#JHMChat Transcript

Healthcare social media transcript of the #JHMChat hashtag.
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J Hospital Medicine @JHospMedicine
Greetings, I am @FutureDocs your moderator for tonight's #JHMChat. Please introduce yourself. T1 up in a moment...
Society of Hospital Medicine @SHMLive
#JHMChat w/ @JHospMedicine @FutureDocs & @PetrilliMD begins NOW! Use the hashtag & claim #CME here: https://t.co/O8U9kzyAOS
J Hospital Medicine @JHospMedicine
RT @SHMLive: #JHMChat w/ @JHospMedicine @FutureDocs & @PetrilliMD begins NOW! Use the hashtag & claim #CME here: https://t.co/O8U9kzyAOS
Vinny Arora MD MAPP @FutureDocs
RT @SHMLive: #JHMChat w/ @JHospMedicine @FutureDocs & @PetrilliMD begins NOW! Use the hashtag & claim #CME here: https://t.co/O8U9kzyAOS
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: Greetings, I am @FutureDocs your moderator for tonight's #JHMChat. Please introduce yourself. T1 up in a moment...
Shoshana Herzig @ShaniHerzig
Greetings from snowy Boston #jhmchat
J Hospital Medicine @JHospMedicine
welcome author @PetrilliMD author of Things We Do For No Reason: inpatient hypercoag testing #JHMChat https://t.co/6zo5FtmhBi
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: Greetings, I am @FutureDocs your moderator for tonight's #JHMChat. Please introduce yourself. T1 up in a moment...
Tony Breu @tony_breu
@JHospMedicine @FutureDocs Tony Breu here from VA Boston. #jhmchat
J Hospital Medicine @JHospMedicine
Just remember to tag #jhmchat in all tweets tonight;) https://t.co/u7HRZ0Qk0V
Irsk Anderson @ijanders1
#jhmchat Irsk Anderson Univ of Chicago
Chris Petrilli @PetrilliMD
@JHospMedicine #JHMChat Great to be here. Thank you to all non 'Bama / Clemson fans who could join us tonight!
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: welcome author @PetrilliMD author of Things We Do For No Reason: inpatient hypercoag testing #JHMChat https://t.co/6zo5F…
ABIM Foundation @ABIMFoundation
RT @SHMLive: #JHMChat w/ @JHospMedicine @FutureDocs & @PetrilliMD begins NOW! Use the hashtag & claim #CME here: https://t.co/O8U9kzyAOS
Nate Houchens @nate_houchens
New to hashtags. Not new to @PetrilliMD. Glad I can be here to learn from the masters! #jhmchat
J Hospital Medicine @JHospMedicine
Special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation for bringing you #JHMChat tonight - #CME edition!
Shannon K. Martin @shannonmartinmd
Hi, Shannon Martin from Chicago here #jhmchat
Chris Petrilli @PetrilliMD
RT @JHospMedicine: Just remember to tag #jhmchat in all tweets tonight;) https://t.co/u7HRZ0Qk0V
J Hospital Medicine @JHospMedicine
Dont forget to register for #CME for participation in tonight's #JHMChat - sign up here! https://t.co/dbOp3pOMLp
Charlie M. Wray @WrayCharles
Howdy from the soggy, SF Bay area! #JHMChat
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: Just remember to tag #jhmchat in all tweets tonight;) https://t.co/u7HRZ0Qk0V
Nancy H Stewart DO, MS @nvhstewart
Hi @FutureDocs! Nancy here- I'm on nights, so may need to sign off early. Happy to join this time! #jhmchat #meded
J Hospital Medicine @JHospMedicine
@ShaniHerzig glad @futuredocs made it out otherwise #JHMChat would have been Boston based!
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: Dont forget to register for #CME for participation in tonight's #JHMChat - sign up here! https://t.co/dbOp3pOMLp
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: Special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation for bringing you #JHMChat tonight - #CME edition!
J Hospital Medicine @JHospMedicine
@nvhs0401 @FutureDocs thanks for joining #JHMChat and retweeting Nancy! you can check out the transcript tomorrow:)
J Hospital Medicine @JHospMedicine
ICYMI Tonight's #JHMChat article on ordering inpt inherited thrombophilia testing by @PetrilliMD @vineet_chopra https://t.co/6zo5FtmhBi
Chris Petrilli @PetrilliMD
RT @nate_houchens: New to hashtags. Not new to @PetrilliMD. Glad I can be here to learn from the masters! #jhmchat
J Hospital Medicine @JHospMedicine
T1: In @PetrilliMD et al, inpt inherited thrombophilia tests NOT recommended. Are these recs followed? why/why not? #JHMChat
Shoshana Herzig @ShaniHerzig
@JHospMedicine @FutureDocs we'd have been happy to keep her! #jhmchat
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: ICYMI Tonight's #JHMChat article on ordering inpt inherited thrombophilia testing by @PetrilliMD @vineet_chopra https://…
Chris Petrilli @PetrilliMD
RT @JHospMedicine: T1: In @PetrilliMD et al, inpt inherited thrombophilia tests NOT recommended. Are these recs followed? why/why not? #JH
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: T1: In @PetrilliMD et al, inpt inherited thrombophilia tests NOT recommended. Are these recs followed? why/why not? #JH
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: ICYMI Tonight's #JHMChat article on ordering inpt inherited thrombophilia testing by @PetrilliMD @vineet_chopra https://…
Society of Hospital Medicine @SHMLive
Join us on #JHMChat - happening now through 10 p.m. EST! T1 is live! https://t.co/dPuNZASum9
ABIM Foundation @ABIMFoundation
RT @JHospMedicine: ICYMI Tonight's #JHMChat article on ordering inpt inherited thrombophilia testing by @PetrilliMD @vineet_chopra https://…
Malvinder Parmar @wittykidney
Malvinder Parmar, a nephtwitron, no COI #JHMChat
J Hospital Medicine @JHospMedicine
glad you are here as well - just tag all your tweets #JHMchat and you are all set! https://t.co/5zCBU7oz5M
J Hospital Medicine @JHospMedicine
@ShaniHerzig @FutureDocs glad to know! #jhmchat
Tony Breu @tony_breu
NOT followed. 1 reason: people assume identifying one will change long-term management. #jhmchat https://t.co/x1Uar2Vk9c
Michelle Brooks, MD, FACP, FHM @michellebr00ks
I think the residents I work with want to make a diagnosis. Maybe we're taught to diagnose before we manage? #JHMChat
Irsk Anderson @ijanders1
@JHospMedicine @PetrilliMD T1 #jhmchat not always. See sent from ED. Inpt feels may change Rx.
J Hospital Medicine @JHospMedicine
@wittykidney you will like next month's chat -stay tuned towards end! #jhmchat
J Hospital Medicine @JHospMedicine
RT @SHMLive: Join us on #JHMChat - happening now through 10 p.m. EST! T1 is live! https://t.co/dPuNZASum9
Malvinder Parmar @wittykidney
@JHospMedicine @PetrilliMD these tests are not recommended in ER or inpt but often done by many, docs need to do something #JHMChat
J Hospital Medicine @JHospMedicine
RT @tony_breu: NOT followed. 1 reason: people assume identifying one will change long-term management. #jhmchat https://t.co/x1Uar2Vk9c
Chris Petrilli @PetrilliMD
I'd say when they aren't followed - main reason is to satisfy physician and patient curiousity @FutureDocs @JHospMedicine #jhmchat
Chris Petrilli @PetrilliMD
#JHMChat Even if that were true - most of those tests dont even come back before discharge...@JHospMedicine @FutureDocs @UM_IHPI https://t.co/0z0L96lIwE
Sanjay Saint @sanjaysaint
Glad to join and learn from @PetrilliMD and others! #jhmchat
Nancy H Stewart DO, MS @nvhstewart
RT @JHospMedicine: T1: In @PetrilliMD et al, inpt inherited thrombophilia tests NOT recommended. Are these recs followed? why/why not? #JH
Tony Breu @tony_breu
Another reason may be order sets. Too easy! #jhmchat https://t.co/x1Uar2Vk9c
J Hospital Medicine @JHospMedicine
great observation from our guest author @PetrilliMD on #jhmchat https://t.co/CVVnOU9U2a
Malvinder Parmar @wittykidney
The problem is many doesn't know when and in whom to do such work-up #JHMChat
Nancy H Stewart DO, MS @nvhstewart
RT @tony_breu: NOT followed. 1 reason: people assume identifying one will change long-term management. #jhmchat https://t.co/x1Uar2Vk9c
J Hospital Medicine @JHospMedicine
RT @wittykidney: @JHospMedicine @PetrilliMD these tests are not recommended in ER or inpt but often done by many, docs need to do something…
J Hospital Medicine @JHospMedicine
RT @ijanders1: @JHospMedicine @PetrilliMD T1 #jhmchat not always. See sent from ED. Inpt feels may change Rx.
