Brigham and Women's Medicine Residents
@BrighamMedRes
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The official Twitter account of @brighamwomens Internal Medicine Residency Program. Devoted to our residents’ training, well-being and success.
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Joined March 2015
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🚨Alert! Introducing a new approach to hyponatremia 🚨
Toss aside that pesky "hypo-, eu-, hyper-volemic" algorithm framework...
Welcome to "The Pallais Approach "
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With much love and admiration, congratulations to the graduating residents of the BWH IM residency class of 2020 🎉. Drone photo credit:
@SuffolkBuilds
@snaprollmedia
@M7_Innovations
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We are devastated by the sudden loss of 2019 grad Will Shrauner, who was also a member of the
@BUcards
family. We honor his many contributions to the care of patients and his co-residents; we will miss him tremendously.💜
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Congratulations to our wonderful residents on their fellowship matches yesterday!
@MariaYialamas
@BrighamWomens
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You have taught us, inspired us, challenged us, and touched our souls. It will always be our greatest privilege to have been your chief residents.
@BrighamChiefs
@matthew_growdon
@emilyswlau
@dmrubins
@mounicav07
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Welcome to all of our incoming interns - we can't wait to see you in Boston in a few short months!
Outstanding IM intern class coming to join us
@BrighamMedRes
@BrighamWomens
this summer!
A testament to the hard work & leadership from
@valstonemd
@DrJoelKatz
+ many others
Welcome to the family!
#MatchDay2022
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Nearly 4 years ago, the BWH community lost one of it's most brilliant docs, Dr. Darryl Powell.
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So proud of our PD
@DrJoelKatz
who was honored by
@LongwoodSymOrch
this past weekend for his dedication and support of the arts in healthcare. Many alums and program supporters were in attendance including
@rkwadhera
, Dr. Devon Quasha, and
@joefigs2
🥳
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This morning, we were devastated to learn of Dr. Farmer's passing. He was a remarkable physician and leader. An alum of our program, he received numerous awards in medicine and humanism, but even more importantly, he was a friend and mentor to many. We will miss him dearly💜
Partners In Health announced that its founder, Dr. Paul Farmer, unexpectedly passed away today in his sleep while in Rwanda.
Dr. Farmer was 62 years old. He is survived by his wife, Didi Bertrand Farmer, and their three children.
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3 things
#TheBrighamFamily
is loving right now: 70 degree weather in Boston, walking all over shattered glass (thank you
#madamvicepresident
), and waking up to the news of our BWH alumni Dr. Vivek Murthy
@drvivekmurthy
and…
📸 via
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Congratulations to BWH resident Dr. Miriam Kwarteng-Siaw, who received the
@ASH_hematology
2020 Minority Resident Hematology Award for her work improving care of patients with sickle cell disease!
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We'd like to take a moment to congratulate and warmly welcome our new incoming interns! In these uncertain times, we take pride and joy in knowing that the future is bright. Welcome to the Brigham Family!
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Tremendously grateful and proud of our residents who are on the front lines tirelessly caring for
#CoronavirusPandemic
patients day and night. This is what the
#brighamfamily
is all about!
@BrighamChiefs
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An amazingly inspirational demonstration put on by the IM residents today, demanding justice and change in response to the murders of George Floyd, Ahmaud Arbery, Breonna Taylor and too many others.
#blacklivesmatter
#WhiteCoatsForBlackLives
#bwhtakesaknee
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Dr.
@UREssien
gave an incredible
@BrighamWomens
Medical Grand Rounds last week on what we should, and must, do to be anti-racist.
We know many are interested in viewing the recording and are happy to share it can be found here! 👇
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We can’t wait to welcome all of these amazing individuals into our BWH IM Residency family!!
It’s that great time of year when we find out about the next generation of MDs joining us at
@BrighamWomens
!
Welcome to the incredible new
@BrighamMedRes
Intern Class of 2024!
