#MedMastodon
All gave some.
Some, like my great-great-Aunt Nurse Helen Fairchild, gave all. 🇺🇸
I sincerely hope we as a country can improve and become worthy of their sacrifice.
But we have such a long way to go 😢
Researchers identify 12 key symptoms to better define long COVID
The Washington Post (5/25, Morris) reports that a “study has identified 12 key symptoms that best define the debilitating condition known as long COVID.” The results, published in JAMA, are based on data involving “9,764 participants in a study called the RECOVER initiative"
https://jamanetwork.com/journals/jama/fullarticle/2805540
https://www.washingtonpost.com/wellness/2023/05/25/long-covid-symptoms-recover-study/
Wow; this is a really well done paper. Really remarkable stuff.
"We then show that receiving the herpes zoster vaccine reduced the probability of a new dementia diagnosis over a follow-up period of seven years by 3.5 percentage points (95% CI: 0.6 - 7.1, p=0.019), corresponding to a 19.9% relative reduction in the occurrence of dementia."
fwiw: I have no idea what to make of the heterogeneity by gender.
https://www.medrxiv.org/content/10.1101/2023.05.23.23290253v1
Yikes
The spread of #antibioticresistant #bacteria is reaching new heights, quite literally. A first-of-its-kind study conducted by researchers from Quebec and #France has revealed this kind of bacteria can spread through clouds.
https://www.theweathernetwork.com/en/news/nature/outdoors/study-finds-clouds-are-spreading-antibiotic-resistant?from7day=1
#research
#MedMastodon #quebec #covid #news #usa #antimicrobialresistance #weather #Climate
My dream comes true that this story finally gets told...
Thank you #Apple
🙏
#Health #DigitalHealth #HealthTech #MentalHealth #DigitalMentalHealth #AI #ML
#HealthKit #CareKit #BigData #HealthAI #AIEthics #EthicalAI #Privacy
#ArtificialIntelligence
#MachineLearning
#SiliconValley #BigTech
#PersonalData #HealthData
#Surveillance #BioSurveillance
#SurveillanceCapitalism
#SmartPhones #Wearables
#MedMastodon #AppleWatch
90 seconds:

Very interesting that “Critical Care and Resuscitation” is now an #OpenAccess journal!
https://www.sciencedirect.com/journal/critical-care-and-resuscitation

Thinking about a recent convo with a colleague when they said in healthcare, under stress, we’re quicker to turn on each other rather than the system
What can we do to change that?
When you promised yourself you’d get your notes done tonight but the remote Epic connection keeps failing 😭
#MedMastodon #EMR #sob

My latest narrative medicine essay, "Both And"
A reflection on #rural #oncology practice, and the "direct witnessing of the living of life"
On the ward round you find the following sign.
What is it? What does it mean?
https://osler.app.link/Nfv45h8B4zb
#meded #medtwitter #medmastodon #FOAMed #FOAMcc #medstudents #juniordoctors #tipsfornewdocs

From an individual, family, #patient perspective, no surprise at all
• 🇺🇸&🇨🇦 no longer have #Healthcare systems, they have Sick Care systems
• 2 approaches
- Pathogenic (fix sick)
- Salutogenic (foster wellness)
https://en.wikipedia.org/wiki/Salutogenesis
• years of Corp+Tech influence has created an extractive industry💰⛏️TONS of perverse incentives + 🍑 covering
• Today: ZERO Physician & Institutional indemnification re: use of #Health #AI yet it's all the rage
https://www.reuters.com/investigates/special-report/usa-healthcare-settlements/
Please boost: Ken Goodman & I call on bioethicists & health care facilities to take action to ameliorate Florida's #SB1718. It requires hospitals to ask about citizenship status, an action designed to create fear among immigrant patients and potentially prevent them from seeking needed care in a timely fashion. #medmastodon #bioethics https://www.thehastingscenter.org/bioethicists-and-health-care-institutions-must-act-against-floridas-anti-immigrant-law/?fbclid=IwAR0LHwVIndR-GblLw5-ziUdWZ3qvWbhEu3dEA95-nP_6RsxcuUtugMOWUCo
Just now in APNews: echoing a post by @nataliedavisgdread
https://apnews.com/article/f6e087e41e790404b3431febc461eafa
#Alzheimer #Dementia #MedMastodon #Healthcare
born #OTD in 1898, Dr. Helen Taussig.
