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Nick Profile
Nick

@TheRoofMD

1,043
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2,050
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1,955
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Resuscitationist, intensivist, clinician educator. Interests include attacking the pin from the rough and good medicine in bad places. @IMResidencyDuke forever.

Joined June 2009
Don't wanna be here? Send us removal request.
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@TheRoofMD
Nick
2 years
A promise kept. #PSLF #MedTwitter
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@TheRoofMD
Nick
1 year
Having training extended after my own stay in the ICU, major surgery and recovery was not how I planned it but I have so much to be grateful for today.
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@TheRoofMD
Nick
2 years
Unexpected capstone to PCCM fellowship —> being an actual ICU patient! Pictured here being pulled over by the amazing @StanfordHealth CVICU nurses while trying to sneak over to @HeartBobH ’s office to watch @DukeMBB game / talk my way into a job interview #DukeFam @AimeeZaas
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@TheRoofMD
Nick
3 years
YO @IMResidencyDuke interns - next six weeks of the year are usually the darkness before the dawn. If you need encouragement, support or anything else just hit up your #Dukefam #Yougotthis #Wegotyou @AdrienneKlement @ryanhuey @PishkoMD @CarliLehrMD @A_Lowenstern @thehitch_md
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@TheRoofMD
Nick
3 years
Best book I read in 2021 was VIRAL by @Ayjchan and @mattwridley - has the appropriate level of scientific horsepower combined with intellectual curiosity and fair investigative journalism.
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@TheRoofMD
Nick
3 years
Congratulations to the newest members of @IMResidencyDuke from the #AZOGs #41 #DukeFam #MatchDay @AimeeZaas
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@TheRoofMD
Nick
2 years
@GolfDigest You’re still out
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@TheRoofMD
Nick
2 years
Congratulations to everyone matching @IMResidencyDuke today! Huge fringe benefit of this is you get to take pictures with famous people BEFORE they are famous. Here I am in 2012 with future world-class hematologist and HIT expert @PishkoMD #DukeFam #41
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@TheRoofMD
Nick
2 years
Transferring out of the ICU today was deeply symbolic for me because I got to leave after the team @StanfordHealth helped me accomplish all my goals for my stay there in an excellent, efficient, and compassionate manor - what I try so hard to to help give each of my patients
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@TheRoofMD
Nick
2 years
Heard a rumor that @milwaukeeva has named Academic Hospitalist and Palliative Care physician - the Demolition Dictator herself - @AdrienneKlement its Employee of the Year!!!! @IMResidencyDuke @AimeeZaas #DukeFam #AZOGs #41
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@TheRoofMD
Nick
3 years
Paparazzi caught me getting my G Ralph on (read: intensively educating housestaff) in a hoodie…wonder when @DukeIMChiefs let the @IMResidencyDuke alumni get on that fleece order #PrePatagonia #41 #Dukefam
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@TheRoofMD
Nick
2 years
The R & C words-rehypothecation & commingling-are antithetical to Bitcoin but integral to WallSt. via @CaitlinLong_ @ForbesCrypto
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@TheRoofMD
Nick
3 years
@IMResidencyDuke JARs on night float vibes
@UpdateDuke
Duke Update
3 years
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@TheRoofMD
Nick
11 months
J-E-T-S 🦃🏈 JETS JETS JETS Jerseys still fit a decade later LFG @ryanhuey
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@JackieKercheval
Jackie Kercheval, MD
11 months
24 hours until kickoff!! Getting PUMPED for the 5️⃣0️⃣th annual @IMResidencyDuke Turkey Bowl, featuring the Duke Marines and VA Jets!!! Best tradition of residency. The Marines have carbo-loaded and are ready to defend the 🏆! GO MARINES!!
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@TheRoofMD
Nick
1 year
10 years ago today @littlejonesmd took over my half of a @IMResidencyDuke gen med team. Today, she’s a superstar oncologist, clinician educator, mom and a whole bunch of other stuff I could never do. Happy July 1st to interns everywhere!
