anything at all about patients’ labs. Rarely correct. Rarely nuanced. Often needlessly distressing. The psychological damage the non-nephros inflict is so hard to overcome.
#endrant
Years ago a 97yo pt of mine was upset in the AM as I rounded. I asked why.
“The last doctor in here said I can’t have Reese’s cups anymore.”
She’d had 2 every day for 20+ years.
I’d remembered a local TV news story about Ms. Sullivan and her Dr. Peppers, relayed the story,
The Arcane Texas Fact of the Day:
When Elizabeth Sullivan turned 104 years old back in 2015, she told CBS DFW that the doctor she turns to is none other than Dr Pepper. "People try to give me coffee for breakfast. Well, I'd rather have a Dr Pepper," she said. "I started drinking
NBC: non stop promos and pressure on Simone Biles for weeks leading up to the summer Olympics.
“Our bad”
Also NBC: Here’s 17 replays of Mikaela Shiffrin skiing out. And will no doubt run 6 more hours of promos/analysis on that.
@crookedheartdoc
As a somewhat neutral observer, I cannot for the life of me understand anyone would want Pearl back over Barnes. On floor results essentially the same.
Risk of penalty way higher with one. Character/faith way higher with another. Seems no contest. If those things matter.
@medicalaxioms
My favorite “vital sign” :
Stated/chronological age versus age the patient actually appears to be. I swear this is a strong predictor of clinical outcome.
@AndyOstroy
@elonmusk
@billmaher
I can’t imagine anything more lame than putting one’s political affiliation in their profile. A party of other people defines/describes you? Cool.
@allisonoconn
My first night on call in the same q3 30h calls, two patients coded a total of 8 times after 7P. Learned a ton from the situation and the CVICU RNs. That single night made me way more comfortable with running codes for the rest of residency.
It’s exhausting. Hope it goes well.
Among the many things I love about my University Nephrology practice and working
@utmedicalcenter
is that I get to teach/work with our
@utgsm
family medicine residents as they rotate through subspecialties.
Thank you for this great honor!