In the “Wild West” of Outpatient Vascular Care, Doctors Can Reap Huge Payments as Patients Risk Life and Limb
But a chorus of experts told ProPublica that the federal government’s decision to provide unconditional payments for vascular procedures — and then not pay attention to what happened — is a prime example of what’s wrong with the American health care system.
https://www.propublica.org/article/maryland-dormu-minimally-invasive-vascular-medicare-medicaid
New module : Rhythm analysis in advanced life support
This great new Osler module reviews the interpretation of the cardiac rhythm in the context of cardiac arrest and resuscitation.
Perfect for beginners or as a refresher
https://osler.app.link/6xQku1cIRzb
#medmastodon #medtwitter #meded #FOAMed #FOAMcc #FOAMresus #resuscitation #juniordoctors #nurses #ALS #juniordocs #tipsfornewdocs #intensivecare #intensivist #intensivecarenurse #ICU #ICURN #ICUNurse #emergencymedicine #paramedicine

"Leverage" x 2 (once referring to people)
"Operationalize" x 1
"Dual-purpose" (as a verb) x 2
(all in same article)
I expect a "synergy" any minute now.
(3/n) In #Phoenix, a typical heat wave would kill 12,800 people if it were combined with a power failure.
Half the city's population (789,600 people) would require emergency department care. The city has only 3,000 ED beds.
"If enough #trees were planted to shade half of the streets, deaths during dual crises would drop by 27 percent in Phoenix, the study said."
https://www.nytimes.com/2023/05/23/climate/blackout-heat-wave-danger.html
#urbanforestry #publichealth #urbanplanning #MedMastodon c @kathhayhoe
Wow, only 14% uptake of the intervention (point of care CRP testing for suspected respiratory tract infections). Big barrier to implementing even the best diagnostics...
#IDMastodon #AMR #MedMastodon #antibiotics #diagnostics #viral
https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(23)00125-1/fulltext?dgcid=raven_jbs_aip_email
@luckytran And yet hospitals is where you get a higher concentration of vulnerable and at-risk patients. Even catching a common cold from someone in a crowded waiting room can trigger serious problems in people with #asthma, #cancer, transplant recipients, etc. There must be data out there showing a drop in #nosocomial infections during #mask wearing during mandates?
Not just hospitals, any healthcare setting where vulnerable people and sick people are likely to mix -- including their FP's clinic.
#COVID #IDmastodon #MedMastodon
"in most of these cases, the women described their doctors as struggling to do the right thing." - tagging #ObGynodon & #MedMastodon https://www.nytimes.com/2023/05/22/opinion/abortion-law-texas-lawsuit.html
pharmacotherapies for the treatment of --> pharmacotherapies for
Such fun to snip ✂️
No shade at the authors; these things can be hard to spot when you're neck deep in data.
This is my life:
My family: really it’s fine to eat in indoor restaurants again
Me: I’ve diagnosed 2 people with #Covid already this week
My family: <does not compute>
The discordance just keeps getting worse and worse
I recently finished “The Autumn Ghost: How the Battle Against a Polio Epidemic Revolutionized Modern Medical Care” by Hannah Wunsch.
This was a good book that I’d recommend to anyone else who likes to learn about history or medical advancements. Some passages were difficult to read due to how little doctors could do for this disease in the 1950s. Thank science for vaccines. #AmReading #Vaccines #Polio #BooksOfMastodon #History #MedMastodon #Epidemic

I know it's extremely cliché, but being a patient, or a family member of a patient, is a completely eye-opening experience and one I would not wish on anyone.