Chris Petrilli @PetrilliMD
@michellebr00ks I think that's a huge part of the "problem" but when they have the answer what does it do? #anxiety #increasedcost #JHMChat
Shoshana Herzig @ShaniHerzig
T1: still some testing, but seems much less frequent than 10 years ago. #progress #jhmchat
Nancy H Stewart DO, MS @nvhstewart
RT @wittykidney: @JHospMedicine @PetrilliMD these tests are not recommended in ER or inpt but often done by many, docs need to do something…
Nancy H Stewart DO, MS @nvhstewart
RT @PetrilliMD: I'd say when they aren't followed - main reason is to satisfy physician and patient curiousity @FutureDocs @JHospMedicine #…
Vinny Arora MD MAPP @FutureDocs
RT @tony_breu: NOT followed. 1 reason: people assume identifying one will change long-term management. #jhmchat https://t.co/x1Uar2Vk9c
Vinny Arora MD MAPP @FutureDocs
RT @PetrilliMD: #JHMChat Even if that were true - most of those tests dont even come back before discharge...@JHospMedicine
Nancy H Stewart DO, MS @nvhstewart
#jhmchat this is so true!! https://t.co/gEk7PHpcpA
Charlie M. Wray @WrayCharles
T1: I've definitely seen young trainees order. likely to feel obliged to order - shows they were thinking about it. #jhmchat @JHospMedicine
Vinny Arora MD MAPP @FutureDocs
RT @tony_breu: Another reason may be order sets. Too easy! #jhmchat https://t.co/x1Uar2Vk9c
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: great observation from our guest author @PetrilliMD on #jhmchat https://t.co/CVVnOU9U2a
Sanjay Saint @sanjaysaint
RT @JHospMedicine: T1: In @PetrilliMD et al, inpt inherited thrombophilia tests NOT recommended. Are these recs followed? why/why not? #JH
Irsk Anderson @ijanders1
#jhmchat stem from old practice? APLA INR 2.5-3.5? Unprov VTE w finite Rx?
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: great observation from our guest author @PetrilliMD on #jhmchat https://t.co/CVVnOU9U2a
Chris Petrilli @PetrilliMD
@wittykidney #JHMChat and now they have a wonderfully written (and edited) reference @JHospMedicine @TWDFNR https://t.co/C1rriHo7yr
Vinny Arora MD MAPP @FutureDocs
I also think there is a knowledge gap #jhmchat https://t.co/kRBrvstbw5
Michelle Brooks, MD, FACP, FHM @michellebr00ks
I never order anymore, and I cringe when the residents do it (inwardly), and then we talk about cost conscious care. #teachingopp #JHMChat
J Hospital Medicine @JHospMedicine
RT @WrayCharles: T1: I've definitely seen young trainees order. likely to feel obliged to order - shows they were thinking about it. #jhmc
Tony Breu @tony_breu
@ShaniHerzig Agreed. I do think these tests are sent less often. The message may be getting out. #jhmchat
Irsk Anderson @ijanders1
@ShaniHerzig agree T1 #jhmchat
Kim Tartaglia, MD @KimTartaglia
@JHospMedicine @PetrilliMD I seem to recall a certain online text recommending doing limited work-up for unprovoked DVT in pts <35 #jhmchat
J Hospital Medicine @JHospMedicine
great observation - reminder to tag #jhmchat in your tweets @wittykidney so they are seen by the group. https://t.co/Qlud6UhfXN
Charlie M. Wray @WrayCharles
This is so true! And then the question is who follows up...(and likely misinterprets due to complexity of IP scene) #jhmchat https://t.co/fl8Up2YgRd
Timothy Craig Allen @timallenmdjd
#PathologistsCanHelp https://t.co/9uEhBnE0aL
Nancy H Stewart DO, MS @nvhstewart
T1: part of it may be trainee "sleuthing" for the zebra #jhmchat
Chris Petrilli @PetrilliMD
@JRKnightMD re: c - Agreed! the circumstances are so rare...but patients need to be counseled first before testing #alsorare #JHMChat
Chris Petrilli @PetrilliMD
RT @FutureDocs: I also think there is a knowledge gap #jhmchat https://t.co/kRBrvstbw5
Sanjay Saint @sanjaysaint
Not consistently. Docs often order these tests as part of the hypercoag "grope-a-gram" https://t.co/80jiws8m5b
Nancy H Stewart DO, MS @nvhstewart
Yes! Absolutely!! https://t.co/D4wYROMTyE
J Hospital Medicine @JHospMedicine
full text available for 24h because of #JHMChat https://t.co/K3iY3iSXXr
Irsk Anderson @ijanders1
@WrayCharles Anticoagulation Clinic:)! #jhmchat
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: great observation - reminder to tag #jhmchat in your tweets @wittykidney so they are seen by the group. https://t.co/Qlu…
NationalQualityForum @natqualityforum
RT @SHMLive: Join us on #JHMChat - happening now through 10 p.m. EST! T1 is live! https://t.co/dPuNZASum9
Chris Petrilli @PetrilliMD
@tony_breu @ShaniHerzig @TWDFNR I hope so! #UnderRatedImpactFactor #JHMChat @JHospMedicine
J Hospital Medicine @JHospMedicine
RT @nvhs0401: T1: part of it may be trainee "sleuthing" for the zebra #jhmchat
Vinny Arora MD MAPP @FutureDocs
RT @PetrilliMD: I'd say when they aren't followed - main reason is to satisfy physician and patient curiousity @FutureDocs @JHospMedicine #…
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: full text available for 24h because of #JHMChat https://t.co/K3iY3iSXXr
Sanjay Saint @sanjaysaint
Not consistently. Docs often order these tests as part of the hypercoag "grope-a-gram" #jhmchat https://t.co/80jiws8m5b
Charlie M. Wray @WrayCharles
RT @JHospMedicine: full text available for 24h because of #JHMChat https://t.co/K3iY3iSXXr
Chris Petrilli @PetrilliMD
RT @JHospMedicine: full text available for 24h because of #JHMChat https://t.co/K3iY3iSXXr
Vinny Arora MD MAPP @FutureDocs
Spoken like one who runs an Anticoag clinic ) #jhmchat https://t.co/dJAH8PsBFc
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: full text available for 24h because of #JHMChat https://t.co/K3iY3iSXXr
Amit Kumar Pahwa @pahwa
amit pahwa from @HopkinsMedicine trying to #jhmchat and watch championship game and edit grant #multitasking
Vinny Arora MD MAPP @FutureDocs
I feel dirty almost retweeting this #jhmchat https://t.co/Ko2rwHJPJh
Amit Kumar Pahwa @pahwa
we teach our third years not to do big workup through modules - https://t.co/FBndjZbfLq - need to add @PetrilliMD as reference #jhmchat
Chris Petrilli @PetrilliMD
#JHMChat - agree re: APS - we deliberately focused on inherited thrombophilia (there's about 10-12 common tests) #SoManyTestsSoLittleValue https://t.co/LhHbugtIZc
J Hospital Medicine @JHospMedicine
@Pahwa @HopkinsMedicine thanks for joining! we knew it would be a #multitasking night @PetrilliMD #jhmchat
ABIM Foundation @ABIMFoundation
RT @JHospMedicine: full text available for 24h because of #JHMChat https://t.co/K3iY3iSXXr
J Hospital Medicine @JHospMedicine
RT @sanjaysaint: Not consistently. Docs often order these tests as part of the hypercoag "grope-a-gram" #jhmchat https://t.co/80jiws8m5b
Chris Petrilli @PetrilliMD
RT @sanjaysaint: Not consistently. Docs often order these tests as part of the hypercoag "grope-a-gram" #jhmchat https://t.co/80jiws8m5b
J Hospital Medicine @JHospMedicine
T2 coming up in a moment...#jhmchat
Irsk Anderson @ijanders1
RT @Pahwa: we teach our third years not to do big workup through modules - https://t.co/FBndjZbfLq - need to add @PetrilliMD as reference #…
Michelle Brooks, MD, FACP, FHM @michellebr00ks
Do we glorify the "sleuthing for the zebra" a little too much? Maybe why the residents look for them. h/t @nvhs0401 #JHMChat
Vinny Arora MD MAPP @FutureDocs
RT @michellebr00ks: Do we glorify the "sleuthing for the zebra" a little too much? Maybe why the residents look for them. h/t @nvhs0401 #J
Society of Hospital Medicine @SHMLive
Don't miss out on #JHMChat - happening now! Don't forget to use the hashtag to index your tweets! https://t.co/us1Z5F1Y3d
Michelle Brooks, MD, FACP, FHM @michellebr00ks
very cool! @Pahwa #JHMchat https://t.co/qA139fE0Lg
Irsk Anderson @ijanders1
@JRKnightMD @PetrilliMD Poss most important point of T1 (in addition to pt anxiety) #jhmchat
Malvinder Parmar @wittykidney
@sanjaysaint @JHospMedicine @PetrilliMD patient asks why I had blood clot? Rather than explaining order tests - not required? #jhmchat
Tony Breu @tony_breu
Yes, we do. In #AMreport and elsewhere. #jhmchat @VA_Boston_CMRs https://t.co/hP5T18GLlF
J Hospital Medicine @JHospMedicine
T2 Given uncertainty of inpt inherited thrombophilia labs in @PetrilliMD, what DO/SHOULD you do if you suspect it? #JHMChat #CME
Charlie M. Wray @WrayCharles
we speak about financial costs, but consider the emotional costs to "you may have an inherited blood clotting d/o.." then test neg. #jhmchat
Kim Tartaglia, MD @KimTartaglia
@Pahwa Greetings Amit. Think I still owe you an email. grant writing is not as fun as folding laundry during #jhmchat !