Amazing to see that 21% from URIM backgrounds!
@Brigham_DI
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We are thrilled to hear the news that former
@BrighamMedRes
resident
@vivek_murthy
will be serving our country again as Surgeon General. Congratulations Dr. Murthy!
I never dreamed I’d have the honor to once again serve as Surgeon General. In this moment of crisis, I’m grateful for the opportunity to help end this pandemic, be a voice for science, and support our nation on its path to rebuilding and healing.
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Favorite place at
@BrighamWomens
for
@ddbergMD
? A clue: he’s there right now.
@BrighamFellows
@TIMIStudyGroup
@JenCrombieMD
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Glowing from Harvard MGR with Dr. Fauci this AM🤩. We are moved & saddened by data on COVID-19 and it's disproportionate effect on non-white pts. We echo Dr. Fauci - now is the time to take action to address these inequities, which are sadly not limited to COVID-19 infection.
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Proud to share current PGY3
@LeivaOrly
chosen for
@ASH_hematology
Minority Resident Hematology Award Program in recognition of his outstanding achievements and work in cardiovascular and thrombotic outcomes in pts with heme malignancies. 👏🏅
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From morning report:
🩸everything the internist needs to know about myelodysplastic syndrome in one slide!
🩸(you don't really need to know how to recognize dysplasia, that's all
@tsaifd
🤓)
🩸unexplained anemia/cytopenias in elderly patients? Talk to your friendly hematologist!
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Welcome to the Brigham family! These were the best years of our training. Filled with friendships, camaraderie, and unforgettable patient relationships, your time here will shape your outlook as a physician for the rest of your career. We are lucky and happy to have you join us!
Today, medical students across the country have opened envelopes that reveal the name of the medical school they'll attend as resident physicians. Our current first-year residents are here to give some words of advice to all future interns!
#Match2019
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Congratulations to
@LisaRotenstein
, BWH IM (DGM program) '20, and
@MaxJordan_N
current BWH IM (DGM program) intern, both of whom were named STAT 2021 wunderkinds. We are very proud!!
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Happy Match Day! We are so excited to celebrate our residents applying to fellowship, who will find out where they will be spending their next several years today 😍🥂🥳
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LES CHiEFS of STaF signing off 💙
What a year! We are so grateful to have been a part of
#TheBrighamFamily
. So proud of all of our BWH residents who have remained devoted to patient care, education, and our residency community in the toughest of years.
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Applicants, we are excited for you to meet our chiefs for the 2021-2022 year! First up: the amazing Danny Pipilas
@dpipilas
!
#pelotonsquad
📸 via
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We are incredibly excited about the future of our program and department and welcoming these wonderful people to our community.
@BrighamWomens
@Brigham_DI
Congrats to all medical students who matched today!
Especially excited to welcome the incredible new incoming
@BrighamMedRes
intern class!
@BrighamWomens
27% are from URM backgrounds!
@Brigham_DI
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Why did
@NavinKumarMD
come to
@BrighamWomens
, and why does he keep coming back for more?
@runthelistpod
@BrighamGI
@BrighamBEI
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What does
@DMLopez5
love about
@BrighamWomens
? Friends, family, and a commitment to diversity.
@DrJoelKatz
@ValStoneMD
@Brigham_DI
@BrighamFellows
@bwh_wim
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PGY1
@amin_aalipour
getting his science on at this week's Science in Residency (SiR) Chalk Talks! thanks to everyone who shared their research, and to
@huangy_
for organizing 👩🔬👨🔬
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Happy Thanksgiving from BWH Medicine! We hope that wherever you spend your thanksgiving this year you feel the love of friends and family, and eat a lot of baked goods! ☺️🍁🦃 with love, the Brigham family
📸 via
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1. Is it hypotonic?