(Also, Arthur Frank was wrong, it is all chaos narrative all the time, and it sucks.)
I'd put $$ on in-class switching to slightly superior medication worsening outcomes.
An exciting new development in #pain research: neuroscientists have for the first time objectively measured pain experienced by 4 humans, through sensors embedded in their skulls.
If this approach works and can be extended (always big ifs), it could be revolutionary: the subjective nature of pain can lead doctors to over-prescribe addictive drugs, and also to under-prescribe drugs to patients they believe are exaggerating.
https://theconversation.com/chronic-pain-can-be-objectively-measured-using-brain-signals-new-research-205910
#News #MedMastodon
#Medmastodon
Wish I’d written it! Cogent; persuasive
Asymptomatic throat carriage as source for Group A strep transmission.
#IDMastodon #StrepA #GAS #streptococcus #bacteria #transmission #microbiology #MedMastodon #medicine #epidemiology #throat

Worth the read. Drastic reduction in hepatitis C burden through concerted government action.
Preparing for an ALS course? Or just want to refresh your resuscitation skills?
Either way, this new module is perfect for you - an Introduction to Advanced Life Support
The first in our new ALS series
https://osler.app.link/m3sluzNDRzb
#medmastodon #medtwitter #meded #juniordoctors #medstudents #medstudenttwitter #juniordocs #tipsfornewdocs #FOAMed #FOAMresus #resuscitation #nurses #doctors #ICU #emergencymedicine
What's the "correct" culture medium to determine antibiotic MICs? 🤷🤔
https://www.cell.com/cell-reports-medicine/fulltext/S2666-3791(23)00133-7
#AMR #MIC #microbiology #antibiotics #IDMastodon #MedMastodon @cellrepmed

"Aggressive surgical debridement with a high local concentration of targeted antibiotics at time of 1st stage revision for hip PJI, without prolonged systemic antibiotics, provides a high rate of success"
V interesting and thought-provoking paper about local delivery of antibiotics into joints, sparing systemic antibiotics. #AMS #stewardship #AMR #IDMastodon #MedMastodon #orthopedics #infection
https://boneandjoint.org.uk/article/10.1302/0301-620X.105B5.BJJ-2022-0373.R2
With manual treatment planning, a patient diagnosed with cancer often needs to wait 2–3 weeks for treatment to start.
“Our automation enables same-day treatment. We are making same-day treatment a standard in cancer treatment globally,” Hasan adds.
my preference is to post informative threads rather than just farm my own self righteousness.
Ill be back to doing #mentalhealthawareness #CME topic threads by June is the good news.
In the interim, feel free to ignore my rants, but i think its important for the populace who rely on doctors to realize we are far from universally bootlickers in an unjust system.
Is there an area of medicine with as many null trials as adherence?
https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.121.056161
Solve M.E. posted about a clinical trial for a Long Covid treatment run by Hope Biosciences Research Foundation.
"Study Design:
A randomized, double-blinded, single-center, phase 2 efficacy, and safety study of allogeneic HB-adMSCs for the treatment of patients with Chronic Post-COVID-19 Syndrome"
Link: https://www.hopebio.org/Study?Name=HBPCOVID02
Attached image (with #AltText) includes contact info.
#COVID #LongCovid #PostCovid #Research #ClinicalTrial #MedMastodon
Thank you to STAT News for having me on the First Opinion #podcast! I enjoyed talking with editor Torie Bosch about #AI & #empathy in #healthcare in the real world, & the intersection with #physician #burnout, understaffing, and lack of time
#MedMastodon check it out!
https://www.statnews.com/2023/05/17/chatbots-chatgpt-physician-empathy/
This illustration by Kornelia Paulsen shows beautifully how ME/CFS, as an energy-limiting illness, restricts the lives of those who suffer from it.
