Mike Natter, MD @mike_natter Twitter profile

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Mike Natter, MD

@mike_natter

6 years

There seems to exist an inverse relationship between things carried and level of medical training:

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Mike Natter, MD

@mike_natter

5 years

I’m scared. I am truly and entirely petrified. But then when i goto work, i look around me and see heroes. I am constantly inspired by the amazing people around me and feel proud to be fighting along side them each day. Please please please do your part and stay home. ❤️

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Mike Natter, MD

@mike_natter

3 years

My co-fellow was holding all the pagers last night. Her toddler took them all and threw them in the toilet. This little man did what I’ve only dreamed of.

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Mike Natter, MD

@mike_natter

3 years

Everytime I see a patient in clinic who is 90+ years old, I always ask their secret. One day I wanna make a graphic novel of their responses. They range from hilarious to scientific to spiritual. Each with its own lesson. Medicine is really so much more than medicine.

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Mike Natter, MD

@mike_natter

3 years

An oldie but a goodie. Translating complex medical physiology into my own simple visual language. 🫀

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Mike Natter, MD

@mike_natter

3 years

Reasons why this is my fave N95: 1. Super comfy 2. Doesn’t fog up my glasses 3. The rubber bits smell exactly like my basketball i had as a kid

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Mike Natter, MD

@mike_natter

3 years

Today is my #diaversary a 🧵: 27 years ago today I was carried into the ER by my dad. I only remember pieces of that day, lots of needles, IVs, and then nothing. Just darkness. I came to in a pediatric ICU hours later, wires and tubes sprouted out of most of my tiny body…

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Mike Natter, MD

@mike_natter

3 years

ABOUT TIME

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Mike Natter, MD

@mike_natter

5 years

Ive finally figured out my love language. Its sleep.

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Mike Natter, MD

@mike_natter

7 years

The more clinical skills I learn, the more clear it is how valuable humanism is. when we take the time to listen to our patients, to sit at their bedside, to hold their hand- it does more good than anything else. Sometimes hugs are better than vanco.

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Mike Natter, MD

@mike_natter

2 years

IM FINALLY DONE WITH MEDICAL TRAINING! All together from undergrad to postbacc, med school to residency, and finally fellowship its been a journey of 16 years which amounts to slightly less than half my life. Many said id never make it... 🧵

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Mike Natter, MD

@mike_natter

3 years

Paging Dr @DGlaucomflecken

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Mike Natter, MD

@mike_natter

5 years

I think “residency” should be included in my past medical history.

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Mike Natter, MD

@mike_natter

2 years

Welp… 16 years of school/training ✅ I’M AN ENDOCRINOLOGIST!

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Mike Natter, MD

@mike_natter

6 years

After explaining the diagnosis, i told my pt they would be admitted for their treatment. “Doc I can’t- i’m recently homeless, i can’t afford that.” “We can and will treat you regardless of ability to pay...” It was at that moment ive never been prouder to work at Bellevue.

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Mike Natter, MD

@mike_natter

6 years

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Mike Natter, MD

@mike_natter

2 years

Well… I passed! Officially double board certified in Internal Medicine and Endocrinology! Im really proud but its also made me stop and think. There seems to be a lot of “data” showing how Step scores and ITE scores predict board exam pass rates…🧵

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Mike Natter, MD

@mike_natter

5 years

I can hear my telomeres shortening...

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Mike Natter, MD

@mike_natter

4 years

There’s an irony in medical training where we see first hand what is truly important in life- time with loved ones and appreciating the moments- and yet the life we dedicated ourselves to allows for very little of that.

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Mike Natter, MD

@mike_natter

6 years

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Mike Natter, MD

@mike_natter

3 years

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Mike Natter, MD

@mike_natter

2 years

Can we all agree that if a patient has diabetes (of any flavor) they should qualify for a CGM and insurance companies should not be able to create nonsensical roadblocks like Bg Logs and the like? K cool. Thanks. CGMs should be standard care. Period.

