POTUS has no official role in the 1/6 count. When a candidate pressures/threatens the President of the Senate (Pence), pressures and lobbies state legislatures & members of Congress, and oversees a fraudulent elector scheme, his acts are private. And plotting to appoint an AG in…

Speaking out against the criminalization of the practice of medicine is not politics. It's stewardship of the physician patient relationship. It is part of my job.

VOTE!

#TipsForNewDocs

Don't shy away from giving patients bad news- false hope is worse. Offer honest assessment of prognosis + options -> together make a plan. End with a promise: you will still be their doc even if you can't fix their disease.

#kittlesonrules

🙌 advocated by #ACS PAC

😳

Yes!

So true!

If I could share one bit of advice it would be to get an older dog once in your life. They are truly special.

Of course anybody who has had an older dog already knows this. They just fit into your life so wonderfully 🙏🥰

OhioHealth Physician Diversity Scholars is an amazing program that pairs med students with mentors who can support them through the tough years of med school. #Diversity #InclusionMatters #mentorship

Spot on!

ICU Pharmacology Secrets:

This is another random collection of pharmacology pearls that I witnessed & wrote down during the last two months.

And so it begins:

1. Hydralazine (H) is a widely used arterial vasodilator; especially in 🇺🇸, it is mostly used to treat

Good advice 🧵

I have a new lecture I give in the SICU on Fridays and it has nothing to do with traumatic brain injury, hyponatremia or sepsis.

I’ve called it my “internship survival pack.”

First, it requires food for an active audience (if you bring food, they may come. And stay.) 1/

A stack of over 100 pages of records, 99% that tell me nothing about the patient I’m going to see. The fact we made EMRs that don’t easily communicate with other systems resulting in continued faxing and needing to weed through to find the pertinent data is #burnout in medicine.

#TipsForNewDocs

Bad: See the cardiologist for an angiogram.

Good: See the cardiologist to decide the next best step for your symptoms.

Don't paint the consultant into a corner- allow them to use their expertise to chart the right course for the patient!

#kittlesonrules

#TipsForNewDocs

Cringe-worthy chart phrases:

“Avoid nephrotoxins” (w/o adding relevant ones)
“Lungs clear. No crackles.” (redundant)
“Pt has leg swelling x3d”… exam: “no edema.” (inconsistent)
“Consider XYZ” (w/o saying why or why not)

#kittlesonrules

Yep

🧵regarding the 'rapidly absorbable' sutures, which are used less often than other suture types, but fill specific roles in a number of different surgical specialties.

We'll go over the uses of (and differences between) Chromic, plain gut, 'fast' gut, and Vicryl Rapide.
(1/)

True