#MedEd #MedicalEducation #MedMastodon #MECFS #MyalgicEncephalomyelitis #PatientExperience
Cats are in a mood today
My implanted spinal baclofen pump got refilled at home today so, a stranger was in the house today, "hurting" papa
A #paramedic filled it. #Nurses used to fill it but the law allows #paramedics to do it now
They insert a needle in my abdomen & into the pump, pull out all the meds in there that may be left and then fill it full
I numb up with lidocaine cream first, covered with sarin wrap so it doesn't evaporate #AMA
20ML meds replaced the ones pictured #MedMastodon
Via COVID Advocacy Initiative and Mandate Masks US @mandatemasksus
Day 3 -
May 17: CONTACT HOSPITALS AND HEALTHCARE SETTINGS: Contact hospitals & medical settings that ended mask requirements. Urge them to require universal masking. Thank those that still have a mask requirement. Let's raise our voices! #MaskWeekofAction #keepmasksinhealthcare
#covid19 #covid #CovidIsNotOver #news #usa #MaskUp #canada #medmastodon
Been following this space closely over 7 years.
#MentalHealth chatbots are a #privacy and ethical nightmare 😱 but there’s no shortage of institutions, researchers, #BigTech captured academia and #SiliconValley #VC's willing to prey on at-risk vulnerable populations.
"The Problem With Mental Health Bots” | WIRED
https://www.wired.com/story/mental-health-chatbots/
#Health #DigitalHealth
#DigitalMentalHealth
#ArtificialIntelligence
#AIEthics #EthicalAI
#Healthcare #OSI #PTSD
#MoralInjury #CPTSD
#MedMastodon #AI
When we say death by 1000 cuts, it’s things like this:
Going back into the exam room to tell the patient who showed up with 1 week of cough without calling ahead that yes the rapid Covid test is positive and they look you in the eye and pull down their mask to take a drink of water
(I was wearing an N95 of course, but still)
As of today the #documentary #film #Unrest, which tells the story of Jen Brea and her experience with #MECFS, is free through this link on #YouTube to stream legally.
It's a #SundanceFilmFestival winner.
#pwME #NEISvoid #longCOVID #PostViralIllness #MedMastodon
#UnrestFilm
@Jdreben
🙏
My #HealthTech founder lens is squarely focused on individuals, families and patients specific to #MentalHealth #OSI #PTSD and most of all – #privacy & #data agency that accrues to humans FIRST
For 7 years I've watched #SiliconValley #BigTech #VC's fuck up every opportunity to employ #AI #ML #BigData in service of “doing the right thing” to produce positive #health outcomes. At *every* opportunity they've exploited vulnerable populations in service of greed.
My latest piece is out. This was a fun one to write. A satirical piece inspired by “The Power” by Naomi Alderman
"Having it All? How Men can Manage a Career in Medicine and Fatherhood: A Satire"
IMHO: Sam Altman seriously runs the Martin Scorsese “Casino" Philip Green character vibe: an affable oligarch front man for #ElonMusk #PeterThiel & #OpenAI's incumbent #BigTech business partners
From an individual, family, patient and #privacy perspective: I'm taking everything Altman says with a dump truck of salt.
#BigTech #Health
#HealthTech
#DigitalHealth
#MentalHealth
#DigitalMentalHealth
#SiliconValley
#VC #AI #ML
#MedMastodon
When I get home and my husband asks about my day and I just pause and say "it was okay," he knows that means it wasn't okay but I don't have the ability to talk about it, and it's enough
#MedMastodon
Coping mechanisms that helped our former selves can hurt our current and future selves.
@gnuhealth I don’t understand very well… Is GNUHealth suitable for a family doctor practice ? I’m looking for an opensource alternative to prived software … Are there doctors on Mastodon using it to record their patients consultations ? #MastoMed #MedMastodon #opensource #medical
I have a feeling that we'll view viruses differently after we have a better understanding of all the harms they cause. These things always appear obvious in retrospect, but the resistance to recognition is strong.
It seems that black #physicians are still up against it at times in some workplaces in the United States https://www.nbcbayarea.com/investigations/black-doctors-allege-discrimination-sutter-health/3228445/?_osource=SocialFlowTwt_BAYBrand #blackmastodon #MedMastodon
I was a contributor to Medscape Blogs in 2021-2022 and I'm honored that they found my story worth telling
From Burned Out Oncologist to Published Novelist
Humans experimenting with AI?
