Kyle Warren MD
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kfwarren4.bsky.social
Kyle Warren MD
@kfwarren4.bsky.social
140 followers 200 following 13 posts
Rural med-peds PCP. Passionate about autism early diagnosis, integrated mental health care, decreasing ASCVD risk, and global health equity. Former Hoosier and Mizzou Tiger. #MP4L
Posts Replies Media Videos
Reposted by Kyle Warren MD
ejnes.net
www.annfammed.org/content/23/2...
Convenience or Continuity: When Are Patients Willing to Wait to See Their Own Doctor?
PURPOSE Much of the literature on team-based primary care has focused on physician productivity, workload, and burnout. Less is known about how team-based care influences patient satisfaction and perc...
www.annfammed.org
March 28, 2025 at 1:14 AM
Reposted by Kyle Warren MD
nejm.org
New in the March 27, 2025, issue of NEJM:

Blood-Pressure Control in Patients with Diabetes (BPROAD trial) nej.md/4eyDckd

Inebilizumab for Treatment of IgG4-Related Disease (MITIGATE phase 3 trial) nej.md/4euxr6Y

#MedSky
Images and descriptions of what's available on NEJM.org this week
March 27, 2025 at 1:04 PM
Reposted by Kyle Warren MD
erictopol.bsky.social
Of >105,000 participants with 30-year follow-up, only 9.3% achieved healthy aging (age 70, w/o any chronic diseases). Their diet was significantly associated with this outcome. @naturemedicine.bsky.social
March 24, 2025 at 4:03 PM
Reposted by Kyle Warren MD
thecurbsiders.bsky.social
🚨New episode !🚨 Ep #476: Medications for AUD 2.0 w/ Dr. Stephen Holt! 🍻💊

We go beyond naltrexone & acamprosate—diving into topiramate, disulfiram, and dosing strategies to optimize care. Don't miss it! 🎧
March 24, 2025 at 6:14 PM
Reposted by Kyle Warren MD
darcy-id-doc.bsky.social
Woot woot:

click.skem1.com/click/bbu3-2...
Executive Summary: State-of-the-Art Review: Recurrent Uncomplicated Urinary Tract Infections in Women
Over 50% of adult women experience at least 1 urinary tract infection (UTI) in their lifetime, and almost a quarter of them will experience a recurrent UTI
click.skem1.com
March 17, 2025 at 6:04 PM
Reposted by Kyle Warren MD
jama.com
When they become eligible for Medicare, beneficiaries must choose to enroll in Medicare Advantage (MA) or traditional Medicare.

This Viewpoint discusses the differences between MA and traditional Medicare. https://ja.ma/3FzVLc0
Table. Broker Financial Incentives and Possible Reforms
March 17, 2025 at 10:00 PM
Reposted by Kyle Warren MD
shematologist.medsky.social
A legend died today.

In his memory, how about a heartwarming heme #skeetorial? #hemesky #nerdalert

Today the world lost the man with the "golden arm"
1/n
March 4, 2025 at 2:52 AM
Reposted by Kyle Warren MD
shematologist.medsky.social
Just a reminder that the HPV vaccine literally PREVENTS CANCER and the series can be started as early as 9 years of age.
February 21, 2025 at 8:29 PM
Reposted by Kyle Warren MD
lethalityjane.bsky.social
The measles outbreak in Texas is reminding me of the public letter Roald Dahl wrote about losing his daughter to measles in 1962, just before the vaccine was publicly available.
Excerpt from a public letter Roald Dahl wrote encouraging people to vaccinate their children. Olivia, my eldest daughter, caught measles when she was seven years old. As the illness took its usual course I can remember reading to her often in bed and not feeling particularly alarmed about it. Then one morning, when she was well on the road to recovery, I was sitting on her bed showing her how to fashion little animals out of coloured pipe-cleaners, and when it came to her turn to make one herself, I noticed that her fingers and her mind were not working together and she couldn’t do anything. “Are you feeling all right?” I asked her. “I feel all sleepy,” she said. In an hour, she was unconscious. In twelve hours she was dead. The measles had turned into a terrible thing called measles encephalitis and there was nothing the doctors could do to save her. That was twenty-four years ago in 1962, but even now, if a child with measles happens to develop the same deadly reaction from measles as Olivia did, there would still be nothing the doctors could do to help her. On the other hand, there is today something that parents can do to make sure that this sort of tragedy does not happen to a child of theirs. They can insist that their child is immunized against measles. I was unable to do that for Olivia in 1962 because in those days a reliable measles vaccine had not been discovered. Today a good and safe vaccine is available to every family and all you have to do is to ask your doctor to administer it.
February 15, 2025 at 5:49 PM
Reposted by Kyle Warren MD
madhupai.bsky.social
Grateful to @gregggonsalves.bsky.social for his inspiring work and words

