I wrote 70 letters of recommendation for medical students only one single person connected with me to tell me where they matched
Conrad Fischer
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The World's Most Prolific Teacher of Medicine
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- Hemoglobin A1C becomes unreliable when there is alteration of the lifespan of the red cell. Sickle cell, G6PD, thalasemia and any chronic hemolysis gives a false LOW A1c because the cells have not lived long enough for glucose to stick to them
- Ranitidine (Zantac) is off the market because of teratogenicity
- the REAL wonder drug of the year is: SGLT2 inhibitors Canagliflozin Dapagliflozin Empagliflozin Ertugliflozin *Prevent progression of chronic kidney disease *Mortality benefit in CHF with low Ejection fraction (EF) *Even if NOT diabetic, use in CHF with low EF
- Dear Applicants You will not be penalized for not โsignalingโ my program Safe it for insecure program directors who need that You had to pay ERAS to apply to my program. That is โspecialโ enough.
- What is the second drug to use, after metformin? โขIf Obesity โ GLP agonist โขIf CHF โ SGLT2 inhibitor โขIf Chronic kidney diseaseโ SGLT2 inhibitor *If nothing....maybe DPPIV inhibitor such as sitagliptin Sulfonylureas or Pioglitazone are never the second drug
- Malaria causes 200 MILLION cases/year with HALF A MILLION dead each year. Why is #covid different? Because it makes people in rich countries know they are at risk, rich people can die, that power and position do not protect you. May we remember our common humanity when all over
- As if the good things SGLT2 inhibitors could not get any better, SGLT2 inhibitors increase the urinary loss of uric acid and decrease gout flares too!
- imagine you are going to do your Step 2 exam and some political fool decides to shut off the internet for the whole country? Yes, it happened
- Uric acid levels are NOT reliable in the diagnosis of acute gout. They can be normal in 25% because the uric acid gets used up in the acute phase
- Fluoroquinolones, a class of antibiotics, have been associated with an increased risk of aortic aneurysm or dissection. This connection has been highlighted by several studies and regulatory warnings:
- The Nightmare is over. My first thought is the safety of our residents in our training program. They are safe and will not lose their visas.



