@AndrewBuelt

Questioning Medicine podcast. #primarycareRAP/#EMRAP contributor. Hospitalist. Believer in #FOAMed & EBM care with pt. objectives in mind.

 St. Petersburg, Fl.
questioningmedicine.com
Joined July 2012
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  • Followers861
157Media
The Case for Being a Medical Conservative - The American Journal of Medicine amjmed.com/article/S0002-934…

The Case for Being a Medical Conservative

We have been called critics, haters, nonbelievers, or our least favorite—nihilists. We prefer the term “medical conservative.” We believe this is the ideal approach to patient care.

amjmed.com
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Great podcast. Also appreciate the shout out to ⁦@DeptVetAffairs⁩ ⁦@VeteransHealth⁩ quality guidelines ⁦@JakeAndersonDO⁩ ⁦@SteveBrownMD⁩ podcasts.apple.com/us/podcas…

April 8, 2024 AFP: American Family Physician

Podcast Episode · AFP: American Family Physician Podcast · S9, E17 Bonus · 28m

podcasts.apple.com
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Crowdsource Inquiry What are the biggest problems with current clinical practice guidelines (cardiology preferably, but others are ok too)? What would you do to improve guidelines? Seriously -- I am asking.
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This is my *top 10* favorite methods papers of 2022 Appearing in a single thread and in random order
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It feels illegal to have access to these 20 websites:
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Quite an interesting paper on placebo and nocebo effects. Should some trials have a no pill/injection arm? – at Louisville, KY
Cheng Han Ng@ChengHanNg29 Sep 2022
#LiverTwitter Happy to share our latest article in the #lancet @eClinicalMed on the hawthorne and placebo effect in #obesity trials. ➡️Up to 20% have >5% reduction in weight ➡️8.3% & 6.2% have >10% and 15% reduction in weight ➡️73% had AE events 🔓sciencedirect.com/science/ar…
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Andrew Buelt retweeted
Tessa Davis@TessaRDavis2 Oct 2022
11 incredible (free) websites that will save you hundreds of hours of your life:
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Sanjay Kaul@kaulcsmc28 Sep 2022
Replying to @BartoszHudzik @drjohnm @mmamas1973 @mirvatalasnag @DocSavageTJU @CMichaelGibson @djc795 @DLBHATTMD @AnkurKalraMD @DFCapodanno
Reminds me of what Peter McCulloch observed: “The vehemence with which evidence is proclaimed is inversely related to the strength of the evidence and directly related to the square of the prominence of the proclaimer” In other words, weaker the evidence, louder the hype!
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Up next… Mariners ML(-130) Looking for Gilbert to stop the skid. No Trout in lineup. Mariners should be able to manufacture some runs and pull this out for a much needed win.
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5. Bionic Reading New method facilitating the reading process by guiding the eyes through text with artificial fixation points. The reader only focuses on the highlighted initial letters and lets the brain center complete the word. 🔗 bionic-reading.com
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Alex@db025511 Sep 2022
Replying to @rubin_allergy
All different unit prices for anti ranging from... $17/oz for jock itch to... $22/oz for athlete's foot to... $41/oz for ring worm and... $49/oz for the all purpose variety. These are all from the same vendor. Same brand. Same cream. Same ingredient: clotrimazole 1%.
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Before linking to my column on the DELIVER trial here at #ESCCongress I want to emphasize that I use SGLT2i I even taught myself how to switch my AF and ICD pts w CKD or DM to SGLT2i But here is how I feel about the drugs in HFpEF medscape.com/viewarticle/979…

Do SGLT2 Inhibitors DELIVER in All Heart Failure?

The investigators of the DELIVER trial and others suggest that all patients with heart failure get SGLT2 inhibitors, but this cardiologist sees differing effects depending on ejection fraction.

medscape.com
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Andrew Buelt retweeted
Ben Meer
@SystemSunday27 Aug 2022
2. 12ft Ladder Want to read an article, but there’s a paywall? Simply insert the URL into 12ft Ladder. All sites have a non-paywall version they send to Google for SEO. 12ft finds the cached, un-paywalled version of the page. Now you’re in. 12ft.io
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#Medtwitter #FOAMed The most important medical study of the last 50 years is… (and why)
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Great great thread
John Mandrola, MD
@drjohnm8 May 2022
Crowd sourcing: Looking for examples of RCTs that reversed observational studies—other than WHI. Also looking for examples of observational research that was upheld in the RCT. I will buy you espresso at the next meeting.
If you want to kill people, the most effective way to do this in the modern era (since gun laws and annoying people like the Police will make things awkward) is to persuade people to stop (or never start) a statin. Over the long term, 1 in 10 will be killed by that choice.
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Great podcast by ⁦@medmyths⁩ and it took till minute 14 to mention low dose. #whattookyousolong podcasts.apple.com/us/podcas…
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Bryan Carmody@jbcarmody12 May 2021
Survey: Hey program directors, how do you feel about pass/fail Step 1? PDs: Oh, it’s *TERRIBLE* Survey: I see - so does using Step 1 scores actually help you find successful residents? PDs: Nah, not really bmcmededuc.biomedcentral.com…
Screenshot from the Mun paper showing that 83% of orthopedic PDs and 74% of IM PDs disagreed with a pass/fail Step 1 - but only 43% of orthopedic PDs and 39% of IM PDs actually agreed that a scored Step 1 measures the ability of applicants to succeed in that specialty.

ALT Screenshot from the Mun paper showing that 83% of orthopedic PDs and 74% of IM PDs disagreed with a pass/fail Step 1 - but only 43% of orthopedic PDs and 39% of IM PDs actually agreed that a scored Step 1 measures the ability of applicants to succeed in that specialty.

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Is it really true that “the U.S. death rate in 2020 was the highest above normal since the early 1900s—even surpassing the calamity of the 1918 flu pandemic”? Ah... No. Not exactly. Why isn’t Prof Gelman on the NYT and NPR editorial staff? statmodeling.stat.columbia.e…
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Dosing meds based on liver disfunction is largely not needed- or at least till liver function is at least 90% impaired (AKA if you are not doing MELD or Child-Pugh scores then don't worry about it)
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