Nancy H Stewart DO, MS @nvhstewart
I think we do!! I try to teach that "it's a zebra for a reason" and "treat the obvious, as we lookout for the zebra" #jhmchat https://t.co/LumqHw38a5
J Hospital Medicine @JHospMedicine
RT @wittykidney: @sanjaysaint @JHospMedicine @PetrilliMD patient asks why I had blood clot? Rather than explaining order tests - not requir…
Society of Hospital Medicine @SHMLive
Be sure to incorporate the #JHMChat hashtag in your tweets so other participants are able to see your comments!
Vinny Arora MD MAPP @FutureDocs
RT @tony_breu: Yes, we do. In #AMreport and elsewhere. #jhmchat @VA_Boston_CMRs https://t.co/hP5T18GLlF
Chris Moriates, MD @ChrisMoriates
Hey guys - late to the #jhmchat because i had to be a parent and its bedtime around here...
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: T2 Given uncertainty of inpt inherited thrombophilia labs in @PetrilliMD, what DO/SHOULD you do if you suspect it? #JHMC
Chris Petrilli @PetrilliMD
@Pahwa @HopkinsMedicine #JHMChat https://t.co/kAe4S8EN6S (Role of Thrombophilia testing in sports - #NextChat?) :)
Irsk Anderson @ijanders1
@WrayCharles #jhmchat $2-3K later:)
Vinny Arora MD MAPP @FutureDocs
RT @WrayCharles: we speak about financial costs, but consider the emotional costs to "you may have an inherited blood clotting d/o.." then…
VA Joint Chiefs @bostonchiefs
@tony_breu not always at #AMreport at @VA_Boston_CMRs though! #jhmchat
Chris Petrilli @PetrilliMD
@Pahwa #JHMChat Always happy to consult!
Vinny Arora MD MAPP @FutureDocs
The epitome of #multitasking #toddlerlife #jhmchat https://t.co/pgcKYCEVGc
Eric Strong @drericstrong
@michellebr00ks Desire to diagnose zebras should be considered a form of cognitive bias - one driven by zebras in morning reports. #JHMChat
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: T2 Given uncertainty of inpt inherited thrombophilia labs in @PetrilliMD, what DO/SHOULD you do if you suspect it? #JHMC
Charlie M. Wray @WrayCharles
Absolutely! On my service, it usually can't be a zebra until the 3rd day of stay & still no answer #jhmchat https://t.co/rDC8oDMyoH
Harper @harperstia
https://t.co/Bumig6P1R8 RT https://t.co/hqfnKRT1vS
Chris Petrilli @PetrilliMD
RT @FutureDocs: The epitome of #multitasking #toddlerlife #jhmchat https://t.co/pgcKYCEVGc
J Hospital Medicine @JHospMedicine
@ChrisMoriates thanks for joining #jhmchat
J Hospital Medicine @JHospMedicine
RT @nvhs0401: I think we do!! I try to teach that "it's a zebra for a reason" and "treat the obvious, as we lookout for the zebra…
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @DrEricStrong: @michellebr00ks Desire to diagnose zebras should be considered a form of cognitive bias - one driven by zebras in morning…
J Hospital Medicine @JHospMedicine
RT @WrayCharles: we speak about financial costs, but consider the emotional costs to "you may have an inherited blood clotting d/o.." then…
Kim Tartaglia, MD @KimTartaglia
@PetrilliMD tells me I should consult my friend hematologist if concerned, before sending a bunch of labs. #jhmchat https://t.co/ci6Xpxnrcc
Chris Petrilli @PetrilliMD
re: T2 - If you suspect it...then you can tell your friends...risk of recurrence unchanged in thrombophilia or not...@JHospMedicine #jhmchat
Chris Petrilli @PetrilliMD
RT @WrayCharles: Absolutely! On my service, it usually can't be a zebra until the 3rd day of stay & still no answer #jhmchat https://t.co/r…
J Hospital Medicine @JHospMedicine
For those just joining #JHMChat, welcome T2 is LIVE! https://t.co/OQKtuwOfH4
Irsk Anderson @ijanders1
@WrayCharles Great approach! #jhmchat
Nancy H Stewart DO, MS @nvhstewart
My everyday life at home!! #jhmchat #worklifebalancesomehow https://t.co/gZaseKkFiW
Nancy H Stewart DO, MS @nvhstewart
I like this rule!! https://t.co/rrjB9aHmKu
Tony Breu @tony_breu
@michellebr00ks @nvhs0401 I’d be lying if I said I didn’t enjoy the pursuit. #jhmchat
Nancy H Stewart DO, MS @nvhstewart
RT @JHospMedicine: T2 Given uncertainty of inpt inherited thrombophilia labs in @PetrilliMD, what DO/SHOULD you do if you suspect it? #JHMC
Amit Kumar Pahwa @pahwa
T1: most people unsure of pretest probability and don't think will it change management #JHMChat
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: For those just joining #JHMChat, welcome T2 is LIVE! https://t.co/OQKtuwOfH4
J Hospital Medicine @JHospMedicine
great insight from our guest author @PetrilliMD tonight #JHMChat https://t.co/dA0pMpm5uY
J Hospital Medicine @JHospMedicine
RT @WrayCharles: Absolutely! On my service, it usually can't be a zebra until the 3rd day of stay & still no answer #jhmchat https://t.co/r…
J Hospital Medicine @JHospMedicine
RT @DrEricStrong: @michellebr00ks Desire to diagnose zebras should be considered a form of cognitive bias - one driven by zebras in morning…
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @PetrilliMD: re: T2 - If you suspect it...then you can tell your friends...risk of recurrence unchanged in thrombophilia or not...@JHosp
Chris Petrilli @PetrilliMD
@KimTartaglia #JHMChat - actually, no ... They dont need to see these pts either! Mgmt doesnt change. 2nd clot just as likely &= lifelong tx
J Hospital Medicine @JHospMedicine
RT @SHMLive: Be sure to incorporate the #JHMChat hashtag in your tweets so other participants are able to see your comments!
Shoshana Herzig @ShaniHerzig
T2 @PetrilliMD do you suggest consideration of heme referral (to PCP) for all unprovoked VTE, or just with 1st degree relative? #jhmchat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
T2: As a hospitalist, it's gotta be just conversations about the possibility, the fact it won't change management... #JHMChat
ABIM Foundation @ABIMFoundation
RT @JHospMedicine: For those just joining #JHMChat, welcome T2 is LIVE! https://t.co/OQKtuwOfH4
Michelle Brooks, MD, FACP, FHM @michellebr00ks
T2:...and maybe being transparent with the patient about the costs of testing? #JHMChat
Malvinder Parmar @wittykidney
@JHospMedicine @PetrilliMD explain to patient. Protein C & S levels may be falsely low during acute stage ➡️false diagnosis #jhmchat
Irsk Anderson @ijanders1
Agree. Consider delaying to outpatient (heme, anticoag clinic etc). Tests often invalid given heparin/warfarin/acute VTE anyway #jhmchat https://t.co/rDuzg8Fqp2
Charlie M. Wray @WrayCharles
I might disagree, Amit. I think a lot of people assume it WILL change management #jhmchat https://t.co/AauwasY7iZ
Chris Petrilli @PetrilliMD
RT @PetrilliMD: #JHMChat - agree re: APS - we deliberately focused on inherited thrombophilia (there's about 10-12 common tests)…
Society of Hospital Medicine @SHMLive
We're #JHMChat-ting. Why aren't you? Join in to discuss #hypercoag workups with @JHospMedicine @FutureDocs & @PetrilliMD! https://t.co/0nAtJPSeso
J Hospital Medicine @JHospMedicine
RT @wittykidney: @JHospMedicine @PetrilliMD explain to patient. Protein C & S levels may be falsely low during acute stage ➡️false diagnosi…
Nancy H Stewart DO, MS @nvhstewart
RT @wittykidney: @JHospMedicine @PetrilliMD explain to patient. Protein C & S levels may be falsely low during acute stage ➡️false diagnosi…
Aaron Hunter @aaron_hunter
Dr. Skye reporting for tonight's #jhmchat! https://t.co/J6k83Ln1rd
Nancy H Stewart DO, MS @nvhstewart
RT @ijanders1: Agree. Consider delaying to outpatient (heme, anticoag clinic etc). Tests often invalid given heparin/warfarin/ac…
Chris Petrilli @PetrilliMD
RT @JHospMedicine: great insight from our guest author @PetrilliMD tonight #JHMChat https://t.co/dA0pMpm5uY
Irsk Anderson @ijanders1
@ShaniHerzig @PetrilliMD personally would do 4 1st degree relative, esp if young @ dx #jhmchat
Tony Breu @tony_breu
I agree with @WrayCharles I suspect most see that it’ll increase the need for lifelong anticoagulant. #jhmchat https://t.co/JkKzqrH9nd
Jigar Contractor @jigsymd
@WrayCharles Interesting approach to balance promoting curiosity needed to be good physicians and going on a safari everytime #jhmchat
Sanjay Saint @sanjaysaint
Yes, we do glorify finding zebras. There are 3 chances for greatness as a resident and one is diagnosing a rare disease. #jhmchat https://t.co/SKJP0Tiv6F
Chris Petrilli @PetrilliMD
@JHospMedicine #JHMChat Thank you! I've had amazing teachers and mentors! @sanjaysaint @vineet_chopra
J Hospital Medicine @JHospMedicine
