Ed Livingston @ehlJAMA Twitter profile

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Ed Livingston

@ehlJAMA

4 years

Believe it or not we are seeing about 100 papers like this per day at JAMA

David Juurlink

@DavidJuurlink

4 years

Email from a colleague: “I have a paper ready to submit: Transfused RBCs Increase Hemoglobin ... in COVID”

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Ed Livingston

@ehlJAMA

2 months

DO GLP-1 Agonists Really Cause Eye Disease There has been a huge amount of press about a report showing an association between the use of GLP-1 agonists and Nonarteritic anterior ischemic optic neuropathy (NAION) Because of it being heavily promoted by

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Ed Livingston

@ehlJAMA

5 years

Responded to a passenger with syncope on Monday-I suggest keeping this card on your smartphone and reviewing it instead of the safety information at the start of the flight (everyone knows that stuff). You may need to help a passenger some day....

Andrew M. Ibrahim MD, MSc (He/Him)

@AndrewMIbrahim

6 years

Management of common inflight emergencies from @JAMA_current Safe travels everyone! #MedEd #FOAMED

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Ed Livingston

@ehlJAMA

22 days

The same thing happened with the University of California. They canceled their Elsevier contract and were expecting a huge backlash. After about a year, one of the librarians told me that they were surprised that almost nobody complained. When I was at JAMA, we did a survey of

Richard McElreath 🦔

@rlmcelreath

23 days

What happened when MIT stopped paying Elsevier? Not much except they are saving a lot of money. "MIT is interested in collaborating with other libraries to reinvest these funds in community-controlled open publishing initiatives..."

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Ed Livingston

@ehlJAMA

4 years

Everything you need to know about the immune response to #SARSCoV2 in 2 pages! via @JAMA_current part of @JAMANetwork

COVID-19 and the Path to Immunity

This Viewpoint reviews what is known about acute and long-term B-cell, antibody, and T-cell responses to SARS-CoV-2 infection and explains how each are implicated in vaccine candidates likely to be...

jamanetwork.com

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Ed Livingston

@ehlJAMA

4 years

@EricTopol @EnigmaCosmic We interviewed one of our surgical residents who got #COVID and was sick for a very long time. The long-term consequences can be very problematic and this problem has not received much attention

What Is It Like to Have COVID-19?

COVID-19 continues to rapidly spread throughout the world. In the past few months, the population affected by the disease has shifted from older to younger patients. Public health officials are...

edhub.ama-assn.org

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Ed Livingston

@ehlJAMA

5 years

My son just finished the first year of medical school – it’s astonishing how much they made him learn that has nothing to do with the actual practice of medicine

J. Brian Byrd Lab

@thebyrdlab

5 years

Backchannel discussion of having clinicians teach only clinically relevant basic science in med school 👀 I'm in the 'Ummm, no...' camp on that proposal.

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Ed Livingston

@ehlJAMA

7 years

Pneumothorax

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Ed Livingston

@ehlJAMA

5 years

Moving the baby to Ann Arbor. Blood turning blue.

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Ed Livingston

@ehlJAMA

4 years

A picture is worth a thousand words-In this case 2 pictures! Determining How Public Health Measures Might Be Slowing COVID-19 Using the Reproduction Number (Rt) @T_Inglesby @JAMA_current

Determining How Public Health Measures Might Be Slowing COVID-19 Using the Reproduction Number (Rt)

This JAMA Insights review explains the use of the effective reproduction number (Rt) as a measure of the number of secondary infectious disease cases spread from an initial case, and how this number...

jamanetwork.com

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Ed Livingston

@ehlJAMA

7 years

Polypharmacy is one of the greatest problems in clinical medicine-too little attention paid to it We have several articles on it in JAMA

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Ed Livingston

@ehlJAMA

4 years

I had a similar experience with Dr Fauci when I interviewed him for @JAMA_current clinical reviews when we produced our show on the discovery of #AIDS . Washington DC was shutdown for a severe snow storm-He showed up to do our interview and was the only person in the NIH building

Luke Messac

@LukeMessac

4 years

13 years ago, I emailed Dr. Fauci out of the blue to ask if I might interview him for my undergrad thesis. He invited me to his office, where he answered all my questions. When I sent him the thesis, HE READ THE WHOLE THING (see his overly effusive review below). Who does that?!