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Mike Natter, MD

@mike_natter

3 years

and while diabetes does truly suck, it doesn’t limit me. In many ways it allowed me to find my calling. To my fam, loved ones, colleagues, and patients - thank you for supporting me, diabetes does at times take a village and I am sincerely grateful for my amazing village❤️

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Mike Natter, MD

@mike_natter

4 years

I found my sketchbooks from medical school:

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Mike Natter, MD

@mike_natter

4 years

BLACK. LIVES. MATTER.

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Mike Natter, MD

@mike_natter

3 years

I’d like the hands of a surgeon. The eyes of a radiologist. The nerves of an EM doc. The brain of an ID doc. And the work life balance of an ophthalmologist. @DGlaucomflecken

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Mike Natter, MD

@mike_natter

5 years

Self portrait in used blood glucose test strips. Over 25 yrs, Ive pricked my finger ~91,000x. In many ways the microcosm of who I am is made up by my #T1D . But when u step back u see the macrocosm, the strips morph into me- we are so much more than just our wonky beta cells

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Mike Natter, MD

@mike_natter

3 years

Patients with chronic illness (diabetes etc) often know more than the experts, especially the day to day nuances of their health data, and should be seen as equal partners in their care management.

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Mike Natter, MD

@mike_natter

5 years

Instead of a white coat ceremony should we do Patagonia fleece ceremony for residency?

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Mike Natter, MD

@mike_natter

6 years

As a pre-med: all you want is that short white coat. As a med student: all you want is the long white coat. As a resident: all you want is no white coat.

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Mike Natter, MD

@mike_natter

4 years

There needs to be more positive reinforcement in medical training. Tell your Med student what a great note they dropped. Compliment your resident on catching that PE Let your attending know their bedside manner is what you aim to emulate High five ur intern for threading that IV

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Mike Natter, MD

@mike_natter

3 years

Had a fun time teaching about #hypercalcemia today, even made a handout!

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Mike Natter, MD

@mike_natter

7 years

Residency hack:

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Mike Natter, MD

@mike_natter

2 years

The lack of basic medical understanding, compassion, and sheer absurdity of this is beyond infuriating. Just how?!

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Mike Natter, MD

@mike_natter

7 years

Pathophysiology of sepsis... simplified

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Mike Natter, MD

@mike_natter

1 year

A thread:

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Mike Natter, MD

@mike_natter

5 years

Dear Nurse, Thank you for catching my misplaced order. Thank you for calling me when u just felt like something wasn’t quite right (u always seem to know). Thank you for bringing me a snack when my blood sugar was low. Thank you for all that you do 🙏🏽❤️ HAPPY NURSES WEEK!

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Mike Natter, MD

@mike_natter

5 years

S/P first night shift of many on the COVID unit. My head is heavy. My heart is heavier. I wish I had more options, more tools in my bag. I can still hold their hand and remind them they are not alone. It feels as though thats all i can do.

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Mike Natter, MD

@mike_natter

4 years

Throw back to 1 year ago when I used to draw on tables (spoiler alert: i still draw on tables 😳)

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Mike Natter, MD

@mike_natter

3 years

As of July 2021, I entered into my final step of becoming an endocrinologist. While this endeavor was sparked bc of my childhood diagnosis, it is also very much not defined by it. It is not lost of me the connection I share with my type 1 pts when I tell them that I get it.

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Mike Natter, MD

@mike_natter

7 years

😴☕️

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Mike Natter, MD

@mike_natter

4 years

Endocrine board questions be like: Patient with low calcium & short digits. What’s the diagnosis? A. Hypoparathyoridism B. Pseudohypoparathyroidism C. Pseudo-pseudo-hypoparathyroidism D. Pseudo-pseudo-pseudo-hypoparathyoridism E. Pseudo-pseudo-pseudo-pseudo-hypoparathyroidism

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Mike Natter, MD

@mike_natter

4 years

Last shift as a medicine resident at Bellevue...