just joining #JHMChat? quick summary of tonights article by @PetrilliMD, we present the #VisualAbstract in #Gif thx @WrayCharles! https://t.co/VgvlhonIXE
J Hospital Medicine @JHospMedicine
just joining #JHMChat? quick summary of tonights article by @PetrilliMD, we present the #VisualAbstract in #Gif... https://t.co/ZfrCkhEwTB
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@aaron_hunter This is the BEST! #JHMChat
Charlie M. Wray @WrayCharles
I fall back onto this rational a lot, @ijanders1 #jhmchat. Even it disease is there, it's clouded over by everything else going on https://t.co/PbzUfYVjIU
J Hospital Medicine @JHospMedicine
and the other 2 are...? #JHMChat https://t.co/mPQndmcFnL
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: just joining #JHMChat? quick summary of tonights article by @PetrilliMD, we present the #VisualAbstract in #Gif thx…
Nancy H Stewart DO, MS @nvhstewart
RT @JHospMedicine: just joining #JHMChat? quick summary of tonights article by @PetrilliMD, we present the #VisualAbstract in #Gif thx…
J Hospital Medicine @JHospMedicine
RT @sanjaysaint: Yes, we do glorify finding zebras. There are 3 chances for greatness as a resident and one is diagnosing a rare dis…
J Hospital Medicine @JHospMedicine
and the other 2 are...? #JHMChat https://t.co/mPQndmcFnL https://t.co/fE2GCLrPt6
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@sanjaysaint What are the other two? #jhmchat
Tony Breu @tony_breu
@PetrilliMD Based on my read of your review, it does seem to increase the risk somewhat. Is that not true? #jhmchat https://t.co/cbvBrcjJOY
Irsk Anderson @ijanders1
RT @michellebr00ks: @aaron_hunter This is the BEST! #JHMChat
J Hospital Medicine @JHospMedicine
RT @JigsyMD: @WrayCharles Interesting approach to balance promoting curiosity needed to be good physicians and going on a safari everytime…
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @JHospMedicine: just joining #JHMChat? quick summary of tonights article by @PetrilliMD, we present the #VisualAbstract in #Gif thx…
Irsk Anderson @ijanders1
RT @JHospMedicine: just joining #JHMChat? quick summary of tonights article by @PetrilliMD, we present the #VisualAbstract in #Gif thx…
J Hospital Medicine @JHospMedicine
RT @tony_breu: I agree with @WrayCharles I suspect most see that it’ll increase the need for lifelong anticoagulant. #jhmchat https://t.co/…
Chris Petrilli @PetrilliMD
@ShaniHerzig what would a heme referral do? Unless c/f APLS, plans to start hormone therapy, etc - no need, mgmt wont change #JHMChat
J Hospital Medicine @JHospMedicine
RT @JHospMedicine: just joining #JHMChat? quick summary of tonights article by @PetrilliMD, we present the #VisualAbstract in #Gif thx…
Malvinder Parmar @wittykidney
@JHospMedicine @PetrilliMD in fact I saw a pt, who had these levels done during acute phase, levels low ➡️false diagnosis, OAC 5y #JHMChat
Charlie M. Wray @WrayCharles
don't leave us hanging, @sanjaysaint...what are the other 2!? #jhmchat https://t.co/DU4gvU4DRM
Irsk Anderson @ijanders1
@JHospMedicine Yes, please tell! #jhmchat
Nancy H Stewart DO, MS @nvhstewart
Yes, I'm all ears... what are the other 2 @sanjaysaint #jhmchat https://t.co/1XxYdj4g1Y
Vinny Arora MD MAPP @FutureDocs
RT @SHMLive: We're #JHMChat-ting. Why aren't you? Join in to discuss #hypercoag workups with @JHospMedicine @FutureDocs &…
Vinny Arora MD MAPP @FutureDocs
RT @WrayCharles: don't leave us hanging, @sanjaysaint...what are the other 2!? #jhmchat https://t.co/DU4gvU4DRM
Chris Petrilli @PetrilliMD
@ijanders1 Even if it was valid - #JHMChat do any hematologists "manage" FVL? The tx plan doesnt change, lifelong anticoag is only after 2
Chris Petrilli @PetrilliMD
RT @SHMLive: We're #JHMChat-ting. Why aren't you? Join in to discuss #hypercoag workups with @JHospMedicine @FutureDocs &…
Amit Kumar Pahwa @pahwa
I agree! We had a hematologist while developing modules and he said just don't do it #jhmchat https://t.co/6wuTHYHx0Y
Vinny Arora MD MAPP @FutureDocs
Good question #jhmchat https://t.co/Ag0Pka9Yct
Chris Petrilli @PetrilliMD
@ijanders1 @ShaniHerzig #JHMChat - then would you put them on lifelong anticoagulation after the first clot? Our heme wouldnt @JHospMedicine
Michelle Brooks, MD, FACP, FHM @michellebr00ks
Should we be like the ABIM and throw in a fertile female who wants testing and counseling on this as well? #laughsmenacingly #JHMChat
Society of Hospital Medicine @SHMLive
RT @WrayCharles: don't leave us hanging, @sanjaysaint...what are the other 2!? #jhmchat https://t.co/DU4gvU4DRM
Chris Moriates, MD @ChrisMoriates
This is cool! #jhmchat https://t.co/DIAeOU1Eqj
Nancy H Stewart DO, MS @nvhstewart
😱 but I guess this shouldn't be too surprising in the litigious society that we practice in #jhmchat https://t.co/j4H3llSew3
Chris Petrilli @PetrilliMD
RT @sanjaysaint: Yes, we do glorify finding zebras. There are 3 chances for greatness as a resident and one is diagnosing a rare dis…
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: just joining #JHMChat? quick summary of tonights article by @PetrilliMD, we present the #VisualAbstract in #Gif thx…
Malvinder Parmar @wittykidney
@WrayCharles @ijanders1 need to consider populations as well #JHMChat
Chris Petrilli @PetrilliMD
RT @JHospMedicine: just joining #JHMChat? quick summary of tonights article by @PetrilliMD, we present the #VisualAbstract in #Gif thx…
Chris Petrilli @PetrilliMD
RT @JHospMedicine: and the other 2 are...? #JHMChat https://t.co/mPQndmcFnL https://t.co/fE2GCLrPt6
Kim Tartaglia, MD @KimTartaglia
@PetrilliMD Misunderstood "Patients at risk should meet with an outpatient hematologist or a genetic counselor" Thx for clarifying!#jhmchat
Daniel Wolfson @WolfsonD
RT @PetrilliMD: I'd say when they aren't followed - main reason is to satisfy physician and patient curiousity @FutureDocs @JHospMedicine #…
Irsk Anderson @ijanders1
@PetrilliMD @ShaniHerzig @JHospMedicine If unproved VTE by ACCP should be anyway #jhmchat
Chris Petrilli @PetrilliMD
@tony_breu #JHMChat - statistically yes, but not enough clinically to change management unless plans for hormone therapy, etc...
Daniel Wolfson @WolfsonD
RT @WrayCharles: we speak about financial costs, but consider the emotional costs to "you may have an inherited blood clotting d/o.." then…
Daniel Wolfson @WolfsonD
#JHMChat Enjoying the conversation & thanks to @JHospMedicine @SHMLive #choosingwisely @PetrilliMD @WrayCharles
J Hospital Medicine @JHospMedicine
thanks! idea originates with @AndrewMIbrahim and brought to you for tonights #JHMChat by @WrayCharles ! https://t.co/MFNXSZ2ggy
Chris Petrilli @PetrilliMD
RT @WrayCharles: don't leave us hanging, @sanjaysaint...what are the other 2!? #jhmchat https://t.co/DU4gvU4DRM
Shannon K. Martin @shannonmartinmd
Interesting- agree but have often received answer when asking trainees why they order hypercoag workup is "because heme rec'd it"! #jhmchat https://t.co/6PgTqlImPU
Tony Breu @tony_breu
And while I don’t often send these tests, I’d also be lying if I said I wouldn’t be interested in sending them on me if I had a VTE #jhmchat https://t.co/5l0DKy2kAS
Geoff Barnes @gbarnesmd
@PetrilliMD @ijanders1 We are using more indefinite #cvCoag even for 1st unprovoked #VTE, esp with new drugs and less bleed risk #jhmchat
Chris Petrilli @PetrilliMD
RT @ChrisMoriates: This is cool! #jhmchat https://t.co/DIAeOU1Eqj
J Hospital Medicine @JHospMedicine
great clarification on when to refer (not inpt heme consult) #JHMChat by @PetrilliMD https://t.co/EHE13Nb5RY
Malvinder Parmar @wittykidney
@nvhs0401 @JHospMedicine @PetrilliMD that's why order tests only when clinically necessary. #JHMChat
Tony Breu @tony_breu
@PetrilliMD That’s helpful. And if you have a young patient (e.g. 45) who is not sure they want lifelong anticoag? #jhmchat
Irsk Anderson @ijanders1
@GBarnesMD @PetrilliMD agreed #jhmchat
Kim Tartaglia, MD @KimTartaglia
@JHospMedicine @PetrilliMD @WrayCharles Great image. Would we also add "doesn't change management" #jhmchat
Malvinder Parmar @wittykidney
@nvhs0401 @JHospMedicine @PetrilliMD Ordering tests at inappropriate times results often in inappropriate actions #JHMChat
Society of Hospital Medicine @SHMLive
Claim your #CME after tonight's #JHMChat here: https://t.co/ZcpQuplJPT Eval is available until 11pm EST!
