Cory Rohlfsen
@CoryRohlfsen
Followers
1,072
Following
865
Media
561
Statuses
3,732
FatherOf4, husband, MedEdDreamer, GIMproud, HMproud, love a good puzzle (of any kind)
Omaha, NE
Joined January 2023
Don't wanna be here?
Send us removal request.
Explore trending content on Musk Viewer
Eminem
• 239694 Tweets
River
• 208495 Tweets
Celtics
• 158443 Tweets
LeBron
• 146376 Tweets
Lakers
• 124923 Tweets
Fernando Valenzuela
• 100913 Tweets
Deyverson
• 83129 Tweets
John Kelly
• 77611 Tweets
Knicks
• 76489 Tweets
Mineiro
• 70793 Tweets
Tatum
• 67301 Tweets
Gallardo
• 53862 Tweets
KARIME X MONTSE Y JOE
• 48887 Tweets
GALA X MOJOE
• 42108 Tweets
Nacho
• 40581 Tweets
GARIME X MOJOE
• 39842 Tweets
#じゃがりこの日
• 37942 Tweets
政党助成金2000万円
• 34784 Tweets
Fonseca
• 31763 Tweets
The Next Prince Q13
• 30670 Tweets
非公認議員
• 30105 Tweets
Timberwolves
• 29916 Tweets
Borja
• 21375 Tweets
Daisuke
• 18021 Tweets
Anthony Davis
• 17314 Tweets
東京メトロ
• 16944 Tweets
Randle
• 15342 Tweets
Gobert
• 14178 Tweets
#LakeShow
• 12963 Tweets
DONNY 4everAKapamilya
• 12667 Tweets
支部の活動費
• 12224 Tweets
Tigres
• 10988 Tweets
Pinned Tweet
As I wrap up my 5th year of
#primarycare
practice, I can't help but reflect on the TEN "sparks" trainees may miss out on during residency that make this work so rewarding.
A 🧵of
#gratitude
...
@CLOSLER
@primarycarechat
@indupartha
@adamcifu
@gabrieldane
@GIMaPreceptor
0/11
12
48
141
@EM_RESUS
Inappropriate resp compensation (per Winters) for combined met & resp acidosis.
Needs intubated, IV NaHCO3, EKG, CMP, CK, CXR, & cyanide level (cocaine laced w/ nickel cyanide can present as asthma).
Venous hyperoxia & severe LA is a clue. Tx cyanide is empiric - don't wait.
8
23
307
In primary care we don’t say ‘I love you’ we say ‘that’s who I’d want taking care of my mom’ and I think that’s beautiful
In medicine we don’t say “I love you” we say “that’s not unreasonable” and I think that’s beautiful
9
213
2K
3
32
224
2020 Surviving Sepsis Guidelines discouraged use of procal (PCT) as an adjunct in dx of sepsis.
The largest study of real world use was just published.
Let's look to see if anything will change.
Spoiler: it won't.
A 🧵using Bayes theorem...
#MedTwitter
#IDTwitter
1/5
3
42
153
#HospitalMedicine
101
What is difference between "failure to thrive" , "frailty" , and "malnutrition" in adults?
Follow the thread 👇for some🧠food
@BrownJHM
4
43
128
@gbosslet
Getting ‘on the same page’ has such a diff meaning nowadays.
‘Thanks for the link… now… if you could just add me to the channel AND the teams page AND tell me which 4 sub folders to find the elusive doc we all speak of but no one has seen, then I could access the link!’
3
2
133
Knowing when to test (vs) when not to test is the hallmark of a seasoned clinician.
But how to you teach this?
Follow this 🧵 to help your trainees navigate uncertainty.
#MedTwitter
#FOAM
#diagnosticreasoning
@medrants
@AdamRodmanMD
@EmilyAbdoler
@DxRxEdu
@rabihmgeha
1/17
1
39
128
My post call rounds completely changed after a few iterations of trainee feedback… here’s my mental model of it now which I make explicit to med students and residents.
Nothing hidden about it.
Teaching is all about context, affordances, and constraints IMO
2
15
92
@drkeithsiau
Decompensated cirrhosis with HE, dupuytrens contracture, coagulopathy (or more likely thrombocytopenia). If no SBP, lactulose / rifaximin fail, worth checking a zinc level and starting PO thiamine with the malnutrition and arachnoid habitus
2
3
85
@drkeithsiau
@NEJM
Myxedema with Queen Anne's sign. Body doesn't care much about skin / nails (first to go) when severe hypothyroidism occurs. All will improve with levothyroxine replacement.
