Docs

Only ~14% of post-bariatric patients ever get a GLP-1, even though you can get another ~8-12% loss when you use them. What if regain isn't failed surgery but untreated obesity? Learn when to reach for meds before revision: docslounge.substack.com #MedTwitter #ObesityMedicine

Why do 85% of prior auth denials happen? Not clinical disputes—administrative errors you could catch with a checklist. Build your own citation library first. Learn why: docslounge.substack.com #MedTwitter #PrimaryCare #HealthTech

Your patient’s Apple Watch says their BP is “fine.” In JAMA, a positive alert ≈ 70% real hypertension. No alert? Still a big chunk of missed disease, especially in older adults. Smartwatch reassurance or cuff reality check? docslounge.substack.com #PrimaryCare #MedTwitter

Why do so many RFA referrals still skip proper screening? RAPID study: 30% pain drop at 1 year—but that requires doing the diagnostic blocks. One well-done block beats guessing. Learn when to refer and what to tell patients: docslounge.substack.com #MedTwitter #PrimaryCare

Turns out long COVID "brain fog" might not just fade—NYU shows enlarged choroid plexus + lower perfusion on MRI tracks with higher p-tau217/GFAP w/worse cognition. Stop blanket reassurance; start stratifying who needs closer follow-up. Read @ docslounge.substack.com #MedTwitter

What if your post‑stroke insulin drip, SBP 120–140 goal, and “CTP for everyone” are doing more harm than good? Learn when to skip tight control and perfusion and still be more guideline‑concordant than the big center: docslounge.substack.com #MedTwitter #NeuroTwitter #stroke

Turns out reactive low-dose Fe in HD patients was costing outcomes: PIVOTAL showed proactive 400mg/mo IV iron cuts death + CV events vs reactive dosing. KDIGO validates it. Primary care pearl: optimize iron before maxing ESA. Full breakdown: docslounge.substack.com #MedTwitter

Your patient with depression + anxiety + PTSD isn't responding to sertraline 100mg. The therapist says "process trauma first." New genetics data shows that's backwards—they need 150-200mg because you're undertreating one disease, not three. docslounge.substack.com #MedTwitter

@BrandonLuuMD @UpToDate nice tool but they still cite their own expert-opinion articles as well as straight data. the AI feature costs a fortune. I use @doximity GPT (free) - all references, no expert opinion. glad to see more players in the market though.

UpToDate’s new AI is a genuine game changer. Every output is clearly linked to the underlying primary articles. It’s also remarkably strong at generating accurate differentials. Easily the most reliable clinical AI tool I’ve used so far.

CDC says flu is "declining"—but 27 states show epidemic growth and pediatric hospitalizations just hit a 14-year high. School-age kids are the only group with climbing ED visits. Here's the state-level tool you're not checking: docslounge.substack.com #MedTwitter #Influenza

A WhatsApp chatbot got 4 in 5 MSM to HIV self-test and delivered MORE counseling than human counselors—with every reactive test linked to care. Discover why rules-based bots might scale where counselors can't: docslounge.substack.com #MedTwitter #IDTwitter #PublicHealth

88-year-olds with cochlear implants wear them 11+ hrs/day and double their sentence understanding—yet we still write "continue current hearing aids" for patients catching 2 out of 10 words. Learn when 60% isn't "borderline": docslounge.substack.com #MedTwitter #Geriatrics #ENT

Your patient asks: "Will cold plunges help my anxiety and blood pressure?" The mood benefits are real, but the science on inflammation and BP? Not ready for prime time. Learn when to support vs. screen out: docslounge.substack.com #MedTwitter #PrimaryCare #MedEd

Half your patients on semaglutide will stop within a year—and regain nearly ALL the weight by 18 months. New BMJ review: weight cycling from GLP-1s may be worse than never starting. Here's what to tell patients before prescribing: docslounge.substack.com #MedTwitter #FOAMed

75% of long-term disability claims are denied—and your "own-occupation" policy might not mean what you think. Here's when "True Own-Occupation" actually protects your specialty: docslounge.substack.com #MedTwitter #MedEd #PhysicianFinance

TXA cuts bleeding in head/neck surgery but does nothing for most abdominal cases—including liver resections. When should you actually use it? Here's what 26 trials with 7,000 patients tell us: docslounge.substack.com #MedTwitter #SurgTwitter #GeneralSurgery

🌾💉 Your patient wants to replace Ozempic with... oats? Navigate the "Oat-Zempic" trend, GLP-1 shortages, and dangerous counterfeits. Practical talk for keeping patients safe & evidence-based! docslounge.substack.com

Why are vaccinated patients ending up intubated this flu season? H3N2 subclade K shows a 32-fold vaccine mismatch—but that's not the whole story. Learn why you should still vaccinate: [docslounge.substack.com] #MedTwitter #InfectiousDisease

🤖 AI scribe missed my patient's headaches—transcript deleted, can't verify. 2.6M visits using AI notes, but we're destroying the data needed to prove they're safe. What you need to know now. docslounge.substack.com

📡 Rural patient 150 miles from specialists—internet drops mid-visit. AI can diagnose at 92% accuracy, but tech barriers are brutal. Real talk on telemedicine's promise vs. reality in the heartland. docslounge.substack.com