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@TheRoofMD
Nick
3 years
If you wanna know what training at @IMResidencyDuke is like…some days you open up the bird app and get casually reminded that your attending from those 7th floor weekend days of one-on-one rounding @califf001 is now in charge of the FDA NBD #DukeFam #41
@matthewherper
Matthew Herper
3 years
So who is Robert Califf, and what can we expect at the FDA? And why do I think he could do to bring some ambition and ego to the job? Some notes from my years covering him, including a conversation with @EricTopol , who knows him well.
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@TheRoofMD
Nick
3 years
Wake up, drink coffee, buy the dip @BlockFi @BlockFiZac
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@TheRoofMD
Nick
2 years
Pictured here with the best boss I ever had. One of the sharpest clinicians. Deeply compassionate leader. Physician-mentor who gave me an opportunity a decade ago that continues to shape my life today. And her husband…who is also a doctor. #41
@AimeeZaas
Dr. AimeeZaasDukeIMPD
2 years
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@TheRoofMD
Nick
2 years
As an internal medicine resident, @DavidLSimelMD taught me how to think critically, clinically and compassionately while caring for patients @vadurham . As a Naval Officer @NavyMedicine who will be a @VeteransHealth patient someday, his contributions to the profession will benefit
@dukemedicine
Duke Department of Medicine
2 years
We are so excited for Friday's special Medicine Grand Rounds honoring @DavidLSimelMD and the iconic Dr. Joanne Wilson on their retirement. Please join us in wishing them all the best! @vadurham @Duke_GI_ @IMResidencyDuke
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Nick
1 year
@vumccardsfit
Vanderbilt Cardiology Fellowship
1 year
Beyond excited to announce that Dr. @A_Lowenstern will be joining our program leadership as an Associate Program Direction! Dr. Lowenstern is an outstanding educator and fellow advocate and we look forward to working closely with her! @BoydDamp @JaneFreedmanMD @colinbarkerMD
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@TheRoofMD
Nick
3 years
Shoutout to @eightsleep for keeping me cold this year 🧊
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@TheRoofMD
Nick
2 years
Literally how I felt every day @IMResidencyDuke
@jon_greenberg
jon greenberg
2 years
“I hang around superstars. If you hang around superstars, good things will happen.” - Steve Kerr
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Nick
2 years
Welcome to the new #DukeFam starts with honoring someone who has contributed immensely to who we are, what we do and how we do it #41
@IMResidencyDuke
Duke IM Residency
2 years
Congrats to all the @DukeMedSchool & other #students matching today!!! We look forward to meeting you soon! First, though, we are celebrating Dr Dave Butterly @DukeKidney this morning for @dukemedicine #GrandRounds !
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@TheRoofMD
Nick
2 years
I really think I would have loved fellowship if not for COVID.
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@TheRoofMD
Nick
2 years
Blue Journal Unlocked. @criticalMD @bronchmonkey @ucsdpccm Tracheal Y-Stent–induced Carinal Reunion after Complicated Aerodigestive Fistula | American Journal of Respiratory and Critical Care Medicine
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@TheRoofMD
Nick
2 years
Sleep has to be on point to grow a cookie duster of this caliber. Don’t know what I’d do without my @eightsleep - totally changed my life. Thanks @m_franceschetti
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@TheRoofMD
Nick
1 year
In another episode of Hilarious that I was Once was Her Clinical “Supervisor” @IMResidencyDuke #Dukefam #Superstars
@YaleIMed
Yale Internal Medicine
1 year
The growing field of cardio-obstetrics aims to reduce maternal mortality and prevent future cardiovascular complications such as chronic hypertension, heart attacks, strokes and heart failure. Learn more from @sgolds13 of @YaleCardiology .
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@TheRoofMD
Nick
1 year
@DylanLeClair_ steady lads
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@TheRoofMD
Nick
2 years
@EvidenceBasedMD @dukemedicine @jennifer_rymer @AimeeZaas @SuchitaSata @IMResidencyDuke Before I graduated @IMResidencyDuke I told my mom that I thought women should run everything. She responded - very empathetically - “Awww, honey…we already do.”
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@TheRoofMD
Nick
2 years
@GoodishIntent How lucky are we that Charlize Theron is out here resuscitating folks for the holidays
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@TheRoofMD
Nick
1 year
A tradition unlike any other.