4
6
82
What is the super power of a
#clinicianeducator
?
A quiet ego.
Here's why, a short 🧵
@MedEdModels
@GStetsonMD
@mpusic
@SKWood8
@YihanYangMD
@katie_g_md
@bezzinacara
@rabihmgeha
@DxRxEdu
1/11
3
26
83
@VipsMDMEd
Celiac disease
1)1% of US population has Celiac Disease (CD). It’s underdiagnosed.
It will see you, but will you see it?
Remember: an atypical presentation of a common disease is more common than a typical presentation of a rare disease.
Be on the lookout!
3
6
36
5
2
75
@EM_RESUS
Endometriosis… on average 7 docs and 7 yrs from symptom onset til diagnosis is made
0
4
72
@SeeFisch
I think you’re confusing oxygenation with ventilation.
VBG is very helpful for assessing acid / base status.
Including acute vs chronic. Metabolic vs respiratory.
0
4
57
If you're brave enough to follow the highs and lows of someone's life as a trusted source for "good" in all circumstances, then primary care may be for you!
It's only the hardest and most rewarding thing you could do.
11/11
2
4
54
@jjfitzgeraldMD
Let’s create a MCQ survey of a common yet less than obvious presentation of
#endometriosis
and see how many choose intermittent porphyria, lead poisoning, or IBS as distractors.
It would be telling.
I’d be happy to help.
Higher suspicion is needed in primary care
0
1
49
@BrownJHM
Stasis dermatitis can be incredibly painful and is quite inflammatory, leading to ER visits.
Important to know both obesity and stasis dermatitis can drive the ESR quite high so it’s not a 💪 discriminator.
Some dermatologists question if bilateral cellulitis even exists 🧐
1
4
46
#MedTwitter
We glorify hypothesis-driven reasoning &
#problemsolving
.
But in doing so, we neglect our biggest contribution to medicine.
After nearly despairing over how
#AI
will soon replace us, I realized it just ain’t so.
Here’s why.. a 🧵on “situated cognition”
@hdx
1/
4
14
44
In the words of a
@UNMCIMResidency
resident, ‘that felt like watching the Michael Jordan of diagnostic reasoning!’
Dr. Dhaliwal could not be stumped and the fun is palpable. Multiple mic drops and he’s only warming up…
Welcome to Omaha
@Gurpreet2015
!
#MedTwitter
#MedEd
1
3
40
@TolgaGidenerMD
Possible tick exposure + obscure illness that no one can solve = doxycycline deficiency
0
0
41
@DrCasteelEM
I’ll never forget the time I ordered complements in the ER as a resident and my dual boarded IM / ER attending said, ‘interesting… yeah, we don’t do that here’
Oh.
Lesson learned 😂
1
1
38
1)1% of US population has Celiac Disease (CD). It’s underdiagnosed.
It will see you, but will you see it?
Remember: an atypical presentation of a common disease is more common than a typical presentation of a rare disease.
Be on the lookout!
3
6
36
2) Knowing your patients without having to look anything up. What would take another provider 45 minutes to orient to, you can address in 2 minutes or less.
#knowyourworth
1
2
37
#Chiefresidents
, want to maximize the impact of your
#MorningReport
?
Follow this🧵below...
#MedTwitter
#MedEd
#AAIMOnline
#AIMW23
1/17
1
11
34
@drkeithsiau
Inflammatory arthropathy of MCPs is never normal.
Think hemochromatosis (one of the key ‘Hs’ on the ddx.
Bronze DM2, hypogonad, pseudogout, cirrhosis / hepatitis sig raises suspicion.
Ferritin to screen followed by HFE testing.
1
2
33
8) Providing palliative care to a patient as they consider hospice.
Eliminate pain and suffering.
#bepresent
1
2
32
@rabihmgeha
is here
@UNMCIMResidency
!
He facilitated morning report today and gave a master class in
#MedEd
Much more to come!
1
2
32
@kidney_boy
Unless eGFR < 45, I’d tell them their kidney function is normal. Hazard ratio doesn’t budge til then even if 75 yo.
Nice call for age calibrated GFR!
0
0
32
“They want more autonomy”
Timeless feedback given to every clinician educator in the first 5-10 years of their career.
Why is it so hard? Any solutions?
Read this 🧵 to learn how to let go without putting patients at risk.
