Michael Jones
@Jonesy_MAPGY-5 Hospitalist @EmoryHospMed /// S/p @EmoryMedicine @RWJMS @SmithSchool @4kForCancer /// #DxReasoning #SpaceMed #TheSevenOff /// 🇬🇧 roots /// ✌️💙🚲
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I'm a sucker for a good quote: "It's a terrible thing, I think, in life to wait until you're ready. I have this feeling now that actually no one is ever ready to do anything. There is almost no such thing as ready. There is only now." - Hugh Laurie #Embrace #Begin #Try #Live
Reminds me of many academic hospitals in the US. Fancy buildings + more administrators translating into more costs + less time for quality care Colleges Spend Like There’s No Tomorrow. ‘These Places Are Just Devouring Money.’ - The Wall Street Journal apple.news/A8LAgOlmuTiGOD…
🚨We have an unexpected PCCM fellowship spot starting next month (or later) as 1 of our new fellows is unable to join. If interested, please email your CV to our amazing coordinator Kelly kelly.robertson@unmc.edu please retweet ❤️#fellowship #pccm @UNMC_IM
The solution to burnout for trainees is really straightforward. Give them time off
Weekends shouldn’t be time to recover. They should be time to rejoice. Burnout cultures exhaust us through the week and force us to recharge on the weekends. Healthy cultures provide daily space to refuel. Places that continually deplete our energy don’t serve our well-being.
Imagine 🤓 Grand rounds series re international providers + practices. Everyone doing annual checks, biannual dental, heavy statin rx etc? What are trends + outcomes with varied practice 🤓 I fear US based practice is and is becoming more defensive and financially incentivized
Most common mistake I see with PPI recommendations from non-esophagologist GIs: assuming all have equal potency. #DDW2023
I argue against sodium restriction in acute heart failure. The line of reasoning is that: (1) Current evidence suggests restriction is not helpful. (2) And may be harmful. (3) There is a solid pathophysiologic basis for this evidence
Essa aqui eu queria ver gente grande discutindo, vou marcar vai que alguém vê: @vitorborin_, @josenalencar, @igoreckert, @lcos3060 This one I’d like to see doctors discussing, I'll tag some of them, maybe they can argue: @tony_breu, @Paddy_Barrett, @nickmmark
TW: Death Our hearts are heavy this morning with the devastating news of @Rafameed's passing. Rafa's enormous heart, contagious smile, and unwavering brightness touched every corner of the CPSolvers community and rippled far beyond. We miss you, dear friend.
Congrats @SpaceX team on an exciting test launch of Starship! Learned a lot for next test launch in a few months.
albumin-corrected calcium level is *less* accurate than the uncorrected total calcium level 🤯 I think we all know that that albumin-corrected calcium is junky and you need an iCal to really know the biologically active calcium level... but I didn't realize how bad it is 😬
I am interested specifically in what is gained in an act of translation as opposed to what is lost. -C. Kent. In new paper we found 99.62% of authors in CPSolving articles were from High-Income Countries... Now that we know what is missing, excited to see what we can gain...
Our work on Geographical Diversity in Clinical Problem-Solving Exercises is now available at @JournalGIM It was such a pleasure to work with all of you @MariaMjaleman @Marcelaaos @seymss15 @TxID_Edu Link: rdcu.be/c8xHt
Diagnosis: H pylori gastritis Poll 🤷♂️ Due to high clarithromycin resistance in the US, I skip triple therapy and RX quadruple therapy first line
Attempt to demystify conversion factors to oral morphine equivalents 🤷♂️ Anyone have better approaches? Feel like their should be a standardized way to go about conversion
I often find emphasis of case conferences centered on info gathering “what more Qs” “what labs” etc Upfront focus on this leaves less spotlight + mental energy for data interpretation + synthesis I see merit in the former but think we need a strong cognitive shift to the latter
Do any IM programs out there have dedicated rotations to clinical and diagnostic reasoning? More than a morning report or grand rounds here and there?
Saturday AM ☕️ is better with clinical unknowns and masterful clinical reasoning 👏 Take a listen! “Clinical reasoning isn’t about solving a problem, it’s about knowing which problem to solve” 🙌
The case from @AnnaFretz & @ViriGarcia__ set up a great clinical reasoning journey. Really enjoyed the dialogue with @Bob_Wachter - your clarifying questions help establish a level of clarity we don't see in other CPS exercises. Thanks to everyone involved!
ID, when you ask them a curbside question
In Korea they have an amlodipine + telmisartan+ rosuvastatin combination pill. Why can't we have nice things? What are the US policy barriers to increased access to polypills?
50M. Missed PO meds x1 day. BP 240/130 (MAP 168). Both arms. No symptoms, nada. Cr 5 from 4. High sensi trop 80s, ECG with LVH and benign 2’ repol with non specific TWI Do you start nicardipine gtt
Does this patient have COPD?? 👉40 PY hx 👉End expiratory wheezing 👉Mild emphysema CT Ch 👉FEV1 and FVC are reduced but FEV1/FVC 81% 👉DLCO 30% predicted
Registering for IM Board Exam = $1,440 Exam Prep Material = >$400 We work months to save this kind of money as residents. This is obscene. ☹️
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