Jessica Valentine
@drjval.medsky.social
Loves sunshine, flowers, yoga, working out, books, podcasts, walks, nature. Proud to be a family physician in rural MT. Native Vashonite.
Reposted by Jessica Valentine
Excess deaths in the US vs other high-income countries.
Coming down relative to prior US data but still the outlier
jamanetwork.com/journals/jam...
Coming down relative to prior US data but still the outlier
jamanetwork.com/journals/jam...
Excess US Deaths Before, During, and After the COVID-19 Pandemic
This cohort study examines trends in excess deaths in the US before, during, and after the COVID-19 pandemic.
jamanetwork.com
May 23, 2025 at 7:15 PM
Excess deaths in the US vs other high-income countries.
Coming down relative to prior US data but still the outlier
jamanetwork.com/journals/jam...
Coming down relative to prior US data but still the outlier
jamanetwork.com/journals/jam...
Book recommendation: Breath by James Nestor
VERY interesting weaving of how sinuses, chewing, mouth breathing, carbon dioxide, and so much more intersect to affect our health. Everything from crooked teeth to sinus infections to ADHD and more.
www.mrjamesnestor.com/breath-book
#booksky
VERY interesting weaving of how sinuses, chewing, mouth breathing, carbon dioxide, and so much more intersect to affect our health. Everything from crooked teeth to sinus infections to ADHD and more.
www.mrjamesnestor.com/breath-book
#booksky
Breath: The New Science of a Lost Art — MRJAMESNESTOR
www.mrjamesnestor.com
February 27, 2025 at 1:58 AM
Book recommendation: Breath by James Nestor
VERY interesting weaving of how sinuses, chewing, mouth breathing, carbon dioxide, and so much more intersect to affect our health. Everything from crooked teeth to sinus infections to ADHD and more.
www.mrjamesnestor.com/breath-book
#booksky
VERY interesting weaving of how sinuses, chewing, mouth breathing, carbon dioxide, and so much more intersect to affect our health. Everything from crooked teeth to sinus infections to ADHD and more.
www.mrjamesnestor.com/breath-book
#booksky
Love this by Shawn Martin of the AAFP. Ideas for improving rural medicine access to care
#Medsky #Rural #RuralMedicine #AAFP #FamilyMedicine
#Medsky #Rural #RuralMedicine #AAFP #FamilyMedicine
7 bold policies to reshape rural healthcare
The CEO of the American Academy of Family Physicians argues for policies to incentivize growth in the rural primary care workforce.
www.healthcaredive.com
February 9, 2025 at 9:45 PM
Love this by Shawn Martin of the AAFP. Ideas for improving rural medicine access to care
#Medsky #Rural #RuralMedicine #AAFP #FamilyMedicine
#Medsky #Rural #RuralMedicine #AAFP #FamilyMedicine
Reposted by Jessica Valentine
Statement from leading physician groups on removal of data and guidance from federal websites. #AAFP, #AAP, #ACOG, #ACP, #AOA, #APA
Statement from Leading Physician Groups on Removal of Data and Guidance from Federal Websites
The removal of datasets and guidance from the Centers for Disease Control and Prevention (CDC) and National Institutes of Health (NIH) websites to comply with the President’s recent executive order pu...
www.aafp.org
February 9, 2025 at 10:17 AM
Reposted by Jessica Valentine
Statement from Leading Physician Groups on Removal of Data and Guidance from Federal Websites | ACP Online www.acponline.org/acp-newsroom...
Statement from Leading Physician Groups on Removal of Data and Guidance from Federal Websites | ACP Online
February 6, 2025 The statement below is issued by the American Academy of Family Physicians, the American Academy of Pediatrics, American College of Obstetricians and Gynecologists, American College o...
www.acponline.org
February 7, 2025 at 1:38 AM
Statement from Leading Physician Groups on Removal of Data and Guidance from Federal Websites | ACP Online www.acponline.org/acp-newsroom...
Reposted by Jessica Valentine
Patient self-directed sliding scale furosemide is an underutilized tool in CHF management
Can a simple weight-based dosing strategy empower patients to manage CHF, prevent exacerbations, and reduce ED visits? Let's dive in! 👇 #medsky #pharmsky #cardiosky #EMsky #GPsky #MedEd 1/
Can a simple weight-based dosing strategy empower patients to manage CHF, prevent exacerbations, and reduce ED visits? Let's dive in! 👇 #medsky #pharmsky #cardiosky #EMsky #GPsky #MedEd 1/
a person is measuring their weight on a scale that goes up to 40
ALT: a person is measuring their weight on a scale that goes up to 40
media.tenor.com
January 31, 2025 at 6:42 AM
Reposted by Jessica Valentine
American science and medicine has been thrown into chaos and uncertainty over the past week. Here are some stories to get up to speed. 1/12
January 28, 2025 at 3:58 AM
American science and medicine has been thrown into chaos and uncertainty over the past week. Here are some stories to get up to speed. 1/12
Reposted by Jessica Valentine
Proud of my professional organization and the “Group of 6” for taking a stand on the dangerous EO to withdraw from the WHO #AAFP #ACP #AOA #AAP #ACOG #APA #WHO
www.aafp.org/news/media-c...
www.aafp.org/news/media-c...