Ensure no *rare* forms of pseudohyponatremia or hyperglycemia and confirm serum osm <275
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Happy Halloween from LES CHiEFS! 👯♀️👯♂️
Nothing like a little pumpkin decorating and cupcakes at noon conference to get in the spirit 😊🎃🧁❄️
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Still basking in an incredible End-of-Year Dinner full of hugs, laughter, and the pure joy of being together. Congratulations to our graduating seniors and preliminary interns, and we can't wait to celebrate you formally at graduation!
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2. Is it ADH-dependent?
Check urine osm!
<100 = Nope
>100 = Yep
Cool pearl to estimate Urine Osm using spec grav:
1.005 = 150 mOsm
1.010 = 300 uOsm
1.020 = 600 uOsm
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What inspires Physician-Scientist
@yurikim_mdphd
about Brigham Medicine residents? The way they care for their patients and each other.
@BrighamWomens
@BrighamResearch
@bwhcvls
@bwh_wim
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Coming in hot from the Integrated Teaching Unit - 🔥impromptu chalk talk from ITU director + current ITU-A attg
@hcricketfisher
on diffuse GGOs and a new mnemonic for ILD causes: meet I-DRIES! 👏👏👏
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🩸🩸🩸
GI bleeding pearls from former Brigham chief
@tberzin
!
🩸 if pt unstable, think "blood in, blood out" - ditch the restrictive transfusion strategy!
🩸 multi-lumen central line isn't your friend in bleeding - *short, fat* peripherals (or cordis) have fastest flow🥇
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Learning points from today's morning report:
- pain differential! different mgmt for types of pain (nociceptive, neuropathic, malignant)
- ask pt if pain is tolerable or intolerable
- know opioid equivalencies, don't underdose when switching meds
- BOWEL REGIMEN FOR EVERYONE
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Thanks to tipster
@DrJoelKatz
for this pic of an all-star ITU-B team celebrating Mike DiIorio’s birthday! 🥳 🌟 🤗
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Excited that recruitment season is underway! Listen to current intern
@Joanneihsu
share what she loves most about our program.
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Today, we had the opportunity to celebrate
#JuneTeenth2021
& the URM members of our Intern class w/ a picnic @ Larz Anderson Park🥰Great community & food were enjoyed by all! Thanks
@ValStoneMD
, CMR
@EMShan_MD
,
@Brigham_DI
chairs
@DavidASanchezMD
&
@DAbdelHameid
for organizing!
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Huge congratulations to BWH alumna and former APD Dr.
@michellemorse
on her new position with
@nycHealthy
!!!
Today we appointed the agency's first ever Chief Medical Officer, Dr.
@MichelleMorse
! 🎉👏🎉
Dr. Morse will lead the agency’s work in bridging public health & health care, ensuring greater alignment and coordination with health care systems, and more:
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3. Is it Appropriate?
Assess effective circulating volume!
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Sending all our love from Boston to our brothers and sisters in NYC.
@BrighamChiefs
@mghchiefs
@BIDMC_IM
With special help from the Donohues and Food For the FrontLines.
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@sunnyykung
& Clare Landefeld will be headed to
@MGH_SUDs
for addiction medicine fellowship!🤩
@fabymolina
and
@PatanwalaM
are doing fellowships with the National Clinician Scholars Program🤓📊
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Welcome applicants - we can’t wait to meet you! Check out our Instagram as well to learn more about
#TheBrighamFamily
🥰
I love being a part of
#TheBrighamFamily
&
@BrighamMedRes
. If you are applying to IM residency, check us out & follow us on Instagram. Happy to answer any questions, especially for those interested in the primary care or health equity pathways!
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BWH medicine intern Dr. Mattia Wruble (headed to
@harvardneuromds
!) was one of the first BWH employees to receive the COVID-19 vaccine this morning!
We are so thrilled that many of our incredibly hardworking housestaff can receive the vaccine in the coming days.