#MedEd
#ClinicianEducator
#Autonomy
#Kolbs
#ZPD
1/
2
11
31
10) Calling the family after the arc of life is complete to offer condolences and validate the tough choice they made in transitioning care to focus on comfort after your patient passes away.
#careisinthename
1
1
31
@okwalding
‘Poor historian’ when patient was unable to provide a reliable history.
‘Patient went crazy last night’
‘BP was crazy high’
Basically any high inference or judgmental speech
2
1
30
3) Getting a thank you card or baked good just for showing up and caring.
1
1
31
Chief resident and HEAL graduate
@alexsorrick
curated an AMAZING Turing test of diagnostic reasoning between GPT4 and
@rabihmgeha
.
Big thanks to
@AdamRodmanMD
for the genAI prompts.
@UNMC_IM
Grand Rounds was buzzing!
1
7
29
What is
#AppreciativeInquiry
?
Read this 🧵below and I promise it will change the way you
#doctor
,
#teach
,
#coach
, or
#lead
as a
#clinicianeducator
#MedTwitter
#MedEd
#HPE
1/15
1
9
29
7) Granting “permission” to a subspecialist to add a med because your patient wants to run it by you as the PCP first.
#trust
1
1
29
1) Spending the majority of time in an office visit talking about kids, grandkids, sports, golf league, and fears for the future.
Very few people get to be a sounding board in the lives of others.
1
2
29
@Janetbirdope
Bechets… can’t find, can’t grind, can’t speak your mind (unlike reactive arthritis where mouth sores are painless)
Or HSV can cause E nodosum too.
Toss up in this case!
1
4
28
6) Getting a phone call from a subspecialist or hospitalist in another city or state because a patient asked that the admitting team reach out to you.
#respect
1
1
28
I've been on Twitter ("X") for 1 yr now & was totally confused how to include "digital scholarship" in prep for my annual eval.
This resource was SUPER helpful:
A 🧵on best practices for aligning digital scholarship towards P&T
@VipsMDMEd
1/9
2
7
27
Educators can do better than a parenting analogy of tough ❤️
Daloz’s model of mentoring is a better fit to reconcile this perceived tension.
High expectations and high caring are not diametrically opposed.
🔑 the higher the expectations, the higher the mandate for support.
In this episode of Not Otherwise Specified, hosted by NEJM National Correspondent
@LisaRosenbaum17
, a medical educator goes on the record with widespread but rarely publicly voiced concerns about the slippery slope from “wellness days” to inadequate medical training.
79
17
114
0
3
27
Couldn't be prouder of the HEAL graduates of 2024.
They sky is the limit for them and the future of
#MedEd
is bright.
Here are some photos to honor this especially driven and talented group...
1/13
1
10
27
5) Coaching or calling out a harmful reality in love.
“Can I tell you something I’ve noticed after taking care of you all of these years…?”
2
1
26
To err is human.
Our judgments are flawed.
Our decision making is under constant assault.
But there is something we can do about it.
Read this 🧵to learn how “Decision Hygiene” can improve your judgment
@SatyaPatelMD
@PrathitKulkarni
@DxRxEdu
@rabihmgeha
@goodmra1
#IDTwitter
1
12
26
4) Partnering with a patient through uncertainty (e.g. a new diagnosis).
Diagnostic evals in the outpatient setting are some of the BEST diagnostic reasoning cases!
#investigate
#problemsolve
1
1
26
Don't be fooled by "high sensitivity" as you are missing a heck of a lot of bacteremic patients when prevalence is ⬆️.
Take home: pts with sepsis need antibiotics & a "negative PCT" should never reassure you if your clinical judgment says they're sick.
5/5
3
4
25
@UNMCIMResidency
was smiling all day.
Thanks to the
@CPSolvers
team on a wonderful experience!
We learned about approaches to fever in a world traveler.
#nextlevel
0
3
25
The science of learning is the science of neuroplasticity.
After years of evolution, humans broke through.
Follow this 🧵 to learn how to optimize performance & learning…
#MedEd
#Learning
#Whitematter
@ShreyaTrivediMD
@SatyaPatelMD
@mendesthiagob
@DxRxEdu
@rabihmgeha
1/
3
20
23
A few examples of when you would be QUITE dyspneic without hypoxia.
1
12
24
Some ‘green light’ palliative scripts (auto consult)
Some ‘red light’ palliative scripts (soooo what’s the Q and how can we help)
And lots of ‘yellow light’ scripts
Like 10-15 yrs ago, when palliative care was much less common, not consulting palliative care was a bad thing.