Statement from Leading Physician Groups on Announcement to Withdraw U.S. from the World Health Organization
The recent announcement to withdraw the United States from the World Health Organization (WHO) will limit our ability to collaborate and coordinate on public health issues that impact individuals and ...
www.aafp.org
January 27, 2025 at 10:55 PM
GREAT Book! I second this recommendation!
Lots of high value info to improve healthspan. #booksky
Lots of high value info to improve healthspan. #booksky
Book Rec
OUTLIVE, by Dr Peter Attia
This book has been practice changing for me.
I now talk with (most) of my patients about chronic disease prevention and healthy lifestyles on a +30y time horizon.
It’s well worth a read, especially if you want to manage your health in very unhealthy times.
OUTLIVE, by Dr Peter Attia
This book has been practice changing for me.
I now talk with (most) of my patients about chronic disease prevention and healthy lifestyles on a +30y time horizon.
It’s well worth a read, especially if you want to manage your health in very unhealthy times.
January 28, 2025 at 5:06 AM
GREAT Book! I second this recommendation!
Lots of high value info to improve healthspan. #booksky
Lots of high value info to improve healthspan. #booksky
Reposted by Jessica Valentine
Speaking of healthcare. Let's make @bsky.app the platform that fights misinformation. Some great follows are @drsusanoliver.bsky.social @jsm2334.bsky.social @therealtruther.bsky.social
Let's get them more followers and engagement than other platforms and let health science accounts find a home
Let's get them more followers and engagement than other platforms and let health science accounts find a home
January 25, 2025 at 5:55 PM
Speaking of healthcare. Let's make @bsky.app the platform that fights misinformation. Some great follows are @drsusanoliver.bsky.social @jsm2334.bsky.social @therealtruther.bsky.social
Let's get them more followers and engagement than other platforms and let health science accounts find a home
Let's get them more followers and engagement than other platforms and let health science accounts find a home
Green Light Therapy "Overall, green light exposure reduced the number of headache days per month by an average of about 60%. A majority of participants in the study reported a more than 50% reduction in headache days per month." In refractory migraine headache patients! #Medsky
Shining a Green Light on a New Preventive Therapy for Migraine
People who suffer from migraine are reducing their pain and improving their quality of life thanks to pain specialists at the University of Arizona Health Sciences and their green light research.
healthsciences.arizona.edu
January 21, 2025 at 6:33 PM
Green Light Therapy "Overall, green light exposure reduced the number of headache days per month by an average of about 60%. A majority of participants in the study reported a more than 50% reduction in headache days per month." In refractory migraine headache patients! #Medsky
Reposted by Jessica Valentine
To begin the new year, we showcase an article from our most recent issue where the authors identify and elaborate on 10 observable indicators of patient-clinician communication that work together to co-create unhurried conversations. #FMsky #Medsky
📰 - www.annfammed.org/content/22/6...
📰 - www.annfammed.org/content/22/6...
January 2, 2025 at 6:45 PM
To begin the new year, we showcase an article from our most recent issue where the authors identify and elaborate on 10 observable indicators of patient-clinician communication that work together to co-create unhurried conversations. #FMsky #Medsky
📰 - www.annfammed.org/content/22/6...
📰 - www.annfammed.org/content/22/6...
Reposted by Jessica Valentine
Hey #medsky #primarycaresky #wellness interested #burnout mitigators
If our wellness committees and C suites, and chief wellness officers and guru conferences are still putting out book clubs, special interest groups, meditation training, and new recognition events as burnout remedies .. -> 1/2
If our wellness committees and C suites, and chief wellness officers and guru conferences are still putting out book clubs, special interest groups, meditation training, and new recognition events as burnout remedies .. -> 1/2
January 3, 2025 at 4:06 AM
Hey #medsky #primarycaresky #wellness interested #burnout mitigators
If our wellness committees and C suites, and chief wellness officers and guru conferences are still putting out book clubs, special interest groups, meditation training, and new recognition events as burnout remedies .. -> 1/2
If our wellness committees and C suites, and chief wellness officers and guru conferences are still putting out book clubs, special interest groups, meditation training, and new recognition events as burnout remedies .. -> 1/2
Reposted by Jessica Valentine
Hey #MedSky I'm writing a long-form piece on how bad prior authorization has become, and how burdensome it is on patients and docs. Can you share:
—A story (without PHI)
—The amount of time/$$ you spend
—The most ridiculous thing you've had to argue for
—etc
(And please share this post)
—A story (without PHI)
—The amount of time/$$ you spend
—The most ridiculous thing you've had to argue for
—etc
(And please share this post)
December 30, 2024 at 12:18 AM
Hey #MedSky I'm writing a long-form piece on how bad prior authorization has become, and how burdensome it is on patients and docs. Can you share:
—A story (without PHI)
—The amount of time/$$ you spend
—The most ridiculous thing you've had to argue for
—etc
(And please share this post)
—A story (without PHI)
—The amount of time/$$ you spend
—The most ridiculous thing you've had to argue for
—etc
(And please share this post)
Reposted by Jessica Valentine
Fun fact: The 𝘧𝘪𝘳𝘴𝘵-𝘦𝘷𝘦𝘳 radiology report in 1896 started with the 𝗶𝗺𝗽𝗿𝗲𝘀𝘀𝗶𝗼𝗻!
