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grepmeded's profile
GrepMed
GrepMed
GrepMed
@grepmeded

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GrepMed

@grepmeded

Image Based Medical Reference: Sharing crowd-sourced checklists, algorithms, decision aids, #PhysicalExam #POCUS, and more - by @GeraldMDMD + @k00bideh

Sacramento, CA
grepmed.com
Joined March 2018

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    1. david oliver‏ @mancunianmedic 5 Oct 2018
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      Replying to @Jdbartlett0703 @grepmeded and

      i didnt claim it was easy or straightforward.Merely that we shouldnt use the term "pleasantly confused" - when someone asked about this. Same for "acopia" "social admission" "failed OT assessment" "no rehab potential" "off legs ? cause" "mechanical fall" and other unhelpful lingo

      2 replies 4 retweets 15 likes
    2. GrepMed‏ @grepmeded 5 Oct 2018
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      Replying to @mancunianmedic @Jdbartlett0703 and

      the original question was do doctors use this phrase- yes, and frequently. And no harm is done. The reality is during rapid handoffs and note writing a variety of suboptimal terms are used without intent to offend. We’re clinicians not scribes.

      1 reply 0 retweets 1 like
    3. GrepMed‏ @grepmeded 5 Oct 2018
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      Replying to @grepmeded @mancunianmedic and

      I would also argue “hypoactive delirium” is much more likely to confuse a junior nursing student or medical student whereas “pleasantly confused” with some choice additional verbiage a monkey can understand.

      4 replies 0 retweets 1 like
    4. Linda Dykes‏ @DrLindaDykes 5 Oct 2018
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      Replying to @grepmeded @mancunianmedic and

      Maybe we should train them better...?

      1 reply 0 retweets 12 likes
    5. GrepMed‏ @grepmeded 5 Oct 2018
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      Replying to @DrLindaDykes @mancunianmedic and

      I can see I am outnumbered in this fight but while precise language is a nice ideal I much prefer caregivers spend their bandwidth with actual patient care or self care at home rather than spend hours perfecting notes which lead to burnout.

      0 replies 0 retweets 1 like
    6. Trisha Elliott‏ @Trisha_the_doc 5 Oct 2018
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      Replying to @MsPottingShed @grepmeded and

      I agree. Friendly debate is a good way to learn. We do need to improve understanding of dementia and delirium across the board. It’s so much more than just being “a bit confused”.

      1 reply 1 retweet 10 likes
    7. david oliver‏ @mancunianmedic 5 Oct 2018
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      Replying to @Trisha_the_doc @MsPottingShed and

      there is a broader issue of ageist, unhelpful language and lack of rigour/precision that no-one would think acceptable in other patient groups. Just shift the frame to say an acutely ill 30 year old with ICU delirium or encephalopathy 7imagine the ssame attitude-shaping lingo?

      4 replies 6 retweets 26 likes
    8. James bartlett‏ @Jdbartlett0703 5 Oct 2018
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      Replying to @mancunianmedic @Trisha_the_doc and

      The difference between “your language is wrong and perjorative” and “I have a better more functional word” is the difference betwerns walks going up and minds being opened. Learning new language is tough.

      1 reply 1 retweet 3 likes
    9. david oliver‏ @mancunianmedic 6 Oct 2018
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      Replying to @Jdbartlett0703 @Trisha_the_doc and

      It may be but when I was a kid society used terminology about physically and learning disabled people which has been challenged out of existence. It can be done

      2 replies 2 retweets 11 likes
      GrepMed‏ @grepmeded 6 Oct 2018
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      Replying to @mancunianmedic @Jdbartlett0703 and

      We all use terms that are imprecise and microoffensive to those not in our specialty (cardiologists, pediatricians, surgeons etc). The reality is docs have too many patients to see and the notes I read are generally terrible but mostly get the job done. Charting != pt care.

      12:11 AM - 6 Oct 2018
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      • James bartlett SandreJ
      0 replies 0 retweets 2 likes

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