Steroids cause sugars to rise. Isolating individuals with #Covid19 are required to start insulin by themselves for the first times , alone. So , I made this short video to help you review self injection of insulin . Hope this helps. Share if useful. youtu.be/-PFqzaj_7p4

Could the GLP1 agonists resultant weight loss sustained over years ,potentially reset the hypothalamic set point and could the hunger cues diminish over time ? Could we potentially wean off GLP 1 agonist if we held a 20% weight loss for 5 yrs? @KapoorNitinDr @DrAmbrishMithal

“The older I get, the clearer it becomes: people don’t disappear into gardening, baking, books, and long walks because life got boring. They do it because peace became priceless.” - Mike Bales

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You can read all you want about communism but you truly learn what communism is when you spend a day at #DisneySeaTokyo ! Especially if you have been to other Disney experiences in capitalist confines and enjoyed an express pass! #Japan #Tokyo. 120 min wait for the ride!

This is landmark @DGlaucomflecken !! Why does this feel like a personal win! Did you try fo run so far away from academia that academia had to run after you !!!! So proud! And what a fun way to engage with recent advances

Phil, this is the kind of question with no clear answers and dozens of opinions that internists dream of! Our latest video in our partnership with @DGlaucomflecken summarizes the Ez-PAVE trial that evaluated the appropriate LDL cholesterol target for secondary prevention in patients with atherosclerotic cardiovascular disease. Read the full study for free: nej.md/DrG41 #Cardiology

Primary care doctors handle 75 percent of all mental health care in this country. They receive 2 percent of their total training in it. That is not a resource gap. It is a curriculum failure that has not changed in over a hundred years, and it is killing people. Robert C. Smith, MD, has spent decades in academic medicine trying to fix this. He conducted the randomized controlled trials that identified the first evidence-based patient-centered interviewing method and the first primary care mental health model. He knows what works. The problem is that the system does not want it. The downstream numbers are staggering. There are 48,000 suicides a year in the United States. Half of those people saw their primary care doctor in the two to four weeks before they died. The doctors were not trained to screen for it. There are 15,000 opioid overdose deaths a year from prescriptions written by physicians who were never taught how to manage chronic pain or recognize addiction risk. Nearly 100 million Americans have a major mental health condition and are not receiving adequate care from anyone. It gets worse when you look at chronic disease. Seventeen percent of patients with conditions like diabetes, heart failure, and hypertension carry an untreated major mental disorder. When it goes unrecognized, the physical disease does not improve. That is part of why hospitals see the same patients cycling through readmissions. The structural explanation is the mind-body split that has governed medical training since the scientific revolution. Four years of medical school and three to five years of residency: nothing but physical disease medicine. The only mental health exposure most physicians get is a five-week inpatient psychiatry rotation in their third year, watching patients with schizophrenia and severe personality disorders who look nothing like the patients they will actually see in practice. Smith says the AAMC, ACGME, and AMA have known about this since Engel proposed the bio-psychosocial model in the 1970s. Fifty years of lip service. No change in curriculum. No change in clinical outcomes. Thomas Insel, a former director of NIMH, called it a human rights crisis. The comparison Smith draws is to Ralph Nader and Rachel Carson. The auto industry had seat belts and refused to install them. The chemical industry knew DDT was poisoning the water and refused to stop. Both industries changed only when the public got informed, got angry, and got Congress involved. Smith argues medicine is the same kind of recalcitrant industry, and the same kind of public pressure is the only path to reform. Eighty percent of heart attacks, strokes, and diabetes, and 40 percent of cancers, come from lifestyle factors that doctors are not trained to address through motivational interviewing. Obesity went from 15 percent of the population in 1990 to 50 percent today. The preventive failure alone represents trillions in health care spending that could have been avoided. Smith's message to clinicians is direct: this is not your failure. You were put in an untenable position by a training system that never equipped you for the work you were asked to do. Listen to the full conversation on The Podcast by KevinMD. Link in the replies. What is the single change to medical training that would most reduce the gap between the mental health care doctors provide and the training they actually receive? #ThePodcastbyKevinMD #MentalHealthTraining

just finished reading a breath of life by clarice lispector and oh okay

Friendship, however, has always depended on a certain irrational generosity. A willingness to waste time together magnificently. To listen to the same anxiety for the fifth time. To sit through silence. To remain available without agenda. ❤️❤️❤️

“The degree to which I can create relationships, which facilitate the growth of others as separate persons, is a measure of the growth I have achieved in myself.” C. Rogers

“We think we listen, but very rarely do we listen with real understanding, true empathy.  Yet listening, of this very special kind, is one of the most potent forces for change that I know.” Carl Rogers

Crowdsourcing here. Who are the Indian Bollywood and sports celebrities who promote carcinogens like tobacco, alcohol, sugary drinks? I'm happy to launch a campaign (and if necessary, beg them to desist). Please reply or RT this so that we can reach the right folks

Truth.

Mother's Day is celebrated on a Sunday, because capitalist patriarchy wouldn't want to give working moms an off day on a weekday, think about it! #mothers #mothers day

Bus, train, plane, auto, cab - women are unsafe everywhere. We need more outrage.

Thanks for reposting this @TheRealDoctorT !

This might be true for so many of us!

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Every sentence of this, especially the final one, breaks me wide open.

You are not the only one who has felt this very peculiar and unspeakable thing. Someone has already written it down. Someone sat alone with the same unbearable weight you are carrying right now and they survived it long enough to find words for it. That is what the whole of human literature is. Millions of people saying: me too, me too, me too…in the dark, across centuries, reaching forward through time to find you. You are not alone in this, you never were. The writers were always writing specifically to you. They just didn’t know your name.