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Zaven Sargsyan
@sargsyanz
Joined May 2013
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    When you want to fabricate 5000 steps in 15 minutes
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    [Random loose mRNA lying around in a deltoid] Nobody: Ribosome: let me go ahead and transcribe this Macrophage: Yo, check out this cool spike I found T-cell: wtf is that? Get rid of it. Where’s Bob? B-cell: yes? T-cell: If it ever shows up here again... B-cell: yes mam
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    … it means they care more about getting things right for you than living in some pretend world where they supposedly know everything
    When your doctor has to Google something in front of you
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    Normalize hyponatremia, slowly.
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    Just saw a group of OBGYNs power walking to the OR, and I thought wow, what they do is amazing. And then I saw a mother walking with her infant and I thought wow, what a cute baby. And then I saw 6 more pregnant women, and I thought wow, this is the 3rd floor not the 2nd floor.
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    Dear medical students, I was recently in the car of another attending physician, and I found all your pens.
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    Updated version of ECG Quick Reference
    🔴 ECG Interpretation Basics Quick Reference 🔹 Rhythm and Rate 🔹 QRS / Blocks 🔹 Intervals 🔹 Axis 🔹 Chambers 🔹 ST/T/Q (Ischemia) By Dr. Zaven Sargsyan @sargsyanz #CardioEd #CardioTwitter #medtwitter #cvd #ecg #Medtwitter
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    An autopsy is a test and has false negatives like any other test. The pre-test probability that George Floyd died from a 200+ pound force applied to the airways and vessels of his neck for many minutes is pretty much 100%. No test can move that needle.
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    Ultrasound: “no evidence of cholecystitis” Op report: “gangrenous cholecystitis with extremely friable tissue. Purulent drainage with manipulation of gallbladder.” I've seen this many times. Thread 1/
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    What’s wrong with this ABG attempt? Thread. On one of the most common pitfalls when doing vascular punctures and other bedside medicine procedures. 1/
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    First day PGY-1 Me: [orders 30 mEq potassium cause level is 3.7] RN: we don't do 30, we do 20 or 40 Me: oh wow thanks, does it only come in 20s? RN: no it comes in 10s Me: RN: Me: cool, I'll change it to 20, thanks! #TipsForNewDocs : choose laminar flow over turbulent
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    Laughter is the worst medicine for: - peritonitis - intracranial hemorrhage - intracranial hypertension - open globe - recurrent syncope from critical aortic stenosis - diarrhea
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    What’s a stronger regimen of furosemide, 40 daily or 20 bid? I ask this question often on rounds. The answer: it depends. Understanding what it depends ON is really helpful for dosing decisions. Let’s explore. #tweetorial 1/
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    Escape room for physicians where you have to… - Turn off (and on) the bed alarm - Boost a patient in bed - Pull tray table over the bed - Troubleshoot a beeping infusion pump - Silence and adjust alarm parameters on patient monitor - Disconnect tube from an IV What else?