Discover and read the best of Twitter Threads about #hospitalists
Most recents (8)
Honestly #medtwitter why is it so damn had to have a consistent plan in place for #patients w #complexhealth issues when person necessitates hospital frequently?
Also, why get upset with #patient when lack of coordination between #medicalprofessionals, assumption of #patient 1/
Also, why get upset with #patient when lack of coordination between #medicalprofessionals, assumption of #patient 1/
goals as well as often your own biases result in care that is subpar & harmful & leads to said hospitalizations 🤦🏻♀️. I understand you all are in a difficult position yourselves but you definitely have much more #power than #patient. 2
Also, why does it seem so difficult for #hospitalists to pick up phone 2 specialists? I know many of you work hard to acknowledge your biases, to incorporate the #patients voice in care planning, BUT if you are not one, YOU are harming #patients. #HealthcareInAmerica 3/
#MedicalBiases #CompromisedCare #DenialofRights
This ⬇️
many may not believe this. They may find it unbelievable. I don’t. I have watched my daughter deal with the exact same abuses bc she is prescribed #opioids, bc she also has complex #medical conditions & PTSD. 1
This ⬇️
many may not believe this. They may find it unbelievable. I don’t. I have watched my daughter deal with the exact same abuses bc she is prescribed #opioids, bc she also has complex #medical conditions & PTSD. 1
I never know when she has a medical crisis and needs the hospital IF she will need to interact w a personnel or professional whose #biases interfere with care. These incidences can be shaming, demeaning or they can put her life at risk. My daughter has had hypoglycemic crises 2/
at @SanfordHealth where the nurses refused to check her #bloodsugars because ‘it is anxiety’ or ‘she just ate’. Even when I intervened over phone & pleaded, nurses refused to point I had to reach out to #housesupervisor. While I’ve reached out multiple times to @SanfordHealth 3/
“I’m almost done w this garbage...we take all the risk and get zero help...good luck running this hospital w/o us...”
An emerg colleague last night re: our lack of vaccinations
#COVID19 #COVIDAB #AbLeg #abpoli
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An emerg colleague last night re: our lack of vaccinations
#COVID19 #COVIDAB #AbLeg #abpoli
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At the end of 96h in 8d on service and have been all over ED and multiple COVID units. Anger/frustration increasing daily from all MDs, nurses, staff in here at lack of vaccinations while watching others w no #COVID19 exposure/risk getting theirs.
#COVIDAB
#COVIDAB
We spent months in the Spring working w many Dept. of Med colleagues working on an #MD workforce expansion plan specifically b/c there are not enough #hospitalists and #internists to handle pt. volumes.
Each day of delay further demoralizes an already exhausted workforce.
Each day of delay further demoralizes an already exhausted workforce.
All right #dermtwitter & #medtwitter, it's time for the...
@MedDermSoc & @DermHospitalist Mini-Symposium on #COVID19 & #dermatology!!
I will be attempting to #livetweet the Zoom meeting!
Join along if you'd like. I will be using the h/t #COVIDDerm!
@RoxanaDaneshjou @dschless
@MedDermSoc & @DermHospitalist Mini-Symposium on #COVID19 & #dermatology!!
I will be attempting to #livetweet the Zoom meeting!
Join along if you'd like. I will be using the h/t #COVIDDerm!
@RoxanaDaneshjou @dschless
Let's get started!!!!
Your cohosts are super excited to have you join. To give a little background, this meeting was planned in ~1 week, and we have over 500 RSVPs!
@MishaRosenbach now kicking us off with #COVIDDerm!
Your cohosts are super excited to have you join. To give a little background, this meeting was planned in ~1 week, and we have over 500 RSVPs!
@MishaRosenbach now kicking us off with #COVIDDerm!
.@DrEstherFreeman is speaking and reminding us all to register our #COVID19 #dermatology cases in the @AADskin #COVID registry!
