scramble.
“What can I do?”
“There’s not a damn thing we could do.”
This isn’t broken. It’s working exactly as designed.
www.washingtonpost.com/health/2026/... #BlueSky #MedSky #PoliSky #Health #IMSky #NurseSky #EMSky #medicine
Excellent review Evaluating LFT's
🤔Gastro (in Press)
🤔Link to abstract: www.gastrojournal.org/article/S001...
👍Good for teaching materials, or useful quick review.
#IMsky #Medsky #GIsky
🃏 In Value-Based Care, the house always wins — and the house is #PrivateEquity. I ran the numbers. Whether the ACO succeeds or fails, PE profits.
So who is #VBC actually designed to serve?
https://www.pcplens.com/p/vbc-and-pe-a-match-made-in-dc
#healthpolicy #medsky #imsky
#BlueSky #SurgSky #PedsSky #NurseSky #IMSky #EMSky #SciSky #Surgery #EvidenceBased
jamanetwork.com/journals/jam...
#Obesity in America is not your doctor's fault -- and yet under the current system, your #PCP is blamed and penalized
www.pcplens.com/p/obesity-a-symptom-of-t...
#healthpolicy #medsky #imsky
already burned on war. Priorities.
www.nytimes.com/2026/03/23/u... #BlueSky #MedSky #LawSky #PoliSky #NurseSky #IMSky #healthcare
A federal agency gets the power to filter voters — then makes it very hard to get back in. It strips millions of Americans of their right to vote — and it has no place in a democracy.
Gift 🎁Link: www.nytimes.com/2026/03/23/o... #BlueSky #NurseSky #MedSky #LawSky #PoliSky #healthcare #IMSky #EMSky
H.pylori...What is to be done?
🤔Common, perhaps up to 50% in >60 yo's
🤔Associated with Gastric Ca
🤔So many drugs...so many regimes...&still controversy re who to treat
👍JAMA nice two page review of treatment guidelines. Still favor Bis. Quadruple Therapy
#medsky #IMsky
Coming to a pt near you...Alpha-gal
🤔thought was geographically limited..but spreading
🤔Lone star tic leads to sensitivity to sugar molecule in most red meat or dairy products
🤔Reactions 2-10 hr p ingestion can range from urticaria/angioedema to N+V; abd pain
🤔Beware
#GIsky #IMsky #mdsky
procedure.
It’s… brutal. annepmitchell.substack.com/p/omg-court-... #BlueSky #MedSky #NurseSky #PedsSky #LawSky #IMSky
Tonsillectomy & IBD?
🤔In the 60's 1 million/year in US, Recent 500K
🤔Now many for sleep disordered breathing
🤔Retrospective study, 1.4 million matched, suggests increased risk of developing IBD (HR 1.37 Crohn's; 1.29 UC)
🤔Interesting to consider Doubt will change decisions
#IMSky #MedSky
what the future of medicine might look like.
www.nationalgeographic.com/health/artic... #BlueSky #MedSky #NurseSky #OpthoSky #IMSky #EMSky
Cdiff Review: dx and mgmt.
🤔w/u PCR or GDH. If positive EIA
🤔Fidaxomicin may be clear next step as generic ⬇️cost
🤔If cured and needs another antibiotic, Vanco 125/d continue 5 days after antibiotic.
🤔FMT after 2nd recur, after 10 day of anti-CDI Rx and a washout of 48-72 hrs.
#Medsky #IMSky
Short review of post op ileus (POI), acute colon pseudo-obstruction(ACPO)
🤔POI: review MEDS; labs; ambulation
🤔Enteral feeding of benefit (POI)
🤔? SC methylnaltrexone for ACPO
🤔? prucalopride for POI & ACPO
🤔? value of chewing gum to prevent POI
🤔Does coffee prevent POI?
#Medsky #IMsky #GISky
cALD in US: Common; 85% of pts unaware they have it
🤔Compensated ALD in asymptomatic pts.
🤔Weighted preval of cALD in us 2.4%; possible cALD 3.46%
🤔85% unaware (This surprised me)
Another reminder to screen with FIB-4 and/or Elastography
#IMSky #GISky #Medsky
www.cbsnews.com/news/nebrask... #Blue#LawSky #NurseSky #EMSky #IMSky #SciSky #PedsSky #ObSky #MedSky #NeuroSky
Add Statins to our Water? Statins associated with lower risk of HCC and Hepatic decompensation in cirrhosis
🤔Umbrella review ( EASL) 168 studies, 10 mil pts
🤔Reduced risk of HCC (HR 0.53)and decompensation
(HR 0.54)
Continue statins in these patients
Food for thought?
#IMsky #GIsky #Medsky
Take out health care and the U.S. job market is basically frozen.
Health care added 693,000 jobs last year. Without it, the economy would have lost 570,000 jobs.
Hiring across the rest of the labor market? “Glacial”
www.nytimes.com/2026/03/06/b... #BlueSky #IMSky #MedSky #EconSky #NurseSky
Hep Encephalopathy Guidelines...AJGastro3/26
🤔HN4 not useful, recommend "single test strategy" ie Stroop
🤔Do endorse consider 4l PEG
🤔Acute HE, adding rifaximin to lactulose
🤔Consider zinc levels and supplementation if not resp
🤔Protein 1.2-1.5 g/kg/d, no restrictions
🤔night snack
#Imsky #medsky
www.nytimes.com/2026/02/28/u... #BlueSky #MedSky #LawSky #PedsSky #IMSky #PoliSky #epstein #NurseSky
😂 Probably women, too (she says just asking a golf pro how to drive it a 100 yards further!:) #BlueSky #MedSky #EMSky #IMSky #NurseSky #PoliSky #OrthoSky
The most dangerous myth? “I’m too young.”
www.wsj.com/health/welln... #BlueSky #MedSky #IMSky #NurseSky #EMSky #CardsSky #SciSky
⭐️JUST IN: A new diabetes/weight-loss pill just beat semaglutide in a head-to-head phase 3 trial.⭐️
Meet orforglipron:
📉 Greater blood sugar reduction
⚖️ 6–8% weight loss (vs 4–5%)
🍽️ No food restrictions
FDA review underway.
Pill-based GLP-1s are coming.
#BlueSky #MedSky #NurseSky #IMSky
