Gail Tan (@GailTanMD) profile picture

🩺Allergist/Immuno - @BCMHouston @TexasChildrens trained | @OhioStateIMRes l DTM @BCM_TropMed |@Trinity_U | #MedEd | #porvida🏀| #whodat⚜️| Tweets r my own

Joined May 2020
Photo by Gail Tan (@GailTanMD)Photo by Gail Tan (@GailTanMD)Photo by Gail Tan (@GailTanMD)Photo by Gail Tan (@GailTanMD)Photo by Gail Tan (@GailTanMD)Photo by Gail Tan (@GailTanMD)Photo by Gail Tan (@GailTanMD)Photo by Gail Tan (@GailTanMD)Photo by Gail Tan (@GailTanMD)Photo by Gail Tan (@GailTanMD)
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/
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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
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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
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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
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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
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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)
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💯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
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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
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How to recognize lung segments on CT 🫁 #MedTwitter
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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
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Love this easy mnemonic for 5 causes of ↑↑↑AST/ALT>>1000 The Liver can Be a DIVA 💁‍♀️ indeed it can 🙄
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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)
Lots of happy 4th yr med students tonight, & a few depressed/ anxious ones. Congrats to all who found out they matched. To those who didn’t, good luck w the scramble, and hang in there. Perseverance got you this far, so keep fighting- your future patients are counting on you!🤞
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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
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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:🥴
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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
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Racism not race drives inequity 👇👇 Race-adjusted PFTs: lower survival in blacks Multi-racial PFTs: equalized Food for thought #AAAAI22 @TCHFoodMD 2/
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Remarkable speech. Addressed to the Russian people, it should also be heard everywhere.
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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.
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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
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