
🩺Allergist/Immuno - @BCMHouston @TexasChildrens trained | @OhioStateIMRes l DTM @BCM_TropMed |@Trinity_U | #MedEd | #porvida🏀| #whodat⚜️| Tweets r my own
Joined May 2020
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Hey 👋 #MedStudentTwitter. Fancy for some quick ABG practice you’ll see commonly in the MICU? 😊🧵#MedEd #MedTwitter
80F with unknown history presents to ED after being found down 😵. ABG admission:
1/
Gail Tan retweeted
Today, I finished my last inpatient shift of internal medicine residency.
Here is a short thread of some of the most important lessons I have learned over the last few years:
#MedTwitter
MATCHED TO BCM! 🥰
Gonna be an allergist ahh! 😱
So excited to return @bcmhouston & can’t express how grateful I am for all my friends and mentors at Ohio State who helped get me here 🥲 @OhioStateIMRes @OSUWexMed
Interesting!
🚬 cigarettes for asthma 🫁
Just on the shelves 70 years ago (though started centuries prior)
They contained atropine & were finally phased out in 1950s when inhalers were created. Thank goodness 🤭
#medtwitter #ACAAI22
How intern year feels sometimes. Trust the process & enjoy the journey.
Good vibes for all my new docs and new senior residents out there🔥
Illustration: @AlexMaeseJ
Gail Tan retweeted
Ohio Ob/Gyns:
The 6 week abortion ban has gone into effect *right now*
Physicians on call this weekend: communicate prophylactically with your hospital legal dept. If you have a dying pregnant patient tomorrow, you will need legal counsel…and always do the right thing (1/2)
💯Worth a listen!
Initial COPD💊
-depends on GOLD stage
-but starting a LAMA🦙is always gucci
-➕LABA if not working
-?➕ICS if eos(?allergic/inflamm🔥 phenotype)
-if severe,start combo🦙/LABA,🦙/ICS
-ICS:dose dependent risk🦠
Compare asthma🫁🔥
Initial💊per GINA
-contains ICS
1/ 🚨New Episode🚨
COPD: #5 Pearls Segment
Listen 🎧 : link.chtbl.com/COPDMgmt
Show Notes: bit.ly/3tT6wxk
@ACPinternists CME: bit.ly/CIMCME
Sponsor: go.amboss.com/CoreIM-E3
Gail Tan retweeted
1/Radiologist not answering the phone?Just want a quick read on that stat head CT?
Here's a little help on how to do it yourself w/a #tweetorial on how to read a head CT!
#medtwitter #FOAMed #FOAMrad #medstudenttwitter #medstudent #neurorad #radres @medtweetorials #neurosurgery
Gail Tan retweeted
Did you know that IVIG can be used BOTH for under active AND overactive immune systems?
Somewhat ironically higher dosing is needed for treating autoimmune conditions.
Here comes your favorite post of the week, "Ask Dr. T!"
*For informational purposes only.
Check out Dr. T's blog for more information:
lupusencyclopedia.com/intrav…
@lupuscyclopedia
Love this easy mnemonic for 5 causes of ↑↑↑AST/ALT>>1000
The Liver can Be a DIVA 💁♀️
indeed it can 🙄
This Post is from an account that no longer exists. Learn more
Gail Tan retweeted
Just gonna start writing this. Let's see if I'm able to hit that "Tweet all" button.
I have a story. This is for those Med Students who feel that they are in a dark place tonight. I want you to know that I'm here for you. I may not know you, but I know how you feel. (Thread)
Gail Tan retweeted
1/ 🚨🚨 It is Tuesday and time for another #RadiologyRounds! 🫁🩻 This week we'll take a look at multiple imaging modalities. Let's start with the initial CXR
Me: How was your day!
Student: Good, helped my patient swallow a magnet
Me:???
Student: Ya he swallows nails all the time
Me: Wait what field are you?
Stud: Vet med
Me:Ohh & your pt is…
Student: a cow
Me: So do they poop it out?
Student:Nope, stays there for life
Me:🥴
Gail Tan retweeted
Calling all #URiM #Match23 students applying to Internal Medicine and Med-Peds: @OhioStateIMRes and @OSUMedPedsRes want to meet you! Check out our inaugural URiM Visiting Student Scholarship rotation medicine.osu.edu/vssp
#MedTwitter #Match2023
Race-based FEV1 can → underdiagnosis
Predicted normal spirometry values artificially ↑ for black patients without scientific basis🤔?
Time to remove race-adjustment for PFTs?
PFTs based on race based corrections but
race=social construct
1/
#AAAAI22 @TCHFoodMD #healthequity
Racism not race drives inequity
👇👇
Race-adjusted PFTs: lower survival in blacks
Multi-racial PFTs: equalized
Food for thought
#AAAAI22 @TCHFoodMD
2/
Gail Tan retweeted
Remarkable speech. Addressed to the Russian people, it should also be heard everywhere.
President Zelenskyy's speech to the Russian people
Ukrainian President Volodymyr Zelenskyy's plea to the Russian people in video remarks posted early on Feb. 24 local time with English subtitles.
This thread⭐️
🙌talk #AAAAI22 @KimberlyBlumen1
10% ppl have“PCN allergy”label
but
95% FAKE🗞
‼️PCN allergy label ↑risk inferior abx,infx,drug resistance
Delabeling=standard of care
Surgeons👇
Cefazolin→unique side chain not shared w/ PCN/cephalosporin
Safe if PCN allergy hx
Replying to @COREIMpodcast
6/ Finally, does a penicillin allergy mean you can’t give ceftriaxone or meropenem? No! There’s some cross reactivity, but it is rare; the graphic below arms you with the data of just how common the allergic cross reactivity is.
PJP🍄: T-cell problem until proven otherwise
Infants👶🏻
Think 1° (inherited) immunodeficiency
-ie SCID
-r/o HIV
Older kids/adult👧🏻
Consider 1°
But think 2°(acquired) immunodef
-‼️HIV/AIDS
-solid organ/🩸cancer
-organ/stem cell transplant
-💊steroids, chemo
-etc
#AAAAI22 Dr. Risa


























