J.D. Zipkin, MD

@mattswider @theshortcut @SamsungUS @Samsung @SamsungMobileUS @SamsungMobile

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@rubyslippahs @SeanDreyer Listen if they just made @PEEPSANDCOMPANY with sugar free alternatives it would accomplish this exact effect.

What medical word did you butcher until someone corrected you? As an intern I pronounced Golytely "golly telly" and rounds halted for the team to laugh

@michaeldmccann Yep. ML much better at finding patterns than our chart reviews trying to find trends in the darkness.

@ZipkinMD I’m surprised that machine learning upgrades are not implemented in EHRs to do this, especially with all the excitement around AI. It would be easily implemented in EHRs with discrete data sources of lab values.

Hot take: in the year 2023 no one should be taught Lights Criteria. The EMR should just tell us the answer. We can use those brain cells for more important things, like learning the adorable new names of rheumatologic disease replacing their prior racist eponyms.

@DGlaucomflecken No. Now you get *more* calls.

It’s disappointing. I really thought I’d be on some kind of health insurance no call list by now

Caller: Hello is this Mr. Flanary? Me: I go by many names, but yes Caller: This is ____ from Cigna. I’m calling to let you know about our mail order pharm— Me: I’m gonna stop you right there. I’m probably the last person you want to have this conversation with

@MaddieMierMD We often times talk about autonomy and support as if they're mutually exclusive. They're not. These are two independent variables. ⬇️ Sup ⬇️ aut = neglected or micromamaged ⬆️ Sup ⬇️ aut = shadowing ⬇️ Sup ⬆️ aut = self directed learning / danger ⬆️ Sup ⬆️ aut = amazing learning

This, of course, raises an actual serious #MedEd question about what is the appropriate amount of direct vs indirect supervision..? How do we know what is too much vs not enough autonomy? Thoughts? Sidenote, it’s now been a week of quarantine & I’m really missing work 🙃

So the culture at my program is that we as attendings are ✨very present✨ on the floor. Like wayyy more than the faculty ever were in my residency.. and I NEVER felt like I was under-supervised or that it was unsafe.. but like, were we basically just 12 yr olds left home alone?!

@bridgetmcgann @MissM_19 @DoctorPICU @WendyHassonMD Lastly, if you want to disagree with the American Academy of Pediatrics or hand waive all pediatricians as only "anecdotal" I recommend doing the lit review before claiming there's no proof. ALTE/BRUE, choking HIE, etc. The proof is not subtle.

@bridgetmcgann @MissM_19 @DoctorPICU @WendyHassonMD 1. lol way off + irrelevant 2. everyone thinks they're doing it right. there's no set guidelines. moving goalposts + fabricated rules 3. claiming "first" like a SoMe post is not science. it's not about norms. no IRB will approve a peds study where anoxic injury is a known outcome

I bet every #tweetiatrician and #PedsICU doc can immediately spot the item that gave me severe anxiety at this 4 year old birthday party.

@bemooremd Correlate. Clinically.

Incidental finding 😲

@MelodyButler @WendyHassonMD No! Then all the dentists get upset! Something something "retentive" something something "makes carries" (ok I may ignore this one)

@WendyHassonMD The only safe grape is a raisin.

@EmpiricGame This is why everyone in healthcare needs a Med/Peds buddy. 🤣

Interesting discussion in clinic recently. If you have late teen, young adult patient you are recommending go to the ED. Are there certain diagnoses that would push you to direct them to one or another?

@RodGerardo Ladies and gentleman, I give you the punch line to the joke "what's the difference between a surgeon and a diagnostician?!"

My EM resident partner: I can’t tell you how many patients I’ve diagnosed with cancer in the ED DONT SAY IT DONT SAY IT DONT SAY IT DONT SAY IT DONT SAY IT DONT SAY IT DONT SAY IT DONT SAY IT DONT SAY IT Me: Actually, you don’t because you need a biopsy to diagnose cancer

@davidshoremd Med/Peds chief ftw! All the benefit, none of the drawbacks vs categoricals. How interesting it would be if all trainee chiefs had the opportunity to both learn and practice critical clinical leadership skills.

@medburnbook I'm going to interpret that as you successfully putting in a midline one-handed. I'm an attending so you're not allowed to correct me.

my patient asked me if I would hold his hand while he got a midline today and those are absolutely my favorite requests to fulfill 🫶🏻

@medburnbook Ok ok now take your list and identify if you've done 2 or more of those items at the same time

It’s kinda funny to me that the default assumption when someone doesn’t IMMEDIATELY respond to a page is that they are sitting there, intentionally ignoring you with all the malice in their heart. Def not peeing, getting sign out, doing chest compressions, breaking bad news….

@leightonmed Not sure why Twitter alerted me to this specific tweet but my only response is: Don't hate the player hate the game!

I had a resident tell me “there’s nothing more useless in the hospital than a post interview fourth year medical student” and you know what he’s right

@missnemmanuel I don't know who you are or why you showed up on my feed, but we share a connection that runs deep.

I’m not trying to upset anyone but… I don’t like sun-dried tomatoes. l’ve been tolerating them for years but… I… I can’t do it anymore. It’s like they are trying so hard. It’s like the tomato version of cordial. We don’t drink that neat!!! 😮‍💨 Just had to get that off my chest.

@jbcarmody Yes. This. There is of course a goal inherent to any school that they graduate students with high objective metrics like grades. But the larger goal here is producing great doctors, which exhibits a Flynn effect to EQ as much as IQ in the modern era.

MCAT scores -do- predict academic success in the first two years of medical school - which is an important goal. Just maybe not -the- most important goal when selecting future physicians. aamc.org/media/43291/do…

A medical school applicant who was denied admission to medical schools in Texas has sued, alleging discrimination based on his status as a white male. aflegal.org/wp-content/upl… (🧵)

@davidshoremd My greatest fear in life is ever needing to complete a TPN order.