So excited to be included in my friend @dhruvkhullar.bsky.social’s amazing piece on AI and diagnosis.

Just to be mentioned in the same article as Dr. Dhaliwal is an honor itself.

Humble request…

Before commenting on a change in serum Creatinine, please ensure:

1) The change is >= 0.3mg/dL
2) You tell me what the BUN did as well.

If a value in the patient’s chart is abnormal and you’re tempted to say “… but it’s stable” to adjudicate that nothing needs to be done…

I’d encourage you to have an explanation for it before commenting on its stability

Wheels up to Vegas! Super excited for #SHM #Converge25

Who’s here?!

Giving a session with @adamrodmanmd.bsky.social where we will be using #AI to augment #clinicalreasoning

Will also be teaming up with @mededpocus.bsky.social, Erin Finn and Ann Marie Kumfer to meld #POCUS with reasoning!

Well… I’m fully committed to @bsky.app. Closed down my Twitter account this week.

Tough decision given the wonderful people I’ve connected with and the great directions it took my career but I felt obligated to in the current climate.

Looking forward to the similar next phase with you on all here

Case 4-2025: A 41-Year-Old Man with Syncope, Ankle Swelling, and Abnormal Chest Imaging | NEJM A 41-year-old man was evaluated for swelling in the ankles and syncope. CT of the chest showed bilateral mediastinal and hilar lymphadenopathy, as well as an 8-mm nodule in the right lower ...

Case Record of the MGH: A 41-year-old man was evaluated for swelling in the ankles and syncope. CT of the chest showed bilateral mediastinal and hilar lymphadenopathy, as well as an 8-mm nodule in the right lower lobe. A diagnosis was made. Read the full case details: nej.md/42uhBaj

#MedSky

Case 4-2025: A 41-Year-Old Man with Syncope, Ankle Swelling, and Abnormal Chest Imaging | NEJM A 41-year-old man was evaluated for swelling in the ankles and syncope. CT of the chest showed bilateral mediastinal and hilar lymphadenopathy, as well as an 8-mm nodule in the right lower ...

Another pinch me moment. A dream come true to discuss another one and then become an associate editor right afterwards

www.nejm.org/doi/full/10....

🚨 #POCUS #IMPOCUS, SHM’s POCUS SIG is excited for our first webinar of 2025: Lung & DVT Pearls & Pitfalls

Come learn from experts Ria Dancel (UNC) & James Anstey (OHSU) on 2/3 @ 6PM EST

Free Registration: hospitalmedicine.zoom.us/meeting/regi...

Mark my words, I will find this oxygen fairy that keeps putting people on supplemental oxygen without hypoxemia

Vancomycin is the bay leaf of the antibiotic world. Gets included in everything, doesn’t do much and gets the same credit as the beta-lactams that are pulling the weight

The ROI for lung ultrasound in terms of times it changes management compared to easiness of mastery is a no brainer

My ¢.02
There is no better bedside test for LVEDP assessment AND it can liberate you from relying on this crappy AP CXRs

Lotta cats on @bsky.app

Where are the dogs?!?

Hot take: a large percentage of steroid tapers are completely made up

So frequently people want to get into pathology without fundamentally being able to distinguish whether a view is adequate to even make a call.

Great thread!

No plan that requires antibiotics in the hospital is complete without asking “what can I do to prevent this from happening again”

Striking how frequently it is a UTI being invoked instead