@BenBoyga
Ben Berger, MD
1 year
An honor and a privilege! 🫡😂
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@TheRoofMD
Nick
1 year
She could prob rush for 100 yards against our defense
@NFLonFOX
FOX Sports: NFL
1 year
Taylor Swift is HERE for the Chiefs game 👀
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@TheRoofMD
Nick
2 years
Don’t even need to be on @Twitter to get trolled by @elonmusk
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@TheRoofMD
Nick
2 years
Thanks for all the well wishes everyone! Out of ICU today!! At your institution, is that a “downgrade”, a TOW” [transfer on wards], just a “transfer” or something else?
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@TheRoofMD
Nick
2 years
@GoodishIntent The ECMO is open above the stomach which appears obstructed by a longitudinally directed anchovy
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@TheRoofMD
Nick
2 years
What Gold Star families wished everyone knew about Memorial Day
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@TheRoofMD
Nick
2 years
Get you a physician who can do both.
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@TheRoofMD
Nick
2 years
Tragic.
@JoePompliano
Joe Pompliano
2 years
This will be one of the most watched women's college basketball games of all time, and the refs decided to make it about them. What a shame.
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@TheRoofMD
Nick
2 years
Happy Holidays from your @ucsdpccm (+1 @NavyMedicine ) LJ 🫁 fellows band: Consult, Transplant, Vascular, Interventional. Pa rum pum pum pum.
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@TheRoofMD
Nick
3 years
Congrats Dr. T! #Dukefam wondering when these signs will start to have @IMResidencyDuke residents’ “and” on the back tho 👀 @AimeeZaas @DukeIMChiefs
@RachelTobinMD
Rachel Tobin
3 years
Couldn't have been more thrilled to have matched @EmoryHeart for cardiology fellowship! Thankful to my family, friends, and mentors for helping me get here.
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@TheRoofMD
Nick
2 years
@EvidenceBasedMD @StanfordHealth @HeartBobH @DukeMBB @AimeeZaas Because shameless self-promotion has never been your thing!
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@TheRoofMD
Nick
2 years
GM to everyone except whoever was involved in scheduling the Pulmonary Diseases and Critical Care boards for Monday and Tuesday of the week after Thanksgiving.
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@TheRoofMD
Nick
2 years
CONGRATULATIONS! This is so well deserved. Your work as a clinician educator is a force multiplier & has made all of us trainees who have learned from you more thoughtful, smarter and safer doctors.
@EvidenceBasedMD
Daniella Zipkin, MD
2 years
It’s a big day. I was promoted to #Professor of Medicine. Doing this as a #ClinicianEducator and #WomenInMedicine is not a small thing. Grateful to the support of mentors all along the path - @EbonyBoulware @AKaletMD and many others @Duke_GIM @dukemedicine @SocietyGIM #MedEd
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@TheRoofMD
Nick
2 years
The list of physician leaders he recruited is honestly surreal.
@IMResidencyDuke
Duke IM Residency
2 years
Many thanks to Dr. Dave Butterly for his years of service leading our #resident #recruitment !!! Final count: 290 sessions with @AimeeZaas and many more with @mcnei006 !!!
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@TheRoofMD
Nick
2 years
Not not me
@Authoralexp
Alexander Pennington
2 years
Buying books and actually reading books are two completely separate hobbies
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2 years
@DukeAlumni
Forever Duke
2 years
#tbt : On this day in 1930, Duke University Hospital opened its doors to patients for the very first time. Since that time, @DukeHealth  has emerged as a world leader in innovative research and care. 📸: Davison Bldg & Duke University Hospital in 1930, courtesy of @dukeuarchives
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@TheRoofMD
Nick
2 years
Few things get me more fired up than introducing people I care about to @eightsleep - a revolutionary tool that has changed my life. @m_franceschetti and his team are big time innovators
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@TheRoofMD
Nick
2 years
@Publix Chicken tender sub
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@TheRoofMD
Nick
2 years
Oh and if you need me, I’ll prob be printing out copies of my CV at a J5 nursing station between laps.