But nowadays, not consulting palliative care is not necessarily a bad thing.
0
0
11
0
4
24
@EM_RESUS
Young female lowers risk for plaque rupture event so more likely SCAD or arterial dissection associated with fibromuscular dysplasia.
Guessing R dominant anatomy & R sided STEMI given presentation of nausea.
Let’s activate cath lab and get R sided EKG before NG is offered!
2
1
24
@DrSiyabMD
The largest scale population screening analysis of thyroid ca from South Korea in which no mortality diff was found is insightful.
Here's the conclusion 👇
0
3
23
Proudest day of
#meded
so far. Last day in
#primarycare
clinic w/ graduating residents after 4 yrs of training.
They're ready to rock!
Go change the world Dr.
@alexsorrick
& Dr. Bruner.
Their words of advice to incoming HO1 & pre-med student today, "listen to your MA!"😃
1
1
24
What is the one skillset that matters more than any as a
#doctor
,
#leader
, or
#teacher
?
A 🧵on
#AdaptiveExpertise
for anyone who seeks to master their craft
Hint: it's more than adaptability
@johnbeshears
@YihanYangMD
@MarenGube
@Midwest_MedPeds
@mpusic
@erhall1
@LRinMD
1/
3
8
22
Heya
#MedEd
,
What do these 3 things have in common?
- Intern presentations (e.g. med student day off)
- Inverted SOAP – “APSO”
- Inheriting a pt w/ organ-based documentation
Answer: an opportunity to INVEST in your interns and here’s why...
@medrants
@rabihmgeha
🧵
1/8
1
6
22
Amongst ~75,000 pts across 65 hospitals between 2008-2017, the procalcitonin did not change management in whether to start or hold antibiotics.
In other words, clinical suspicion trumped PCT when it came to threshold for starting antibiotics.
2/5
2
5
21
@Dr_Oubre
An incomplete or inaccurate history is the biggest reason for diagnostic reasoning error.
Taking a good history is also free.
1
0
22
Lively discussion at the first UNMC IM ‘Med Ed’ journal club discussing
#gametheory
in
#HPE
We laughed, we learned! Email me if you want the next impromptu invite :)
3
0
22
No better way to end the day than with video-based coaching, BBQ chicken /pork dinner, and Jill’s famous cupcakes.
Senior HEAL cohort was rewarded with clinician educator wisdom from
@rabihmgeha
@JonathanRyderMD
@ConorDassMD
1
3
22
Honored to receive this & thankful for an innovative team & culture.
OSTEs are too valuable not to pair w/ video-based coaching.
Shout out to fearless
@PriRArmijoMD
&
@jp__chunk
who prep & execute w/ precision.
Consultation from
@YihanYangMD
&
@katie_g_md
was so 🔑 too!
Congratulations to HEAL Director and IAE
@UNMC_IAE
member,
@CoryRohlfsen
for his well-deserved award for his innovative OSTE education!
@UNMC_HospMed
iEXCEL awards honor excellence in clinical simulation
0
2
13
3
1
21
If you find a PCP who advocates for these tests on all comers at age 35, my medical advice is to run in the opposite direction.
Signed,
A primary care doctor
As we age we become at risk for the 4 horsemen of disease:
Heart disease, cancer, diabetes & Alzheimers.
There are 6 health tests everyone over 35 should get that just might save your life.
Here they are 👇🏼
132
884
6K
1
4
21
The answer for this particular case is medication adverse effect.
Let's discuss why!
A short thread on post-MI complications...
1/9
#MedTwitter
An illness script every doc should be aware of... it will see u but will u see it?
A pt's most profound dyspnea occurs not on the day of their MI but 2-5 days AFTER the stent is placed.
If euvolemic & Hgb, trop, EKG, TTE, & SpO2 are normal, what's the cause?
0
2
4
1
6
21
9) Setting mutual limits to avoid frustration or harm at the end of life.
Supporting the family and securing closure when “tune ups” or “additional evaluation” in the hospital no longer align with your patient's goals of care.
1
1
21
U.S. News again ranks UNMC’s primary care medical program in nation’s top 10
0
2
19
@MaddieMierMD
That 6th sense is what you trained for. Residents also know you’ve got their back
1
0
20
@DrAkhilRaghavan
Drain the sac. No love lost but here’s a *literal ‘break up’ letter from the heart.
