@doctorvec

Community Based Internal Medicine Program Director. Father. Horrible golfer. Tweets are not medical advice.

 Myrtle Beach, SC
Joined February 2016
  • Tweets1.6K
  • Following275
  • Followers219
158Media
#TipsForNewDocs (Service Day 2) Give your problem list a fresh look each day for each patient: 📈Reassess problems: Are they better, worse, unchanged? 📛Rename problems using most updated data: eg, SOB becomes pneumonia 🔢Reorder problems: What is most active?
1
14
2
49
When an intern calls you for a new consult, why be rude when you could just be nice 😬😬
31
62
12
1,447
The longer the note in the EMR the less people will read. If you care about communicating your recommendations as a consultant, remove as much EMR generated bull shit as you can.
71
84
43
997
As July 1st approaches just a friendly reminder that when people are calling for a consult it is b/c they need your help. So help them. Teach them. And be kind, interns have it hard enough. #medtwitter #MedEd
6
41
3
375
Portal venous gas = gas in the portal vein ⚠️ #MedEd #LiverTwitter 1️⃣ AXR 🔎 2️⃣ CT ☢️ 3️⃣ Causes and differentials 🧠
1
43
1
135
If someone is speaking to you in a foreign accent they are smart enough to know at least 2 languages - and were brave enough to do their job in their second. It’s so easy to condescend, assume and patronise when all they deserve is your respect and your humility
361
11,730
640
65,379
#TipsForNewDocs Sick pts may need multiple docs, but pts/families need one message. Whether you're primary or consultant, talk to each other about the plan before talking to the pt. Debate amongst yourselves, NOT to the pt/family. #kittlesonrules PS- Happy New Year!
16
27
3
290
#HCWvsHunger donate to your local food bank- in Indy we donate to Gleaners! Team #HospitalistsAF @KatPalmisano @kiranpa88 @doctorvec @KapM23
You’re unable to view this Post because this account owner limits who can view their Posts. Learn more
1
1
2
Excited to share three new ICU #OnePagers on a couple important critical care topics: acid base, arterial lines, and EVDs. Lots of nerdy fun here including Winter's formula, Lundberg waves, and pulsus alternans. Also an updated version of the ARDS OnePager. #FOAMed #FOAMcc
33
543
48
1,662
For programs out there on #MedTwitter stressing about the virtual interview season: pretend that Step 1 has already transitioned to P/F. Now choose applicants for interviews based on qualities that actually make for great physicians in your specialty. This year more than ever!
3
14
70
Residents- if a colleague seems especially exhausted, down, or out of sorts in general, reach out. Ask if they are ok, if they need someone to talk to. Ask how you can help. Saving a colleague is just as important as saving a patient. We are all in this together. #meded #gme
6
2
15
💥My top 10 learning points from the #ESCCongress💥 A thread for cardiologists/general physicians 1) Post acute MI, transfuse if ≤8g/dL Evidence: REALITY trial- not yet published – summary reported acc.org/latest-in-cardiology… 1/n
51
626
98
1,097
#TipsForNewDocs Patient with HFrEF EF 20% and severe TR. Wrong: Can't trust JVP in severe TR. Right: Diurese and monitor JVP- as volume status improves, so will TR. Regurgitant lesions are often dynamic- don't discount impact of diuresis until you try! #kittlesonrules
9
19
2
170
Friends I’d like to conduct an experiment to show the reach of Twitter as I teach the power of social media to trainees. Could you humor me and RT this just to see how many people we can reach in 24 hours? It’s Sat, 5PM central time in the US. Make me look good plz
102
2,376
94
671
As 4th of July holiday starts I want to ask everyone to #WearADamnMask and, politely but firmly, ask those who are not to do so. #COVIDー19 cases are surging in the US with > 50,000 Dx daily and hospitals are starting to fill up. If you get sick there may not be a bed for you!
7
143
15
351
So my interpretation is as Doctors we’re not very good at detrmining who truly has angina? 🤔
Less-Is-More Cardiologist@DavidLBrownMD19 Jun 2020
Interesting study: Patient-Reported vs Physician-Estimated Angina in Patients Undergoing Percutaneous Coronary Intervention ja.ma/3dl5vD4

Patient-Reported vs Physician-Estimated Angina in Patients Undergoing Percutaneous Coronary...

This cohort study assesses the use of patient-reported vs physician-estimated angina in patients undergoing percutaneous coronary intervention.

jamanetwork.com
1
1
6
This short review involves two of my favorite things: timely and informed care of patients with cirrhosis, and brothers-in-law. Great work Zach Sherman et al! @cornellcmr @StephVSherman @BCM_InternalMed Open access: aasldpubs.onlinelibrary.wile…
3
26
3
80
Suggestion: Instead of spending 15 minutes grilling the overnight admitting resident on parts of the patient’s history she didn’t ask about at 2am, spend those 15 minutes at the bedside so the resident learns by example and the patient can fill the team in. Win-win, right?
34
256
56
2,225
Check out the latest blog on our website's Resident Corner, written by Dr. @ScullyBrandi, a trainee in #CTSurgery @HopkinsMedicine. Her blog is entitled, "When Gender Bias in Surgery is Explicit." @WomenSurgeons wtsnet.org/wp-content/upload…
3
21
12
62
New updated cardiac risk score(UCRS) uses age>75,HF,GFR<30,& high risk surg- used CKMB monitoring,30-day MACCE.Better AUC. More complic in Class3-4 - Preoperative assessment of cardiovascular risk in patients undergoing noncardiac surgery: the Orion study ncbi.nlm.nih.gov/pubmed/3202…
4
5
Load more