Chris Moriates, MD @ChrisMoriates
I move that we pause #jhmchat until @sanjaysaint tells us the 3 chances for greatness as a resident... https://t.co/LvtddsmrNk
J Hospital Medicine @JHospMedicine
great lesson re @CostsofCare #choosingwisely on #JHMChat https://t.co/zQfVIocLp5
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@tony_breu I had a VTE! Got all of them done. This was about 7 years ago. I was the fertile female in question. #JHMChat
Jigar Contractor @jigsymd
@PetrilliMD @tony_breu What about a woman that is planning on becoming pregnant? #jhmchat
J Hospital Medicine @JHospMedicine
RT @KimTartaglia: @JHospMedicine @PetrilliMD @WrayCharles Great image. Would we also add "doesn't change management" #jhmchat
J Hospital Medicine @JHospMedicine
great lesson re @CostsofCare #choosingwisely on #JHMChat https://t.co/zQfVIocLp5 https://t.co/EmQVctqXBR
Daniel Wolfson @WolfsonD
RT @JHospMedicine: just joining #JHMChat? quick summary of tonights article by @PetrilliMD, we present the #VisualAbstract in #Gif thx…
J Hospital Medicine @JHospMedicine
thanks for joining @TWDFNR ! remember to tag #JHMChat - we love the #visualabstract #gif too! https://t.co/Uk7glikdwR
Chris Petrilli @PetrilliMD
@GBarnesMD @ijanders1 #JHMChat - These new drugs must be pretty cheap! Great to have you here, Geoff! @FutureDocs @JHospMedicine
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: great clarification on when to refer (not inpt heme consult) #JHMChat by @PetrilliMD https://t.co/EHE13Nb5RY
Kim Tartaglia, MD @KimTartaglia
RT @JHospMedicine: just joining #JHMChat? quick summary of tonights article by @PetrilliMD, we present the #VisualAbstract in #Gif thx…
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: great lesson re @CostsofCare #choosingwisely on #JHMChat https://t.co/zQfVIocLp5 https://t.co/EmQVctqXBR
Nancy H Stewart DO, MS @nvhstewart
Yes, but I find it's still hard to teach this to trainees due to the "glory" of sleuthing for the "zebra" https://t.co/ak8sLRns92
Michelle Brooks, MD, FACP, FHM @michellebr00ks
Interestingly enough, I eventually got diagnosed with nephrotic syndrome. #zebraindahouse #jhmchat
Chris Petrilli @PetrilliMD
RT @WolfsonD: #JHMChat Enjoying the conversation & thanks to @JHospMedicine @SHMLive #choosingwisely @PetrilliMD @WrayCharles
Sanjay Saint @sanjaysaint
The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses #JHMChat https://t.co/VRXGiaeGTF
Irsk Anderson @ijanders1
@ChrisMoriates @sanjaysaint still curious too! #jhmchat
J Hospital Medicine @JHospMedicine
keep the discussion going on #JHMChat! T3 up in a moment...
Michelle Brooks, MD, FACP, FHM @michellebr00ks
Second this! https://t.co/OxCOAQLxvL
Nancy H Stewart DO, MS @nvhstewart
RT @JHospMedicine: great lesson re @CostsofCare #choosingwisely on #JHMChat https://t.co/zQfVIocLp5 https://t.co/EmQVctqXBR
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: thanks for joining @TWDFNR ! remember to tag #JHMChat - we love the #visualabstract #gif too! https://t.co/Uk7glikdwR
Vinny Arora MD MAPP @FutureDocs
RT @michellebr00ks: Second this! https://t.co/OxCOAQLxvL
Michelle Brooks, MD, FACP, FHM @michellebr00ks
Phew! I was holding my breath! #JHMChat https://t.co/uYlKX12AUM
Nancy H Stewart DO, MS @nvhstewart
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
Malvinder Parmar @wittykidney
@GBarnesMD @PetrilliMD @ijanders1 in addition despite studies showing low risk of underlying malignancy, many undergo screening #JHMChat
Vinny Arora MD MAPP @FutureDocs
Wow thx for sharing on #jhmchat from a patient perspective! https://t.co/goHgTtxTIp
Shannon K. Martin @shannonmartinmd
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
Chris Petrilli @PetrilliMD
RT @ChrisMoriates: I move that we pause #jhmchat until @sanjaysaint tells us the 3 chances for greatness as a resident... https://t.co/Lvtd…
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: keep the discussion going on #JHMChat! T3 up in a moment...
Vinny Arora MD MAPP @FutureDocs
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
Clinical Pearl @clinicalpearl
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
Ji Baang @jbaang
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
Sanjay Saint @sanjaysaint
@ChrisMoriates Sorry - watching the #nationalchampionship game while tweeting #badidea #jhmchat
Things We Do For No Reason @TWDFNR
@ChrisMoriates @sanjaysaint Has he revealed the other 2 yet? #jhmchat
Chris Petrilli @PetrilliMD
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
JedGonzalo @jed_gonzalo15
#psusync #psumeded https://t.co/e8Ob9MfRdL
The Pediatric MD @thepediatricmd
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
Ji Baang @jbaang
So true... https://t.co/TQNzuXx0l6
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: keep the discussion going on #JHMChat! T3 up in a moment...
Society of Hospital Medicine @SHMLive
RT @FutureDocs: Wow thx for sharing on #jhmchat from a patient perspective! https://t.co/goHgTtxTIp
Vinny Arora MD MAPP @FutureDocs
RT @wittykidney: @nvhs0401 @JHospMedicine @PetrilliMD Ordering tests at inappropriate times results often in inappropriate actions #JHMChat
Vinny Arora MD MAPP @FutureDocs
RT @SHMLive: Claim your #CME after tonight's #JHMChat here: https://t.co/ZcpQuplJPT Eval is available until 11pm EST!
Michelle Brooks, MD, FACP, FHM @michellebr00ks
Sorry - should have clarified - got all the testing, after completing 6 months anticoagulation (not inpatient) #jhmchat
Tony Breu @tony_breu
@GBarnesMD @JigsyMD @PetrilliMD Thanks! #jhmchat
Vinny Arora MD MAPP @FutureDocs
RT @WolfsonD: #JHMChat Enjoying the conversation & thanks to @JHospMedicine @SHMLive #choosingwisely @PetrilliMD @WrayCharles
Jigar Contractor @jigsymd
@GBarnesMD @PetrilliMD @tony_breu Wonder if these can be done inpatient during an event or if better served as an outpt heme f/u #jhmchat
Vinny Arora MD MAPP @FutureDocs
RT @ChrisMoriates: This is cool! #jhmchat https://t.co/DIAeOU1Eqj
Ji Baang @jbaang
Truth https://t.co/TQNzuXx0l6
Geoff Barnes @gbarnesmd
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
👩🏻‍⚕️Doctor Organa @c_diazepine
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
Chris Moriates, MD @ChrisMoriates
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
J Hospital Medicine @JHospMedicine
tagging #JHMChat https://t.co/SCm4pXTk8d
Malvinder Parmar @wittykidney
@michellebr00ks a simple urine test, and history of edema, anasarca might have been the clue, not a zebra #JHMChat
Nancy H Stewart DO, MS @nvhstewart
Yes- the other 2 were 1) always be nice to nurses 2) never refuse an admit. I know I broke #2, but hopefully never broke #1 #jhmchat https://t.co/00rSWP1nfw
Things We Do For No Reason @TWDFNR
@michellebr00ks did you want the testing? #jhmchat
Irsk Anderson @ijanders1
@michellebr00ks T2: This is what we see/do. Just did on patient. Was able to d/c warfarin. Felt good! #jhmchat
Daniel Wolfson @WolfsonD
#jhmchat What system approaches have been instituted to avoid this in-patient service. Has education been sufficient? CDS? Peer comparison?