Reminder to do so here:
aad.org/covidregistry
#COVIDDerm
Reminder to do so here:
aad.org/covidregistry
#COVIDDerm
After a week on #COVID19 service, I have some non-clinical reflections for #hospitalists. This is NOT your regular ward time. I’ll be honest, it was a tough week. I’ll start with the tough stuff. But stick with me – ending with more positivity and some helpful hints.
The need for constant vigilance was exhausting. I felt pretty safe in patient rooms with gown, mask, gloves. But on unit, constantly reminding myself to open doors with a paper towel, wipe computer/phone with bleach before using, not touch face: v. tiring. theguardian.com/society/2020/m…
The frustration of knowing certain patients were going to deteriorate and not being able to do anything about it except watch it happen was very tough emotionally. I’ve been spoiled by modern medicine – in general, I’m not used to feeling quite so helpless.
Covid (@UCSF) Chronicles, Day 5
In addition to daily updates, I've started interviews with UCSF people on front lines. I spoke to Dr. Armond Esmaili, a young hospitalist leading the unit where we're cohorting our #COVID19 patients @UCSFHospitals bit.ly/3dofhFG (1/5)
In addition to daily updates, I've started interviews with UCSF people on front lines. I spoke to Dr. Armond Esmaili, a young hospitalist leading the unit where we're cohorting our #COVID19 patients @UCSFHospitals bit.ly/3dofhFG (1/5)
Interview highlights:
“We feel your support, but please stay away”
“We want people to feel this is safest unit in the hospital”
Rounding on Covid pts, even w/ PPE:“They're coughing & you're seeing pictures from Italy & China on TV (in the room)…there is a fear & anxiety”(2/5)
“We feel your support, but please stay away”
“We want people to feel this is safest unit in the hospital”
Rounding on Covid pts, even w/ PPE:“They're coughing & you're seeing pictures from Italy & China on TV (in the room)…there is a fear & anxiety”(2/5)
Armond was actually on the floor (15 Long) for the interview–I was really touched by his shout-outs to the nurses & staff. (19:45 on the video). These people–all volunteers–are heroes. And there are others like them in hospitals around the world (3/5)
Time for a #tweetorial/#medthread on:
#CALCIPHYLAXIS!
This is a devastating diagnosis often seen in inpatients, so this goes to all the @DermHospitalist & #hospitalists out there!
#FOAMed #MedEd #dermatology #dermatologia #dermtwitter #medtwitter @SHMlive @DermHospitalist
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#CALCIPHYLAXIS!
This is a devastating diagnosis often seen in inpatients, so this goes to all the @DermHospitalist & #hospitalists out there!
#FOAMed #MedEd #dermatology #dermatologia #dermtwitter #medtwitter @SHMlive @DermHospitalist
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First of all, what is it? The exact mechanism is unknown. What we do know is that there is calcium in the arterioles of the skin, with arterial thrombosis. This interruption of blood flow causes painful ulcers and retiform purpura. Remember this?
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That interruption of blood flow causes the clinical picture of calciphylaxis - retiform purpura with a predilection for fatty areas, violaceous borders, necrosis with ulceration, and TERRIBLE PAIN. Without the pain, I really think one needs to reconsider the diagnosis!
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Thanks, @MelBreggs for the mention, and thank you to @gopiastik for a great #tweetorial on #AGEP (acute generalized exanthematous pustulosis). I would add a couple thoughts here. Please read on!
#MedEd #FOAMEd #derm #dermatology #dermatologia #medthread PC: @dermnetnz
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#MedEd #FOAMEd #derm #dermatology #dermatologia #medthread PC: @dermnetnz
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First of all, the name AGEP can be confusing, but really all it is a description (we dermatologists just like to sound #fancy). If you break it down, Acute (really quick onset) generalized (everywhere), exanthematous (rash-y), pustulosis (pustules)!
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The exam is red plaques studded with pustules (see photo). These pustules can coalesce and become "lakes of pus!" The 2nd picture doesn't have pustules b/c all of them came together, lifted off, and left the "collarette" of scale (which means there's a footprint leftover!
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