Hospitalist. Host/Producer of Explore The Space Podcast. Keynote & TEDx Speaker. #MedGrind #MedLasso #Pluripotent #ETSChat “Onward. Forward!”
California, USA
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- Following 4,153
- Followers 25,413
- Likes 44,624
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Explore The Space Podcast is back!
Delighted to have Dr. Rupa Patel @CDC_HIV on to discuss incredible advances in HIV care & PrEP as well as remarkable ways to spread good quality scientific info
Here's link & available wherever you listen to podcasts
explorethespaceshow.com/podc…
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A cool lesson I learned from my Dad is that, as a Jewish doctor, working on Christmas Day is a privilege.
Merry Christmas and Happy Hanukkah everyone!
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Undergraduate organic chemistry should be a “weeder” class for those who want to become organic chemists, not for those who want to become doctors
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Explore The Space Podcast will be removed from Spotify
Please subscribe to Explore The Space Podcast on any of the other usual podcast platforms.
More great content coming next week!
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As a resident I once joined a Code Blue resuscitation without donning appropriate PPE
Blood sprayed into my unprotected eye.
The next 3 months were a nightmare
Do not join a resuscitation until you have donned appropriate PPE
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The drama on a #COVIDー19 inpatient service is intense, frequent, & cuts like a knife.
Two extremes from the past few days.
Let’s round together...
Put on your PPE, I use a CAPR helmet, some people prefer or only have access to N95 & face shield. We’re lucky.
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I am heartbroken to learn a doctor was shot to death by a patient in clinic today
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My son was 100% formula fed. Breast feeding was not an option for our family.
I am watching the formula shortage crisis unfold with a sick feeling.
If you’re price-gouging formula, I hope you get caught.
If you’re leveraging this shortage to promote breast feeding, STOP IT!
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One day the bards will sing of how a cancer/sudden cardiac death-surviving comedian/ophthalmologist blew up a nefarious money grab from academic publishers using homemade video
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I stood up. I saw this video and I stood up. No even in the room, or the same state and I stood up.
This all day
Going to donate to @BetoORourke campaign right now
H/T @RexChapman
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Now more than ever, PLEASE stop using the word “elective” when discussing medically necessary, time-sensitive surgical procedures.
Theres nothing elective about them & the lack of urgency that word implies sends the wrong message.
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I #WearOrange today as a reaffirmation of my commitment to reduce gun violence in America
Someday, my son will ask me what I did to help stop the epidemic of gun violence. It’s important I have an answer I can feel proud of
#GunViolenceAwarenessMonth
Today on National Gun Violence Awareness Day, we #WearOrange to call attention to our nation’s gun violence crisis that steals more than 43,000 lives and wounds 76,000 more every year, because an America free from gun violence is worth fighting for.
Why do you #WearOrange today?
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Please avoid infantilizing language when referring to interns.
They are intelligent, hard-working, highly motivated adults.
Just like you and I were when we were interns.
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Today is a good day to start following @donwinslow
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Fun question for a Sunday afternoon
What is a subject outside of your professional work that you could give a 15 minute talk on right now?
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#HappyThanksgiving from the #COVID19 inpatient unit!
Thankful to be doing this work on this day.
Feels very meaningful & certainly memorable!
To all HCWs, First Responders, & essential workers out there today, much respect for doing what you do.
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We are trying to bring you in the building, into the room.
To share with you. To reinforce the desperation when it comes to the hospital & Covid
To reinforce the right behaviors & help change the wrong ones outside the hospital.
Over an internet connection
10/10
End
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I turned 45 yo today, likely past the halfway point.
A few professional lessons (no platitudes) I’ve learned if you’ll indulge me. I’m a work in progress for sure!
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-Remember how to have fun
-Set goals
-Say nice things out loud
-Be trustworthy
-Back up your teammates
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No more studying this
Fix this
Female doctors make $2 million less over a 40-year career than their male counterparts, new research estimates. More men become surgeons and women have been shown to spend more time with their patients, leading to fewer services that can be billed for. nyti.ms/31zKhkI
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To those taking shots at doctors & HCWs struggling to care for those in their cities/regions: Understand we are all watching. We all talk to each other
The regions that treat us w/ disdain will have a hard time recruiting soon. We get to choose.
