Emergency Medicine @BIDMCEM data science clinical informatics. Views are my own.

Joined February 2016
18 Photos and videos
Can someone explain to me how my ER visit copay was $100, but my insured pediatrician urgent visit cost over $300?
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A great case from @BIDMCEM and @BidmcCvi: Your ED patient is post-VT arrest in complete heart block, HR in 40s, QTc in 700s. BPs are stable. External pacing fails and you are setting up your transvenous pacer. Mag is running.
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You remember that amiodarone is a QTc prolonger... are you giving any other meds for the VT? @PharmERToxGuy @emcrit @PulmCrit
When you are working on a paper with new collaborators and don't want to assume anything about their statistical environment... @BIDMCEM
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THIS from @Ted_Melnick and co. Have to acknowledge that the learning health system takes time, money, and dedication. Beyond federal funders, it’s incumbent on institutions to support this work because it supports their workforce.
What ED chief complaints necessitate a pelvic exam in your practice?
What percent of ED admissions are unambiguous? There is such a fine line for so many patients we admit. End of shift, out of energy to hustle a safe discharge, taxed by other sick patients… it’s a probability distribution. Except the patient experience is binary. Admit or no.
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Adrian Haimovich, MD PhD retweeted
In @NatureComms, led by @Veer_Sangha_ @cards_lab is our deep learning approach to layout-free automated clinical diagnosis & hidden label detection from ECG images With broad global access to ECG images, this represents an advance for AI in ECG inference nature.com/articles/s41467-0…
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Love this case: STEMI? OMI? Young, active chest pain, new bradycardia in the house of @BrooksWalsh @smithECGBlog
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As requested, the pre and post-PCI Is it fair to say that, even for you pros, OMI can be hard to diagnosis? I think that the patient's appearance, symptoms, and vital signs clinched the story... @smithECGBlog @BrooksWalsh @adribaran @Vadeboncoeur_Al
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In what ways does this “geriatric” electronic health record view help in the care of older adults in the ED? #softwaregore
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Code status = useful Fall risk = irrelevant if you won’t help anyone walk anyway Memory = a blank slate? Meds = everyone has polypharmacy Rothman index = you can just stop right there
Serious question. Is my Twitter just an echo chamber of Ukrainian self-defense successes, or is the actual prognosis shifting? I suppose not mutually exclusive.
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Imagine waking up today to a world where we had seized one of many opportunities to divest the engines of our economy from fossil fuels.
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I’m trying to imagine a remake for the 2000s Italian Job where the heist is for NFTs. Sounds terrible.
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Adrian Haimovich, MD PhD retweeted
A bad day for local healthcare in R.I. Good day for private equity, New Haven, and Partners (that HC conglomerate in Boston)
NEW: @AGNeronha has rejected the proposed merger of Rhode Island’s two largest hospital groups, in a stunning move that throws the future of the state’s most powerful health care institutions into turmoil wpri.com/business/in-stunnin…
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The main difference between my job and the Olympics is that patients I see who fall on ice actually have coronary artery disease.
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I will let @SJMurphy take it from here.
This is everything I would want from an academic career. 1. Mixed team and individual accomplishment 2. Impactful work 3. Getting to read to my kid at the end of the workday 4. Having that book be Anne of Green Gables
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Super over the Olympic-level “dog ate my homework”