Internal Medicine Resident. MD, MPH, MSc (Aging & Health). Passionate about Mountains & Medicine. He/Him.
Calgary, Alberta
Joined September 2009
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Smelled something funny when examining my patient so I ordered a stool culture... and yep... it was C. diff.
Lance Shaver retweeted
Results of our ELAIA-2 trial, randomizing patients with Acute Kidney Injury and key drug exposures to alert vs. no-alert now online and free to view @NatureComms!
rdcu.be/dclK2
(Thread)
Lance Shaver retweeted
ICU stories: 42 yo🙍🏻♀️w HTN / OSA-obesity (BMI: 40) presented to the ED w dyspnea/cough for 1 day. Vitals: bp 137/68, hr 82, rr 18, sat 88% (improved to 97% w 4 l/m nasal cannula). Labs: trop 0.4 (normal <0.1), BNP 1000 (normal <120), d-dimer: 3000. CT chest: acute bilateral PE
Lance Shaver retweeted
As a resident, I loved the rabbit holes I was sent down trying answer to a question. I post many of them here, but I can't capture nuance in 280 characters
Introducing Neu℞oWise - a place to share some deep dives and thoughts on pharmacotherapy in NCC!
neurowiserx.com/
BC Government ends mask mandate in healthcare facilities!
I did not expect this to happen until much further down the road; I thought it would just be the new norm. It will be interesting to see how many people continue to wear masks.
cbc.ca/news/canada/british-c…
Lance Shaver retweeted
albumin-corrected calcium level is *less* accurate than the uncorrected total calcium level 🤯
I think we all know that that albumin-corrected calcium is junky and you need an iCal to really know the biologically active calcium level... but I didn't realize how bad it is 😬
Lecturer today: "Gabapentin, as you know, is used for everything from global warming to chronic pain"
😂
Lance Shaver retweeted
As an IM resident in the ICU, I felt like my male colleagues were doing tons of lines while I got few. I wondered: am I imagining this? Is this gendered? Turns out others wondered the same. So we decided to study it. The results are now out in @atsscholar.
atsjournals.org/doi/full/10.…
Lance Shaver retweeted
The Impact of a Soiled Airway on Intubation Success in the Emergency Department When Using the GlideScope or the Di… pubmed.ncbi.nlm.nih.gov/2810…
What a gong show in the hospital today! We came in and 1/4 of our patients' AM labs showed nasty acute kidney injuries with Creatinine low 200s, some we expected and some not... So we bolused some fluids. Turns out the Lab's machine was broken, and half the hospital had an 'AKI'
Lance Shaver retweeted
so it's delightful to finally see the new NEJM article debunking the concept.
serious, kudos to the authors👏
a lot of pancreatitis patients have been hurt by iatrogenic volume overload. this paper will help stop the madness.
nejm.org/doi/full/10.1056/NE…
Lance Shaver retweeted
medical mythology is fascinating, so it's worth taking a minute to talk about the myth of massive fluid resuscitation in pancreatitis.
how did this myth arise? how long will it take to truly dissuade people from believing it? a short 🧵...
That feeling when my I forget my favourite pen at home when starting a 24h call shift, and I have nothing but crappy pens to write notes with... but then my attending gives me his fancy pen :')
Please stop using Normal Saline for massive volume resuscitation. Thank you for coming to my TED Talk.
So tired at the end of my call shift I dialled the wrong number and accidentally requested a nephro consult from a gas station 😂
“Hi this is Lance, MSI 4 calling from ICU requesting a consult on a patient with ESRD”
“Uh… this is a co-op gas station"
Lance Shaver retweeted
Tweet & Tag #RenewRaisedByWolves at @AppleTV @netflix @AmazonStudios @STARZ @Showtime @peacockTV cause praying gets you nowhere! ❤️🐺💥
