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SMK

@SmkIDPA

Physician Assistant and Fellow of the Academy of Wilderness Medicine. Views are my own and do not reflect those of employer or DoD

 Temple, TX
Joined January 2022
  • Tweets340
  • Following462
  • Followers106
94Media
Photo by SMK (@SmkIDPA)Photo by SMK (@SmkIDPA)Photo by SMK (@SmkIDPA)Photo by SMK (@SmkIDPA)Photo by SMK (@SmkIDPA)Photo by SMK (@SmkIDPA)Photo by SMK (@SmkIDPA)Photo by SMK (@SmkIDPA)Photo by SMK (@SmkIDPA)
19-20% of patients with “sustained HBV DNA suppression and loss of detectable HBsAg for at least 24 wks after discontinuing all HBV therapy” vs 0% in placebo among 2 trials #hbv #hepatitisB #hepatitis #Hibsago epocrates.com/online/context…
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Proudly supporting Salado Fire Department at the annual Volksride. #firedepartment #firstresponder #ems
Image from SMK (@SmkIDPA)
Image from SMK (@SmkIDPA)
Image from SMK (@SmkIDPA)
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FDA Approves NEW mucocutaneous Herpes Drug for immunocompromised patients. How Pritelivir Works 💊 #Herpes #Pharmacist youtube.com/shorts/V8-rHozG_… via @YouTube #hsv #herpes #immunocompromised
FDA Approves NEW Herpes Drug! How Pritelivir Works 💊 #Herpes...

FDA Approves NEW Herpes Drug! How Pritelivir Works 💊 #Herpes...

Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.

youtube.com
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nypost.com/2026/10/08/health… #shigella #diarrhea
Sexually transmitted diarrhea is on the rise — and it's morphing into a drug-resistant superbug

Sexually transmitted diarrhea is on the rise — and it's morphing into a drug-resistant superbug

The infection is evolving into something that's "close to untreatable," one expert said.

nypost.com
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You know you’ve done a good job as a military spouse when your wife says she’s good on snacks for the rest of deployment and asks for no more care packages.
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Unfortunate. Pelacarsen demonstrated the ability to lower Lipoprotein a but did NOT improve cardiovascular outcomes such as MI or CVA. #cardiology #pelacarsen #lipoproteina epocrates.com/online/context…
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Nice discussion of UTI mimics. “just 15% showed evidence of problems that were limited to the bladder or urinary tract. The remaining 85% had signs of hormonally driven inflammation of the vulvar region and 75% had pelvic floor dysfunction” #UTI doximity.com/newsfeed/70c562…
Why too many women are prescribed antibiotics for UTIs they don't have

Why too many women are prescribed antibiotics for UTIs they don't have

A recent study found that many women treated for recurrent UTIs didn't have UTIs at all. Instead, their symptoms were caused by hormonally driven inflammation and pelvic floor dysfunction.

npr.org
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Attended a 9/11 stair climb and carried the lanyard for Kenneth T Watson #FDNY Here’s a little about him: firehero.org/fallen-firefigh…
Image from SMK (@SmkIDPA)
Image from SMK (@SmkIDPA)
Image from SMK (@SmkIDPA)
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The event lived up to it’s name. A bucket list item for many cyclists in the region. Well-supported ride and also enjoyed learning about the area’s history along the route. Thank you @HotternHell100
Image from SMK (@SmkIDPA)
Image from SMK (@SmkIDPA)
Image from SMK (@SmkIDPA)
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“instead of putting an anesthetic called bupivacaine into the syringes used in these procedures, somehow they were filled with potassium” #hospital
Paleoncologist (@PaleoOnc) profile picturePaleoncologist
@PaleoOncAug 19
newschannel5.com/news/newsch… This is about to blow up Ultimately gonna be “human error” and I hope not criminal intent But I wonder if it’s EMR related 🤔
Medication mix-up during several surgeries at Ascension St. Thomas Hospital left at least one...

Medication mix-up during several surgeries at Ascension St. Thomas Hospital left at least one...

Drug mix-up leads to "event" during joint replacement surgeries at Ascension St. Thomas Midtown Hospital, leaving at least one patient permanently paralyzed

newschannel5.com
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📣 JAMA Clinical Guidelines Synopsis: The 2026 #Dyslipidemia guideline recommends lifetime measurement of Lp(a) in all adults and earlier ASCVD risk assessment with the PREVENT calculator starting at age 30. ja.ma/4xND4Yf
Dyslipidemia Evaluation and Management

Dyslipidemia Evaluation and Management

This JAMA Clinical Guidelines Synopsis summarizes the 2026 American College of Cardiology (ACC)/American Heart Association (AHA) guideline on management of dyslipidemia.

jamanetwork.com
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“rural generalist medicine" is a new medical specialty in Australia. #Australia #medicine doximity.com/newsfeed/38a2ab…
Australia Just Made a New Medical Specialty, and the U.S. Should Too

Australia Just Made a New Medical Specialty, and the U.S. Should Too

In September 2025, Australia's Health Ministers officially recognized "rural generalist medicine" as the country's newest medical specialty. The de...

opmed.doximity.com
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First FDA approved oral PCSK9 inhibitor #cardiology #cholesterol doximity.com/newsfeed/97dc93…
FDA approves first cholesterol pill of its kind

FDA approves first cholesterol pill of its kind

Enlicitide, the new oral PCSK9 inhibitor from Merck, will be sold under the brand name Lipfendra. It is approved to reduce LDL-C in patients with hypercholesterolemia, including HeFH.

cardiovascularbusiness.com
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Officially a DD214 alumni 👏 #dd214
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Exclusive: Investigators have linked shredded iceberg lettuce supplied to Taco Bell restaurants by Taylor Farms as a potential source of contamination in the outbreak of a parasitic illness that has sickened thousands in United States. wapo.st/4ypyFM3
CDC, FDA link Taco Bell lettuce supplier to multistate cyclosporiasis outbreak

CDC, FDA link Taco Bell lettuce supplier to multistate cyclosporiasis outbreak

Investigators identified Taylor Farms as the supplier of the shredded iceberg lettuce linked to the outbreak at Taco Bell restaurants, according to two people familiar with the investigation.

washingtonpost.com
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‼️ The Parasite Outbreak Everyone Is Talking About (Pharmacist Explains)... youtube.com/shorts/VQ7LDbylb… via @YouTube #cyclospora #parasite #diarrhea #bactrim
‼️ The Parasite Outbreak Everyone Is Talking About (Pharmacist...

‼️ The Parasite Outbreak Everyone Is Talking About (Pharmacist...

Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.

youtube.com
637
As an amateur entomologist, I couldn’t pass up the opportunity to snag a pic with the ant mascot. Great ride through one of the most beautiful regions of Texas. A hidden gem of an area. #fireanttour
Image from SMK (@SmkIDPA)
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My god is this accurate as a student in the OR. I’d add that the sales rep gets tons of leeway around the sterile field as well. #surgery #PAschool Don’t Contaminate the OR youtube.com/shorts/Z1kz0BjHD… via @YouTube
Don’t Contaminate the OR

Don’t Contaminate the OR

Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.

youtube.com
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Ohhhh man does this bring back memories. #surgery #medicine POV you’re in a nightmare OR youtu.be/LYgw03sK1Hk?is=doIA… via @YouTube
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Thank you to the one and only @CombatMidwife. Great course about women’s health and childbirth in austere settings. #wildernessmedicine #womenshealth
Image from SMK (@SmkIDPA)
Image from SMK (@SmkIDPA)
Image from SMK (@SmkIDPA)
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