Joined July 2011
Barry Chan 陳天昕 retweeted
🧵OK, I'm doing a talk next week to a group that won't have any idea why I'm there, so I'm going to repost some of my older 🧵 This one is on the 'figure-of eight' and also the 'pursestring' sutures. We'll go over what they're for and some technical pointers and pitfalls.
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Barry Chan 陳天昕 retweeted
Some thoughts on burnout: 🧵 A part of burnout in medicine, especially in academia, is that people are carrying around with them an enormous number of thoughts and frustrations that just sit there and fester in their minds, and they see no safe outlet for expressing them. (1/)
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It’s strange that we ask trainees to read clinical trials but never really teach them how to read clinical trials. I’d request all training program directors and mentors to please share this article to their trainees and fellows- ascopubs.org/doi/10.1200/OP-… Grateful to @JCOOP_ASCO for making this free.
A MUST-READ! This is probably one of my most important papers where I try to teach how to fish rather than offer fish. How I Read a Clinical Trial Report? BG’s primer for Busy Clinicians. Thank you @JCOOP_ASCO @EthicsdoctorP for the kind invitation. I hope the readers will find this useful. ascopubs.org/doi/10.1200/OP-…
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Barry Chan 陳天昕 retweeted
You are replaceable at work, but you are NOT replaceable at home. A beautiful and poignant reflection that applies to all clinicians.
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Barry Chan 陳天昕 retweeted
A new Annals #GraphicMedicine from Bilqis Omoyeni Ayeni at @GeiselMed shows the struggles of family caregivers. bit.ly/4dEdptY
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Barry Chan 陳天昕 retweeted
Another fantastic @NEJM Not Otherwise Specified pcast ep from incomparable @LisaRosenbaum17; this season's topic is primary care, and today's focus=impact of AI - fascinating discussion w Stanford's Steven Lin. podcasts.apple.com/us/podcas… cc @AdamRodmanMD @zakkohane @goldbergcarey
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Barry Chan 陳天昕 retweeted
I’ve been obsessed with the @NEJM CPCs since I was in grad school. Now, with @tabuckley_, it’s surreal to see @NEJM publish the first AI differential diagnosis in the 100+ year history of the series, generated by our AI system Dr. CaBot, alongside the human expert’s.
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Barry Chan 陳天昕 retweeted
Here's a video I made breaking down this very important #ECG that was recorded in a 60-year-old man before he went into cardiac arrest #FOAMed
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Barry Chan 陳天昕 retweeted
(1/9) Its July and medical trainees are starting their medical school residency or fellowship. Here is my advice for any ICU fellows starting out to avoid making some of the same mistakes that I've made in the past. A 🧵
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Barry Chan 陳天昕 retweeted
A thrombus migrating from the IVC into the right atrium🚨 Image courtesy: DOI: 10.1016/j.amjmed.2018.07.040 #POCUS #FOAMed #criticalcaremedicine #emergencymedicine
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Barry Chan 陳天昕 retweeted
Who can translate this? It’s written in Ortho.
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The results are in! CONGRATULATIONS to Program Director, Dr. Gauthier and the Core Internal Medicine Residency Program for winning the 2025 PARO Residency Program Excellence Award! This is given annually to one outstanding training program in the entire province. Well done! 👏
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Barry Chan 陳天昕 retweeted
ICU Hemodynamics Secrets: Did you ever manage a patient when the upper arm was inaccessible for noninvasive oscillometric measurements of blood pressure (BP), & the cuff was placed on the lower leg? This study evaluated the impact of patient position on lower leg BP measurement
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Barry Chan 陳天昕 retweeted
Brilliant article reviewing zoonotic infections in the Canadian Arctic. 🇨🇦 Echinococcus canadensis, Mycoplasma phocacerebrale ("seal finger"), Trichinellosis & more. Link: cmaj.ca/content/197/2/E34, by James Burns et al. Published in @CMAJ today.
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Use anything that is available in immediate reach to infer the clinical data point needed -- even when POCUS is not available or out of commission. Anything.
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In this case, CVP estimation via (a) scalp vein, (b) a skull defect with vein underneath, (c) arm vein, (d) 18G peripheral IV water column pressure transduction
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