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@TheRoofMD
Nick
2 years
Serious work here by @CarliLehrMD and colleagues…her Twitter handle seems to be missing a doctorate though… @IMResidencyDuke #dukefam #41
@CleClinicMD
Cleveland Clinic MD
2 years
New research explores how incorporating long-term benefits will impact the new U.S. lung transplant allocation system:
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@TheRoofMD
Nick
3 years
If it weren’t for COVID, I think I really would have liked fellowship.
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@TheRoofMD
Nick
2 years
See also: fellowship.
@melina_manolas
Melina Manolas, MD, MPH
2 years
Residency = going to sleep tired, somehow waking up even more tired
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@TheRoofMD
Nick
2 years
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@TheRoofMD
Nick
2 years
@EvidenceBasedMD @StanfordHealth @HeartBobH @DukeMBB @AimeeZaas Hahaha thanks! Was just looking to free up some time to really sink into your book!!!!
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@TheRoofMD
Nick
10 months
@londyloo Hard to name something across the spectrum of medical training better than being a Duke SAR - #41 @IMResidencyDuke @dukemedicine
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@TheRoofMD
Nick
1 year
@AG_EM33 Doctor-2-Doctor: Couldn’t agree more.
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@TheRoofMD
Nick
3 years
@polina_marinova @APompliano BABY NAME NEGOTIATIONZ
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@TheRoofMD
Nick
3 years
🤡show continues
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@TheRoofMD
Nick
1 year
LFG
@PulmCrit
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊
1 year
introducing the IBPH (internet book of hospital pulm) expansion to the IBCC section on pulm, with a goal of covering inpatient pulmonology more thoroughly🫁 please help support the project by sharing & peer-reviewing the new chapters (coming soon)🐦
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Nick
2 years
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@TheRoofMD
Nick
14 years
@JoeNBC when people cross the line between "you're wrong" and "you're an idiot", everybody loses. #keepcalmandcarryon
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@TheRoofMD
Nick
3 years
Thank you for this interesting consult?
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@TheRoofMD
Nick
2 years
So lucky to have co-fellows @ucsdpccm who are brilliant, compassionate and hilarious.
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@TheRoofMD
Nick
2 years
Maybe we can get @elonmusk to buy @Ticketmaster
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@TheRoofMD
Nick
3 years
PROPOSED: every time a travel nurse responds to an inquiry by any other member of the healthcare team with “I’m just a traveler” they must immediately give $20 to an underpaid staff nurse working the same shift. #MedTwitter
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@TheRoofMD
Nick
2 years
The internet remains undefeated.
@itskac
Kelly Ann Collins
2 years
We’re so misunderstood. 😂 #CryptoInvestor #NFTs
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@TheRoofMD
Nick
11 months
@Blue_CollarBTC No Bears game tomorrow so that is also something to be thankful for as we will not suffer
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@TheRoofMD
Nick
3 years
POCUS + pull-ups pa rum pum pum pum
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@TheRoofMD
Nick
10 months
@River @huckfinne orange-pilled me in 2016 by taking me to a below-average Chinese restaurant and made me pay the bill insisting that he would reimburse me in BTC at the table after I set up a hot wallet and it would - some day - be worth much more than at that time. Savage.
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@TheRoofMD
Nick
3 years
Not a big run to codes guy but this gets me MOVIN
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@TheRoofMD
Nick
3 years
@CarliLehrMD @ryanhuey @SajalTanna @AdrienneKlement @A_Lowenstern @PishkoMD The fact that @calliecoombsmd was the first person to like this can only mean one thing… SHE’S STILL WATCHING @IMResidencyDuke @AimeeZaas
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@TheRoofMD
Nick
1 year
💯
@SahilBloom
Sahil Bloom
1 year
One of the most underrated traits in life: Reliability. You can get pretty damn far by just being someone that people can count on to show up and do the work.
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Nick
1 year
CO-SIGN
@emily_fri
Emily Fridenmaker
1 year
I may have long hours when I’m on MICU but give me a list of complex patients and a team that wants to learn stuff and I feel ALIVE.
