Andrew Chertoff retweeted
To put in quotes exactly what the parent or patient says is the chief complaint and work from there. Doctors should actually listen to their patients and the parents of their patients.
Andrew Chertoff retweeted
The patient is NOT "a poor historian." The patient isn't a historian at all! The patient is the primary source.
YOU are the historian.
Hey Interns, here are The Four D’s of your Assessment and Plan:
Ddx
Dx plan (stepwise, if applicable)
Drugs (to be clear, medical therapies you plan to initiate)
Dispo (can be if/then if dispo is TBD)
Andrew Chertoff retweeted
Fielding home runs and Residents’ #roshreview questions at the Yankees game. July at jacobiem.org
Andrew Chertoff retweeted
New interns: my only advice is to do the physical exam. Do it for real. Push on all of those bellies. Figure out how hard you have to push for people to say "ow" just because you were pushing, and when it's pathologic. Get in the habit of doing a real exam and never stop.
@GE_Appliances Monogram built-in 48in fridge has required multiple services in two short years, extended warranty now one month expired and you won’t cover the service charge on a $10k item that has yet another issue? Do the right thing - take responsibility for your product.
Andrew Chertoff retweeted
#EmergencyMedicine is a tough job
Once--maybe twice--a year, a moment comes along that sustains you in this career.
I had one of those moments last night.
I am so very grateful to the knowledge sharing of #medtwitter that can make a lifesaving difference.
Andrew Chertoff retweeted
Standard LUCAS position versus ~5cm lower and slightly off centre, ETCO2 increased 2kPa. Are we even getting the essentials right every time during cardiac arrest? Increasing need for precision rather than algorithmic medicine
Saturday night in the Boogie Down on the critical side with two of the GOATs! @Jacobi_EM
Andrew Chertoff retweeted
Spending the afternoon at @MontefioreNYC @EinsteinMed MECIS for #airway practice and #simulation led by #PEMDoc Dr. @JBarrettMD and Dr. Phil Sosa
@cabanam @dr_m_miksa @Redsoxma @TheRealDrKendi @DebHsu
Andrew Chertoff retweeted
90% of the physical exam is in talking to the patient. It is a neuro exam, an ENT and pulmonary exam, most of the perfusion (cardiovascular) exam, a skin and muskuloskeletal exam, all at the same time!
Andrew Chertoff retweeted
So . . . Hear me out . . . It's to watch the disease process evolve. You see a patient, you assess them, you come up with a plan, you implement the plan, you stick around to see if it works or not. You do that a thousand times and you become wise.
Rate, rhythm, axis… really?!?!?
Reading ED ECGs in real life:
1. Very very…
wide
slow
fast
elevated
depressed
disproportionate
hyperacute Ts
v small QRS w a big T
small elevation but v small
complex
1/2
POCUS Parenting Hack: use the @ButterflyNetInc to show your toddler that despite his protesting, he does in fact need to pee before bed.
Andrew Chertoff retweeted
And here’s a little secret, your doctor looks up answers to things ALL THE FUCKING TIME. You think I know how to treat syphilitic chorioretinitis off the top of my head? Trust me, you want a doctor whose first instinct when they don’t know an answer is to look it up
Andrew Chertoff retweeted
Kudos to @Mets & @Yankees for increasing capacity for those vaccinated and for offering #COVID19Vaccination AND a free ticket at the game
@cabanam @AChertoff
usatoday.com/story/sports/ml… via @usatoday