Akiff Premjee, MD @akiffpremjee Twitter profile

Pinned Tweet

Akiff Premjee, MD

11 months

Been working on a fun little side project and finally making it public! Have always thought explainer videos for talking about healthcare topics work well and so took a shot to make my own for the Medicaid Unwinding that’s going on Link in the next tweet but I hope you enjoy!

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Akiff Premjee, MD

@akiffpremjee

4 years

Catcher in the Rye is trending and I am here for it

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Akiff Premjee, MD

@akiffpremjee

7 months

Residency is funny because they will let you be the night senior in the ICU and start levo on a patient in shock but then also email you if you decide not to go to a lecture that you don't think you need your own education as an adult in your thirties lol

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Akiff Premjee, MD

@akiffpremjee

4 years

Got a lot of ideas and learnings from 'How to Crush it on Twitter' by @david_perell and @mkobach Thread👇🏽

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Akiff Premjee, MD

@akiffpremjee

3 years

Just set up my @readwiseio to @obsdmd sync and created a dataview to help me process my inbox in a more digestible way so that I’m not overwhelmed with a huge list Wow, this is awesome and I love what I can do with dataview in obsidian #obsidianmd

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Akiff Premjee, MD

@akiffpremjee

7 months

lol there was actually an app that had this when i was in med school and we tried it on an oculus and i can confirm i used it for 5 min and then went right back to anki

Min Choi

@minchoi

7 months

Education will never be the same. People are finding some incredible use cases with Apple Vision Pro and spatial computing. 10 wild use cases: 1. Learning how heart works

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Akiff Premjee, MD

@akiffpremjee

11 months

VBC in real life is an excel doc I get every week in clinic with patients for that week and columns of if their A1C and hypertension are controlled And pended orders ahead of time for me to collect urine microalbumin/Cr Just want all of you to know it’s not insane tech lol

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Akiff Premjee, MD

@akiffpremjee

4 years

So @AirrAudio just updated it’s sync to @readwise to include transcripts when available. And then @readwiseio sends that to @RoamResearch The output is this which is just beautiful! I was waiting for transcripts to sync and this makes everything so much simpler.

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Akiff Premjee, MD

@akiffpremjee

4 years

Absolutely loving the PDF Highlighter in @rem_note It's nice to have the ability to copy the text from highlights but also reference larger chunks of highlights in a simple pin and then turn that chunk into it's own rem to review in flashcards later

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Akiff Premjee, MD

@akiffpremjee

2 years

Ok can confirm @supabase is incredible

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Akiff Premjee, MD

@akiffpremjee

4 years

I've started following @jackbutcher more on YouTube after seeing his incredible designs on Twitter. Recently came across a video where he walks through his design process with @david_perell Some key takeaways👇🏽

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Akiff Premjee, MD

@akiffpremjee

11 months

There’s definitely a marketplace for health tech companies needing input from doctors who understand how the health system works and connecting them to residents who could use some consulting $$ and who are at the forefront of how work actually gets done in hospitals

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Akiff Premjee, MD

@akiffpremjee

4 years

So many good quotes

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Akiff Premjee, MD

@akiffpremjee

4 years

@RobbieCrab @david_perell Very similar to MIT Press Essential Knowledge Series which are great primers for so many topics

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Akiff Premjee, MD

@akiffpremjee

4 years

Pro Tip: If you’re not using Ctrl + Cmd + Shift + 4 to take screenshots on Mac you’re missing out Copies directly to clipboard so you don’t have to deal with the file Lots of keys yes but lots of time saved also yes

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Akiff Premjee, MD

@akiffpremjee

4 years

I just watched How to Take a Digital Note by @fortelabs which was also essentially a preview for BASB. Took some notes on it (ha the irony) and sharing some highlights below in case it is useful to others!

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Akiff Premjee, MD

@akiffpremjee

4 years

Thank you @visualizevalue and @jackbutcher for the minimalistic wallpaper

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Akiff Premjee, MD

@akiffpremjee

4 years

Saw this tip on Twitter a while ago but just made a page in @RoamResearch called “” and all the unlinked references are tweets I’ve saved anywhere in my Roam database and it’s so cool to look through. Try it out!