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Ed Livingston

@ehlJAMA

5 years

Since there is discussion today about procalcitonin-Here is a @JAMA_current article summarizing a Cochrane review on what PCT accomplishes:

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Ed Livingston

@ehlJAMA

4 years

Flu shot done. Now it’s your turn!

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Ed Livingston

@ehlJAMA

7 years

Using Tourniquets to Stop Bleeding

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Ed Livingston

@ehlJAMA

7 years

. @JAMA_current review: Thoracentesis and Exudative Pleural Effusion

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Ed Livingston

@ehlJAMA

6 years

Does ECMO work? It depends on how strongly you believe it should. Really good explanation of how to use #Bayesian theory to understand how to use results of clinical trials by @RogerJLewis and Derek Angus @JAMA_current @PittCCM

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Ed Livingston

@ehlJAMA

4 years

Send us the manuscript when done! @JAMA_current

Adam Cifu

@adamcifu

4 years

I'm considering randomizing my patients, with consent of course, to virtual visits with one of these two doctors to see who has better outcomes.

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Ed Livingston

@ehlJAMA

7 years

The Management of Depression in Older Adults

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Ed Livingston

@ehlJAMA

4 years

Why Risk Ratios and Risk Differences are better than odds ratios via @JAMA_current part of @JAMANetwork

Estimating Risk Ratios and Risk Differences

This JAMA Guide to Statistics and Methods explains the differences between risk ratios and odds ratios and when each is the more appropriate statistic to estimate measures of effect or association in...

jamanetwork.com

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Ed Livingston

@ehlJAMA

11 months

To me, how single-payer will be administered is the Achilles heel of the concept. It is a great idea but not one that can be implemented. I say this after a 28-year career in the VA, many years of which I was in leadership positions. It just does not work...

Vinay Prasad MD MPH

@VPrasadMDMPH

11 months

Even as someone who recognizes advantages to single payer health care, I agree with Ed that this is far more likely to blow up spectacularly

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Ed Livingston

@ehlJAMA

3 months

@dhume Not exactly a superpower. The number of papers published means little. Most of it reports very low quality science. I can say this as someone who has worked a great deal with Chinese investigators trying to help them publish acceptable science.

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Ed Livingston

@ehlJAMA

7 years

. @JAMA_Current statistics #tutorial : Logistic Regression Diagnostics

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Ed Livingston

@ehlJAMA

7 years

I used to tell my interns when a nurse calls ask "how should I write that order" - they know more than you....

C. Michael Gibson MD

@CMichaelGibson

7 years

Having been CCU director in the real House of God, treat nurses with respect & learn from them to improve your and patient's experience

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Ed Livingston

@ehlJAMA

6 years

Flying home tonight? Keep a copy of this card on your smart phone or tablet. Find it in the supplement to the article

Andrew M. Ibrahim MD, MSc (He/Him)

@AndrewMIbrahim

6 years

Management of common inflight emergencies from @JAMA_current Safe travels everyone! #MedEd #FOAMED

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Ed Livingston

@ehlJAMA

22 days

@EladSharonMD @NIH Now that I am no longer with JAMA, I can now say that the behind the pay wall journal model is dying. The future is an open access and pre-print servers followed by discussion of findings in blogs, etc. better to have feedback from many people on the Internet than just a few

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Ed Livingston

@ehlJAMA

11 months

I cannot imagine how this will be administered. Current state agencies like the DMV are completely dysfunctional. How will they manage healthcare delivery? Incredibly bad idea...

Lee E. Ohanian

@lee_ohanian

11 months

CA takes first step to create single-payer health that would eliminate employer-provided insurance & Medicare. Single-payer rations care severely, incl patients waiting so long for imaging tumors double, & denial of cataract surgery. , @HooverInst

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Ed Livingston

@ehlJAMA

6 years

Flying anywhere soon? Air Travel–Related Deep Vein Thrombosis and Pulmonary Embolism

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Ed Livingston

@ehlJAMA

4 years

This makes sense

Austen Allred

@Austen

4 years

The default math class in high school should be Statistics instead of Calculus

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Ed Livingston

@ehlJAMA

2 months

Here is something I don’t understand. The founders of Ben & Jerry’s take great pride in their social activism. However, the gains in longevity in the Western world attributable to reduction and smoking are now being reversed because of obesity. The ice cream product of Ben &

