As a hospitalist, there is something so special about a patient or family member who remembers you years down the line. Something that is often lost from the outpatient side....but occasionally it happens, and is such a delight. 🤗
What started in the midst of COVID policy has become a beloved annual tradition.
Christmas caroling throughout the hospital.
Probably 50/50 neuro and IR. Hospitalist service essentially 0%
But the IM or ICU resident will have the neurohospitalist supervise them so they can still do the procedure.
My DC template has a pre-fab highlighted box with the following:
Home meds changed?
New meds given?
Follow up labs needed?
Incidental findings?
Between that at the top and my 1-2 paragraph hospital summary, that's all you need. The rest is coding/billing garbage.
If there is good quality evidence of patient-centered value to "routine" dental X-rays performed as a yearly screening test, I am unable to find it.
I'm not sure why there hasn't been more critical reappraisal of this ubiquitous, income-generating practice in the era of evidence-based medicine.
So thankful someone finally wrote this article! MAJOR kudos to the authors.
Dentistry deserves better evidence, and being skeptical is justified.
jamanetwork.com/journals/jam...
"The Hawk Tuah girl is in trouble for rug-pulling her fans in a memecoin fiasco. I am fully aware none of these words are in the Bible and that anyone who understood that sentence is already in hell."
Last day to subscribe to @jeremiahdjohns.bsky.social before the bad tweets bracket!
This entire thread is on point.
This has been a major shift for me as a practicing hospitalist. In training I never dared question diet restrictions.
Now I encourage each of my residents to do their own thickened liquid challenge! It's eye opening to say the least
It also amazes me that we generally don't have a goal of care discussion before starting a restricted diet, like a thickened liquids diet order. Rather, it is an auto-pilot reflex order placed with little thought by the ordering clinician about the long-term implications on the quality of life.
I will never not be perplexed by the fact that we say we value informed consent in medicine, but practice over-the-top paternalism w food in the hospital by often refusing to order the kind of diet the patient (or family) requests, even after discussion. It’s even worse outside end-of-life care.
"You just gave his bone marrow a laxative" may be the funniest thing I've heard a pathologist say.
Nothing like a team field trip to the path lab 😄
Also, good karma immediately came my way in the form of some jollof rice from one of the best floor nurses.
Was cooking last night and made double portions. Brought the second half in to my residents today (they happen to be from out of state, and I didnt want them to miss a homemade dinner while on long call).
This will 💯 be a yearly tradition. I was told my mashed potatoes "gave life" 🤣
Had an 85 year old patient "Bye Felicia" me as I walked out of her room today....
This job never gets old
I was late to twitter, now i'll be late to bsky.
They've never accused me of being a trend setter lol.
it's the purest form of the internet----so great and also so gross.
I'm here 100% for the critical appraisal. You are one of the elites for that, and I hope you are able to keep it up! Here, there, or anywhere 😄
Feels right that my 1st post here should be to share this incredible RCT, led by my PhD supervisor Nick Daneman:
www.nejm.org/doi/full/10....
Main takeaway: 7-days of abx should be the standard of care for patients with uncomplicated non-S. aureus BSI.
A deep dive 🧵:
#IDsky
It was getting quiet over there...
Reddit is such a special place 😆