–or–
#AI experimenting with Humans?
Given #Musk & #Thiel are principally responsible for the injection of #OpenAI #ChatGPT into the world and human brains? – what do you think?
“ChatGPT Plugins And Web Browsing Beta Rollout For Plus Users”
https://www.searchenginejournal.com/chatgpt-plugins-web-browsing-beta/486785/
#AI #ML #BigData
#ArtificialIntelligence
#MachineLearning
#AIEthics
#EthicalAI
#BigTech #VC
#SiliconValley
#ElonMusk
#PeterThiel
#MentalHealth
#MedMastodon
#TechnoFascism
#SiliconValley
#Democracy

Studies show that surgeons who play video games for >3 hours/week display improved surgical skills, with 37% fewer errors and 27% faster completion.
So the 200 hours I plan to spend on this should keep my skills sharp for the for the next 16 months or so.
You’re welcome, patients!
#ShareYourGames #Zelda #ZeldaTearsOfTheKingdom #MedMastodon #Gaming
The entire board of the scientific journal Neuroimage resigned in protest against its publisher, Elsevier. “Elsevier preys on the academic community, claiming huge profits while adding little value to science,” said Professor Chris Chambers, head of brain stimulation at Cardiff University and one of the resigning board members. “All Elsevier cares about is money, and it will cost them a lot of money. They just got too greedy.” https://nltimes.nl/2023/05/08/academic-journals-entire-board-resigns-accusing-elsevier-greed #MedMastodon #MedicoFriends
In honor of this year’s ME Awareness day we’re sharing a very simple message: for patients with long Covid or ME/CFS, exercise can be dangerous.
#MedTwitter #MedEd #MedicalEducation #Clinical #MECFS #MyalgicEncephalomyelitis #MEAwarenessDay #WorldMEDay #MedMastodon #LongCovid
12: did you have a good day at work Mom? I know Wednesdays are usually stressful
🥹
Obfuscation now core to #BigTech vendors and the #Healthcare & Gov’t institutions they’ve captured (as customers and via Tech funding of #MentalHealth research)
So what does Health Information Exchange mean for 🇺🇸 individuals, families, patients, clients and the psychologist who serve them?
It means they’re ALL chickens-to-be-plucked of intimate #PersonalData and #Health #data (for fuel to feed commercial #AI’s and associated corporate profit engines)
When Covid emerged, we swiftly developed new molecular diagnostics like rapid antigen tests & LAMP that make detection a breeze. But there other widespread, dangerous infectious diseases that deserve our attention. #TB #tuberculosis stands out for its enormous death toll & burden on the poor. #MedMastodon #PublicHealth #GlobalHealth #IDMastodon👇 https://www.nature.com/articles/s41564-023-01365-3
for the treatment of --> to treat
for the confirmation of --> to confirm
These aren't wrong, just wordy. Tighter writing reduces readers' cognitive work.
Almost every day when I wonder if I can keep going in rural healthcare, I encounter someone in clinic who desperately needs my help and expertise, and that gives me the strength to keep going one more day.
It really is just literally one day at a time right now in healthcare. Which scares me because it means on some level I'm one day away from leaving. I think so many of us are. Let's hope we all keep finding the reasons to stay. Let's hope people GIVE us the reasons to stay.
#MedMastodon
This is some mindblowing info about #PrivateEquity
#MedMastodon
"... in the nursing homes owned by private equity, their loved ones were just a dollar sign. And the moment that dollar sign was under threat, the care would go downhill...the nursing home in question had accepted COVID patients as a way to generate revenues...the acceptance of these patients was a way to generate income for the nursing home, but it really threatened the existing residents of that home"
Teenager: You don't know everything about health just because you're a doctor!
Me: But ... I kinda do, because it's kinda my job
Teen: No you don't!
