Doc Jim

@DocJim123

Interested in health, teaching future physicians, social justice, and politics. Always interested in making a difference. Views are my own & not my employer.

Vrijeme pridruživanja: lipanj 2011.

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  1. prije 9 sati

    Happy Birthday to YOU! via Always awesome to be remembered on your special day!

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  2. proslijedio/la je Tweet
    31. sij

    Congratulations to Internal Medicine resident Amy Kaur, DO and General Surgery resident, Elaine Mirabile, MD, for being selected as co-presidents of the GME House Staff Organization (HSO). To learn more, read the latest blog here

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    5. velj

    In “Deported to Danger,” met with asylum seekers like “Angelina N.” who fled sexual abuse by a gang member in El Salvador only to be deported in 2014 and raped by the same abuser. US’ narrow asylum protections place Salvadorans in harm’s way:

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    5. velj

    Our fearless leader creating a recipe for a rockstar family medicine residency by comparing the process to baking cookies

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  5. 5. velj
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  6. 5. velj
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  7. 5. velj

    Having fun with soccer on the side after the work is done.

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  8. 5. velj
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    4. velj

    Something I never thought I would write when I was training: All the patients in my practice with HIV are over 70. (Back in the early 1990's I also never thought I would "tweet" that, but that is a different story).

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    4. velj

    What causes a fever?

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    4. velj

    To summarize: 1. Fever is a specific clue to "inflammation" But it's not sensitive enough. Don't discount the presence of inflammation in an afebrile patient. 2. Most, but not all, elevated temperatures, represent a fever. Consider hyperthermia early. It could be life saving.

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    4. velj

    This is what we call hyperthermia, which results from either: 1. Excess heat exposure - e.g, heat shock 2. Excess heat production - e.g, tonic muscle contraction 3. Impaired heat dissipation - e.g, anticholinergic toxicity

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    4. velj

    Fever is one of the most specific signs of inflammation, but it's NOT sensitive enough to rely on every time. Here is a striking example - Up to 50% of patients with Staph Aureus bacteremia had no fever!

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    4. velj

    Let's zoom out. The core problem we are often solving isn't fever. It's "inflammation".

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    4. velj

    Teaching Rounds Day 4/15 Fever. The Journey to a Diagnosis... Part 1 Join us, &

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    4. velj

    Springing a leak... , we are excited to share our new schema on an approach to elevated troponin! Find it on the website here: And on the app:

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  17. proslijedio/la je Tweet
    3. velj

    Starting off our fourth year course, Critical Appraisal of the Landmark Medical Literature with two classics (and a "reminder" slide).

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  18. proslijedio/la je Tweet
    3. velj

    How do you podcast? For @DHpharmed, it's all about making his drive to work a learning opportunity: "Shout out to the Core IM team for keeping my work commute educational!"

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  19. proslijedio/la je Tweet
    3. velj

    Sometimes, when the patient speaks, their spouse/partner rolls their eyes or sighs or looks annoyed. Try to figure out why – there’s usually an important story there. Pay attention to dynamics- you’ll learn a lot!

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    3. velj

    Age Distribution of Hypertension Etiologies .

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