Things We Do For No Reason

⚡️ “TWDFNR Tweetorials” twitter.com/i/moments/1105…

#ICYMI: @TWDFNR 🙌 Things We Do for No Reason™: Discontinuing Buprenorphine When Treating Acute Pain w/ @JHospMedicine (@MarleneMartinMD, @trivenidef, L. Haber, MD) Check out the clinical scenario, background & what you should do instead 🤔 fal.cn/34pA4

10/ Has this thread (and, more importantly, the review upon which it is based) made you more likely to continue buprenorphine when patients are admitted with acute pain?

9/ The review by @haber_md, @trivenidef, and @MarleneMartinMD covers a lot more, including situations when you might consider holding buprenorphine and its safe re-introduction. And, it's open access available at @JHospMedicine journalofhospitalmedicine.com/jhospmed/artic…

1/ Why is the discontinuing buprenorphine when treating acute pain a #TWDFNR? This thread is a complement to the review published in the October 2019 issue of @JHospMedicine To begin, what do you do with buprenorphine when treating acute pain in the hospital?

Because this tweet seemed to strike a nerve among so many;. Suppose its #tweetorial time to evaluate the evidence supporting, or not, the use of contact precautions (CP) to prevent the transmission and infectious complications of #MRSA

@reverendofdoubt twitter.com/twdfnr/status/…

#ThrowbackThursday 😎 @TWDFNR, @JHospMedicine: #Neutropenic Diet "For several decades, providers have routinely restricted the diets of neutropenic cancer patients by eliminating foods that might harbor pathogenic microbes to reduce infection rates." ow.ly/RzBg50vLt5w

1/2 We order too many tests & over-evaluate too many findings. Why? Because for many MDs its easier than spending time to think or educate our patients. And we think our patients will like us better if we “do more.” #TWDFNR #MedTwitter @TWDFNR nejm.org/doi/full/10.10…

👀 Why is the routine use of neuroimaging for hospitalized patients with delirium a #TWDFNR? Follow this thread to find out: @JHospMedicine @TWDFNR

10/10 To read more about this topic, download the Open Access article using the link below. And, as always, if there are things you think are #TWDFNR, send us an email: TWDFNR@hospitalmedicine.org …files-live.s3.us-east-2.amazonaws.com/files/s3fs-pub…

9/ Before closing, here are the full recommendations offered by the authors of the #TWDFNR review.

1/10 Why is the routine use of neuroimaging for hospitalized patients with delirium a #TWDFNR? This #tweetorial is a supplement to the review published in the July 2019 issue of the @JHospMedicine journalofhospitalmedicine.com/jhospmed/artic…