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Akiff Premjee, MD

@akiffpremjee

2 years

@mcuban @costplusdrugs Hey there resident physician here - one I’ve had issues with for my patients is apixaban for anticoagulation or even enoxaparin as a different kind of anticoagulation Recently had a patient who has a lung clot and needed it but was pending Medicaid and couldn’t afford it

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Akiff Premjee, MD

@akiffpremjee

7 months

this stat from @jbcarmody always amazes me

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Akiff Premjee, MD

@akiffpremjee

2 years

@iDownloadBlog

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Akiff Premjee, MD

@akiffpremjee

4 years

And more

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Akiff Premjee, MD

@akiffpremjee

10 months

I still don’t think using language models for diagnosis is the real need. It’s pretty uncommon that we can’t make a diagnosis in the hospital What I usually need is an answer to a second order question or what a specific specialty may say to my question

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Akiff Premjee, MD

@akiffpremjee

4 years

Ever since setting up my GTD system in @RoamResearch , I've started writing less. I think there is good reason sometimes to unbundle things, so I think I may go back to Things 3 for tasks. Great app that does that one thing (haha!) really well.

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Akiff Premjee, MD

@akiffpremjee

4 years

Hot take of the day: Lectures are still a good way of learning. Most lecturers are just bad at presenting and synthesizing information

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Akiff Premjee, MD

@akiffpremjee

4 years

All I want is a Fantastical iOS widget

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Akiff Premjee, MD

@akiffpremjee

4 years

Morning routines only work if you go to bed on time and that’s why I don’t have one Someone plz prove me wrong

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Akiff Premjee, MD

@akiffpremjee

4 years

Writing a newsletter in Document Mode in @RoamResearch feels so much better. Can’t believe I haven’t been doing this all along. Also apparently it copies and pastes much nicer

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Akiff Premjee, MD

@akiffpremjee

4 years

Having fun building with @webflow

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Akiff Premjee, MD

@akiffpremjee

4 years

It's sad that more people don't go to resources like PubMed to learn about specific topics. If you're interested in something, it's likely there is some research out there on it. However, the incentive structure of PubMed isn't set up to get the knowledge out to the masses.

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Akiff Premjee, MD

@akiffpremjee

4 years

Spent way too many hours in @RoamResearch last night defining workflows and creating smartblocks (thanks @roamhacker !) Landed here so far in terms of a note-taking framework. Daily template is still in the making. Would love to learn about how others are structuring notes!

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Akiff Premjee, MD

@akiffpremjee

3 years

@shailinthomas Wins gold medal Immediately adds to ERAS

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Akiff Premjee, MD

@akiffpremjee

4 years

New article is up! I talk about some underrated features and add-ons for @RoamResearch H/t to #roamcult for some good recommendations on this one

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Akiff Premjee, MD

@akiffpremjee

4 years

A good tweet is made up of four parts: - compression (make it concise) - no spam (don't be annoying) - simplicity (easy to digest for the reader) - novelty (a new perspective)

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Akiff Premjee, MD

@akiffpremjee

4 years

On this week's issue of Tools for Growth, I write about how I used @RoamResearch to build a personal medical wiki for myself as I studied for my first board exam. Would love for you all to give it a read!

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Akiff Premjee, MD

@akiffpremjee

6 months

it’s crazy how much of ICU length of stay is based on just a vibe

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Akiff Premjee, MD

@akiffpremjee

3 years

So it's day 4 of using @obsdmd and I've gotten a lot of guidance from Roam-to-Obsidian converts/dual users on how to treat the DNP in Obsidian so thought I would write up some of the learnings since it may be helpful to others #obsidianmd #roamcult

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Akiff Premjee, MD

@akiffpremjee

8 months

I need to talk to more doctors in tech - thinking about clinical product or clinical data roles. I think jumping to tech to be a provider isn't as interesting (at least to me) and it would be cool to combine the two Does this exist? I think yes but hard to find

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Akiff Premjee, MD

@akiffpremjee

4 years

Just started #roamcult on @joinClubhouse - it only lets me add people that follow me (small list haha) but if you’d like to join you can search it Members can make rooms so it’ll be a nice place to consolidate @RoamResearch talks on CH cc @Conaw @thepericulum

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Akiff Premjee, MD

@akiffpremjee

3 years

Btw your boy matched into internal medicine 🤙🏽

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Akiff Premjee, MD

@akiffpremjee

4 years

This is such a great feature for anyone who manages tasks in @RoamResearch Every morning I open up [[TODO]] and block reference in tasks from my master list and this will make that way faster + you can add new tasks in as well.