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Mike Natter, MD

@mike_natter

5 years

Translating medical physiology into my own visual language:

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Mike Natter, MD

@mike_natter

3 years

Because I do. And so today, on my 27th yr of living with T1D, I want to “celebrate” with noting how far we have all come with the advancements, and also my own personal growth. We all carry our own challenges, some more visible than others, T1D just happens to be mine

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Mike Natter, MD

@mike_natter

2 years

Now that I’m an attending, ive finally moved into a real person apartment where for the first time in my life, i have a dining table. Despite this, i continue to eat meals like a resident- standing over the sink as fast as possible. When does this go away?

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Mike Natter, MD

@mike_natter

5 years

I have a secret: im in my final year of medicine residency and have yet to use my knowledge of the krebs cycle. if only i could evict that nonsense in exchange for deciphering EKGs...

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Mike Natter, MD

@mike_natter

6 years

I called my pts name in the waiting room. With tears in their eyes, they hugged me. “Bc you talked me into getting that biopsy, i went. It was cancer. They took it out and im now cancer free. Thank you.” There is no better interaction a doc can ask for.

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Mike Natter, MD

@mike_natter

7 years

The journey in training to make others healthy is painfully unhealthy. This 27hr call nonsense is stupid and dangerous.

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Mike Natter, MD

@mike_natter

3 years

In art school I was a night owl. Then med school and residency forced me to be a morning person. Now? Im neither. Im just a sleep person.

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Mike Natter, MD

@mike_natter

5 years

I’ve been kinda sad in the CCU so I made a silly animation to cheer me up, hope it makes you smile too:

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Mike Natter, MD

@mike_natter

3 years

More of my medical visual notes

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Mike Natter, MD

@mike_natter

5 years

Shout out to coffee for getting me to the end of the week

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Mike Natter, MD

@mike_natter

5 years

FELLOWSHIP... MATCHED! One step closer to Endocrinologist! I am overjoyed to be staying at NYU for endocrine fellowship and am SO grateful for this opportunity. These last 15 or so years have been hard but despite the long hours studying and 28hr hour calls...

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Mike Natter, MD

@mike_natter

4 years

Some hospital scrub styles, a thread:

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Mike Natter, MD

@mike_natter

3 years

Does the existence of Internal Medicine suggest there is also an External Medicine, or is that just called Derm?

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Mike Natter, MD

@mike_natter

5 years

- Hows residency going? - I havent peed since Thursday and i ate graham crackers and gingerale for dinner. - livin’ the dream.

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Mike Natter, MD

@mike_natter

2 years

LAST EVER CLINIC AT BELLEVUE- OF FELLOWSHIPPP! PGY-DONEEEE! 🥳

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Mike Natter, MD

@mike_natter

4 years

Notes from morning lecture:

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Mike Natter, MD

@mike_natter

5 years

In an effort to make myself be held accountable- im gonna publicly declare my New Years resolution here: I WANNA FINALLY GET GOING ON MAKING MY BOOK- NATTER’S ILLUSTRATED INTERNAL MEDICINE! (Feel free to yell at me periodically)

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Mike Natter, MD

@mike_natter

3 years

which means for the first time in my diabetic life, I no longer have to prick my finger- AT ALL. I traded what had become an accepted constant in my life for a liberating technology that unloaded one small burden of this heavy diabetic load. Something else happened.

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Mike Natter, MD

@mike_natter

6 years

With each advancing year of my medical training,the less test scores and rote medical knowledge seem to matter, and the more important interpersonal skills and manners become. Being a good doctor is about treating those around you as you want to be treated.

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Mike Natter, MD

@mike_natter

5 years

Walking between Hospitals this AM, i saw a couple walking out of the main entrance. The man caught my gaze and a flicker of familiar washed over me. I couldnt place him but my recognition was confirmed as a big smile appeared on his face while he walked toward me with his wife..

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Mike Natter, MD

@mike_natter

3 years

I hugged a dog today and now everything is right in the world again.

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Mike Natter, MD

@mike_natter

7 years

Relearning Afib... by drawing!