Open season on doctors is over
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Dear iPhone autocorrect: please trust me, this month more than ever, I’m not typing “ducking”
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If you think 24h shifts in medical training are good b/c they give you insight into what being an attending in a given speciality is like, you should also ask why are attendings working 24 hour (& longer) shifts?
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It is clear to me the list of healthcare workers who are also artists continues to grow.
Your creativity & skill makes me smile!
Please reply if you’re a healthcare worker with some art to share so I can retweet!
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Private purchase of the #Covid_19 vaccine should not legal for the foreseeable future
Source confirms that the NHL is planning the private purchase of a COVID vaccine for all constituents involved in the potential upcoming season.
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Women accounted for all of the job losses in December
All. Of. Them.
Let that sink in.
US employers cut 140,000 jobs in December, according to the latest jobs report. Women accounted for all the losses, losing 156,000 jobs, while men gained 16,000. cnn.it/38tgBGW
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“Keep saving their lives”
Proud of all you holding the line.
@DGlaucomflecken you stuck the landing on this one. Thank you
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Hey friends! You can order another batch of Covid tests for free via USPS
Here’s link. You get 8 tests. Takes about 30 seconds to populate the form
special.usps.com/testkits
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Dearly loved for 14 years
An immense combination of fun, joy, and affection.
Farewell Hava.
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Inpatient Service Day 7
Didn’t happen
I felt sick. I stayed home.
Under normal circumstances, of course I’d have gone to work. These are not normal circumstances.
We are already learning lessons, don’t be a cowboy.
Follow the process for infection prevention
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I saw something today that I really wish I hadn’t.
Struggling to process it while acknowledging I may not ever forget it.
To those of you who treat acute pediatric illness & injury, you are marvels.
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This is amazing
Proud to have @POTUS as our President
@fred_guttenberg your courage & transparency are inspiring
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To all the attendings on service this week, please be intentional about freeing up students, residents & fellows to #Vote on #ElectionDay
They may not ask, but they’re sure thinking about it.
Your action & positive role-modeling will ripple into generations of physicians.
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Comparing America’s Covid-19 response to the rise of Hitler is both wildly off base & totally unacceptable @VPrasadMDMPH
You can feel free to block me if you like, but enough is enough.
H/T @DrJenGunter
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As the ICU team makes ready, there’s a key step we mustn’t forget.
At first he says “No” but we encourage him.
The nurse brings in the iPad.
With the last air in his shattered lungs, he says goodbye to his family.
Over an internet connection.
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It’s ok if you’ve had enough. It’s a lot. Be sure to carefully clean your CAPR & wash your hands.
I’m ok at the time, but reflecting after the fact on this juxtaposition is hard.
Tears. Prayers. Covid in both cases
Two totally different outcomes.
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We review her hospital course & her discharge instructions.
She’s still thanking us as we walk out the room.
One of those unforgettable moments, sending a #COVIDー19 patient home.
Rounds aren’t done though...
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Covid vaccine #2 in!
Chocolate cake being consumed now
A good day.
I wish the same for you & your kids.
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Back on inpatient Covid service
I’m an experienced Hospitalist, but the pandemic definitely brings moments of uncertainty
Everything from where the CAPR visors are to using new meds
I ask for help a lot
Without fail, people always help.
It’s heartening
Onward. Forward
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The 15-minute patient visit.
It is designed to drive volume.
It does not improve outcomes, satisfaction, or any other indicator.
It’s also 27 years old, which in this profession is an epoch!
It is NOT favored by MDs.
Brilliant from @bruce_y_lee here.
forbes.com/sites/brucelee/20…
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The way @fred_guttenberg shares with us will one day help make our country a better, safer place.
I know that’s not a comfort to you Fred, but you are so appreciated
(1,23) Earlier today, the jury rendered a verdict. I am now free to write about how I feel and the impact of this trial on me. The first and most important thing to say is that the only victims coming out of this trial are Jaime Guttenberg, Alex Schachter, Joaquin Oliver, Alyssa
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That is what a person who can’t breathe looks like.