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@TheRoofMD
Nick
1 year
The MedEd Blog: Lessons Learned While Caring for Dying Veterans @AdrienneKlement @IMResidencyDuke #41
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@TheRoofMD
Nick
2 years
Practicing Critical Care Medicine is pretty athletic sometimes TBH
@eightsleep
Eight Sleep
2 years
RISE WITHOUT LIMITS 🌄 We are proud to power the recovery of hundreds of athletes worldwide. And this is only the beginning. If you are an athlete looking to up your recovery game, RETWEET this and we will be in touch 🔁
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@TheRoofMD
Nick
3 years
$95 - DMs are open
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@adamgreattweet
Adam
3 years
For $100 I will FaceTime you in scrubs on Christmas and pretend to be your boyfriend that couldn’t make it because he had to work in the hospital
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@TheRoofMD
Nick
3 years
Resuscitations are sexy but PM rounds talking to families is my critical care love language
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@TheRoofMD
Nick
1 year
“Rory, did it go in?!”
@PGATOUR
PGA TOUR
1 year
UNBELIEVABLE! MICHAEL BLOCK JUST DUNKED A HOLE-IN-ONE!
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@TheRoofMD
Nick
1 year
@sgolds13 taught me this once…when I was allegedly “supervising” her #DukeFam @IMResidencyDuke
@JACCJournals
JACC Journals
1 year
Cardio-obstetrics training should be incorporated into cardiovascular disease fellowship programs with the goal of improving maternal and fetal outcomes Read more from this important work: #JACC #CardioObstetrics #CVD #MedEd #ACCFIT #ACCCardioOB #ACCWIC
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@TheRoofMD
Nick
3 years
@GoodishIntent I bring it up for fun am I part of the problem? Y N
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@TheRoofMD
Nick
10 months
GM Happy New Year @LynAldenContact
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@TheRoofMD
Nick
1 year
@BBankheadMD @menachem_j feels like she’s ready to be recruited to the kicks on call squad
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@TheRoofMD
Nick
2 years
Never, never, ever.
@DrMeganConroy
Megan Conroy, MD, MAEd, FCCP 🫁
2 years
Today I was reminded of an ever-applicable mantra, in case you need to hear it now: Don’t quit on your worst day
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@TheRoofMD
Nick
2 years
Co-sign. Happened recently and I’m still fired up about it.
@WrayCharles
Charlie M. Wray, DO, MS
2 years
I know that sometimes writing student letters of recommendation can seem like a burden, but I honestly find it to be one of the highest compliments a medical educator can receive
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@TheRoofMD
Nick
3 years
CO-SIGN
@DevMachette_
Dev Machette
3 years
I love west coast football sundays. 10AM. Blue skies. Doors and windows open. Electric.
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@TheRoofMD
Nick
2 years
JETS FOREVER
@AimeeZaas
Dr. AimeeZaasDukeIMPD
2 years
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@TheRoofMD
Nick
2 years
Taylor is back. Finally.
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@TheRoofMD
Nick
3 years
@DukeNBA Already the second best player on the Orlando Magic
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@TheRoofMD
Nick
1 year
More often that I ever thought, I wish I could prescribe an @eightsleep for my patients @m_franceschetti
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@TheRoofMD
Nick
3 years
154,000%
@MariaPesce_
Maria Pesce
3 years
Are @eightsleep ’s worth the hype?
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@TheRoofMD
Nick
3 years
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@TheRoofMD
Nick
2 years
Huge honor for me to be invited back to the hospital where I learned how to be a physician and share my experiences @NavyMedicine
@AimeeZaas
Dr. AimeeZaasDukeIMPD
2 years
Very excited to hear from our DukeFam Veterans for the 6th Annual Veterans Day Grand Rounds @CJHostler @TheRoofMD Dr John DeMis and Dr Kudla @IMResidencyDuke @dukemedicine
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@TheRoofMD
Nick
2 years
Are you hiring?
@TaisonBell
Dr. Taison Bell
2 years
The sense that you can’t disconnect from work is a major source of burnout in academic medicine. In the @UvaDOM we’re rolling out a new email guideline for faculty and staff to help alleviate this. I don’t expect it to be perfect, but it’s worse to not try something.
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@TheRoofMD
Nick
2 years
The Legend of Chief Shannon Kent via @coffeeordiemag
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