Corny… but if constrictive and you find this to be constructive… share if it helps you remember one of the mechanisms :)
1
2
18
Heeding to the advice of
@Gurpreet2015
and
@DxRxEdu
, I must say this was the most productive 2 weeks of Hospital Medicine teaching to date. I typically love to "pack in" the
#MedEd
but am realizing that less is more. Attention to trainee needs is a prerequisite to trainee growth.
1
3
19
@BrownJHM
@pratikorho
@grepmeded
Wow that’s one heck of a J sign. Makes me concerned for dislocation but looks like it’s still tracking.
The best resource for PFS testing is… the provocative tilt and slide tests (usually more obvious than J on exam)
0
2
19
The fault dimension contributing most to diagnostic error was not surprisingly assessment (the why)
In case you were wondering where the lion share of your efforts in teaching should focus when on the wards.
#MedEd
#DiagnosticExcellence
Among hospitalized adults transferred to the ICU or who died in the hospital, diagnostic errors were common, harmful, and had underlying causes, which can be used to design future interventions.
2
16
39
0
5
19
@BrownJHM
@Janetbirdope
Amyopathic dermatomyositis, gotta screen for malignancy as higher risk than dermato. Reasonable to pan CT C/A/P in addition to typical cancer screening modalities
0
3
19
An intern just taught me that bx of dermatitis herpetiformis paired with a positive TTG is specific enough to bypass EGD for dx of celiac dz (CD).
So, there are 3 ways to diagnose CD:
1) TTG 10x ULL
2) duodenal bx
3) skin bx + TTG
Always learning, always improving together!
0
3
18
When asked about balancing a successful career and life, he said, ‘If you died tomorrow, all of your patients would be taken care of… there is only one place that you are irreplaceable. That’s at home.’
Dr Armitage is a legend!
Today's Grand Rounds features Dr. James Armitage from
@UNMCHemeOnc
! More details and how to join in person or virtually at
0
2
16
0
7
18
Getting ratio’d in academic medicine is preparing for a talk with 10x the effort beyond what was planned only to give it to an audience 1/10th the size as expected.
#MedEd
#StayHumble
3
1
18
@BrownJHM
Polyarthritis nodosa vs cryo. I’d like hepatitis serologies, Rf, complements, CTA abd / pelvis, and a Rheum consult please.
1
1
16
Excited for
#HospitalMed
rds today!
It's "intern shared day off" which means supe gets to simulate a day of being a hospitalist & I get 1:1 time w/ med studs.
After we work in parallel, best part of the day is a debrief w/ supe on what went well, what they'd do diff.
1/3
2
1
17
@NEJM
@LisaRosenbaum17
Survivorship bias + romanticized nostalgia = perpetuation of privileged ideas about growth.
Also true…
Assigning virtue to comfort / wellness while vilifying desirable difficulty and excellence in medicine doesn’t help anyone care for a pt.
Medicine is hard.
1
0
16
#MedTwitter
Medicine is weird.
We use tx for diagnosis (1) and diagnostics for tx (2)
For instance, PPI for dry cough (?GERD)
Who wants to the add to the list?
@DxRxEdu
@rabihmgeha
@SatyaPatelMD
@ASanchez_PS
@KirollosRoman
@goodmra1
@YihanYangMD
@DrPsychMD
@EndoDialogues
10
5
17
No matter how good AI gets, the rate limiting step in moving the needle towards
#diagnosticexcellence
will forever reside in talking to a patient.
What’s your unpopular medical opinion that would land you in this position?
Drop it in this thread
2K
231
2K
1
1
17
Educator / mentor impact has very little to do with pedigree.
It has everything to do with how we make people feel.
Dr. Lyons taught me that.
One of the greats in
#MedEd
. We’re lucky to learn from him!
So happy to have one of our faculty, Dr. Lyons be recognized as 2023
@UNMC_IM
Mentorship Awardee! Thanks
@CassandraWehli4
and
@CoryRohlfsen
for these kind words!
0
5
19
1
3
14
✅ USMLE summative assessments in IM and FM can differentiate odds of pt mortality across 11 hospitalizations by up to 20% (5% for each 1 SD difference)
In an era of ‘failing to fail’ this deserves a bookmark.
Associatn b/t USMLE... : Academic Medicine
5
4
16
90% of IM grads do not pursue
#primarycare
.
Who thinks 90% of IM grads are lazy, selfish, or lack a passion for continuity of care?
Something is horribly broken.
0.5 FTE clinic docs increasing their primary care 🤝 to 1.0 FTE is not the solution some think it is
#antiheroism
2
1
16
Siblings pics in training are great- so special.
