Zaven Sargsyan
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sargsyanz.bsky.social
Zaven Sargsyan
@sargsyanz.bsky.social
Internist at Baylor College of Medicine, Houston
Reposted by Zaven Sargsyan
how i begin my Conclusion
November 29, 2025 at 7:54 AM
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Neither Montana nor California have legalized in-app gambling and the fact that those two very different states agree on this should be a signal to everywhere else.
November 28, 2025 at 6:27 PM
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November 27, 2025 at 9:17 PM
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Patient with cirrhosis and INR of 3 needs a procedure

Please step away from the FFP

EVERY guideline & article agrees that FFP shouldn't be given for pre-procedure coag optimization (even high-risk procedures)

Plt & fibrinogen are more controversial

Discussion emcrit.org/ibcc/cirrhos... #EMIMCC
November 27, 2025 at 1:06 PM
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Do your parent friends know there's a vaccine that can prevent one of the 10 most common types of cancer (both incidence and mortality) in the world?
November 26, 2025 at 11:12 AM
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The Australian Govt made the HPV vax available for free to girls from age 12 in 2007, extended to boys in 2013.
#VaccinationsSaveLives
November 26, 2025 at 10:27 AM
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A reminder: Early CCY after ERCP

🤔Although guidelines rec: Early CCY (same admission), only done about half the time

🤔Study: ACG Scientific Meeting

😒Biliary comps in 23% delayed, vs 0.8% early ccy

🔑: Risk NOT mitigated by sphincterotomy or stenting.

Carpe Diem:

#gisky #medsky #imsky
November 25, 2025 at 11:29 PM
Reposted by Zaven Sargsyan
the last 24 hours on X, summed up:
November 23, 2025 at 2:26 PM
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My new favorite kind of meme is "here are detailed instructions on how to turn off AI". 🔨
November 19, 2025 at 3:00 PM
HFimpEF is best treated with allergen avoidance, antihistamines, and nasal corticosteroids
November 18, 2025 at 2:26 AM
Part 1: Oh no, red exclamation mark, acetaminophen level must be high.

Click.
November 17, 2025 at 1:33 AM
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I am prepared to vote for anybody who will stop this
November 15, 2025 at 6:42 PM
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It’s a special time of year, when the leaves argue with the sky and the squirrels are all fat and anxious
November 15, 2025 at 9:13 PM
Please, call me Orfor.
In the ATTAIN-1 phase 3, randomized trial, the use of orforglipron, an oral glucagon-like peptide-1 receptor agonist, led to significant mean body-weight reductions in patients with #obesity, as compared with placebo. Full trial results and Research Summary: nej.md/4n1nSl2

#MedSky #EndoSky
November 11, 2025 at 2:17 PM
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If they were shorter they would not touch the ground
November 10, 2025 at 4:24 PM
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Happy There Is A Circulatory System Walking Through The Kitchen Day to all who celebrate.
November 10, 2025 at 10:54 AM
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Sunday running chronicles:
Unseasonably warm, but still getting dark out at 4:30 PM. The smell of fallen leaves and rotting hay makes me think not all decay is bad.
November 9, 2025 at 11:21 PM
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🚲⚠️ Look out, CAR T, there's another transportation-named cancer treatment class in town! ⚠️🚲

First-in-human trial of bicycle-drug conjugates (BDCs) hit JCO this week. So what are they, and how are they different than antibody-drug conjugates (ADCs)?

#OncSky #MedSky
November 10, 2025 at 12:06 AM
Only Jason Isbell can casually drop "diphenhydramine" into a song and take nothing away from the melody or poetry
November 8, 2025 at 10:10 PM
Thanks and well done
November 7, 2025 at 5:04 PM
Reposted by Zaven Sargsyan
Eye-opening: shifting from likes/shares-based boosting to view-time-based boosting essentially keeps "outgroup criticism" posts constant, while replacing 1/2 of "ingroup praise" and ~all "neutral" content with "other political content".

Ew.
"Why American-style polarisation is spreading across the West"

Two words: algorithms and incentives. Mostly incentives. Until we modify or eliminate incentives, all we can do is watch as the fabric of society is pulled apart, strand by strand. www.ft.com/content/5060...
November 7, 2025 at 4:05 PM
Reposted by Zaven Sargsyan
A 20-year-old man with Graves’ disease presented to the ED with a 2-hour history of confusion. A goiter, bounding carotid pulses, and bruits over the thyroid (shown in videos) were noted on physical examination. Read the full case details: nej.md/3XcXjy2

#MedSky #EndoSky
November 6, 2025 at 9:44 PM
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#idboardreview 40 M presents w/ N, V, severe epigastric pain. SH:smoker, drinks 18 beers/day, monogamous with wife, bit by his dog 3d ago, dental cleaning 7d ago, recently installed air conditioning system. Bandemia, AKI. Diffuse blanching rash & mottling. Dx? #medEd #idmeded #idsky
November 6, 2025 at 12:13 AM
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This really hasn’t gotten enough attention this week.

@wired.com #ICE
www.wired.com/story/fbi-wa...
November 5, 2025 at 11:09 PM
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This is so fucking cool #KidneyWk
November 5, 2025 at 5:29 PM