Conor White-Sullivan 𐃏🔍🇺🇸

@Conaw

4 years

A more task oriented example I want to reference a block that I know is on the page for [[Near Term Roadmap]] Shows what previous workflow was, and how it is improved

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Akiff Premjee, MD

@akiffpremjee

4 years

Learning SQL was one of the best things I’ve done to change the way I think about problems So simple to learn and has made me a much organized thinker. Has helped me so much on the wards in the hospital and feel like everyone could benefit from it

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Akiff Premjee, MD

@akiffpremjee

7 months

one thing i’ve learned going from health tech to clinical practice is that healthcare theory is very different from healthcare practice

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Akiff Premjee, MD

@akiffpremjee

4 years

Don’t be afraid to declare Instapaper bankruptcy ^more for myself but you too, boo

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Akiff Premjee, MD

@akiffpremjee

10 months

Don’t forget to zoom out on the fun physician burnout graph going around

Joel M. Topf, MD FACP

@kidney_boy

10 months

@jbcarmody @jasonryanmd Adjusted the axis. You are right.

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Akiff Premjee, MD

@akiffpremjee

3 years

@crulge I remember when I found a cheat code and did a 1440 with him in one of the Tony Hawk games. That was dope

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Akiff Premjee, MD

@akiffpremjee

4 years

@AliAbdaal Here you go - thanks to @anthilemoon

Anne-Laure Le Cunff

@neuranne

4 years

2pm UTC is I think the time when the largest number of people on Earth is awake • 6am in SF • 9am in NYC • 11am in Rio • 2pm in London • 3pm in Lagos • 5pm in Moscow • 6pm in Dubai • 7.30pm in Mumbai • 10pm in Singapore & Beijing • 11pm in Tokyo • 1am in Sydney

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Akiff Premjee, MD

@akiffpremjee

4 years

Okay this is just cool @rem_note - Upload PDF to source (under the title) - Make highlights (text or box) - Copy highlight reference or highlight quote (text) to main page - Clicking on the reference will open up the part of the PDF where you initially highlighted 🤯🤯🤯

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Akiff Premjee, MD

@akiffpremjee

4 years

Started using @roamhacker 's Daily Note popup in Roam42 and it makes jotting down ideas so much faster. I like to have a section of my Daily Note where I just jot down things that come to mind and was going back to the Daily Note page each time do this. This way is better!

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Akiff Premjee, MD

@akiffpremjee

4 years

Literally the best way I solidify my thoughts about something is by writing an essay or newsletter about it. Forces me to get my thoughts out of my head and onto a page but in a way where others have to be able to understand it. Richard Feynman knew what he was talking about.

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Akiff Premjee, MD

@akiffpremjee

3 years

Fourth year of medical school is like starting a new job every 4 weeks and doing HR paperwork and getting access to Epic at yet another hospital lol

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Akiff Premjee, MD

@akiffpremjee

4 years

Excited for the first day of @ness_labs new course today!

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Akiff Premjee, MD

@akiffpremjee

4 years

I hope there is a @RoamResearch feature one day that adds a random node from my graph into the Daily Note so that I can go down a rabbit hole of my own thoughts that I haven’t thought about in a while @Conaw #roamcult

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Akiff Premjee, MD

@akiffpremjee

4 years

Does anyone else remember the school planners in middle school that had the interesting fact in the corner of each page and you would read all of them on the first day you got the planner instead of waiting each week to see a new fact? I miss that.

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Akiff Premjee, MD

@akiffpremjee

4 years

Looking into different typography and Tiempos is so pretty I love it

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Akiff Premjee, MD

@akiffpremjee

2 years

So far liking the combo of Roam and Notion in @tana_inc Only using it for a medical database for things I come across at the hospital and how to manage them on the fly (essentially my own subset of UpToDate) but it is working well Excited to see how this grows over time

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Akiff Premjee, MD

@akiffpremjee

4 years

Was at the hospital today and spent 20 min looking for a lab value for a newborn that was in an obscure place in the EMR. All I wanted was universal search to find all instances of said lab value. I want @RoamResearch but for electronic medical records. How hard can it be?

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Akiff Premjee, MD

@akiffpremjee

4 years

@Conaw You literally just raised $9M

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Akiff Premjee, MD

@akiffpremjee

4 years

Up late writing a long post for you all coming out tomorrow. Here’s a sneak peek! Subscribe here to get it in your inbox:

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Akiff Premjee, MD

@akiffpremjee

4 years

28 tabs open with different articles 1 article read You feel me?