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Feeling inspired, fired up and ready to go after our first annual
#urim
resident retreat: “The Pathway to Leadership and Celebration of Excellence” ✊🏽✊🏾✊🏿
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From
#ACC19
: Senior Resident
@DMLopez5
and former Brigham Chief
@SanjayDivakaran
discuss the role of ETT in assessment and possible risk stratification of pts w/ microvasc disease.
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Today was our 1st interview day, which makes us reflect on both how excited we are to meet our future interns AND how proud we are of our seniors.🥰In advance of match day tmrw, here is a sampling of what some of our fantastic seniors have decided to do outside the match!
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Hi MS4s! You may have heard of what
@vivek_murthy
is up to, but what about other
@BrighamMedRes
alumni?
@IngridKatzMD
is leading a dynamic
@harvardGH
course on
#COVID19
, conducting HIV research, and teaching our residents at the Jen Center for
#primarycare
!
#medtwitter
#MedEd
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Congrats to
@RobertHaydenMD
for being selected for ABIM 2020-2021 Visiting Scholars Program for his work in "Racial Bias in Educational Simulators of Virtual Patients with COVID-19" 🤩👏 We are so proud you are a part of
#TheBrighamFamily
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Every 2-week rotation means another
#TheBrighamFamily
team comes together 😊
Congrats to this amazing CCU team - clear 👁️👁️full 💕
can't lose! 🤩🥰💕
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From
#ACC19
: Senior residents
@eberly_lauren
@AaronRichterman
& Katie Brooks with an award-winning poster looking at inequities in admission patterns of HF patients. Crucial work.
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Last morning report before holiday breaks! Today we discussed complications of AV fistula with interventional nephrologist and fantastic educator Dr. Adina Voiculescu!
First some artwork from the group to get things flowing... (pun intended🤓)
🧵
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We love our residents💜
On the interview trail I thought “it’s the people” as an answer to why *insert program* was cliché. But it’s true! my co-interns are a good time. Yesterday’s Diwali dinner with this rad group of IM/primary care, neurology & dermatology-bound folks. 🍽🕯
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Always a joy to see
@FranciscoMarty_
on the Pike!
(And TBH we're super excited to be in our first
#MartySelfie
)
#smize
#TheBrighamFamily
Great to walk by the
@BrighamWomens
“Pike” and bump into
@DrJoelKatz
and 2 of our
@BrighamChiefs
@LHortonGI
& Frederick Tsai!
Exchanging ideas and some fun facts!
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🤩Dr. Zach Hermes (current BWH resident, future Chief, HBS MBA '21, and founder of
@WELFIEdotcom
) recently shared his advice for BIPOC starting a company of their own.
Thank you
@zhermesMD
for this incredible work and all you do!
#TheBrighamFamily
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Phys snacks = a beloved tradition providing sustenance to all 🍗🍟
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Our current
@FaulknerHosp
CMR
@DrewJenkinsMD1
shares what he loves about our rotations at BWFH.
@NTConnell
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First order and first day down!
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We are so sad to see incredible educator
@lindseycwu
go, but know she will do amazing things at
@DukeIMChiefs
! Thx to all-star team
@davidasanchezmd
@WalkerReddMD
@CathyCg165
@rongejman
for giving Dr. Wu a proper
#TheBrighamFamily
sendoff 😍🎂👏
As we finish another awesome GMS rotation, we are sad to see
@lindseycwu
leave the
#TheBrighamFamily
! We wish her the best of luck at Duke and know she will do great things there. So much learning with this all-star team 💯.
@davidasanchezmd
@rongejman
@CathyCg165
@milkbarstore
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We are just starting to recover from the excitement of Dr. Fauci's intimate chat with SiR residents this summer...
and now we have 🦋🦋🦋 looking forward to Harvard-wide Medical Grand Rounds with him tomorrow!