Me: And I went to many years of school and through a lot of training, like a decade, to study the human body and health and disease
Teen: You still don't know anything!
Family Dollar recalls some over-the-counter medications
#MedMastodon #Medication #Recall
The recall involves tablets, caplets and liqui-gels:
-Advil tablets (various sizes)
-Advil 200 mg caplet 24 count
-Advil dual action 36 count caplet
-Advil liqui-gels
-Advil liqui-gels minis
The retailer says the medication was stored outside of the labeled temperature requirements.
The medication was shipped to stores between June 1, 2022 and March 31, 2023.
Brittly #Introduction continued: I like to use writing as a tool to advocate for change & feel it is one of the most powerful ways I can advocate in my current (very vulnerable) career stage. Last year, I co-authored an article with my MD/PhD cohort-mate Danielle Sawyer, advocating for increasing adcomm awareness/appreciation for the extreme hoops we have to go through as #FirstGen/#LowIncome premedical students. DM me if you wanna co-write something too! #MedMastodon https://www.bmj.com/content/377/bmj.o1246
Brittly #Introduction continued: I am a #CommunityCollege alum from a #LowIncome background & #FirstGen college graduate. I am the only physician-to-be & scientist in my family. I also proudly identify as disabled and queer. The road has been hard af, to be honest! I will use my career to make science & medicine more accessible, making medical education/higher education a smoother path for CC students. My DMs are open if you need someone to proofread statements or just need to vent #MedMastodon
Hi #MedMastodon! I migrated my account from another instance. I didn't realize all my posts would poof. 😿
I guess that means it's time for another #Introduction post! My name is Britt (she/they) & I am an MD/PhD student at the University of Arizona College of Medicine. I am finishing my PhD in neuroscience, investigating novel chaperone protein (Hsp90) inhibitors in the treatment of Alzheimer's Disease and trying to prevent dementia. Follow for posts about #Medicine #Disability #LGBTQIA & cats!
Catch-22: Clinical trial edition
(From 2013 #StatisticallyFunnyCartoon: https://statistically-funny.blogspot.com/2013/04/women-and-children-overboard.html)
Just your semi-regular reminder that if you're interested in #AI, I wrote a speculative medical #thriller about its possible future in #healthcare. I wrote it in the pre-#ChatGPT era but its now eerily relevant. Here's a little ten second trailer my husband made for the book
My first piece for STAT news!
My take as an empathetic physician on the recent #AI #chatbot hype
#ChatGPT #empathy #MedMastodon #healthcare
https://www.statnews.com/2023/05/04/medical-chatbots-empathy-research-human-doctors/
Here's a microbiologist explaining how Candida Auris becomes resistant to treatment https://theconversation.com/how-do-candida-auris-and-other-fungi-develop-drug-resistance-a-microbiologist-explains-203495 #MedMastodon #AntiFungal #CandidaAuris
"Candida auris" is a fungus that is resistant to many anti-fungal drugs, and becoming way more common.
It's type of yeast that was first identified in 2009 and is one of a number of species in the candida family that can infect people.
We asked a medical school professor who's an expert in infectious disease to explain what you should know about candida:
The difference between working like an intern when you’re an intern in your twenties and working like an intern when you’re twice as old is how you feel the next day 🤪😂
#MedMastodon #old
FDA clears smart toilet seat for home heart monitoring
The seat is now approved to measure a person's heart rate and oxygen saturation
There are numerous medical devices on the market currently that provide those readings. Many of the devices take readings from a person's finger. #MedMastodon
#medicalDevice #technology #FDA #Heart #Cardiology https://www.wcpo.com/fda-clears-smart-toilet-seat-for-home-heart-monitoring
This was a very personal piece I debated about sharing but I'm glad I did:
How writing and storytelling helped me recover from burnout via @kevinmd
Because reframing my burnout as my midpoint and not my ending was life-changing
https://www.kevinmd.com/2023/05/how-writing-and-storytelling-helped-me-recover-from-burnout.html