Here is the one call night my ‘big sis’ and I did together.
I think she was my boss at the time - the chief resident. She later became my boss again as APD when I became a chief resident.
#MedTwitter
,
Any other sibs pics???
1
1
16
@PanktiMehta24
@nihardesai7
@NicoGagelmann
@BrownJHM
@BhattArshad
@Amitasdesai
@debaditya_roy
While this isn’t constructive pericarditis, this ‘break up letter from the heart’ may help remember a few pearls in SLE pericarditis.
1
4
15
Hey! I know them!
@UNMC_IM
all star hybrids Dr Witt and Dr Navarrette repping at
#SGIM
Innovative solutions to provide full scope GIM care, sustainable
#primarycare
& unique career mentorship to trainees.
There is
#joy
in
#medicine
if you know where to look.
1
6
15
@DrCasteelEM
Agree 💯 quality of clinical rotations (how to think) seems to be the biggest differentiator… not a test score or # pubs
0
0
14
‘There is something about our training environments that cause us to dehumanize ourselves’
#ICRE2024
3
1
15
@BrownJHM
@NicoGagelmann
Burr cells - usually from kidney disease (hint: ‘uremic frost’ = shivering cold)
(Vs)
Spur cells - usually from liver disease
0
1
15
#Scriptsfornewdocs
‘You did the right thing coming to the hospital. You’re in the right place & (insert RNs name) will take good care of you. I’ve ordered ____ to help relieve ____. We’ll be watching for ____ & know more when ____.’
#Validate
#Alleviate
#Educate
#Anticipate
Hospitalists must quickly establish trust with patients they've never met.
Tips:
🔹 Mention PCP's name
🔹 Mention nocturnist's and/or ER doc's name
🔹 Know some of their meds / history
🔹 Sit. Smile. Listen.
5
2
51
1
5
15
Love the PENFAST tool! 👇
De-labeled about 5 inappropriate penicillin allergies in the last 1-2 yrs only to find that EMR "prompts" pts to list their allergies so PCN gets populated all over again.
One example of our self-defeat in current EMR use.
1
3
15
We had 3 RHCs last month and was surprised to see terminology & thresholds for key diagnoses of pulmonary HTN 🫀 have changed.
I've attempted to summarize them here & look forward to your feedback.
@rabihmgeha
@DxRxEdu
@CardioNerds
@goodmra1
@msiuba
@norfolk_tim
@BrownJHM
2
7
15
"The primary value of primary care cannot be reduced to pathology and surveillance. It must centrally include the notion of whole people, relational value, and the fullness of human experience"
No truer words have been said.
Primary Care is Measured to Death
@CMSgov
@CMSinnovates
@NASEM_Health
@Health_Affairs
@HHSGov
#UniversalFoundation
0
1
2
2
3
15
@sgremminger
@aafp
Stop with the over generalizations and 10 quick tip solutions.
Just stop.
Most clinic inefficiencies are due to bad policy, not bad people.
Docs know this better than anyone bc we live it everyday.
Only an insufferable human would continue to beat this drum.
1
1
15
The most fun part of HEAL orientation every year is watching PGYs imagine their futures as clinician educators.
This group is⚡️💪⚡️& future of
#MedEd
is bright!
Help me welcome the 4th HEAL cohort as they explore what it means to be an educator, innovator, leader, & scholar!
1
1
15
Unpopular take:
Listening to people you don't like and who don't share your views can be one of your best teachers.
Being curious may not change your views but it sure as heck will challenge, advance, and sharpen them.
#Empathy
#Diversity
#Humility
#Curiosity
0
3
14
Dr. Elizabeth Reiche - pre-hospital medicine EM fellow - incoming
@NebraskaEM
staff in 2 weeks!
She repels down buildings, trains in SWAT gear, and takes care of the sickest of the sick... all while teaching.
6/13
1
2
14
@NEJM
Miliaria Crystallina… unfortunately not a dx pivot as occurs non specifically with any stressor.
Learned that from a gracious private dermatologist who came without any call responsibilities when we felt helpless in the ICU and thought this rash might provide the answers.
0
0
12
#MedTwitter
Most missed standardized Q in IM:
What to do once strep pneumo has been ID'd on cx or PCR when on empiric IV Vanco:
Sputum: narrow
Urine ag: narrow
Ascites: narrow
Sputum: narrow
CSF: 🛑narrow!
Even if 100% sensitive to ceftriaxone on local antibiogram
1/3
1
2
14