Colin Sevareid, MD, MAUB

Come find me on the other side

What an achievement vaccines are. What a monument to our love for each other it is to stare straight into the face of something as horrific and unstoppable as smallpox or measles or polio or cervical cancer and say “You know what, it doesn’t have to be like this.” HUMANS!

@efb_1 @OXHarryH1 @ashishkjha @ajlamesa @RealRFKJR2024 @wolfblitzer Agreed, not complete. They left out the overdose epidemic which correlates very well with when the dip started (and overdose rates have finally been decreasing the past couple years).

@OXHarryH1 @ashishkjha @ajlamesa @RealRFKJR2024 @wolfblitzer Your reasons are not exhaustive/complete. They don’t explain why we used to make progress in life expectancy but then stopped (example: we’ve had a private healthcare system for >100 years but we made progress most of that time). Change is needed.

A lot of folks criticizing @RealRFKJR2024 pick because he doesn't have health experience That's not a concern in my mind As I told @wolfblitzer, most HHS Secretaries don't RFK's problem is that he has a series of ideas that have just proven to be wrong video.snapstream.net/Play/6cWWmlKMN…

@eemoin In my experience all traffic laws in Philly other than parking enforcement are essentially suggestions

@DrAdamBitterman @jbcarmody Also, and Dr. Carmody can correct me if I'm wrong, but I believe this acceleration in step 2 scores is more pronounced after step 1 went pass/fail, now that it's the only pre-residency standardized test taken in med school so all the pressure is on your step 2 score.

@DrAdamBitterman @jbcarmody It's that secondary function causing the arms race in skyrocketing passing scores. At some point you have to wonder if it's really testing competency anymore if it really seems geared to identify excellence in memorization.

New #USMLE performance data were released this summer. Look how far the distribution of Step 2 CK scores has shifted rightward, just in the past 8 years. The median score is now 250. The distribution has also narrowed. Half of all examinees now score between 240 and 260.

We owe it to our patients to be apolitical in the exam room, *and* to advocate against policies that will harm our patients / for policies that will help our patients' health in the public sphere.

I BEG that people realistically consider what the text and images in the table they copied into their presentation will look like when projected.

It never seems to fail that the talk on diabetes management at a family medicine conference is the one that's going to feel the most like a sales pitch

I'm board-certified! Check out my family medicine certification! #MyABFM #FamilyMedicine #BoardCertified #DABFM sgq.io/QeMJezK via @TheABFM

Please don’t forget that the HPV vaccine is approved for EVERYONE up to the age of 45 so GO GET IT

@PaulNWilliamz What information did you hope to elicit from smelling a vinegar-based condiment?

@Christinam762 @hubermanlab No, it reacts to *endogenous* cannabinoids. We have an endo-opioid system as well (utilized by endorphin - i.e. "endogenous morphine"). Without placing any moral judgement on use, these exogenous substances nonetheless exploit systems that exist for their own internal purposes.

@hubermanlab As a user and connoisseur for thirty years, there are factors that are not discussed like how human already have an endocannabinoid system and the only thing it reacts to or with is THC, and I'm so curious is he being paid by big pharma? How many derogatory reports do they fund

How Marijuana Affects the Brain & Body

I would not consider myself generally an alarmist about emerging environmental concerns, but I find this incredibly alarming: thelancet.com/journals/lanpl…

@omarkandah @bfeiny You realize people make the same argument against their family members having residents and med students involved in their care, right? And yet it's the only way people learn in healthcare. That includes paramedics.

@bfeiny Of course, but most of this app is us sharing our opinions! Just like your original post. Medical intellectualism aside, if it’s my family member, I’d rather have ED team intubate.

If a paramedic asks you if they can intubate your patient they brought to your ED who needs the procedure….the answer should always be yes

@omarkandah @proftmdunn @bfeiny If your family member had to be intubated in the field, would you not want the medic doing it to have had opportunities to do it in a safe environment surrounded by experienced folks who could coach and step in if anything went wrong?

@proftmdunn @bfeiny True. I agree with that. But my initial reply was in regards to once the patient is in the ED.

@AdamRodmanMD I can't for the life of me imagine people attacking you for holding this position.

They're called discharge summaries for a reason, not "discharge copy-pasted-crappy-progress-note-that-lists-every-little-thing-that-happened-during-a-hospitalization."

@Xangrydocs @RyanMarino twitter.com/bengoldacre/st…