Geoff Barnes @gbarnesmd
@wittykidney @PetrilliMD @ijanders1 RCT data argues against body CT screening. I only advocate age-appropriate screening #jhmchat
Margaret Fleming @mlsfleming2
RT @wittykidney: @nvhs0401 @JHospMedicine @PetrilliMD Ordering tests at inappropriate times results often in inappropriate actions #JHMChat
Megan P. Williams @meganpwilliams
Thanks @sanjaysaint for shining the spotlight on nurses! https://t.co/IsfSqzF8e5
J Hospital Medicine @JHospMedicine
T3 Given @CostsofCare = $1100-$2400 per thrombophilia panel in @PetrilliMD et al, how can we reduce inpatient testing? #JHMChat
Irsk Anderson @ijanders1
RT @JHospMedicine: tagging #JHMChat https://t.co/SCm4pXTk8d
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: T3 Given @CostsofCare = $1100-$2400 per thrombophilia panel in @PetrilliMD et al, how can we reduce inpatient testing? #…
Chris Petrilli @PetrilliMD
@JigsyMD @GBarnesMD @tony_breu #JHMChat - Actually I think Geoff's pt was if unprovoked consider lifelong w/ new agent #GeoffIsWickedSmart
Rich Duszak, MD @RichDuszak
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
Gretchen Diemer @gretchendiemer
RT @michellebr00ks: Do we glorify the "sleuthing for the zebra" a little too much? Maybe why the residents look for them. h/t @nvhs0401 #J
J Hospital Medicine @JHospMedicine
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
J Hospital Medicine @JHospMedicine
RT @PetrilliMD: I'd say when they aren't followed - main reason is to satisfy physician and patient curiousity @FutureDocs @JHospMedicine #…
Chris Moriates, MD @ChrisMoriates
RT @WolfsonD: #jhmchat What system approaches have been instituted to avoid this in-patient service. Has education been sufficient? CDS? Pe…
J Hospital Medicine @JHospMedicine
RT @michellebr00ks: Do we glorify the "sleuthing for the zebra" a little too much? Maybe why the residents look for them. h/t @nvhs0401 #J
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@TWDFNR I didn't know - just wanted to know if I could get pregnant or if I should be on anticoag during pregnancy - #JHMChat
Charlie M. Wray @WrayCharles
@WolfsonD great question! How do we protect ourselves/patients from ourselves #jhmchat
Society of Hospital Medicine @SHMLive
T3 is up and ready for you on #JHMChat! Jump in now! https://t.co/DFtLfb7SRp
Irsk Anderson @ijanders1
@JHospMedicine @CostsofCare @PetrilliMD best practice alerts, unbundle orders, require heme input? Just thoughts...#jhmchat
J Hospital Medicine @JHospMedicine
Great ideas for T3 which is live! how can we reduce inpt inherited thrombophilia testing? #JHMChat others? https://t.co/kkTgf9WGiZ
Tony Breu @tony_breu
T3: You can make the case that it is NEVER required inpatient. The patient is getting at least 3m no matter the results. #jhmchat https://t.co/LDF15v1MYu
Things We Do For No Reason @TWDFNR
@WolfsonD Barry Meisenberg in Maryland at AAMC just doesn't let the tests be ordered on inpts. Solved the problem. #jhmchat
Phoenix Rising @azneighboraz
#jhmchat Why are hospitals treating legit chronic pain patients who take opioids responsibly like addicts and refusing to treat their pain?
Amit Kumar Pahwa @pahwa
forgot to tage #jhmchat https://t.co/iPMJ8y5Md2
Geoff Barnes @gbarnesmd
@JigsyMD @PetrilliMD @tony_breu Prob best to defer to outpt setting, less acute thromb effects. Identify follow up responsibility #jhmchat
Malvinder Parmar @wittykidney
@PetrilliMD @JigsyMD @GBarnesMD @tony_breu that wouldn't be right, irrespective of new or old agent #JHMChat
Vinny Arora MD MAPP @FutureDocs
Education (don't tell anyone I said this) is not enough to change practice. Need to change system too. #jhmchat https://t.co/xSjpScx4eN
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@wittykidney agreed - but the VTE preceded the edema/anasarca by about a year. #JHMChat
J Hospital Medicine @JHospMedicine
RT @tony_breu: T3: You can make the case that it is NEVER required inpatient. The patient is getting at least 3m no matter the res…
Chris Petrilli @PetrilliMD
@JHospMedicine @CostsofCare @UM_IHPI @UMich #JHMChat remove FVL, PT20210, MTHFR ordering from IP and include POC education #UMSolutions
J Hospital Medicine @JHospMedicine
RT @ijanders1: @JHospMedicine @CostsofCare @PetrilliMD best practice alerts, unbundle orders, require heme input? Just thoughts...#jhmchat
J Hospital Medicine @JHospMedicine
RT @SHMLive: T3 is up and ready for you on #JHMChat! Jump in now! https://t.co/DFtLfb7SRp
Gretchen Diemer @gretchendiemer
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
Chris Petrilli @PetrilliMD
RT @TWDFNR: @WolfsonD Barry Meisenberg in Maryland at AAMC just doesn't let the tests be ordered on inpts. Solved the problem. #jhmchat
Malvinder Parmar @wittykidney
@WrayCharles @WolfsonD need to the prevalence of these in different populations, #JHMChat
Charlie M. Wray @WrayCharles
T3: My new theory. electronic soft/hard stops don't work! This is test in which phonecall/more effort wld need 2 b made to get test #jhmchat https://t.co/Z073bFYrdt
Society of Hospital Medicine @SHMLive
RT @FutureDocs: Education (don't tell anyone I said this) is not enough to change practice. Need to change system too. #jhmchat https://t.c…
Irsk Anderson @ijanders1
RT @FutureDocs: Education (don't tell anyone I said this) is not enough to change practice. Need to change system too. #jhmchat https://t.c…
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: Great ideas for T3 which is live! how can we reduce inpt inherited thrombophilia testing? #JHMChat others? https://t.co/…
Shannon K. Martin @shannonmartinmd
Spouse of pt perspective - exasperated when he showed me heterozygous FVL result from 23&Me with no h/o clot/risk factors :) #jhmchat https://t.co/G2Rjda38AK
Michelle Brooks, MD, FACP, FHM @michellebr00ks
T3 - the article makes the case that this is NOT an inpatient test. Make the order only outpatient. #JHMChat https://t.co/qt3R7URvcL
J Hospital Medicine @JHospMedicine
ha ha! we welcome more pieces #JHMChat https://t.co/52pYRSe0H8
Chris Moriates, MD @ChrisMoriates
Your secret is safe with us... ;-) #jhmchat https://t.co/MXHR5uWUDD
Irsk Anderson @ijanders1
@WrayCharles Yes! make work hard 4 it! I like it! #jhmchat T3
Chris Petrilli @PetrilliMD
@wittykidney @JigsyMD @GBarnesMD @tony_breu #JHMChat - If recurrence is essentially the same, why would mgmt change? #GBarnes2036
Chris Petrilli @PetrilliMD
RT @FutureDocs: Education (don't tell anyone I said this) is not enough to change practice. Need to change system too. #jhmchat https://t.c…
Gretchen Diemer @gretchendiemer
Order sets are low hanging fruit. #jhmchat https://t.co/XR5lWN4cxp
Nancy H Stewart DO, MS @nvhstewart
This is so true. #jhmchat https://t.co/vgHCW2qWdx
Malvinder Parmar @wittykidney
@WrayCharles Factor V Leiden or prothrombin 20210 mutations common in Caucasians, while prevalence of protein C&S def is 0.3% #JHMChat
J Hospital Medicine @JHospMedicine
RT @PetrilliMD: @JHospMedicine @CostsofCare @UM_IHPI @UMich #JHMChat remove FVL, PT20210, MTHFR ordering from IP and include POC education…
Tony Breu @tony_breu
@WrayCharles Or just make them unavailable as @PetrilliMD suggest. #jhmchat
J Hospital Medicine @JHospMedicine
RT @FutureDocs: Education (don't tell anyone I said this) is not enough to change practice. Need to change system too. #jhmchat https://t.c…
Nancy H Stewart DO, MS @nvhstewart
RT @JHospMedicine: T3 Given @CostsofCare = $1100-$2400 per thrombophilia panel in @PetrilliMD et al, how can we reduce inpatient testing? #…
Things We Do For No Reason @TWDFNR
@WrayCharles totally agree. make folks call the lab and let the lab decide if the test can be sent. Save ourselves from ourselves #jhmchat
Kyle Glienke @glienkekyle
RT @JHospMedicine: T3 Given @CostsofCare = $1100-$2400 per thrombophilia panel in @PetrilliMD et al, how can we reduce inpatient testing? #…
Geoff Barnes @gbarnesmd
@JHospMedicine @CostsofCare @PetrilliMD Some centers (e.g. Mark Crowther's) don't offer as inpatient, or require heme approval #jhmchat
J Hospital Medicine @JHospMedicine
RT @TWDFNR: @WolfsonD Barry Meisenberg in Maryland at AAMC just doesn't let the tests be ordered on inpts. Solved the problem. #jhmchat
Andrew M. Ibrahim MD @AndrewMIbrahim
Loving the use of #VisualAbstract to set up journal clubs / chats . Nice work @WrayCharles ! https://t.co/eknb8nwYaJ
Chris Petrilli @PetrilliMD
@ChrisMoriates @FutureDocs #JHMChat - sorry, I already tweeted it out....