Dr. Francis H. Williams wrote: 𝑇ℎ𝑒 𝑋-𝑟𝑎𝑦 𝑠ℎ𝑜𝑤𝑠 𝑝𝑙𝑎𝑖𝑛𝑙𝑦 𝑡ℎ𝑎𝑡 𝑡ℎ𝑒𝑟𝑒 𝑖𝑠 𝑛𝑜 𝑠𝑡𝑜𝑛𝑒 𝑜𝑓 𝑎𝑛 𝑎𝑝𝑝𝑟𝑒𝑐𝑖𝑎𝑏𝑙𝑒 𝑠𝑖𝑧𝑒 𝑖𝑛 𝑡ℎ𝑒 𝑘𝑖𝑑𝑛𝑒𝑦. And then added technical details after. 🩻
A timeless structure—why bury the lede?
#MedSky #RadSky
Dr. Francis H. Williams wrote: 𝑇ℎ𝑒 𝑋-𝑟𝑎𝑦 𝑠ℎ𝑜𝑤𝑠 𝑝𝑙𝑎𝑖𝑛𝑙𝑦 𝑡ℎ𝑎𝑡 𝑡ℎ𝑒𝑟𝑒 𝑖𝑠 𝑛𝑜 𝑠𝑡𝑜𝑛𝑒 𝑜𝑓 𝑎𝑛 𝑎𝑝𝑝𝑟𝑒𝑐𝑖𝑎𝑏𝑙𝑒 𝑠𝑖𝑧𝑒 𝑖𝑛 𝑡ℎ𝑒 𝑘𝑖𝑑𝑛𝑒𝑦. And then added technical details after. 🩻
A timeless structure—why bury the lede?
#MedSky #RadSky
December 29, 2024 at 7:25 AM
Reposted by Jessica Valentine
Fascinating JAMIA paper compares EHR note volume to literature. Emergency physicians went from reading Orwell (2006) to Moby Dick (2023) per patient.
The metaphor feels apt - we're all just searching for meaning, amidst vast seas of text. #EMedSky
pmc.ncbi.nlm.nih.gov/articles/PMC...
The metaphor feels apt - we're all just searching for meaning, amidst vast seas of text. #EMedSky
pmc.ncbi.nlm.nih.gov/articles/PMC...
Call me Dr Ishmael: trends in electronic health record notes available at emergency department visits and admissions
Numerous studies have identified information overload as a key issue for electronic health records (EHRs). This study describes the amount of text data across all notes available to emergency physicia...
pmc.ncbi.nlm.nih.gov
December 19, 2024 at 10:05 PM
Fascinating JAMIA paper compares EHR note volume to literature. Emergency physicians went from reading Orwell (2006) to Moby Dick (2023) per patient.
The metaphor feels apt - we're all just searching for meaning, amidst vast seas of text. #EMedSky
pmc.ncbi.nlm.nih.gov/articles/PMC...
The metaphor feels apt - we're all just searching for meaning, amidst vast seas of text. #EMedSky
pmc.ncbi.nlm.nih.gov/articles/PMC...
This is sad and ridiculous
A story of how burnout happens that happened to my colleague:
December 21, 2024 at 8:47 PM
This is sad and ridiculous
Reposted by Jessica Valentine
A story of how burnout happens that happened to my colleague:
December 21, 2024 at 5:13 PM
A story of how burnout happens that happened to my colleague:
Reposted by Jessica Valentine
MH carve outs are not permitted, yet American med insurance has a pattern of forcing patients & mental health professionals out of network.
Ghost networks & denial of MH coverage lead to predictable poor outcomes for patients in all areas of healthcare. #TherapistSky #Skychiatry #PsySky #MedSky
Ghost networks & denial of MH coverage lead to predictable poor outcomes for patients in all areas of healthcare. #TherapistSky #Skychiatry #PsySky #MedSky
It’s painful not being able to connect those seeking therapy to therapists covered via insurance. Propublica helps explain how health insurance companies undermine the process for profits.
projects.propublica.org/why-i-left-t...
projects.propublica.org/why-i-left-t...
