DrBK retweetledi
Hi, ER Doc here.
RT if you’ve ever done CPR on someone and they survived.
Trying to prove something.
English
DrBK
542 posts
DrBK
@DRBK_EDU
Faculty in internal medicine at Carolinas Medical Center. World citizen. POCUS enthusiast. Tweets do not equal advice. He/him/his.
Charlotte, NC Katılım Ekim 2018
316 Takip Edilen129 Takipçiler
DrBK retweetledi
DrBK retweetledi
Beware the peak of the Dunning Kruger curve! Exposure to #POCUS leading to overconfidence and poor clinical integration can lead to patient harm.
Brian Elliott MD@BrianElliottMD1
Manuscript is up about informal #POCUS training and false confidence! 👇 We found that among #IM residents: ⏺Informal training and confidence were ❌ associated with assessment scores ⏺FORMAL curriculum was ✅ Formal POCUS training is 🔑 academic.oup.com/milmed/article…
English
DrBK retweetledi
Please read this twice, fellow docs. Terms like ‘non-complaint’ and ‘against medical advice’ pigeonhole already marginalized patients and can literally contribute to adverse outcomes. We need to do better.
Ms. Andry Noir, PhD@keatingssixth
My sis was denied TWICE from the heart transplant list due to “noncompliance.” A 27 yr old BW w/2 kids. The noncompliance? Not always liking hospital food, missing meds b/c NURSES didn’t wake her up, & panic attacks seen as “aggressive.” She died 2 months after the last denial.
English
DrBK retweetledi
New publication from our group. Severe Hyponatremia Correction, Mortality, and Central Pontine Myelinolysis | NEJM Evidence evidence.nejm.org/doi/full/10.10… @ASNKidney
English
DrBK retweetledi
DrBK retweetledi
Echo is one of the more skilled ultrasound exams you can do. Having learnt it and now teaching it, I see the same mistakes being made over and over again. I have put together thread on beginner mistakes in echo. #tweetorial #POCUS #FUSIC #askpocus
English
DrBK retweetledi
Today @AvrahamCooperMD and my essay on AI/LLMs and medical education comes out in @NEJM , about the challenges our field faces and what we should do about it.
I wanted to give some context for this essay, and talk about some of the things we can be doing NOW.
A brief 🧵⬇️
Avraham Z. Cooper, MD 🩺@AvrahamCooperMD
Medical educators have a crucial role in shaping the inevitable integration of AI into the healthcare. @AdamRodmanMD and I wrote about it in NEJM ⬇️ nejm.org/doi/full/10.10…
English
28M with recently diagnosed diabetes, chronic diarrhea and a unique substance use history presents with 4 weeks of ascending "numbness" and weakness.
Tune in later for this noon report case reveal.
#FOAMed #MedEd #internalmedicine #CMCIM
English
DrBK retweetledi
I was watching Lord of the Rings last night and realized there are many parallels with academia!
A thread 🧵👇
English
DrBK retweetledi
Our first TNR of the year:
67M s/p OLT (2022) for HCC with recent recurrence now on lenvatinib, known PFO presents with 2wks worsening of dyspnea on exertion.
What’s your approach to this patient?
Tune in later for the reveal!
#FOAMED #internalmedicine #CMCIM
English
DrBK retweetledi
@nikdes13 @PaulNWilliamz Great question. I try to do exactly what I would in the clinic as next step. If not my patient, probably more reluctant to start full agonists (and I’m pretty reluctant at baseline). Depending who pcp is and their comfort, may be less reluctant to start some low dose bup.
English
Hospitalists, if you are admitting someone for a non-pain related issue, but they ask you for opioids while admitted for their chronic pain (no outpatient rx), do you: (1) give opioids in hospital & at dc (2) only in hospital or (3) no opioids
Camden, NJ 🇺🇸 English
DrBK retweetledi
Can GPT-4 solve really hard medical cases and come up with a good list of differential diagnoses?
@zahirkanjee @byrondcrowe and my study is out in @JAMA_current , and the short answer is, “Yes.”
But what does this all mean? 🧵⬇️ twitter.com/JAMA_current/s…
JAMA@JAMA_current
In this study, a generative artificial intelligence (AI) model provided the correct diagnosis in its differential in 64% of challenging cases and as its top diagnosis in 39%. ja.ma/3X5M6i9
English
DrBK retweetledi
Reading applications for fellowship I see a lot of personal statements. Most are about as spicy as white rice. But this sentence...😍
English
Would also note that this case highlights the importance of putting a probe on someone’s chest before deciding on ICU vs floor status even after you know about the PE.
IMCrit@IM_Crit_
Take-home message: A patient can have huge PE clot burden WITHOUT hypotension or hypoxemia. Ruling out PE on the basis of "normal O2 sat and BP" can have dire consequences...
English
DrBK retweetledi
1/
A patient receiving his first-ever dose of IV Iron (ferumoxytol) suddenly develops diffuse face & trunk flushing, chest pain, myalgias, and anxiety.
Blood pressure is normal and lungs are clear.
You are called to the bedside to assess.
How likely is anaphylaxis?
English