Andrew Bogut

@andrewbogut

2 months

All time community notes! 😂😂😂😂

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Ed Livingston

@ehlJAMA

7 years

How Do I Perform a #Lumbar Puncture and Analyze the Results to Diagnose Bacterial #Meningitis ? @JAMA_current

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Ed Livingston

@ehlJAMA

4 years

#COVID19 in 1 hospital: Most common comorbidity HTN (n = 164, 43.5%). 166 patients tested for influenza A/B or respiratory syncytial virus (44.0% of the cohort), none positive. Bilateral infiltrates on CxR in 63.4% (n = 239). @JAMA_current

Characteristics of Hospitalized Adults With COVID-19 in an Integrated Health Care System in...

This case series characterizes the demographics, health services use, and vital status and discharge dispositions of patients with polymerase chain reaction–confirmed coronavirus disease 2019...

jamanetwork.com

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Ed Livingston

@ehlJAMA

7 years

When I was an intern, my Chief Resident, Julie Freischlag, told us our job in the 1st year was to learn to recognize when a pt is sick

Heather Yeo MD

@heatheryeomd

7 years

@PedsTraumaMan @AndrewMIbrahim 👍I always like if they start with 'I think this patient needs to/or doesn't need to go to the OR'. Guides how fast I get up. #SurgTweeting

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Ed Livingston

@ehlJAMA

8 years

ARDS patients treated with helmet NIV significantly reduced intubation rates.

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Ed Livingston

@ehlJAMA

6 years

All you need to know about Chronic #Hepatitis B Infection in @JAMA_current

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Ed Livingston

@ehlJAMA

8 years

What is the difference between #propensity analysis and #instrumental variables? Find out in the JAMA #UsersGuide

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Ed Livingston

@ehlJAMA

8 years

Passive leg raising-best way to determine if someone will respond to a fluid bolus-how to do it 12:24 in the podacst

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Ed Livingston

@ehlJAMA

6 years

4 items to consider when prescribing antibiotics @JAMA_current

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Ed Livingston

@ehlJAMA

7 years

Today's @JAMA_current Clinical Reviews #Podcast : Update on #Diabetes

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Ed Livingston

@ehlJAMA

5 years

Hip fracture can be a devastating complication in older adults. What you need to know to prevent it: Hip Fracture Prevention in Older Adults in 2019 @JAMA_current

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Ed Livingston

@ehlJAMA

6 years

Evaluation and Management of Penicillin #Allergy -Important new review-endorsed by 3 societies. Toolkit to help evaluate penicillin allergy, podcast, video @JAMA_current Did you know that very few people are actually allergic to #penicillin ?

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Ed Livingston

@ehlJAMA

4 years

Testing Individuals for COVID-19

This JAMA Patient Page describes the test for coronavirus disease 2019 (COVID-19), current guidelines for determining who should be tested, reasons for slow adoption of testing in the US, and...

jamanetwork.com

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Ed Livingston

@ehlJAMA

6 years

Want to understand how to interpret CT's showing internal #hernia ? See the @JAMA_current #ClinicalChallenge that has drawings and a video explaining this. #bariatric #surgery #Radiology

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Ed Livingston

@ehlJAMA

7 years

Insulin Therapy for Type 2 Diabetes Mellitus

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Ed Livingston

@ehlJAMA

7 years

Very interesting trial-took CT-confirmed appendicitis patients and randomized to abx v no-abx and NO SURGERY - patients did OK-treatment failure was 20-23% - similar to @JAMA_current APPAC trial -Is surgery for appendicitis needed?

BJS

@BJSurgery

7 years

🎦another new #gifabstract for @BJSurgery December edition-> #RCT of antibiotic therapy for uncomplicated #appendicitis . Antibiotics = ⬆️stay, ⬆️costs, no difference in failure rates #surgicalresearch #colorectalsurgery #uppergisurgery

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Ed Livingston

@ehlJAMA

4 years

Face shields work!