Why I Left the Network
Those who need therapy often have to pay out of pocket or go without care, even if they have health insurance. Hundreds of mental health providers told us they fled networks because insurers made thei...
projects.propublica.org
December 13, 2024 at 2:11 PM
MH carve outs are not permitted, yet American med insurance has a pattern of forcing patients & mental health professionals out of network.
Ghost networks & denial of MH coverage lead to predictable poor outcomes for patients in all areas of healthcare. #TherapistSky #Skychiatry #PsySky #MedSky
Ghost networks & denial of MH coverage lead to predictable poor outcomes for patients in all areas of healthcare. #TherapistSky #Skychiatry #PsySky #MedSky
Reposted by Jessica Valentine
The harder you work, the harder you have to rest and recover.
I don’t make the rules.
I don’t make the rules.
December 3, 2024 at 3:00 AM
The harder you work, the harder you have to rest and recover.
I don’t make the rules.
I don’t make the rules.
Reposted by Jessica Valentine
Licorice fern (Polypodium glycyrrhiza) grows in the Gorge mostly west of the Cascades, but can be found in shady, damp canyons in the east. It can carpet rocky slopes with its fronds, spreading by creeping underground roots. The roots taste like licorice. Native Americans...
#Nativeplants
#Nativeplants
December 1, 2024 at 11:15 PM
Licorice fern (Polypodium glycyrrhiza) grows in the Gorge mostly west of the Cascades, but can be found in shady, damp canyons in the east. It can carpet rocky slopes with its fronds, spreading by creeping underground roots. The roots taste like licorice. Native Americans...
#Nativeplants
#Nativeplants
Reposted by Jessica Valentine
Skytorial: Piptazo vs Cefepime 😁
Recently this JAMA-IM paper correlating piptazo with mortality has gained a weird amount of attention
(It's been out for months so it's not really new)
This one of the most methodologically horrific papers I've ever seen
Lets talk real quick about the paper...
Recently this JAMA-IM paper correlating piptazo with mortality has gained a weird amount of attention
(It's been out for months so it's not really new)
This one of the most methodologically horrific papers I've ever seen
Lets talk real quick about the paper...
November 26, 2024 at 1:30 PM
Skytorial: Piptazo vs Cefepime 😁
Recently this JAMA-IM paper correlating piptazo with mortality has gained a weird amount of attention
(It's been out for months so it's not really new)
This one of the most methodologically horrific papers I've ever seen
Lets talk real quick about the paper...
Recently this JAMA-IM paper correlating piptazo with mortality has gained a weird amount of attention
(It's been out for months so it's not really new)
This one of the most methodologically horrific papers I've ever seen
Lets talk real quick about the paper...
November 26, 2024 at 4:19 AM
Reposted by Jessica Valentine
#MedSky🧪 #microsky #GutcoffeeAxis How ☕️ shaped our #gutmicrobiome & We feel good .Routine ☕️ consumption is associated with our gut health signature characterized by elevated levels of Lawsonibacter asaccharolyticus.
www.nature.com/articles/s41...
www.microbiologyresearch.org/content/jour...
www.nature.com/articles/s41...
www.microbiologyresearch.org/content/jour...
Coffee consumption is associated with intestinal Lawsonibacter asaccharolyticus abundance and prevalence across multiple cohorts - Nature Microbiology
Coffee consumption is associated with the presence and abundance of a specific member of the human gut microbiome, Lawsonibacter asaccharolyticus, and changes to the plasma metabolome.
www.nature.com
November 25, 2024 at 6:16 AM
#MedSky🧪 #microsky #GutcoffeeAxis How ☕️ shaped our #gutmicrobiome & We feel good .Routine ☕️ consumption is associated with our gut health signature characterized by elevated levels of Lawsonibacter asaccharolyticus.
www.nature.com/articles/s41...
www.microbiologyresearch.org/content/jour...
www.nature.com/articles/s41...
www.microbiologyresearch.org/content/jour...
The closing of maternity wards is incredibly sad, disappointing, and in some areas unsafe. And it’s not just California…
#Medsky
calmatters.org/health/2023/...
#Medsky
calmatters.org/health/2023/...
Vast stretches of California lose maternity care as dozens of hospitals shut labor wards
With fewer births, California hospitals are ending labor and delivery services. The closures limit maternity care in rural and lower-income communities.
calmatters.org
November 25, 2024 at 1:42 AM
The closing of maternity wards is incredibly sad, disappointing, and in some areas unsafe. And it’s not just California…
#Medsky
calmatters.org/health/2023/...
#Medsky
calmatters.org/health/2023/...