Jason F Shiffermiller

@KurtPfeifer That 2014 ACC/AHA algorithm basically needs to be rebuilt from scratch. I think it might be permanently etched into my memory though.

Long-awaited MET-REPAIR trial published: bjanaesthesia.org/article/S0007-…

@medrants 1. Peptic ulcer. 2. Gastritis 3. Esophageal varices

1/ #UncleBob - pt presented at morning report with 2 wks of fatigue and progressive dyspnea. No previous such h/o. Black tarry stools (not diarrhea). 41 yo woman, on no meds - asked the learners for a differential at that point to develop the most relevant review of systems.

@DGlaucomflecken Concrete goals

You have a meeting with the CMO of your hospital. You get 1 request and the administration has to make it happen. What is your request? You can’t ask for more money. Anything else is fair game.

What facial expression is this? Asking for a 3 y/o family member.

@EvanMcMullin Roger Staubach’s retirement. I was only 7 and he was sort of a hero. I simply did not understand the concept of retirement. Staubach didn’t make it any easier by retiring near the pinnacle of his career. Now I think he might have been prescient.

@rabihmgeha @DxRxEdu Mulsevere hypertriglyceridemia?

Where did it all go? Not an uncommon scenario... Na - low K - low Cl - low HCO3 - low BUN - low Cr - low Glucose - low Mg - low Ca - low Phos - low What's the Dx? <3 @DxRxEdu

What are you into that costs between $10 and $20? Looking for a gift idea. Right and wrong and SkyMall answers please.

@DGlaucomflecken When you tell me the patient is nauseous, you’re saying they make you feel like you want to vomit. It’s just not a nice thing to say about another person.

Are you a doctor with a weird personality and strange pet peeves that nobody outside your small area of medicine really cares about? Glaucomflecken General Hospital wants to hear from you!

@Gabby_Brauner27 I learned more between 8 pm and 6 am than in any other 10 hour period in residency. Seriously.

Okay first overnight here we go

18 U.S.C. § 2384 - Sedition. I didn’t expect this to be such a short and clear law. codes.findlaw.com/us/title-18-cr…

@aoglasser I don’t think Disney has done a lovable otter movie. Looking at this guy, it seems overdue. @Disney

We all know diverticulosis can bleed, sometimes dramatically, but do people with acute diverticulitis experience hematochezia? Does diverticulitis bleed? Feel free to comment below...

What movie do you figure you’ve watched more times in your life than any other? I’ll start:

@Super70sSports I’m your huckleberry

Ok, let’s talk about some real adult shit tonight: What’s your all-time favorite Western? Choose wisely, friends. I’ll start:

@babbymd @Caulimovirus And learned this particularly gross lesson tonight. PlayDoh slime.

@babbymd @Caulimovirus Learned that one twice, so far.

Not hot take: Top Gun is a better movie than The Godfather. Reply with a GIF please

@Super70sSports Lode ... Runner

Just set a new personal career best on BurgerTime and I feel this moment is newsworthy. Most underrated classic arcade game imo. What’s yours?

It’s been a long time since I bought anything made by Rawlings. Feels good

Agreed. This is certainly not normal.