Details 👇
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Our new interns are here😍! Orientation has been jam-packed so far and isn't slowing down. Our Community, Equity, & Justice in medicine day even had a celeb sighting -
@marty_walsh
, former Boston mayor, now Secretary of
@USDOL
. Check out for more!
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"We wove together the following assessment: first, we must all acknowledge that racism operates daily within our healthcare institutions, and second, we all, white people most essentially, must acknowledge our responsibility and organize for change."
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Check out this tremendous piece from 2017-2018
@BrighamChiefs
@SanjayDivakaran
,
@ddbergMD
, Lindsay Warner, and Rob Stern on medical education and resident burnout.
@BrighamWomens
@BrighamBEI
@AcadMedJournal
A treat to work with
@ddbergMD
, Rob, and Lindsay again on this piece inspired by our Medical Grand Rounds presentation at
@BrighamWomens
.
@BrighamChiefs
@BrighamBEI
@AcadMedJournal
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Happy almost Match Day to all MS4s! We are celebrating with you and look forward to meeting our new class of interns tomorrow. In the meantime, enjoy the pictures we're sharing on our Instagram (bwhmedicine) with Match Day pictures of our current interns & residents!
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40M smoker p/w SSCP, VF arrest -> Anterolat STEMI and cath w/ prox LAD thrombotic occ. How has tx changed in a century? Went through the history of tx MIs from 1910 (bedrest) to evidence behind modern tx. Thanks to our discussant Dr.Fidencio Saldaña
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Amazing work from our 🌟🌟 PGY-2
@norataranto
🌟🌟 Nora, we can’t wait to listen!
Producer
@norataranto
previews our episode w/ Dr. Jorge Castillo on immunology basics, including MGUS, Myeloma, Waldenstrom’s, Amyloidosis & more! Dropping tomorrow!
#MedEd
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So proud of
@AyrenneAdamsMD
(BWH IM '20) and Ifedayo Kuye (BWH IM '19) who were honored as 40 Under 40 Leaders in Health at the
#NMQFLeadershipSummit
last evening!
Enjoyed learning about health equity efforts across the country at
#NMQFLeadershipSummit
and proud to have been named a 2022 40 Under 40 Leader in Health
@NYCHealthSystem
@NYUGSOM_DGIMCI
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Classic presentation of a very rare disease at morning report with Dr. Lindsey MacFarlane:
🔥Adult Onset Still's DIsease🔥
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And here are our incoming interns:
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Happy Match Monday y'all! We are SO excited to learn who will join
#TheBrighamFamily
this summer 💙
This week we will be reminiscing about our own Match days (inspired by
@beccagaff
🤩).
Let's kick if off with our CMRs!
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The next
#BWHPathway
highlight is the "SiR" or Science in Residency Pathway.
If there is one thing to check out during our virtual recruitment, it is this rendition of "Wannabe" by
@beckyzon
@jsmithymd
& the *Splice Girls*:
🧵below w/ more details:
1/
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Promoting professional and mental wellness
#Socks4Docs
at our monthly Clinical Reasoning Conference.
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Today's Journal club led by
@DrWilfredoM
, we discussed
#OVIVA
. For pts w/ bone & joint infx that would ordinarily get IV abx -> is a PO regimen non-inferior when it comes to tx failure? Less line-related complications? Yes and Yes. Discussant
@PaulSaxMD
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PGY-2 resident Dr.
@DAbdelHameid
spoke with
@washingtonpost
about the importance of protest after the murder of George Floyd, esp in light of the effects of systemic racism manifested by COVID-19 disproportionately affecting our patients of color.
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.
@BrighamChiefs
@EMShan_MD
spoke recently with
@ACPinternists
about the relationship between patients' race/ethnicity and likelihood of interhospital transfer. We are so inspired by you Dr. Shannon!
#ProudCoChiefs
Q&A: Does a patient's
#race
affect the odds of hospital 🏥 transfer?
In the latest ACP
#Hospitalist
.
