As a hospitalist, there is something so special about a patient or family member who remembers you years down the line. Something that is often lost from the outpatient side....but occasionally it happens, and is such a delight. 🤗

What started in the midst of COVID policy has become a beloved annual tradition.

Christmas caroling throughout the hospital.

If there is good quality evidence of patient-centered value to "routine" dental X-rays performed as a yearly screening test, I am unable to find it.

I'm not sure why there hasn't been more critical reappraisal of this ubiquitous, income-generating practice in the era of evidence-based medicine.

So thankful someone finally wrote this article! MAJOR kudos to the authors.

Dentistry deserves better evidence, and being skeptical is justified.

jamanetwork.com/journals/jam...

"The Hawk Tuah girl is in trouble for rug-pulling her fans in a memecoin fiasco. I am fully aware none of these words are in the Bible and that anyone who understood that sentence is already in hell."

Last day to subscribe to @jeremiahdjohns.bsky.social before the bad tweets bracket!

This entire thread is on point.
This has been a major shift for me as a practicing hospitalist. In training I never dared question diet restrictions.

Now I encourage each of my residents to do their own thickened liquid challenge! It's eye opening to say the least

It also amazes me that we generally don't have a goal of care discussion before starting a restricted diet, like a thickened liquids diet order. Rather, it is an auto-pilot reflex order placed with little thought by the ordering clinician about the long-term implications on the quality of life.

I will never not be perplexed by the fact that we say we value informed consent in medicine, but practice over-the-top paternalism w food in the hospital by often refusing to order the kind of diet the patient (or family) requests, even after discussion. It’s even worse outside end-of-life care.

"You just gave his bone marrow a laxative" may be the funniest thing I've heard a pathologist say.

Nothing like a team field trip to the path lab 😄

Was cooking last night and made double portions. Brought the second half in to my residents today (they happen to be from out of state, and I didnt want them to miss a homemade dinner while on long call).

This will 💯 be a yearly tradition. I was told my mashed potatoes "gave life" 🤣

Had an 85 year old patient "Bye Felicia" me as I walked out of her room today....

This job never gets old

I was late to twitter, now i'll be late to bsky.
They've never accused me of being a trend setter lol.

Feels right that my 1st post here should be to share this incredible RCT, led by my PhD supervisor Nick Daneman:

www.nejm.org/doi/full/10....

Main takeaway: 7-days of abx should be the standard of care for patients with uncomplicated non-S. aureus BSI.

A deep dive 🧵:

#IDsky

It was getting quiet over there...