Pete

@DrBenLovell Maybe patients need some kind of info booklet when they get admitted to hospital. Explain routine of the ward, assessment units Vs wards, ward round purpose/times, different roles/uniforms of staff? In ideal world, all this would be explained but it's just so flippin' busy!

@Least_ordinary Many drives home from my time in palliative care were spent crying to myself or family members on the phone. Occasionally they were happy tears!

As a doctor or a nurse have you ever cried when you lost a patient?

@IowaMSTP @MKIttlesonMD A little apostrophe goes a long way. I prefer 3 letter month and shorthand year, e.g. Jul ‘21. I usually don’t include the day unless it was a recent event, as that level of precision is rarely necessary.

@MKIttlesonMD Please don’t enter dates like “7/20” - is this July 2020 or July 20, 2022?

#TipsForNewDocs Past medical history: Wrong: - AF - DM Right: - Persistent AF managed w/rate control/anticoag, CHA2DS2-VASc 3 - Type 2 DM, Hgb A1c 7.5% 7/20, no end-organ dz The PMH should provide descriptions of dz severity. Don't list- stratify! #kittlesonrules

@Aidan_Baron By the end of med school I realised how rewarding my primary care rotation was, so I decided to do another one as an intern in the country! Then it was even more rewarding with an element of autonomy and a bit more longevity to experience that continuity of care 😃

First day of GP Rotation done ✅ Absolutely loved it. my biggest takeaway: I think an 8hr shift in General Practice is harder than an 8hr shift in ED or Prehospital care. Certainly more mentally taxing. #MedSchoolDiary

@ManijehAssar In med school I foolishly decided to walk to the Royal Darwin Hospital on my first day of an endo elective during the wet season. I was drenched by the time I arrived, only to find out the endo team made it a rule to take the stairs to and from their 7th-floor office.

@bonniedsnyder I thought the uterine cervix was so named because it’s the “neck” of the uterus.

hello today I'm mad about the fact that two VERY unrelated parts of the body are both referred to as cervical, what's everyone else mad about #MedTwitter

@ashleyiann Epididymis and amitriptyline. Too many i’s and y’s that are all pronounced the same. I’m going to have to start pronouncing the words wrong just to remember.

What’s a medical term you always spell wrong regardless of how many times you’ve encountered it? The number of times I’ve written Chrons disease is alarming.

@dr_ashwitt @aleksandra0293 @jordanwalter @ttangtweets This guide alone makes me feel ready for internship! Thanks heaps ☺️

When I wrote this 'cheatsheet for internship' in 2013 I didn't imagine it would be read 23,000 times. I'm sure it will one day be antiquated because of EMR, but for now - ashleighwitt.com/2015/01/about-… cc @aleksandra0293, @jordanwalter, @PeterSara9, @ttangtweets

At the end of interactions with patients ask “What questions do you have?” as opposed to “Do you have any questions?” I also like “What concerns do you have?” and “Is there something you have always wanted to ask but have never felt comfortable asking?” #ICCH19 @ACHonline

@pr1ta_as1h Wow that's such good news! Congratulations also!!!

@PeterSara9 Awesome! Happy for you. No more exams but real cases soon 😁 I am a "Doctor" now since last March and still working at Ittner's lab here at Macquarie. The lab is getting bigger than the last time you were here (~30 people)

@PeterSara9 Hi Peter, nice to see you here :) How have you been? Hope your medical study is going well. If you miss research, we are at Macquarie Uni now haha

@MatthewJSwanson I often felt like I was behind the times when I continued to hand-write my notes through uni while all my peers adopted more and more specialised software to type their notes quickly and systematically. In the end I think it benefited me to do it my way.

There is an inherent intimacy to writing by hand. Additionally, I’ve always valued penmanship. It speaks a lot about the author.

If, as a clinician, you have learned how to pronounce the word meningoencephalocele (or hemophagocytic lymphohistiocytosis, or whatever) you can 💯% learn to pronounce the name of your patient, colleague, or trainee. I believe in you. #MedEd

@Aidan_Baron I wonder how the above thoughts apply to medical students going on elective to third world countries

Dear #MedTwitter Today i'd like your thoughts on what separates Medical Voluntourism from Ethical Volunteering ? Please comment below

I don’t think a case report has ever made me cry before. How can we do better? - Advanced care planning - Honest goals of care discussions every admission - Having the bravery to have difficult conversations about goals of care and withdrawal of care read.qxmd.com/read/31374047/…

@DrEricLevi Don't forget oestrogen

Wrong. Proper Queen’s English please. Oedema Oesophagus Foetus Apnoea Okay?

@Aidan_Baron You: "Read this xray for me." Student: *Points out the obvious, then the non-obvious, then the imaginary, then (sweating) describes the history and teleology of ionizing radiation, and begins to question the metaphysical concept of extension itself, all while you wait silently*

#TipsForNewDocs Patient doesn’t accept your recommendation. How to document? No: "Patient refuses X.” Yes: "Patient declines X due to ____. I explained the indications, risks, benefits of X. S/he understands the medical consequences of his/her decision." #kittlesonrules

@dr_ashwitt Thanks, I hate it

This is the worst thing on the internet.

@anne_theriault “Of course it is happening inside your head, Harry, but why on earth should that mean that it is not real?”