Dr Unburnt Poorman

@DrPoorman

Primary care. Health is a human right. Always questioning. Usually writing. Sometimes rollerblading.

Seattle, WA
Vrijeme pridruživanja: veljača 2016.
934 fotografije ili videozapisa Fotografije i videozapisi

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  1. Prikvačeni tweet
    17. sij

    Very proud to share my Moth Grand Slam story about making a mistake in medicine . 1/

    16 replies 21 proslijeđeni tweet 72 korisnika označavaju da im se sviđa
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  2. 2. velj

    We are still friends 😂

    New friend: I'm so happy to meet another internist! I usually just have Me: I was on that show! The physician depression one NF: Oh yeah, there was a lady talking a lot on that one Me: That's me! The talky talky lady Guys, I'm famous.
    11 korisnika označava da im se sviđa
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  3. proslijedio/la je Tweet
    2. velj
    Odgovor korisnicima

    Thanks for the mention! Also wanted to say that in the way that everyone knows about , I hope we get to a point where everyone know what is and can get access to it if they feel it’s a good fit for them. approach vs. screening

    1 proslijeđeni tweet 4 korisnika označavaju da im se sviđa
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  4. proslijedio/la je Tweet
    2. velj

    PrEP is one of the most significant interventions for primary care in general. Everyone should be knowledgeable and regularly prescribing this. It is not a niche thing to do

    Let's talk about baby! One of the most underutilized interventions in ! (Just ask !)
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    39 proslijeđenih tweetova 216 korisnika označava da im se sviđa
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  5. 1. velj

    I would be remiss to not tag some of my greatest teachers here

    1 reply 3 korisnika označavaju da im se sviđa
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  6. 1. velj

    One thing I've found with all patients but especially marginalized groups: you have to let them teach you. Many in the LGBT community know far more about than your average doc. This is frustrating but it's also an opportunity to remember teaching goes both ways.

    9 korisnika označava da im se sviđa
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  7. 1. velj

    Too few docs are initiating these conversations, and to confess, most of my convos have been patient initiated. I need to be better at screening, but I am also happy to say I've learned a lot from my patients. Check And

    New confirms that Black and Latino MSM are less likely to discuss with a provider. Providers, wondering how to have these conversations? Here's a great place to start:
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    1 proslijeđeni tweet 5 korisnika označava da im se sviđa
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  8. 1. velj

    To summarize: -Have open convos about sex -Keep risk factors in mind re-test HIV, STIs, BMP, Hep B -Discuss side effects and cost -Schedule follow up Anything to add?

    1 reply 1 korisnik označava da mu se sviđa
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  9. 1. velj

    Don't forget about costs! There are many programs to help patients pay for from states, the pharma companies and HHS.

    1 reply
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  10. 1. velj

    What are the side effects of prep? Short-term: headaches, weight loss and GI distress. These typically resolved in the first few weeks. -For truvada, minor reductions in their bone and kidney health, which were reversible when Truvada was withdrawn.

    1 reply
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  11. 1. velj

    Unknown HIV status is a contraindication for prep, because of fears of increased resistance. Kidney disease is a contraindication to truvada, but descovy may be safe. Active Hep B and liver disease except cirrhosis are no longer contraindications.

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  12. 1. velj

    Who should not receive prep?

    1 reply
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  13. 1. velj

    Something I know I could do better though, start with open questions before talking about specific risk factors like

    1/ A student saw me in clinic today. Haven't seen him in 3 months. Was triaged as "says he was diagnosed with syphilis." I asked him "you got any updates for me?" "Medical or life?" He responded. "Let's start with life." I told him. He took a deep breath...
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    1 reply 1 korisnik označava da mu se sviđa
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  14. 1. velj

    To simplify, here are the CDC recs, plus anyone who shares needles or has partners who do.

    5 korisnika označava da im se sviđa
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  15. 1. velj

    All of the above should prompt conversations! I think put it best

    4. If your patient admits to using any kind of IV drug, please talk to them about harm reduction including . If you have a patient who has overdosed or who has.been treated for an infection or other complication of OB drug use, think about offering them
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    1 reply 5 korisnika označava da im se sviđa
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  16. 1. velj

    What risk factors should prompt discussion of ?

    1 reply 2 korisnika označavaju da im se sviđa
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  17. 1. velj

    Let's talk about baby! One of the most underutilized interventions in ! (Just ask !)

    26 proslijeđenih tweetova 59 korisnika označava da im se sviđa
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  18. 1. velj

    What are the most effective interventions we underutilize in ? For my money, I'd say and .

    27 replies 8 proslijeđenih tweetova 109 korisnika označava da im se sviđa
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  19. proslijedio/la je Tweet
    22. sij

    Hi ⁦⁩ This was very special. 6 minutes and several layered depths for us all at various stages of training and service provision. Humble, measured, effective, courageous and truly great teaching. Thank you so much for sharing.

    2 proslijeđena tweeta 5 korisnika označava da im se sviđa
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  20. proslijedio/la je Tweet
    23. sij

    . shares her story about making mistake sin medicine and the destructive power of shame.

    1 proslijeđeni tweet 2 korisnika označavaju da im se sviđa
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  21. 21. sij

    What Happens When a Doctor Makes a Mistake? Telling 1,000 strangers about my lowest moment in medicine, and what it taught me about medicine's culture of shame-

    9 proslijeđenih tweetova 79 korisnika označava da im se sviđa
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