JAMA

@JAMA_current

4 years

Study found no #SARSCoV2 infections among community health workers after the addition of face shields to their personal protective equipment

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Ed Livingston

@ehlJAMA

8 years

Great 2-page overview of managing Type 2 #diabetes @JAMA_current #Viewpoint

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Ed Livingston

@ehlJAMA

7 years

What To Do About #Seizures : Listen: Read and get #CME #epilepsy

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Ed Livingston

@ehlJAMA

8 years

Individualized primary CVD prohylaxsis with #Aspirin @JAMA_current

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Ed Livingston

@ehlJAMA

6 years

Types of MI from @JAMA_current : Type 2 Myocardial Infarction—Diagnosis, Prognosis, and Treatment

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Ed Livingston

@ehlJAMA

4 years

The FDA has to do something so OK. But without a placebo comparator cannot say there is a 35% improvement. Lots of reasons comparing high to low antibody levels in the serum could yield spurious results.

Andrew Clark

@AndrewHClark

4 years

Plasma transfusion can reduce mortality rate by as much as 35%. “Patients who received plasma...are under the age of 80 and not on mechanical ventilation benefited the most, with a 35% improvement in survival 30 days after receiving the transfusion.”

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Ed Livingston

@ehlJAMA

6 years

"Propensity score methods are used to reduce the bias in estimating treatment effects and allow investigators to reduce the likelihood of confounding when analyzing nonrandomized, observational data" All you need to know - in 2 pages! @RogerJLewis

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Ed Livingston

@ehlJAMA

4 years

Review of herd immunity by an expert in vaccines: Herd Immunity and Implications for SARS-CoV-2 Control via @JAMA_current part of @JAMANetwork @SaadOmer3 @CarlosdelRio7 @PreetiNMalani @yale

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Ed Livingston

@ehlJAMA

4 years

This year everyone needs to get a flu shot- getting the message out is a high priority for us at @JAMA_current

JAMA

@JAMA_current

4 years

Evidence clearly shows that #flu vaccination can reduce disease severity and prevent hospitalizations—critical considerations at a time when the health care system is burdened by #COVID19 #VaccinesWork

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Ed Livingston

@ehlJAMA

7 years

Note that in each JAMA trial, the costs for robotic surgery were much higher without any benefit from the robotic approach

Eric Topol

@EricTopol

7 years

Interesting to compare the RCT @JAMA_current papers on robot-assisted surgery vs @FortuneMagazine on @IntuitiveSurg

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Ed Livingston

@ehlJAMA

4 years

Walking around, I see many people who seem to be ignoring the risk of #COVID__19 - They need to know that if they get it, the long term effects can be devastating: Long-term Health Consequences of COVID-19 via @JAMA_current part of @JAMANetwork

Long-term Health Consequences of COVID-19

This Viewpoint discusses long-term consequences of COVID-19 infection, including cardiovascular, pulmonary, neurologic, and mental health sequelae, and calls for an integrated, multidisciplinary...

jamanetwork.com

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Ed Livingston

@ehlJAMA

6 years

. @JAMA_current Clinical Evidence Synopsis: #Clopidogrel +ASA: Reduced risk for MI and ischemic stroke-Increased risk for major bleeding compared with aspirin alone. Combined therapy is NOT associated with lower mortality.

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Ed Livingston

@ehlJAMA

5 years

“Dr. Livingston said he had long been known as a “curmudgeon” who was reluctant to make claims about the long-term health benefits of weight-loss surgery”. Yup- I said that.... via ⁦ @nytimes ⁩

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Ed Livingston

@ehlJAMA

8 years

Rivaroxaban use associated with more intracranial and major extracranial bleeding events than dabigatran

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Ed Livingston

@ehlJAMA

7 years

. @JAMA_current Free #PatientInformation : Using #Tourniquets to Stop #Bleeding #FOAMed

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Ed Livingston

@ehlJAMA

7 years

What Should I Do When I Hear the Call for Medical Assistance in a Plane?