Gene Hobbs @gene_hobbs
RT @FutureDocs: Education (don't tell anyone I said this) is not enough to change practice. Need to change system too. #jhmchat https://t.c…
J Hospital Medicine @JHospMedicine
RT @ShannonMartinMD: Spouse of pt perspective - exasperated when he showed me heterozygous FVL result from 23&Me with no h/o clot/risk f…
Madhu S. MD @thinkalot
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
Nancy H Stewart DO, MS @nvhstewart
RT @wittykidney: @WrayCharles Factor V Leiden or prothrombin 20210 mutations common in Caucasians, while prevalence of protein C&S def is 0…
Nancy H Stewart DO, MS @nvhstewart
RT @TWDFNR: @WrayCharles totally agree. make folks call the lab and let the lab decide if the test can be sent. Save ourselves from ourselv…
Chris Petrilli @PetrilliMD
#JHMChat I agree with Tony! https://t.co/Ifseb7BBKL
Priya Radhakrishnan @docphx
RT @JHospMedicine: just joining #JHMChat? quick summary of tonights article by @PetrilliMD, we present the #VisualAbstract in #Gif thx…
Malvinder Parmar @wittykidney
@WrayCharles @WolfsonD proteinC and s issues are common in AA. These studies should not be done during acute phase - consumption #JHMChat
Chris Moriates, MD @ChrisMoriates
Sometimes this really is the best intervention. I agree that this is one of those times. #jhmchat https://t.co/mSjfBEsqmJ
Geoff Barnes @gbarnesmd
@wittykidney @PetrilliMD @JigsyMD @tony_breu Testing for pre-pregnancy prophy is different than testing to determine #VTE tx length #jhmchat
J Hospital Medicine @JHospMedicine
we like to be forward thinking here at #JHMChat:) REMINDER to register for #CME here https://t.co/dbOp3pOMLp https://t.co/ZgplrxsDAq
Geoff Barnes @gbarnesmd
RT @FutureDocs: Education (don't tell anyone I said this) is not enough to change practice. Need to change system too. #jhmchat https://t.c…
Kim Tartaglia, MD @KimTartaglia
Agreed! I don't think we have thrombophilia testing in admission panels for VTE so it's harder to do wrong thing. This makes it impossible. https://t.co/Gab1DRxaf1
Vinny Arora MD MAPP @FutureDocs
I know! My poor #meded colleagues #jhmchat https://t.co/2ZsaDu6Nmb
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: we like to be forward thinking here at #JHMChat:) REMINDER to register for #CME here https://t.co/dbOp3pOMLp https://t.c…
Michelle Brooks, MD, FACP, FHM @michellebr00ks
#JHMChat https://t.co/no3LVhUosi
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: we like to be forward thinking here at #JHMChat:) REMINDER to register for #CME here https://t.co/dbOp3pOMLp https://t.c…
Geoff Barnes @gbarnesmd
@ShannonMartinMD @FutureDocs Great insight! Danger of genetic testing without informed counseling #jhmchat
Society of Hospital Medicine @SHMLive
RT @ChrisMoriates: Sometimes this really is the best intervention. I agree that this is one of those times. #jhmchat https://t.co/mSjfBEsqmJ
Kim de la Cruz @aortasurg
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
Charlie M. Wray @WrayCharles
RT @AndrewMIbrahim: Loving the use of #VisualAbstract to set up journal clubs / chats . Nice work @WrayCharles ! https://t.co/eknb8nwYaJ
Vinny Arora MD MAPP @FutureDocs
RT @ChrisMoriates: Sometimes this really is the best intervention. I agree that this is one of those times. #jhmchat https://t.co/mSjfBEsqmJ
J Hospital Medicine @JHospMedicine
RT @ChrisMoriates: Sometimes this really is the best intervention. I agree that this is one of those times. #jhmchat https://t.co/mSjfBEsqmJ
Chris Petrilli @PetrilliMD
@ChrisMoriates #JHMChat - but then you put extra work on the lab (or heme consult services)...need to just STOP-IT (tm) @UM_IHPI @UMHS_PRO
Kim Tartaglia, MD @KimTartaglia
#jhmchat. Also think education is only useful if it builds relevance on how and why it doesn't change management. https://t.co/dW3jPiDP7I
Chris Petrilli @PetrilliMD
RT @JHospMedicine: we like to be forward thinking here at #JHMChat:) REMINDER to register for #CME here https://t.co/dbOp3pOMLp https://t.c…
Seth Trueger @MDaware
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
Irsk Anderson @ijanders1
@michellebr00ks This just made excellent chat even better! #jhmchat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @nvhs0401: This is so true. #jhmchat https://t.co/vgHCW2qWdx
Chris Petrilli @PetrilliMD
@GBarnesMD @wittykidney @JigsyMD @tony_breu #JHMChat - absolutely...pregnancy is def one of the exceptions we mentioned in the article...
Vinny Arora MD MAPP @FutureDocs
T3 any ways to engage #patients to reduce testing? #jhmchat would be great partners https://t.co/hxKz3mlTvQ
Chris Petrilli @PetrilliMD
RT @GBarnesMD: @ShannonMartinMD @FutureDocs Great insight! Danger of genetic testing without informed counseling #jhmchat
J Hospital Medicine @JHospMedicine
RT @KimTartaglia: #jhmchat. Also think education is only useful if it builds relevance on how and why it doesn't change management. https:/…
Irsk Anderson @ijanders1
@PetrilliMD @ChrisMoriates @UM_IHPI @UMHS_PRO agree & lab doesn't have all clinical info. Like rads saying "clin corr rec"! #jhmchat
J Hospital Medicine @JHospMedicine
RT @michellebr00ks: #JHMChat https://t.co/no3LVhUosi
Seth Trueger @MDaware
@FutureDocs #jhmchat explain that if management won't change either way, what's the point of the test?
Vinny Arora MD MAPP @FutureDocs
RT @michellebr00ks: #JHMChat https://t.co/no3LVhUosi
Margaret Fleming @mlsfleming2
RT @FutureDocs: T3 any ways to engage #patients to reduce testing? #jhmchat would be great partners https://t.co/hxKz3mlTvQ
J Hospital Medicine @JHospMedicine
RT @michellebr00ks: T3 - the article makes the case that this is NOT an inpatient test. Make the order only outpatient. #JHMChat https://…
Seth Trueger @MDaware
RT @FutureDocs: Education (don't tell anyone I said this) is not enough to change practice. Need to change system too. #jhmchat https://t.c…
Society of Hospital Medicine @SHMLive
RT @FutureDocs: T3 any ways to engage #patients to reduce testing? #jhmchat would be great partners https://t.co/hxKz3mlTvQ
J Hospital Medicine @JHospMedicine
RT @FutureDocs: T3 any ways to engage #patients to reduce testing? #jhmchat would be great partners https://t.co/hxKz3mlTvQ
Malvinder Parmar @wittykidney
@GBarnesMD @ShannonMartinMD @FutureDocs postive test = ⬆️propensity, but != disease #jhmchat
J Hospital Medicine @JHospMedicine
RT @PetrilliMD: @GBarnesMD @wittykidney @JigsyMD @tony_breu #JHMChat - absolutely...pregnancy is def one of the exceptions we mentioned in…
Chris Moriates, MD @ChrisMoriates
I can't pass up opportunity, w/ all my friends here, to plug @CostsofCare Creating Value Challenge.15d left https://t.co/mh99QRaKtW #jhmchat
Chris Petrilli @PetrilliMD
@FutureDocs #JHMChat - with HIV testing you used to need pt consent. Given potential for anxiety, etc - could consider this b4 ordering
Chris Petrilli @PetrilliMD
RT @ijanders1: @PetrilliMD @ChrisMoriates @UM_IHPI @UMHS_PRO agree & lab doesn't have all clinical info. Like rads saying "clin corr rec"!…
J Hospital Medicine @JHospMedicine
RT @GBarnesMD: @wittykidney @PetrilliMD @JigsyMD @tony_breu Testing for pre-pregnancy prophy is different than testing to determine #VTE tx…
Amit Kumar Pahwa @pahwa
@FutureDocs 3 words - shared decision making #jhmchat
Chris Petrilli @PetrilliMD
RT @ChrisMoriates: I can't pass up opportunity, w/ all my friends here, to plug @CostsofCare Creating Value Challenge.15d left https://t.co…
Sanjay Saint @sanjaysaint
Word. #jhmchat https://t.co/jYQc4b5NEQ
Shannon K. Martin @shannonmartinmd
RT @PetrilliMD: @FutureDocs #JHMChat - with HIV testing you used to need pt consent. Given potential for anxiety, etc - could consider this…
Irsk Anderson @ijanders1
RT @ChrisMoriates: I can't pass up opportunity, w/ all my friends here, to plug @CostsofCare Creating Value Challenge.15d left https://t.co…
Armand Krikorian @endouno
@PetrilliMD @FutureDocs Important perspective reminding us that often less is more in medicine #jhmchat
Tony Breu @tony_breu
@Pahwa @FutureDocs I loved shared decision making, but this is a tough one for even us providers to understand! #jhmchat
J Hospital Medicine @JHospMedicine
Wow time is FLYING tonight on #JHMChat -5 minutes left to share your closing thoughts on reducing inpt inherited thrombophilia testing!