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Mike Natter, MD

@mike_natter

5 years

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Mike Natter, MD

@mike_natter

7 years

Inking intricate interesting innards

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Mike Natter, MD

@mike_natter

5 years

My patient was having trouble falling asleep and was requesting a sleep aid. I gave him a chalk talk on hyponatremia. Works every time 😴

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Mike Natter, MD

@mike_natter

4 years

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Mike Natter, MD

@mike_natter

5 years

Overheard at ICU fellow teaching rounds to a med student standing in the corner: “you can sit at the grown up table with us! This isn’t surgery”

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Mike Natter, MD

@mike_natter

4 years

It’s been a rough go on this stretch of ICU nights...i needed a cathartic outlet to fall asleep and so, a visual thread:

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Mike Natter, MD

@mike_natter

7 years

What I carry in my white coat: What do you carry in yours?

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Mike Natter, MD

@mike_natter

4 years

“Differential diagnosis includes boo boo vs ouch ouch”

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Mike Natter, MD

@mike_natter

5 years

Annual Cartoon Physicals 😷

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Mike Natter, MD

@mike_natter

4 years

My gf got me the freshest Fauci socks 🙌🏼

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Mike Natter, MD

@mike_natter

2 years

FIRST DAY! 🥳

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Mike Natter, MD

@mike_natter

5 years

I’m an internal medicine resident at my top choice residency and as an art kid with awful math and science background and subpar MCAT score, was told by teachers, tutors, advisors and med school deans to give it up, id never make it.

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Mike Natter, MD

@mike_natter

5 years

McDreamy,McSteamy, and McHaggard.

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Mike Natter, MD

@mike_natter

6 years

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Mike Natter, MD

@mike_natter

3 years

Best DM i’ve ever received, hands down:

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Mike Natter, MD

@mike_natter

5 years

7 yrs ago I was an art kid with a lofty dream. I was told by numerous different people to give up, cut my losses, or even that I wasn’t meant for medicine. Jefferson took a chance on me and now I am in my final year of residency at my first choice program. Dream realized ❤️

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Mike Natter, MD

@mike_natter

6 years

Truth.

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Mike Natter, MD

@mike_natter

4 years

We do some weird things in the hospital... a thread

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Mike Natter, MD

@mike_natter

6 years

Working on making an illustrative #meded book...

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Mike Natter, MD

@mike_natter

4 years

10 years ago I was a Postbac Pre Med student shadowing Endocrinologist Dr Richardson. Today? I’m making rounds with him as his endo fellow. #fullcircle (I drew him that thyroid!)

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Mike Natter, MD

@mike_natter

2 years

A very “New York” thing happened to me the other day…

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Mike Natter, MD

@mike_natter

5 years

I cried three times since starting my current oncology rotation. It started three days ago.

Jeffrey Millstein

@millstej

5 years

There is crying in medicine, and that’s OK by this doctor via @phillyinquirer

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Mike Natter, MD

@mike_natter

4 years

Dear Dad, In high school math class when I said “I’m too dumb to figure this out,” You were there to tell me I wasn’t. In college when I was in an emotional wreck, you were there to tell me “it will pass.” (Continued...)

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Mike Natter, MD

@mike_natter

2 months

Ive come to realize that being an outpatient doctor is actually working two jobs: 8-am-4pm: see patients 4pm - 12am: epic in basket Rinse. Repeat.

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Mike Natter, MD

@mike_natter

2 years

Shes done.. all 80 pages in her glory. Now, to tuck this into my hippocampus….

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Mike Natter, MD

@mike_natter

6 years

How I make it to the end of the week...

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Mike Natter, MD

@mike_natter

5 years

This morning I walked through these doors for my endocrinology fellowship interview. I went through these same doors some 25 years ago, except I did not walk that time. I was carried by my father. I was in and out of consciousness...

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Mike Natter, MD

@mike_natter

5 years

We just had a noon conference briefing us on what to expect. There is an irony in how all i want and need right now is a hug and yet thats probably the worst thing one could do. Please stay safe. My colleagues in the hospital are actual heroes.

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Mike Natter, MD

@mike_natter

5 years

Heres a pitch: The new Netflix original series entitled “I’m sorry to bother you, but...” chronicles of intern calling consults.

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Mike Natter, MD

@mike_natter