The pallor, the sweat, the agitation, the heaving chest.
The wide eyes.
He’s come to that place. We discussed it yesterday. His family is aware.
Intubation. A ventilator.
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“Do you feel ready to go home?”
She just stares at us
“Would you like to go home today?”
Her eyes fill with tears. They pour out as she tilts her head skyward and prays out loud.
My eyes are full. I bet yours are too.
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Hi, I’m a doctor in a movie. I’m very abrupt when talking to patients and generally am rude to their families. Frequently I will make decisions that make real doctors lose their minds. I drive a sports car and have an obvious personality disorder.
@brianchiong
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South Africa is in my blood, my parents are from there.
For me, there is tremendous pride not just in how quickly SA scientists turned this data around, but in their transparency releasing to the world knowing the reaction would be harsh.
There is much good in this world
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If you’re a physician in America and you’re not engaged in the work towards increased firearm safety, you need to ask yourself some hard questions tonight
Doctors everywhere, but especially in states like Tennessee and South Carolina, are told not to talk about gun violence because it is “too political”.
AND THEN THEY GET SHOT AT WORK.
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Are we to understand that this #COVID19 positive patient was visiting other hospitalized patients?
This would be extremely irregular.
(14 second mark)
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When a medical student, resident, or fellow dies by suicide, what follows at institutional level?
Is there an investigation?
Is there accountability or changes made?
Does @acgme have a process?
It would be helpful to know & share findings & interventions.
This must get better.
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Thank you to @GuyFieri & team for bringing a delicious lunch to Santa Rosa Memorial Hospital today!
It’s a really wonderful gesture & much appreciated!
Their masking & #socialdistancing was on point as well!
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Stand next to me outside the room. Hand hygiene, gown, gloves. Double check. I check you. You check me.
Safety is a priority
As you look in the window, you can see her pacing around.
Let’s knock and go in.
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Today is my 45th birthday and my wife (the voice of Explore The Space Podcast) got her 2nd #Covid vaccine today.
A perfect birthday gift!
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If you know a Pediatrician or someone who works in a Pediatric office, please tell them Thank You.
They have been working flat out throughout the pandemic
Now it’s 5-11 yo vaccine time
I know they’re proud to do this work, and for that & so much more…
Thank You!
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He’s been holding his own for a few days. Yesterday was tough. Lots more oxygen required.
Now he’s struggling.
You’re still rounding with me right?
Look in the window of his room.
PPE on? Let’s go in.
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Thank you.
It’s not luck. It’s following the science. It’s a shared commitment to your community, your family, and yourself.
It’s effective leadership & the right support for the population
It’s not luck
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Hey MDs, DOs, RNs, SW, PharmD, nursing aides, housekeepers, RDs, cooks, engineers, ambo drivers, valets, perfusionists, respiratory/physical/occupational/speech therapists, radiology/ekg/lab/tele techs, phlebotomists, secretaries
The whole hospital crew
Proud to be with you
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I am so deeply honored & touched to receive the 2021 @WIMSummit I Stand With Her #HeForShe Award!
Thank you all so much
Gentlemen, closing the gender equity gap is critical & career-defining work that we must do together!
There is no opt-out, so lean in!
#WIMStrongerTogether
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I ask how she’s feeling.
“So much better”
Since she’s already walking I ask her to keep going. Take some laps around the room
She takes off, comes back after multiple circuits
I clip the pulse oximeter onto her finger
95% off oxygen
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Honored to be invited to @WhiteHouse today to talk about health equity and civic health w/ some truly amazing people
To walk through & be present here during these extraordinary days for our country is incredibly powerful for me!
Thank you to @AlisterFMartin for today!
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Going on service tomorrow at the #COVID19 Hospitalist at my hospital.
Honestly I feel a bit nervous even though not my first go-around. I am heartened by the courage so many of you display every day.
Will share a bit of what I see along the way.