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Akiff Premjee, MD

@akiffpremjee

1 year

Nice finally got started playing with @LangChainAI and brought in my highlights from @readwise Cool to see me ask my highlights a question and see a generated answer using highlights from @WillManidis and @healthtechnerds

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Akiff Premjee, MD

@akiffpremjee

4 years

Step 1 ✅

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Akiff Premjee, MD

@akiffpremjee

4 years

Current online creation tech stack: - Collection: @AirrAudio @instapaper @hypothes_is @CommandBrowser - Aggregation: @readwiseio - Notes and writing: @RoamResearch - Project management: @NotionHQ - Newsletter: @SubstackInc - Website: @webflow What's yours?!

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Akiff Premjee, MD

@akiffpremjee

3 years

New page, who dis Follow for doodles

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Akiff Premjee, MD

@akiffpremjee

4 years

Really enjoyed this episode of @noverthinking where @taimurabdaal and @AliAbdaal discuss @nabeelqu ’s essay on How to Understand Things. Particularly enjoyed the discussion on constructionism vs instructionism. Feel like this is very evident in medicine

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Akiff Premjee, MD

@akiffpremjee

2 years

Watching @cortexfutura ’s intro to @tana_inc videos and though I am not as deep in TfT these days it does feel nice to see it making a comeback with a fun new tool I’m thinking of using @tana_inc just for residency right now - would be cool to have quick clinical views for things

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Akiff Premjee, MD

@akiffpremjee

4 years

#roamcult

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Akiff Premjee, MD

@akiffpremjee

4 years

Video editing tip of the day I got when I took @AliAbdaal ’s editing course a while back: When you’re recording and you mess up, clap after the take so that you see a spike in the audio when editing. Makes it way faster to find the “good” take you’re looking for

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Akiff Premjee, MD

@akiffpremjee

3 years

I’m liking the quick swipe down to access Command Palette on @obsdmd mobile Set up some pinned commands per @maxwschulz ’s advice and added “open todays daily note” to it today Makes navigating on mobile so much faster #obsidianmd

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Akiff Premjee, MD

@akiffpremjee

1 year

@joshmcgoo You should do a vasopressor bracket

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Akiff Premjee, MD

@akiffpremjee

9 months

Alright finally in the editing stages for the next video on Cost Plus Drugs - here is the intro so far

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Akiff Premjee, MD

@akiffpremjee

4 years

Connections are happening! Seeing the compounding effect of using @RoamResearch from board exam study to third year of med school. I'm able to take stuff from my Review Notes and add new attributes (i.e. "Management") to create a deeper picture of specific diseases

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Akiff Premjee, MD

@akiffpremjee

2 years

Ok @mcuban the @costplusdrugs integration into Epic is very good Love that you can just pick cost plus as the pharmacy and then paste in user email and cost plus handles it all on the backend - well done

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Akiff Premjee, MD

@akiffpremjee

10 months

Been having fun making my own GPTs Made one today where I can pass a URL of a health tech company and it gives me back a structured output with a high level summary, industry, pro/con, and sources Helps when lots of companies have vague websites lol

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Akiff Premjee, MD

@akiffpremjee

4 years

I've been using @wirtzdan 's method for managing tasks in Roam and have really been liking it! Have actually stopped using Things 3 which is kind of wild. It's nice to have everything centrally located within @RoamResearch so I don't have to go to multiple apps.

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Akiff Premjee, MD

@akiffpremjee

4 years

You’re damn right there is

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Akiff Premjee, MD

@akiffpremjee

4 years

@CaseyNewton @RoamResearch Also in case you want to see a use case for @RoamResearch or if you leave The Verge for med school: Here’s how I used it to study for medical school board exams

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Akiff Premjee, MD

@akiffpremjee

5 months

wanted to test out what building an app would be like since i’ve never built one before got a small MVP going last night using claude opus in about 2 hours definitely cool what you can do now so quickly also ofc it’s an app for vanco dosing lol

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Akiff Premjee, MD

@akiffpremjee

6 months

best advice i’ve received in medicine so far is that the most important thing is to follow up on any clinical decision you make it’s ok to be wrong as long as you follow up and change course as you get more info super relevant in all parts of medicine but especially icu

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Akiff Premjee, MD

@akiffpremjee

4 years

@AliAbdaal Roman numeral M is one thousand and MM stands for one thousand one thousands which is one million

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Akiff Premjee, MD

@akiffpremjee

4 years

Achievement unlocked! 100 subs and it feels so good! Thankful to everyone willing to hear my thoughts each week in your inbox. And if you haven’t subscribed yet - what are you waiting for!

