“Against Medical Advice” offers no proven benefit and may increase stigma. Time to rethink AMA.
🔗: https://doi.org/10.12788/jhm.2796
✍️: David Alfandre, Jay Brenner, Eberechukwu Onukwugha
🖼️: #VisualAbstract by @ShaheenFatimaa
#PatientCenteredCare #JHospMedicine #HealthEquity #TWDFNR
Not so incidental findings?
CT shows coronary artery calcification, but that wasn't why you ordered it...
What's your "impression" of this #TWDFNR?
Watch the Video VA, read the article, and comment below!
🎥: Tina Sanjar
📝: Kristie Sun, et al
🔗https://bit.ly/3Z8WRlF
T3h
3x weekly RRT for AKI-D may soon join the #TWDFNR list.
It was built on the basis of ESKD adequacy, not physiology/renal recovery.
And now we have an RCT showing:
👎Worse recovery
👎More treatments
👎More hypotension
👎No safety advantage
The dogma is crumbling. #NephJC
See the blog at lylahhealth.com/b-s-wellness... for more. #cardiology #gutmicrobiome #HeartHealth #TWDFNR #prebiotics #wellnessmyths
Are we unnecessarily withholding IV contrast from patients with kidney disease?
- Risk of contrast-induced nephropathy may be overstated
- Withholding contrast can delay diagnosis
This may be a #TWDFNR!
🔗 doi.org/10.1002/jhm.70063
🖼️ Visual Abstract by C Coleman + JHM Team
Check at the VA for our discussion of protein diet strategies by @msocomd.bsky.social. Is restricting protein in CKD and pushing protein in ESRD #TWDFNR?
www.nephjc.com/news/2025/10...
#TWDFNR: Primary/essential hypertension? Or...primary aldosteronism? JHM Digital Media Fellow Eric Burnett discusses why we might not be screening our patients with elevated blood pressures, and why we should!
https://bit.ly/4pymLv7
#VisualAbstract: Sophie Sun
📹: @Eric
We are excited to kick off our annual Southern #HospitalMedicine Conference with Dr. Dustin Smith sharing recent updates in ACS guidelines. Looking forward to a morning packed with great content, including #TWDFNR with Dr. Monee Amin & Dr. Meredith Trubitt from @thecurbsiders.bsky.social !
#WeAreEHM
New #TWDFNR: Not all hypertension is “essential.” 🩺
Primary aldosteronism is a common, treatable cause—yet screening is often missed.
Don’t stop BP meds just to test; screen before RAAS‐active agents when possible.
🔗 https://doi.org/10.1002/jhm.70035
🖼️ #VisualAbstract by Sophie Sun
New in the #TWDFNR Series: Do your patients with COPD exacerbations & possible hypercarbic RF really need that ABG? 🤔
A VBG with PvCO2 <45 safely rules out hypercarbia—reducing pain & delays.
🔗: https://doi.org/10.1002/jhm.70039
My biggest contribution to medicine this year has been via memes about Taylor and Travis and I think I feel pretty good about it? @jhospmedicine.bsky.social #twdfnr
🎙️ Don’t miss @tonybreu.bsky.social & Dr. Lenny Feldman on a special Curbsiders TWDFNR episode—live from SHM Converge! 🩺
Clinical myths busted, laughs guaranteed.
🎧 Tune in now!
#TWDFNR #Curbsiders #MedEd #FOAMed #HospitalMedicine
In case you needed a reminder that Strep pneumo urinary antigen has poor sensitivity. Let’s stop ordering tests that won’t change our management plan #TWDFNR #IDSKY
Question for AnesthesiaTwitter and SurgeryTwitter. Things we do for no reason? NPO after midnight for procedures that require sedation, but not intubation. #TWDFNR
Although it's built into every admission order set across EMRs, tylenol for fever isn't necessary. Dr. Smith shares this recent systematic review & meta-analysis which showed no improvement in mortality nor adverse effects when giving tylenol for fever.
#SoHM23
#TWDFNR
Coming back from lunch and ready to learn? Us too!
Join our very own @Curbsiders Contributors, @monsta23 & @MeredithTrubitt as they record a #TWDFNR in #HospitalMedicine-themed episode here at #SoHM22!
#WeAreEHM
@EmoryDeptofMed
@SocietyHospMed
Welcome to our “Things We Do For No Reason” themed Twitter Chat! Over the next hour, we’ll review several recent articles from @JHospMedicine’s #TWDFNR series that may be practice-changing for some of us. We're looking forward to a great discussion!
#WeAreEHM
@EmoryDeptofMed
We are just 1 day away from our next Emory #HospitalMedicine Twitter chat!
Please join us 9/14 @ 6PM when we will use a case-based approach to discuss a few recent high-yield articles from @JHospMedicine's #TWDFNR series! We hope you can join us!
#WeAreEHM
@EmoryDeptofMed
We are less than 1 wk away from our next Emory #HospitalMedicine Twitter chat!
Please join us 9/14 @ 6PM when we will use a case-based approach to discuss a few recent high-yield articles from @JHospMedicine's #TWDFNR series! We hope you can join us!
#WeAreEHM
@EmoryDeptofMed
As others head back to school,it's a good time for us to continue learning together!Please join us 9/14@ 6PM for our next Twitter chat! We will use a case-based approach to discuss recent high-yield articles from @JHospMedicine's #TWDFNR series! We hope you can join us!
#WeAreEHM
Unintended clinical variation as an opportunity to improve our care delivery. Hospitalists who recognize variation in care delivery can be leaders of meaningful change. #TWDFNR
#SoHMC2019 #HospitalMedicine
Things we do for no reason (#TWDFNR ) in AKI, a follow-up on my recent tweetorial on urinary protein to creatinine ratios in AKI. pbfluids.com/2019/09/things-we-do-for...
Really excited for the newest review in the #TWDFNR series. Great work by Lawrence Haber, @trivenidef, and @MarleneMartinMD
"Discontinuing Buprenorphine When Treating Acute...
This covers it, but I would prefer a primary source or systematic review.
#FENa #TWDFNR
onlinelibrary.wiley.com/doi/pdf/10.1002/jhm.2501
Well, this hit a nerve. #TWDFNR write up perhaps?
Cosas que hacemos sin ningún motivo→ Dieta neutropénica para pacientes inmunodeprimidos [Journal of Hospital Medicine] #ChoosingWisely #DoNotDo #TWDFNR #Nohacer
www.journalofhospitalmedicine.com/jhospmed/article/166593/...
