William Clanfield

@ThinkingCC Pure inotropes like dobutamine and milrinone, while effective in some cases, may not reliably augment profoundly depressed aortic pressure and can worsen hypotension by failing to increase LV preload.

It is terrifying that 33% gave fluid to a struggling RV with an underfilled LV. Terrifying.

@IM_Crit_ Need to increase preload pressures

What is the most reasonable immediate next step?

ICU - Board Review Qs: 60 yo pt admitted to the ICU because of inferior STEMI. Emergency cath: 100% proximal RCA occlusion treated successfully with stenting One hour post-PCI: dyspnea/anxiety - BP: 94/70, HR: 60/min (sinus). Phys exam: JVD (+), clear lungs, cool extremities

In my opinion, one of the best paragraphs ever written about medicine. @VPrasadMDMPH @adamcifu

@Fabiola_Plaza1 Lovely! Thanks for sharing!

today, after i narrowly missed my subway, a woman came up to me and ask if i spoke spanish. i said yes and she asked me how to get to east harlem. i told her that we would be transferring at the same stop, so she should just stick with me. we sat down and started talking

@BrownHospMed @Radiopaedia I do not see a midline shift of the mediastinum to support a diagnosis of pneumothorax. The lack of vascular shadows on the left could be from a large left pulmonary embolism.

A middle aged male presented with shortness of breath. What is the likely diagnosis? @radiopaedia, Dr. Henry Knipe #Medtwitter

1,5,6

This may be the best, most poetic, dunk I have ever seen.

Absolutely incredible moment -- Nancy Pelosi, moved by Trump's beautiful words, tears up both Articles of Impeachment. #SOTU

🤣 Bill Murray 🤣 What landed better ... The joke or the shot? #TOURVault

"Amy ... you're our hero." How a superstar named Amy teamed up with @GaryWoodland to win the hearts of the 16th hole crowd @WMPhoenixOpen. #LiveUnderPar

Matthew Wolff is -3 thru 14 in his PGA TOUR debut. 🔸19 years old 🔸Attends @okstate 🔸1st-team All-American as a freshman last year 🔸 Won three straight collegiate events in the fall And a swing you have never seen before. 😯

Honored to be a part of something so legendary!! 🏈🏈 💪🏾 #NFL100 Watch the full #NFL100 film at youtube.com/NFL

A gentleman’s game

Kicking it in Eagle River, Wisconsin.

@brentclamfield I’ll try to make it up to you.

Sarah Silverman's response to a Twitter troll is a master class in compassion cbc.ca/radio/q/blog/s…

@brianstelter @cnni Having many errors but “ringing true” is not a journalistic standard.

@NickFaldo006 Michael Jordan

A technique called the "memory palace" helps you remember almost anything. Here's how to do it: cnn.it/2n5u6pG

Progress is sometimes hard to see…but for much of humanity, the world is better than it’s ever been: b-gat.es/2lnbO37 via @MaxCRoser