Jennie Simon Hanberg, MD

@jeffsparks @mghmedres Thank you so much, Dr. Sparks! I couldn't be more thrilled!

@Jen_LS_Hanberg @mghmedres We are excited to have you- congrats!!

I'm so excited to have matched at Brigham and Women's Hospital for Rheumatology fellowship! Beyond grateful for truly phenomenal mentorship, both clinical and research-wise, in residency @mghmedres.

@rheum_cat @mghmedres Thank you so much! I'm looking forward to it!!

@Jen_LS_Hanberg @mghmedres Congrats! Will see you around for ICR

@SampatMD @mghmedres Thank you so much, Dr. Sampat!

@HawraAllawati @mghmedres Thank you so much, Hawra!

@Jen_LS_Hanberg @mghmedres Congratulations Jennie!!🎉👏🏼

@MaxJordan_N Kcl crystals exist as a salt substitute (brand name NoSalt) that isn’t that bad actually! Haven’t tried the KCl we give to patients for repletion though.

Potassium tastes terrible.

Hey Medicine, Renal, Cards friends: when we aggressively diurese ppl with lasix/diuril and chase their potassium, replete incessantly etc, I find myself wondering… why don’t we use a little spironolactone? Can someone explain why we dump & replete vs adjuncting a K-sparing med?

Me and my dad.

@BethGay45 My #1 reaction to ED is unfailingly “thank goodness there are people who choose this as a career” - it is so amazingly challenging, and so necessary. We need to protect and take care of our EM colleagues- they are a precious resource

Thoughts of an IM resident on an off service EM block: 1) Holy wow EM providers are seeing a stunning volume of patients. I have no idea how they juggle so many patients at such variable stages in their workups and in acuity. It makes my head spin to try and keep up.

@MaxJordan_N Not sure what the experience is like at BWH, but at least over here, “email is a second medical record”. It’s common to send emails to outpt providers of hospitalized pts. I found it strange, but not sure if there’s a better way. I don’t know why we don’t use inbasket this way.

I really don’t like getting emails about clinical work. Really would love an adherence to separating inbasket from my email 🥴

@DrCindyCooper Catatonia! (waxy flexibility, responsive to benzod)

@DrCindyCooper This is a tough one. Rectal prolapse? intussusception?

@DrCindyCooper @dra_levin B12 deficiency associated with nitrous oxide intoxication? I think we had a res report about this last year!

@MaxJordan_N @RedCross At MGH at least there is a hospital run donor center that (1) takes appointments (2) always runs on time and (3) gives a $5 coffee central gift card!

It is too logistically hard to donate blood in a city that is ridden with hospitals. I work in a major medical center and the closest @RedCross site is a good 15-20 min drive away with traffic and they stay calling my phone. There’s gotta be a better way 😐

@MaxJordan_N @YaleIMed Doing residency at a transplant center having done IM *not* on klatskin, early in intern year I frequently found myself asking why everybody seemed to have cirrhosis.

Liver clinic today was 👌🏾. Took me back to my first IM rotation, on the amazing @YaleIMed Klatskin service.

@MaxJordan_N I don’t envy the folks who have this as a job

@MaxJordan_N “Severe protein-calorie malnutrition” and, “but is the heart failure acute or chronic or acute on chronic”

Health infrastructure so crazy that we have specialists whose job is to seemingly make sure we write notes with specific diagnoses so that hospitals can bill in a certain way and squeeze more $ out of insurers, whose goal to to hold tight onto & amass money (aka try not 2 pay?)😵‍💫

@joshuaafein @AaronGoodman33 I had a similar metoprolol - bradycardia a while back

@AaronGoodman33 I liked doxaxosin: hypotension recently, though I think they were trying to communicate that the patient was rather exquisitely sensitive to it.

@ChristleNwora It’s so hard to pay full attention and learn the same way on zoom lectures. (Tangentially, I often feel v privileged that throughout this whole year I still got to come to work in person and see my colleagues, while so many of my friends had to work isolated in home offices 🥺)

The ability to attend in person conference has dramatically improved my educational experience in residency. I attended in person classes all thru medical school and wasn’t a fan of recorded lectures. I love the ability to commune with others and stay focused on the material.

@MaxJordan_N The last time I do a 28 (or a 14+ hour night for that matter…) it will be too soon. It really does wear on a person every time. I’m sorry, Jordan. The only consolation I have is it can be temporary… depending on career choice 😬

Still feeling hollow

@kidney_boy So is CIN real or not?! I feel like clinically we constantly debate getting necessary scans due to renal function but I’ve heard passionate arguments both ways…

We defined contrast induced nephropathy, as a creatinine increase of 0.5 mg/dl or 25% within 48 hours of exposure. If we defined Flozin Induced Nephropathy similarly, these drugs would be a major nephrotoxin.