Andrew Sanchez
@ASanchez_PS
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Hospitalist @BIDMC_IM Teaching/Learning Dx @harvardmed❓, Co-host @Dx_Atypia 🦓 🐎, @CPSolvers Academy🕵🏽♂️, @YaleIMed @ColumbiaPS @UF 👨🏽🎓
Boston, MA
Joined May 2009
📌 See below for my collection of: - Tweetorials for Diagnosis❓ - Case Challenges❗️ - @CPSolvers Presentations ♥️ https://t.co/agn4ElZSZB
docs.google.com
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Immune check point inhibitor related adverse events 🦪Sicca syndrome: antibody negative unlike classic Sjögren's. Why? As it's T cell mediated! #Rheumatology #ACR25
@ACRheum
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【Consequences of Delaying Surgical Intervention in Patients with Native Joint Septic Arthritis】@OFIDJournal Oct 24, 2025 Excited to share our article has been published in OFID and featured as Editor’s Choice! Thank you for mentors and collaborators @MayoClinicINFD!
Thank you for coming to our session today! I truly enjoyed the discussion and learned from Q&A! @MayoClinicINFD #OrthoID
@IDWeekmtg #IDWeek2025
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4/6 So routine SPEP mostly uncovers MGUS → bone-marrow biopsy, anxiety, lifelong follow-up - for a precursor that rarely progresses (~ 1 % / yr). Skipping SPEP may delay diagnosis in < 1 % of cases, but no evidence shows survival benefit from screening.
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2 fun CPS cases lined up for @BIDMC_IM clinical reasoning week! "Shear Misdirection" ft. myself vs. 3 residents! Will infectious or non-infectious seize the day ... ? 🎇 "The Retired Physician" ft. @SaklawiMD @Mark_Heslin from @CPSolvers! 🧠
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Deep dive into NYC’s political circus with: Joseph Borelli – fiery conservative ex-Councilman Tom Allon – veteran journalist on media & mayhem Sun, Nov 2 | 7–9 PM ET SHAKE IT OFF WITH MERT & LUCAS Live on AM970 radio and streaming everywhere!
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IM and Hospital Medicine Recap - Best of Podcasts and YouTube from September 2025! Check out the most recent Substack post published this AM! My favorite lessons and pearls from podcasts across various clinic topics including orthostatic hypotension, opioid withdrawal, DOAC
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My teaching was feeling a bit stale, so I picked up this book - quick read, would recommend. 10 core points summarized, with examples of where we fall for the illusions in MedEd
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@CMichaelGibson @CMichaelGibson your critique of GPT-5 is accurate but implies a superiority of human reasoning that is also plagued by pattern recognition masquerading as true comprehension. Our best efforts to consistently employ probabilistic reasoning and practice evidence based medicine as
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USC rejects Trump education compact aimed at shifting the university to the right
latimes.com
USC interim President Beong-Soo Kim said in a statement that he had sent a letter to the U.S. Department of Education turning down the Trump offer.
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The University of Pennsylvania declined to join the Trump administration’s preferential federal funding compact, becoming the third of nine invited US colleges to turn it down
bloomberg.com
The University of Pennsylvania and University of Southern California each declined Thursday to join the Trump administration’s proposal that links federal funding to restrictions on hiring, admissi...
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MIT "Fundamentally, the premise of the document is inconsistent with our core belief that scientific funding should be based on scientific merit alone."
nytimes.com
The Trump administration offered nine universities benefits in exchange for signing an agreement to protect conservative voices, among other things. M.I.T. was the first to refuse.
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In a letter to federal officials, Brown University President Christina H. Paxson declined the invitation for Brown to join the White House’s proposed Compact for Academic Excellence in Higher Education.
brown.edu
In a letter to the White House, President Christina H. Paxson wrote that Compact provisions restricting academic freedom and undermining autonomy would impede the University’s ability to fulfill its...
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Gotta know your experts, team resources, and plan all dispo decisions with this in mind. A warm handoff to the PCP or geriatrician can help! Any other tips? Add below...
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Here is a CT scan of an immunocompromised patient with progressive exertional dyspnea, nonproductive cough and fever. Diagnosis?
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Monoclonal gammopathy–associated myopathies are rare but treatable myopathies. There are four subtypes: AL amyloid myopathy, Sporadic late onset nemaline myopathy, scleromyxedema, and glycogen storage myopathy. Check out our review lead by @TLiewluck @GreenJournal.
neurology.org
Monoclonal gammopathy–associated myopathies (MGAMs) are rare yet treatable myopathies that occur in association with monoclonal gammopathies. These myopathies include light chain (AL) amyloidosis...
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This is a great piece by @CoryRohlfsen. Give it a read, especially if you read the article in @nytimes An X-ray Likely Would Not Have Changed Sam’s Outcome: Sick vs Not Sick
sensible-med.com
A critique of a recent article in the lay press that deals with clinical reasoning, written by a master in the field, what’s not to like?
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New review - Age-related changes of the gastrointestinal tract https://t.co/wBq1ym455M
#GITwitter #MedTwitter
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5/6 So, I’ve updated the diagram. Under “Immune hemolysis,” I’ve added a side branch: “Cell-mediated (T/NK-cell cytotoxicity, DAT-negative)” It’s a footnote in clinical reality but makes the schema more complete for those who enjoy a good hematologic deep dive.
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We should encourage our residents to master skills in history taking, neurological examination and clinical reasoning. This is true neurology and will be highly beneficial to them and their patients, regardless of which sub-specialty they choose.
Nice article highlighting "identity erosion" in the era of sub-sub-specialization. @GreenJournal
https://t.co/eBite1KC7x
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Patient: “Doc why did I get diverticulitis” Doc: “Not sure” Patient: “is it genetic because my dad had this” Doc: Maybe Patient: “Should I be on antibiotics?? Doc: Meh, probably doesn’t matter Patient: “Am I going to get this again” Doc: No idea Patient: “Should I start a high
Diverticulitis results in approximately 200 000 hospitalizations annually in the US, with an estimated health care expenditure of more than $6.3 billion annually. This Review summarizes the pathogenesis, diagnosis, and treatment of diverticulitis. https://t.co/pFLdFYFJcD
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Daily differential with the CBC, please!
1/7 WBC CRIB SHEET It’s one thing to glance at the total white-cell count, but that’s never the full story. You’ve got to lift the lid, peek under the hood, pull back the curtain to see what’s happening to the subsets. What’s normal? What’s up? What’s down?
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If you didn't know, @IBDinvestors publishes a quarterly Stock Guide in a free PDF. The latest one titled "The ETF Playbook: Strategies for Growth Investors" just dropped couple days back. There is always something to take away from that publication ⏬⏬ https://t.co/ij8GrYWNw4
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