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.@Twitter you must suspend & lock the @realDonaldTrump account immediately
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Please don’t say/write “gun control”
That term is a gun lobby creation from 1990s & Dickey Amendment to foment fear & create a false narrative around firearm injury research. When you use it, you’ve lost argument
We seek gun safety legislation & gun violence risk reduction
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Inpatient Service Day 1 (AM edition)
44 years old today
Grateful for another year, it’s going to be a wild ride for sure!
Happy to be starting another stretch on service at the hospital.
#SmashArt coming tonight!
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-Lead from the front & eat last
-Allow your mind to be changed
-Give people compliments
-Understand your negative emotions & deal with them effectively
-Try not to compare yourself to others
-Know your institution will never love you back
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To my #MedTwitter friends:
Given the extraordinary nature of what everyone is dealing with, I might suggest now is a time to think about some guidelines re: tweeting about the passing of a medical student, physician, or other healthcare professional.
Thanks for considering this.
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“Be careful Daddy, the air’s not fresh”
-my 4 year old son as I left for work this morning
We’ve got to do better
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-Volunteerism is important but isn’t a default setting
-Know your Fair Market Value
-Ask for help
-Read good books
-Step into tension
-Use your megaphone
And finally...stay PLURIPOTENT!
Thanks for reading
3/Fin
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What would happen if a medical student, resident, fellow, or attending did the equivalent of this?
My @JetBlue flight was canceled tonight (to the dismay of everyone) because the pilots were wiped & said they couldn't do one more flight tonight.
And you know what? I'm incredibly grateful to them for being honest and not risking my safety to please an angry crowd. Thank you.
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Tonight feels like we are standing on the precipice of a very uncertain & daunting stretch of days
Use this platform as a tool to support yourself. If that means stepping away, do so.
No platitudes. This is a generational challenge.
Take care of yourself & those around you
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Yesterday was a very hard day at my institution and in my community
Putting out appreciation and gratitude to all those who stepped up amidst a horrible tragedy
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For a number of years we didn’t think we’d be able to have children. Father’s Day was incredibly difficult those years.
I am a father now.
For those of you feeling pride & joy today, I feel you.
For those of you who are having a hard day, I see you.
#FathersDay
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My 4 year old asked me a question that I’d like to serve up to this #MedTwitter community.
“Daddy, how many miles per hour is my blood going?”
Good ?
CC @GoodishIntent @HeartOTXHeartMD @DBelardoMD @medpedshosp
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There is friendship, mentorship, & kinship here on #MedTwitter, even though many of us have never met.
Now it’s something entirely different.
I find myself checking more frequently than ever.
Sometimes worry, sometimes, escapism, sometimes dread.
Always pride
#InThisTogether
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Please don’t amplify him.
Don’t quote tweet him.
Please don’t screenshot him
We don’t have to give him oxygen on the TL
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“Every little effort counts & it matters. We are all in this together”
Epidemiologist @bethlinas is on Explore The Space Podcast talking #epidemiology, the critical need to #FlattenTheCurve, & the aspirational nature of the effort against #COVID19
explorethespaceshow.com/podc…
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When a society is hit w/ a cataclysm, it adapts. It doesn’t go back to how things were “normal” before
Promoting a uniform idea of “normal” now is a barrier to progress
I aspire to be part of a society that adapts & improves, even though it’s uncertain exactly how & it’s hard.
For those who don’t agree that the vaccinated can return to pre-pandemic normal, I ask: What should we all do? Perpetual masking? Forever not dining out, avoiding large weddings & indoor gatherings, etc? Virtually everything has risk, and zero covid is not a viable strategy.
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Feeling motivated friends. Feeling motivated.
Appreciate @Skinny_Post @NorthBayNews for this excellent article!
CC @scrubbedin you’ve got a relevant tweet quoted here too
pressdemocrat.com/article/ne…
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“I want to be effective. I want to help the children of South Carolina”
@AnnieAndrewsMD is running for Congress in South Carolina’s First Congressional District #SC01
She joins Explore The Space Podcast to discuss! Link below
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explorethespaceshow.com/podc…
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I just subscribed to @Highlights
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