Please join us in congratulating Masha Slavin, MD, recipient of this year's Mary O’Flaherty Horn Scholars in General Internal Medicine Program! Congratulations, Masha! #SGIM24 @MashaSlavin

This is Sir Frederick Banting. He discovered insulin in 1923. But he refused to put his name on the patent. Why? Because Banting felt it was unethical to profit from a discovery that would save lives. But pharmaceutical companies made huge financial offers to Banting for the patent, knowing they could make billions. They even sweetened the deal, offering an insulin clinic, with Sir Banting in charge... a temping offer to almost doctor in his position. Banting, however, said his discovery of isolated insulin was a gift to mankind. He felt this critical medicine should be available to everyone who needed it. In 1923, Banting was just 31 years old when he was awarded the Nobel Prize. Tragically, in 1941 while flying on a plane to personally protect scientific secrets from the Nazis, his plane crashed. He was killed. Banting's co-inventors, in his honor, sold the patent for insulin to the University of Toronto for the appropriate sum they thought appropriate – one dollar. Today, 30 million Americans with diabetes rely on his gift to mankind. To honor Sir Frederick Banting, it should remain a gift to mankind.

As I wrap up my 5th year of #primarycare practice, I can't help but reflect on the TEN "sparks" trainees may miss out on during residency that make this work so rewarding. A 🧵of #gratitude... @CLOSLER @primarycarechat @indupartha @adamcifu @gabrieldane @GIMaPreceptor 0/11

Health care for undocumented immigrants is a crisis but also an opportunity: "Without federal intervention, many undocumented immigrants with life-threatening illnesses will remain undiagnosed and untreated." 👏@MSKCancerCenter Dr @TrishaSantosMD @NEJM nejm.org/doi/full/10.1056/NE…

During my Internal Medicine training, I wrote 100s of discharge (d/c) summaries. In my PGY4 chief year, I was an outpatient attending and reviewed many d/c summaries. Here are some tips and tricks for your d/c summaries. -thread 🧵- #MedTwitter #MedEd #Cardiotwitter #IMG

On my EMS rotation, we responded to a call about a dying child. Blood sugar was >600, kid looked awful. Mom was sobbing, saying she couldn't afford insulin. I'll never forget what the EMT (later) told me: "You can't be poor AND have diabetes in this country...u gotta pick one."

1/ Someone was choosing between their meds and food. Someone was not safe at home and, because they live where they live, help never came fast enough. Someone finished high school but couldn’t read. Someone had on hospital-issued socks, no shoes, and was on broken crutches.

The clinic staff spent Friday canceling the appointments of 60-70 patients scheduled for abortions in the coming weeks. “Some patients broke down and could not speak through their sobbing. Some patients were stunned and didn't know what to say. Some patients did not understand.”

Consulted for anemia. Diagnosed HLH as a GI fellow. I may be new to this specialist thing but I wholeheartedly maintain you have to be a good internist to be a good specialist. #MedTwitter

Update on cluster of Legionnaires cases in Central Harlem: now 12 patients identified, all hospitalized. This is likely due to a contaminated cooling tower. All towers in area are being inspected/cleaned. In meantime, anyone with flu-like symptoms in area: seek immediate care.

Tomorrow is the 100 year anniversary of the discovery of insulin. In 1921, insulin’s discoverers sold its patent for $1 so insulin would be affordable to all. Today, a single vial of insulin that lasts me about a week is priced at $300 , only in the United States.

1k cases now being reported daily in NYC. When you're in a supermarket, store, subway car, movie theater etc, assume someone there may have the virus (and—especially if you're unvax'd—it may be you). Please wear you mask in these places. And if you still haven't—get vax'd NOW.

If you don’t have a scar on your arm from a smallpox vaccination, that’s because generations before you including me were legally required to be vaccinated. Everybody to protect everybody. Nobody whined.

Recalling a kiddo I saw weeks ago who presented with DKA. I ran through the 5 I's of DKA triggers in my head, ready to figure out his why. Houseless & with no fridge, his insulin was left to go bad in the car. No fancy ddx - just a reminder that housing is healthcare.

PLEASE HELP! February 14th, 2018 my daughter Jaime was murdered in school as a Freshman. Tonight, I am a dad who will go to the graduation that should have been. Let's send a message to Washington DC by making #DadsForGunSafety the # 1 hashtag with over 1,000,000 RT's.

An indoor mask mandate that only covers people who are unvaccinated and relies on an honor system is... Not a mask mandate. Please everybody please keep wearing your masks for just a little longer in supermarkets, stores, salons etc. Let's keep NYC's mask solidarity going.

NEW: Full details on hours and locations for NYC's big expansion of walk-in vaccination for aged 75 . Will now be available at 26 vax sites. Also applies for one eligible person of any age accompanying the senior (caregiver, family etc). Please help spread the word.

For nearly 2 weeks, we've been stuck at 50K new cases daily in that time, we've vaccinated an additional 20M Americans So why flat? Its a race between vaccinations and variants And we're running even Opening up too fast helps the variants I want vaccinations to win

NYC is now scheduling appointments at our Vaccine Hubs for people who cannot make an appointment online. ☎️ Call 877-VAX-4NYC (877-829-4692) to make an appointment. Translators are available to assist people who speak languages other than English.