Brian Poole

@phlegmfighter @DrSamuelBrown @LauraFryeDrL @doc_BLocke @BrittScarpato @DirtbagMD @jeanettepbrown @EAMiddleton5 @AliciaHBowles @SarahJBeesleyMD @CallahanPulm Won't speak for others but I am tired of the algorithm here, I also don't disagree with not supporting Elon 😊

@brianpooleMD @DrSamuelBrown @LauraFryeDrL @doc_BLocke @BrittScarpato @DirtbagMD @jeanettepbrown @EAMiddleton5 @AliciaHBowles @SarahJBeesleyMD @CallahanPulm Is this to spite Elon?

Open invitation to SLC PCCM friends to join @DrSamuelBrown and the growing med community on #Bluesky- feels like OG Twitter @LauraFryeDrL @phlegmfighter @doc_BLocke @BrittScarpato @DirtbagMD @jeanettepbrown @EAMiddleton5 @AliciaHBowles @SarahJBeesleyMD @CallahanPulm

And Scott and team have, in my opinion, shown that Hickam's dictum is an exception of an exception of an exception of a rule. It's Occam, all the way down.

Congrats to Andrea Barker and her amazing team @AKonopasky, @LaraVarpio, Michael Soh, & @ReneeStalmeijer for their lit review in @AcadMedJournal of APC contributions to workplace learning for physician trainees! doi.org/10.1097/ACM.00…

@phlegmfighter I'd vote for Biden's corpse before the alternative. You're voting for a platform not just one person. Regardless of Biden's lackluster performance the alternative is a compulsive narcissistic liar to say the least of his faults.

If he’s not frail post a video of him, jumping rope or running up or down the stairs If he’s mentally sharp, subject him to something quite simple like a mini mental status examination The fact that they haven’t done this is basically Sherlock Holmes dog that didn’t bark

@CallahanPulm I had a similar one once that was from a pancreatic fistula

MICU day 16 of 28 Any guesses as to the etiology of this pleural fluid? Color is dark brown, comparable to a Russian imperial stout. No blood.

I'm amazed it happened without government regulation but amazing news for our 🫁 patients

@doc_BLocke @jsnrcarr @JAMA_current @phlegmfighter They're reporting median, and 38% of that group was admitted to the ICU

@jsnrcarr @JAMA_current @phlegmfighter My initial thought as well! Tho I wonder how much of that is a reflection of who comes to us…. Maybe the ED is already letting some of these folks wait it out and we never see them?

Among comatose patients w/ suspected acute poisoning, a conservative strategy of withholding intubation was associated w/ a greater clinical benefit for the composite end point of in-hospital death, length of ICU stay & length of hospital stay. ja.ma/3GmzsDG #CCCF2023

@phlegmfighter @AAMCtoday @Adobe You can get Adobe for free through the University

It is ridiculous that #medicalstudents pay all that money to @AAMCtoday for me to write letters for ERAS for them and the maximum file upload size is 1MB. I have to pay for @Adobe to shrink a 1-page letter? Everything is a racket these days. #medtwitter #thematch #ERAS

@BenHarris1315 @CallahanPulm Coming from an institution where checking an ammonia level in a patient with cirrhosis was banned this was a huge culture shock

@CallahanPulm Wanna do a noon conference on it? :)

I know I'm two months late to the meme but my goodness I've been on service for 10 days and gotta vent.

@NicholasChrimes @JPenketh39 @Fionafionakel @doctimcook Still behind a paywall

Everyone who intubates should read this letter by @JPenketh39 @Fionafionakel & @doctimcook. Concise, well reasoned arguments regarding why & how we should use VL routinely where resources allow. sciencedirect.com/science/articl…

@CallahanPulm Especially with this lovely reminder....

Got alerts to read both of these today and now I'm considering day drinking. erj.ersjournals.com/content/61/2/2… npr.org/2023/02/03/115…

Could be huge for physicians! U.S. Moves to Bar Noncompete Agreements in Labor Contracts - The New York Times nytimes.com/2023/01/05/bus…

Elizabeth Holmes just got sentenced to 135 months in prison (11.25 years)

@jing_gennieWang Surgery: "Patient is actively exsanguinating"

What are 4 words that can summon a medical specialty to the bedside instantly? I’ll start. Neurosurgery: “pupils blown, midline shift.” I swear I blinked and there they were.

@doc_BLocke Minor detail but I think it's interesting in their algorithm they use the old definition of bronchodilator responsiveness

New ERS Asthma Diagnosis Guidelines: erj.ersjournals.com/content/60/3/2… In sum: Spiro ☑️ Peak Exp Flow ⛔️ (PEF in figure w/ caveat: for occ asthma concern, req 2 wk calibration) FeNo ☑️ Blood Eos ⛔️ Blood IgE ⛔️ Eos&IgE ⛔️ Provocation ☑️ Pleth ⛔️ ...for patients with suggestive symptoms

Lung transplant is growing in Utah with the most transplants performed here yet this year and the recent additions of Dr. Matthew Morrell and @LauraFryeDrL to our team! Come join us!

🧵 on NIV in #ARDS 🫁 I’ve seen A LOT of inappropriate use of NIV in #COVID19 & have often ranted about it on Twitter. There’s also lot of new data on NIV that’s been inconsistent & confusing. Let’s break some of it down. I’ll also add in some highlights from #LIVES2022

@doc_BLocke So frustrating that we are still suturing these! Any thoughts on getting this for our kits @EAMiddleton5 ?

Interesting article! Need to get some cryo spray and some tissue glue in our ICUs 10 best practice tips with radial arterial catheterization - Guglielmo Imbriaco, Timothy R. Spencer, Amy Bardin-Spencer, 2022 journals.sagepub.com/doi/10.1177/11…

@AdamRodmanMD @doc_BLocke did a grand rounds presentation that touched on this

Okay, I think it's time to be a party pooper here. It's very hard to prove a negative -- but unless someone has a primary source that proves otherwise, I'm pretty sure this is a myth (that lasix is named because it "lasts six hours") A brief 🧵