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50M PsA on infliximab w 8wks abd pain/diarrhea -> fever/20lb wt loss. Think chronic + host. Exam w RLQ pain, labs w macrocytic anemia. CT w/ terminal ileitis. Biopsy w +MTB. In US, most mycobact in anti-TNF tx = NTM, most TB are extrapulm, onset in 1st 4mo. Discussant Dan Solomon
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pictured: joyful star intern nailing her first central and arterial line
#brighamfamily
📸 via
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"The health effects of nuclear weapons are well-studied... They do not make anyone safer. Divesting state pensions from that industry is a small but important first step." PGY-2 Joe Hodgkin, MD testifying to the MA Joint Committee on Public Service in favor of S.1516/H.2202.
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congratulations to BWH medicine alumna and economist
@MarcellaAlsan
for being named a 2021 MacArthur Fellow! Her work has highlighted the importance of a diverse physician workforce in addressing health disparities
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What an incredible crew, back in the day
@BrighamWomens
! Proud to say we knew you when 🤩
Dug this up recently. What a flashback...
@jaybradner
, Mark Pomerantz,
#yourstruly
@the_gelf
, NoraOsman.
@BrighamWomens
@BrighamChiefs
@DrJoelKatz
#residency
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Our juniors on ambulatory had a great session at the Harvard Art Museum this morning during which they had time to come together as a community to explore the intersection of medicine and humanism - so much fun was had by all who attended 😃
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BWH Chief Resident
@emilyswlau
explores differences in CV biomarkers between men and women.
@BrighamChiefs
@MGHHeartHealth
@JACCJournals
What makes CVD in men and women different?
Check out our piece in
@JACCJournals
✔️Women ≠ men for 86% of CV biomarkers
✔️Hormone status is part but not all of the story
Lucky to be part of a great team
@JenHoCardiology
@goosecoid
@MGHHeartHealth
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The next
#BWHPathway
highlight is the Hiatt Residency in Global Health Equity and Internal Medicine, or "GHE" for short.
Check this 🧵 to learn how these residents represent
@BrighamWomens
, caring for patients and advancing health equity around the 🌏.
#Match2021
#MedTwitter
1/
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MICU snacks getting fancy! Swipe right to see some novel pandemic-safe strategies to keep the snacking game on point 🧇
#TheBrighamFamily
📸 via
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ITU-A teaching en plein air! 🌞🕺🥰
(complete with cottontail rabbits, who were also interested in learning about facility-based post-acute care 🐇)
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Cheers🥂 from the Brigham Chief Medical Residents and our multigenerational
#thebrighamfamily
📸 via
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One of the unique aspects of our IM residency program at the Brigham is the opportunity to hone in on an interest through a ‘pathway’. Pathways are dedicated tracks that residents can join in their 2nd yr of residency.
#BWHpathways
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Here at BWH, we make sure to coordinate schedules by birthday. Froyo celebrations this week for 2/3 ITU-B interns, Grace and Rohan! ***
#TheBrighamFamily
share your favorite birthday moments spent in house!
📸 via
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Congratulations to our
#BrighamBEI
faculty member
@SubhaRamani
and colleagues
@hallierozansky
&
@EmilyCetrone
for their new paper in
@ClinicalTeacher
!
"Training junior doctors to lead rapid responses"
#MedEd
#HPE
#MedTwitter
@harvardmacy
@BrighamMedRes
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Drs. Alissa Cooper and Maria Yialamas review a complex case of hyponatremia (Na 118) in a patient who stopped taking her levothyroxine. The link between hypothyroidism and hyponatremia is conflicting: severe hypoNa <120 2/2 hypothyroidism is very rare!
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exciting work this week in NEJM from BWH alumna
@AmakaEMD
re-examining tools for calculating GFR
#healthequity
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Want to know what it’s like to train in Primary Care at
@BrighamWomens
? Listen to this from
@hallierozansky
.
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