When ‘Just Asking Questions’ About Science Turns Into 300,000 Dead

www.nytimes.com/2025/02/13/o...
Opinion | I Shudder to Imagine Kennedy Running Our Health Agencies. (Gift Article)
We have to go toe-to-toe with this administration and resist its attacks on public health.
www.nytimes.com
February 13, 2025 at 11:38 PM
Reposted by Kyle Warren MD
kidneyboy.bsky.social
KDIGO: Every CKD patient should be on a statin
KDIGO ADPKD Guidelines
February 13, 2025 at 12:31 PM
kfwarren4.bsky.social
Hey #MedSky, #IDSky, and #PedsSky, when is it appropriate, if ever, to test a child under 3 years old for GAS pharyngitis?
February 13, 2025 at 1:35 AM
Reposted by Kyle Warren MD
ejnes.net
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
Reposted by Kyle Warren MD
erictopol.bsky.social
When even the WSJ Editorial Board has this to say
www.wsj.com/opinion/rfk-...
January 27, 2025 at 2:42 PM
kfwarren4.bsky.social
“But now is no time for silence. Politics now threatens to erase the gains of science, reduce access to vaccines, and undermine the vast public health benefit of the vaccines…Now is the time to lament loudly, to beat my chest, and to wail.”

www.nejm.org/doi/abs/10.1...
The Pediatrician’s Lament | NEJM
With U.S. politics threatening to erase the gains of science, reduce access to vaccines, and undermine their vast public health benefit, what is a conscientious pediatrician to do?
www.nejm.org
January 25, 2025 at 3:52 PM
Reposted by Kyle Warren MD
gbosslet.bsky.social
Nice to see @accpchest.bsky.social speak up on the importance of vaccines and evidence-based medicine in public health

Timely

www.chestphysician.org/supporting-v...
Supporting vaccinations in the name of public health - CHEST Physician
CHEST supports the fundamental responsibility of a public health system to seek out and apply evidence-based medicine in the development of sound policies essential to preventing illness.
www.chestphysician.org
January 22, 2025 at 10:37 PM
kfwarren4.bsky.social
Hey #MedSky is anybody using buprenorphine for Kratom Use Disorder? #GIMSky
January 22, 2025 at 2:56 PM
Reposted by Kyle Warren MD
karapeppermd.bsky.social
What a week

I’m going to bed so I’m rested and ready to take care of patients, myself, and my loved ones.

I can’t change the world but I can make a difference in our little world.

Goodnight yall.
January 22, 2025 at 4:40 AM
Reposted by Kyle Warren MD
erictopol.bsky.social
This week's cover and editorial @thelancet.bsky.social on mis- and disinformation's impact on public health
www.thelancet.com/journals/lan...
January 16, 2025 at 11:38 PM
Reposted by Kyle Warren MD
gabrieldane.bsky.social
Yep.

This perspective helps too. We are just a spec in the universe.
youtu.be/wupToqz1e2g?...
Carl Sagan - Pale Blue Dot
YouTube video by carlsagandotcom
youtu.be
December 13, 2024 at 2:43 AM
Reposted by Kyle Warren MD
gbosslet.bsky.social
Want a specific example of the death by a thousand cuts that is #PriorAuthorization?

Here is an example from yesterday in clinic

A short 🧵

I get a note in my inbox that a patient of mine was denied inhaled budesonide for their asthma

1/
December 11, 2024 at 11:40 AM
Reposted by Kyle Warren MD
jama.com
Simple, scalable, and cost-efficient electronic letter strategies, used in this study to encourage flu vaccinations, may have substantial public health implications.

ja.ma/3ZKlKVF
Figure 4. Results for 4 of 7 comparisons for secondary end point of time to influenza vaccination receipts.
December 10, 2024 at 5:12 PM
Reposted by Kyle Warren MD
trishgreenhalgh.bsky.social
Just a reminder:

All vaccines used in public health have been rigorously tested. Their benefits greatly outweigh their risks. While a few people have a medical reason for not taking vaccines, most people (and the population overall) will benefit. Doctors who claim otherwise are irresponsible.
December 10, 2024 at 9:43 AM
Reposted by Kyle Warren MD
chriscarrollmd.com
Most babies who got very sick from RSV the last few winters were previously healthy. jamanetwork.com/journals/jam...
Infants Admitted to US Intensive Care Units for RSV Infection During the 2022 Seasonal Peak
This cross-sectional study evaluates the characteristics of infants admitted to US intensive care units for respiratory syncytial virus (RSV) infection during the 2022 seasonal peak.
jamanetwork.com
December 9, 2024 at 12:16 PM
Reposted by Kyle Warren MD
tonybreu.bsky.social
1/17
[Why] is furosemide susceptible to malabsorption from "gut edema"?

When a patient with heart failure is hospitalized with congestion I often hear "let's use IV furosemide; they're probably not absorbing the PO."

It's a comment unique to furosemide.

But is it accurate?
November 17, 2024 at 3:18 AM