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Ed Livingston

@ehlJAMA

7 years

. @JAMA_current Review: Medical Therapies for Adult Chronic #Sinusitis

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Ed Livingston

@ehlJAMA

7 years

. @JAMA_current #PatientInformation : #Epilepsy #EpilepsyAwareness #foamed #Seizure

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Ed Livingston

@ehlJAMA

8 years

. @JAMA_current review of #Stroke Prevention in #AtrialFibrillation

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Ed Livingston

@ehlJAMA

8 years

How to diagnosis and treat constipation- an @JAMA_current review

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Ed Livingston

@ehlJAMA

6 years

Want to understand the difference between the European and US #hypertension #guidelines ? Actually not much: Read in @JAMA_current HTN theme issue or listen to the #podcast #CME

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Ed Livingston

@ehlJAMA

9 years

#PatientInformation #pulmonaryembolism Available in #Spanish

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Ed Livingston

@ehlJAMA

7 years

Bayes: Using Prior Information to Interpret the Results of Clinical Trials

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Ed Livingston

@ehlJAMA

8 years

Listen to how to treat #hypertension in #geriatric patients: 2 1/2 minutes into the @JAMA_current podcast #CME

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Ed Livingston

@ehlJAMA

8 years

. @JAMA_current review on persistent #diarrhea Don't want to read? Listen to audio review

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Ed Livingston

@ehlJAMA

7 years

My mother, a Holocaust survivor, would get angry when I used the word 'hate.' That what the Holocaust was all about she surmised.

C. Michael Gibson MD

@CMichaelGibson

7 years

Hate has caused a lot of problems in the world But Hate has not solved a problem in the world - Maya Angelou #cmgsays

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Ed Livingston

@ehlJAMA

7 years

What you need to know about composite outcome measures in randomized trials

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Ed Livingston

@ehlJAMA

7 years

Checking Blood Pressure at Home #PatientInformation #FOAMed #HTN

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Ed Livingston

@ehlJAMA

8 years

Bad behavior=bad outcomes: Identifying Surgeons With Increased Risk for Postoperative Complications @JAMASurgery

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Ed Livingston

@ehlJAMA

4 years

Conserving Supply of Personal Protective Equipment—A Call for Ideas - Now up to more than 150 comments- Lots of good ideas for how to address the #PPEShortages -Reminds me of #apollo13 -Need #Engineers to find creative solutions

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Ed Livingston

@ehlJAMA

7 years

Aspergillus Galactomannan for Diagnosing Invasive Aspergillosis

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Ed Livingston

@ehlJAMA

7 years

Metformin for Prediabetes

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Ed Livingston

@ehlJAMA

7 years

It's here! JAMA's #Obesity Theme Issue: Big news in this one- #gastricsleeve - Several definitive studies about its outcomes

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Ed Livingston

@ehlJAMA

6 years

Today's Reading: Dispelling the notion that metformin can't be used with low GFR new research in @JAMAInternalMed and reviewed before in @JAMA_current

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Ed Livingston

@ehlJAMA

6 years

. @JAMA_current Tutorial on Odds Ratios #Statistics

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Ed Livingston

@ehlJAMA

4 years

New comprehensive review from @jama_current : Pharmacologic Treatments for Coronavirus Disease 2019 (COVID-19) @BradCutrellMD

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Ed Livingston

@ehlJAMA

4 years

Got mine today too at @UCLA @UCLAHealth

Karl Bilimoria

@kbilimoria

4 years

#Vaccinated ! Sincere thank you to the scientists, vaccine trial participants, and the always-amazing @NorthwesternMed team! Please step up and get your vaccine when the time comes! (Just wish I had been working out the guns a little more before my vaccine selfie!) 🤣

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Ed Livingston

@ehlJAMA

9 years

Women's Medical School 1892 - My mother-in-law is a 1955 alum #ILookLikeASurgeon http://t.co/EbJXx1JQFh

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Ed Livingston

@ehlJAMA

7 years

Advances in Diagnosis and Treatment of Delirium

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Ed Livingston

@ehlJAMA

7 years

. @JAMA_current Review of #Conjunctivitis Diagnosis and Treatment

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Ed Livingston

@ehlJAMA

7 years

#Guidelines for Treatment of Low Back #Pain @JAMA_current

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Ed Livingston

@ehlJAMA

8 years

Management of Adult #Thyroid Nodules and Differentiated Thyroid #Cancer

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Ed Livingston

@ehlJAMA

5 years

The productivity problem has a simple answer- stop having physicians spend most of their time as data entry clerks for EHRs

JAMA

@JAMA_current

5 years

#JAMAForum : Can our health care system become more productive—that is, produce the same or better outcomes for less money?

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Ed Livingston

@ehlJAMA

6 years

And if you are a clinician and flying-load up the pdf in the supplement for this @JAMA_current article on your smartphone or tablet-Its a #checklist for what to do when responding to #medical #emergencies