Tyler Raycraft

🎺TI Therapeutics Letter 149: How useful is #Paxlovid in 2024? ti.ubc.ca/letter149 In people at LOWER risk: 🤒Doesn't shorten symptoms 🏥Doesn't ↘️ risk of hospitalization or death In people at HIGHER risk: ↘️reduces hospitalization w/ #COVID19 & risk of death #MedEd

We are excited to announce a call for applicants to our Clinical Educator Fellowship - Indigenous Stream. To learn more about this, attend our Virtual Open House 5-7pm on August 2, 2023. Register at trk.cp20.com/click/clxt-2pe…

We’re looking for a few more participants for our study @TylerRaycraft! We’d love to have as many voices from across Canada be heard. Let us know if you’re interested in participating by DM-ing us or emailing the email below.

Hey #MedTwitter! Do the words "culture change" come up often when thinking about your internal medicine program? What does "culture" even mean? We're looking at that very question for our #qualitativeresearchproject.

@siamoxicillin Trick question. It's all pneumonitis.

#IDTwitter be like what is the preferred abx for a 50yo post-autoHSCT with 1 unvaccinated dog, 2 cats, 1 armadillo, and 2 pigeons who just ate oysters and then went for a salt water swim with open wounds and now has fever, cough, rash, a sus CT chest, and diarrhea

Wishing all the Internal Medicine R3s around the country best of luck with the CaRMS match today. You're all already amazing internists, regardless of today's outcome. I hope you all get exactly what you were hoping for!

@siamoxicillin Pet peeve of mine too. The "historian" is the one who documents the history, not the one who recounts it. It's not the patient's job to perfectly report every detail. It's our job to figure it out.

are we done with “poor historian” yet?

@EmilyVBartsch @siamoxicillin He doubled down on docusate

anyone who praises me at work deserves to know that I once failed three practice OSCE stations in a row all relating to management of mild constipation

Grab a copy of the Globe and Mail and read @robyndoolittle story at A4. I am proud to be representing a courageous, brilliant medical resident in a case that will change the way medical residents are treated by the hospital and university system. theglobeandmail.com/canada/article…

Nice to cap off residency @UofTPGME with this article in Vox Sang. Thanks to @dryulialin, @JeannieCallum, @KeyvanKarkouti, Dr. Justyna Bartoszko for all the guidance (and patience in a CaRMS/Royal College/COVID-mired PGY3). onlinelibrary.wiley.com/doi/10.1111/vo…

@siamoxicillin Metformin! ncbi.nlm.nih.gov/pmc/articles/P…

Drug-induced hypomagnesemia 💊PPIs 💊loop/thiazide diuretics 💊calcineurin inhibitors 💊ampho B 💊AMGs 💊foscarnet 💊platinum-based chemo others? #TwitteRx

clickbait radiology report impressions would make reading the findings much more exciting. IMPRESSION: pneumonia as suspected, but you won’t believe the incidental finding hiding below the diaphragm!

@DavidJuurlink I also tell them that even the 1 in 21 million is a modeled, not actual, risk. No cases of transfusion-transmitted HIV in Canada since implementation of rigorous testing in 1985.

So I'm doing an educational module on blood transfusion, as required periodically by my hospital. When it comes to safety concerns, patients often ask about HIV. The risk of that is ~1 in 21 million.

Tell a story with a med list Tamoxifen Pregabalin Furosemide Betahistine Ibuprofen Pantoprazole

@siamoxicillin What silly resident was suggesting that combination???

💡azathioprine is metabolized primarily by TPMT (hence pre-Tx screening) and xanthine oxidase. Use of xanthine oxidase inhibitors (like allopurinol) will therefore ⬆️ azathioprine serum concentrations.

caught an azathioprine-allopurinol drug interaction today 🙅🏽‍♂️

When we set out to implement a machine learning-based "early warning system" at St. Michael’s Hospital, we realized there was no playbook for how to do this. So we wrote one, with some of the world's to ML and implementation science experts. (Thread /1) cmaj.ca/content/193/34…

The Big Blue Wave was CARRIED by the med students and juniors 🙏🏼

CANADA IS GOLDEN HISTORY FOR SINCLAIR HISTORY FOR #CANWNT Presented by @SportChek #FindWhatMovesYou

@DoubleDawgMD Thanks so much for this. One point of discussion: I find the nitrite helpful in the setting of patients who DO have lower urinary tract symptoms. If negative, it forces me to think about enterococcus, which wouldn't be covered by the cephalosporins that we often use. Thoughts?

The arrival of new interns in July is an excellent opportunity for us to revisit the basics- today let’s talk about a test that is simultaneously one of the most overused and poorly interpreted tools in medicine: the UA. Say it with me now… INFLAMMATION ≠ INFECTION 1/10

@medstudent_kait If it’s mainly because of the people - is that a reason not to choose that specialty? The people you work with are one of the most important aspects of your career. If you like the people, ask them why they chose that specialty. You may find you relate to their answers.