Society of Hospital Medicine @SHMLive
RT @ChrisMoriates: I can't pass up opportunity, w/ all my friends here, to plug @CostsofCare Creating Value Challenge.15d left https://t.co…
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @ChrisMoriates: I can't pass up opportunity, w/ all my friends here, to plug @CostsofCare Creating Value Challenge.15d left https://t.co…
David Rosenthal MD @davidrosenthal
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
Nancy H Stewart DO, MS @nvhstewart
RT @PetrilliMD: @FutureDocs #JHMChat - with HIV testing you used to need pt consent. Given potential for anxiety, etc - could consider this…
Armand Krikorian @endouno
What about when we will have entire human genome sequenced with home kits? #jhmchat https://t.co/yFCJCah8H2
Daniel Wolfson @WolfsonD
RT @ChrisMoriates: I can't pass up opportunity, w/ all my friends here, to plug @CostsofCare Creating Value Challenge.15d left https://t.co…
DWK Fraser @dwkf
RT @FutureDocs: Education (don't tell anyone I said this) is not enough to change practice. Need to change system too. #jhmchat https://t.c…
J Hospital Medicine @JHospMedicine
Get #CME for participation in tonight's #JHMChat - sign up here! https://t.co/dbOp3pOMLp
J Hospital Medicine @JHospMedicine
RT @ENDOUNO: @PetrilliMD @FutureDocs Important perspective reminding us that often less is more in medicine #jhmchat
Irsk Anderson @ijanders1
@JHospMedicine Thx 2 all! As primarily outpt MD, was excellent! #jhmchat
J Hospital Medicine @JHospMedicine
RT @Pahwa: @FutureDocs 3 words - shared decision making #jhmchat
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: Wow time is FLYING tonight on #JHMChat -5 minutes left to share your closing thoughts on reducing inpt inherited thrombo…
J Hospital Medicine @JHospMedicine
RT @ChrisMoriates: I can't pass up opportunity, w/ all my friends here, to plug @CostsofCare Creating Value Challenge.15d left https://t.co…
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: Get #CME for participation in tonight's #JHMChat - sign up here! https://t.co/dbOp3pOMLp
Michelle Brooks, MD, FACP, FHM @michellebr00ks
CT: I think the gif said it best...really no reason to order inherited thrombophilia testing as an inpatient. #jhmchat
Michael Sinha MD, JD, MPH @DrSinhaEsq
RT @FutureDocs: Education (don't tell anyone I said this) is not enough to change practice. Need to change system too. #jhmchat https://t.c…
Nancy H Stewart DO, MS @nvhstewart
RT @michellebr00ks: CT: I think the gif said it best...really no reason to order inherited thrombophilia testing as an inpatient. #jhmchat
J Hospital Medicine @JHospMedicine
Special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation & guest author @PetrilliMD for great #JHMChat tonight!
Irsk Anderson @ijanders1
RT @michellebr00ks: CT: I think the gif said it best...really no reason to order inherited thrombophilia testing as an inpatient. #jhmchat
Malvinder Parmar @wittykidney
@JHospMedicine I often can't get that, seems like one has to SHM membership #JHMChat
Jigar Contractor @jigsymd
@FutureDocs Cost transparency would go along way in these discussions. Most MDs don't know how much their hospital is charging #jhmchat
Chris Petrilli @PetrilliMD
Competing with the #TheBachelor and #nationalchampionship - This has been very impressive #jhmchat @JHospMedicine @FutureDocs @UM_IHPI
J Hospital Medicine @JHospMedicine
Tune in 4 next #JHMChat Mon Feb 6th 2017 9p ET on @CostsofCare of acute #kidney injury w/ @WrayCharles @kidney_boy #choosingwisely
Chris Petrilli @PetrilliMD
RT @michellebr00ks: CT: I think the gif said it best...really no reason to order inherited thrombophilia testing as an inpatient. #jhmchat
Tony Breu @tony_breu
Thank you @PetrilliMD @FutureDocs @JHospMedicine for another amazing #jhmchat !!! https://t.co/uPF9fGz1Tr
Chris Petrilli @PetrilliMD
RT @JHospMedicine: Get #CME for participation in tonight's #JHMChat - sign up here! https://t.co/dbOp3pOMLp
Vinny Arora MD MAPP @FutureDocs
I do think we held our own #jhmchat! thank you!!! https://t.co/nE606BOZgO
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @JHospMedicine: Tune in 4 next #JHMChat Mon Feb 6th 2017 9p ET on @CostsofCare of acute #kidney injury w/ @WrayCharles @kidney_boy #choo
Chris Petrilli @PetrilliMD
RT @sanjaysaint: Word. #jhmchat https://t.co/jYQc4b5NEQ
Vinny Arora MD MAPP @FutureDocs
RT @tony_breu: Thank you @PetrilliMD @FutureDocs @JHospMedicine for another amazing #jhmchat !!! https://t.co/uPF9fGz1Tr
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: Tune in 4 next #JHMChat Mon Feb 6th 2017 9p ET on @CostsofCare of acute #kidney injury w/ @WrayCharles @kidney_boy #choo
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: Tune in 4 next #JHMChat Mon Feb 6th 2017 9p ET on @CostsofCare of acute #kidney injury w/ @WrayCharles @kidney_boy #choo
Charlie M. Wray @WrayCharles
RT @JHospMedicine: Tune in 4 next #JHMChat Mon Feb 6th 2017 9p ET on @CostsofCare of acute #kidney injury w/ @WrayCharles @kidney_boy #choo
Joel Topf, MD FACP @kidney_boy
RT @JHospMedicine: Tune in 4 next #JHMChat Mon Feb 6th 2017 9p ET on @CostsofCare of acute #kidney injury w/ @WrayCharles @kidney_boy #choo
Chris Petrilli @PetrilliMD
RT @JHospMedicine: Tune in 4 next #JHMChat Mon Feb 6th 2017 9p ET on @CostsofCare of acute #kidney injury w/ @WrayCharles @kidney_boy #choo
Vinny Arora MD MAPP @FutureDocs
. @SHMLive may be able to help you #jhmchat https://t.co/QykxCsGmej
Manas Kaushik MD @manas8u
.@sanjaysaint demolishes myth that residents can be good at value based care (#2) saving admits=saving $ not ¢ @JHospMedicine 😟#JHMchat
Sanjay Saint @sanjaysaint
"Shared decision-making" usually means: we make the decision and then share it with our patients. Agree important to do it right. #jhmchat https://t.co/hoKr8Jrtas
Healthcare discovery @HealthTypes
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
Healthcare discovery @HealthTypes
RT @JHospMedicine: just joining #JHMChat? quick summary of tonights article by @PetrilliMD, we present the #VisualAbstract in #Gif thx…
Society of Hospital Medicine @SHMLive
RT @FutureDocs: I do think we held our own #jhmchat! thank you!!! https://t.co/nE606BOZgO
Greg Gramelspacher @ggramels
RT @sanjaysaint: The 3 chances for resident greatness: 1/ find a zebra 2/ NEVER argue about an admission 3/ ALWAYS be kind to nurses…
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@PetrilliMD ...I mean...obviously the article said it best....#blushing #JHMchat https://t.co/JxCEW7477v
Shannon K. Martin @shannonmartinmd
Thanks for a great #jhmchat tonight, looking forward to next month! https://t.co/9D4nZGmQEZ
Sumant Ranji @sumantranji
@FutureDocs @WolfsonD one needed system change: partnerships between generalists and specialists to ID/eliminate #twdfnr #jhmchat
Joel Topf, MD FACP @kidney_boy
this is very cool #YouUppedTheAnte https://t.co/eocOmKEz05
Society of Hospital Medicine @SHMLive
Thanks to partners @ABIMFoundation & @CostsofCare for helping to spread the word and for participating in #JHMChat!
Society of Hospital Medicine @SHMLive
Thank you @JHospMedicine @FutureDocs @PetrilliMD for another great #JHMChat! Don't forget to claim #CME here: https://t.co/mMElHgWZBt
Chris Petrilli @PetrilliMD
@MANas8U @sanjaysaint @JHospMedicine @UM_IHPI - #JHMChat his former resident was the 1st author of this paper - Taught me everything I know!
J Hospital Medicine @JHospMedicine
RT @SHMLive: Thank you @JHospMedicine @FutureDocs @PetrilliMD for another great #JHMChat! Don't forget to claim #CME here: https://t.co/mME…
Chris Petrilli @PetrilliMD
RT @sanjaysaint: "Shared decision-making" usually means: we make the decision and then share it with our patients. Agree important t…
Vinny Arora MD MAPP @FutureDocs
RT @SHMLive: Thank you @JHospMedicine @FutureDocs @PetrilliMD for another great #JHMChat! Don't forget to claim #CME here: https://t.co/mME…
Vinny Arora MD MAPP @FutureDocs
RT @sumantranji: @FutureDocs @WolfsonD one needed system change: partnerships between generalists and specialists to ID/eliminate #twdfnr #…
Irfan Dhalla @irfandhalla
#4, at least when I'm attending: know the patients' life stories https://t.co/igodUYcgzJ
Chris Moriates, MD @ChrisMoriates
RT @sumantranji: @FutureDocs @WolfsonD one needed system change: partnerships between generalists and specialists to ID/eliminate #twdfnr #…
Kristina Dzara, PhD, MMSc @kristinadzara
#hmieduators https://t.co/ef6V4Nl9VR
#JHMChat content from Twitter.