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Akiff Premjee, MD

@akiffpremjee

2 years

@ImSh4yy Would love to read a tech post on your stack and how built this!

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Akiff Premjee, MD

@akiffpremjee

2 years

This was a fantastic read. I didn’t know how resident salaries were tied to DRG payments (also the CMS file that spills all the tea) @jbcarmody did you end up writing the part 2 you mentioned at the end? I couldn’t find it but would love to read!

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Akiff Premjee, MD

@akiffpremjee

2 years

@fortelabs @TfTHacker Damn Roam has truly fallen

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Akiff Premjee, MD

@akiffpremjee

7 months

have you ever seen a PGY-1 preround on a list of 14 patients?

anu

@anuatluru

7 months

no one works harder than people who work at a small company, there’s nobody to delegate to and nowhere to hide

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Akiff Premjee, MD

@akiffpremjee

4 years

Twitter is so valuable because you have some of the world's smartest people in your pocket at all times and a lot of them will interact with you

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Akiff Premjee, MD

@akiffpremjee

4 years

New @readwiseio exports making Catcher in the Rye look even better

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Akiff Premjee, MD

@akiffpremjee

9 months

A part of me dies inside every time I hear the words revenue cycle management

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Akiff Premjee, MD

@akiffpremjee

4 years

Is there a way to filter out vague one-liner naval-like tweets from my timeline? Plz someone build this. I need an adage remover plug-in.

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Akiff Premjee, MD

@akiffpremjee

10 months

Should I make the resident work harder?????

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Akiff Premjee, MD

@akiffpremjee

4 years

Honestly @rem_note should just partner with all of the medical schools in America with enterprise plans for all med students Once drawing in RemNote becomes a thing - Notability, GoodNotes, and OneNote won't be needed. @MikeandMattyMD - should we start sourcing deals!?

RemNote

@remnote

4 years

🌲 RemNote 1.1 is now LIVE! What's new? - Pricing Plan! - Pro features: PDF editor, Aliases, pins, daily backups - Hierarchical document pins - Latex block upgrade - Arrow icons - Resizable images and panes Check it out here:

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Akiff Premjee, MD

@akiffpremjee

5 months

alright we have basic “update dose from trough” capability! right now only supporting troughs close to goal - will add functionality for troughs wildly off goal but that’s a bit more complicated math still crazy how helpful claude is for this

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Akiff Premjee, MD

@akiffpremjee

2 years

I wish goodreads wasn’t so ugly

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Akiff Premjee, MD

@akiffpremjee

8 months

Writing about AI in the doctor's office and this gem is going to be front and center

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Akiff Premjee, MD

@akiffpremjee

4 years

Getting ready cc @ness_labs

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Akiff Premjee, MD

@akiffpremjee

4 years

I’d never actually written down what I wanted to write about, who it’s for, and how often I want to do it. Felt great building a #contentthesis with @anthilemoon and the rest of the people in her course today!

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Akiff Premjee, MD

@akiffpremjee

5 years

@moment Woaahhh thanks! This is awesome!

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Akiff Premjee, MD

@akiffpremjee

8 months

I am increasingly interested in preventative care for specific populations As a South Asian, I’m definitely at higher risk for heart disease and diabetes and factoring that in and how to act on it early is probably super important 30 years from now

Stem cell study offers clue to South Asians’ increased risk of cardiovascular disease

South Asians are at greater risk of developing heart disease than white people, but it’s not been fully clear why. A new study suggests one potential reason.

www.statnews.com

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Akiff Premjee, MD

@akiffpremjee

3 years

Feel like next step in #PKM and #toolsforthought space is to find sub niches I get so excited when I find others in medicine (eg @ivanmkurnia @syncretizm ) using tools that I am Looking for #healthpolicy tools for thought people next!

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Akiff Premjee, MD

@akiffpremjee

4 years

Great video by @MikeandMattyMD on workflows of using @GoodNotesApp with @rem_note - now I have to adopt this when I start Peds on Monday! Might go full Remnote and drop Anki which sounds scary to even say

How I Take Notes With My Ipad Pro (Note Taking in Medical School on...

How I Take Notes With My Ipad Pro in Medical SchoolThis is a video about iPad Pro note taking medical school student using GoodNotes:Checkout RemNote at www....

www.youtube.com

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