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Reposted by Zaven Sargsyan

thecurbsiders.bsky.social @thecurbsiders.bsky.social · 2h

We’re so honored to have incredible guests like Dr. Elliot Tapper @ebtapper.bsky.social
join us for expert interviews, lively discussions, & a healthy dose of knowledge food for your brain holes. 🩺🍽️

Here’s to 500 more! 🙌

🎧 Catch up on the latest episodes at thecurbsiders.com

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Zaven Sargsyan @sargsyanz.bsky.social · 2h

"Diplococci were seen in 20% of neutrophils" (of which many were bands like this one, I'd guess). Striking reminder of the virulence of strep pneumo, and how much its burden has been reduced by vaccination.

www.nejm.org/doi/full/10....

Reposted by Zaven Sargsyan

Luke Plunkett @lukeplunkett.com · 19h

kids teacher just sent this home as part of an assignment he's doing and i want to smash every computer at the school

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Zaven Sargsyan @sargsyanz.bsky.social · 15h

Yeeeees can’t wait to listen

CORE IM @coreimpodcast.bsky.social · 16h

1/ 🚨 NEW #5Pearls: Hepatorenal Syndrome (HRS) part 1️⃣

AKI + portal HTN 🟰hepatorenal syndrome

🖥️: www.coreimpodcast.com/2025/10/15/h...

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Reposted by Zaven Sargsyan

CORE IM @coreimpodcast.bsky.social · 16h

1/ 🚨 NEW #5Pearls: Hepatorenal Syndrome (HRS) part 1️⃣

AKI + portal HTN 🟰hepatorenal syndrome

🖥️: www.coreimpodcast.com/2025/10/15/h...

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Reposted by Zaven Sargsyan

Lekshmi Santhosh MD MAEd (she/her) @lekshmimd.bsky.social · 1d

I recommend 'In shock' in every talk I give about sepsis or post ICU syndrome -whether it's to students or faculty. It truly will change your practice and your heart. I can't wait for this book!! 👏🏾👏🏾🥳🥳🎉🎉 Congrats Dr @ranaawdish.bsky.social

Rana Awdish MD @ranaawdish.bsky.social · 1d

So #medsky, the secret is out. BIG NEWS!! I am sooo very excited to share my thoughts on healing that truly honors the body’s wisdom and innate healing. I’ve learned so much in the process of writing this. I hope it can be a companion in your journey, as a healer or someone who is seeking healing ❤️‍🩹

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Reposted by Zaven Sargsyan

Rana Awdish MD @ranaawdish.bsky.social · 1d

So #medsky, the secret is out. BIG NEWS!! I am sooo very excited to share my thoughts on healing that truly honors the body’s wisdom and innate healing. I’ve learned so much in the process of writing this. I hope it can be a companion in your journey, as a healer or someone who is seeking healing ❤️‍🩹

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Zaven Sargsyan @sargsyanz.bsky.social · 1d

Seems like there's still people who need the 8-hour opioid prescribing training for DEA renewal, and who don't know know about this free, online, efficient, high-quality resource from @nejm.org . High recommend both for box-checking, and for real learning.

cme-info.nejm.org/dea-rems-tra...

Role of Opioids in Pain Management

cme-info.nejm.org

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Zaven Sargsyan @sargsyanz.bsky.social · 1d

Happy to offer nugget delivery services directly or via UberEats

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Zaven Sargsyan @sargsyanz.bsky.social · 1d

Mechanism of efficacy of salt tabs (and urea) in SIADH.

You must excrete the solute. But you can’t pee pure crystals—that would hurt. So you are forced to excrete water you otherwise wouldn’t have excreted.

Adam HORRORster 🎃 @kidneynerd.bsky.social · 2d

Teaching my dad how the kidneys work by explaining to him why my dog just peed 2L after eating an entire turkeys worth of salt on Thanksgiving

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Reposted by Zaven Sargsyan

Atheendar Venkataramani @atheendar.bsky.social · 2d

I hope people find this generative.

There are a lot of policy effects that are larger and quicker than what we would expect (based on what the policy actually does).

www.nejm.org/doi/full/10....

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Reposted by Zaven Sargsyan

NEJM.org @nejm.org · 3d

In a 21-year-old woman who presented with a 7-day history of sore throat and cough, a chest radiograph showed two hemivertebrae at the ninth thoracic vertebral body. Read the full case details: nej.md/4pZCCCR

#MedSky #Orthopedics #Radiology

Panel A: A chest radiograph showing normal lungs and two hemivertebrae at the ninth thoracic vertebral body (T9).
Panels B–D: Subsequent computed tomography of the chest showing a sagittal cleft (axial view), anterior wedging (parasagittal view), and symmetric, triangular hemivertebrae resembling the wings of a butterfly at T9 (coronal view).

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Zaven Sargsyan @sargsyanz.bsky.social · 3d

I mean, it's pretty impressively asymptotic to never

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Zaven Sargsyan @sargsyanz.bsky.social · 3d

Low platelets plus schistocytes

Marjorie James Keenan @unenthusiast.com · 3d

In honour of spooky month, share a 4 word horror story that only someone in your profession would understand.

rm -rf ~/

hammancheez @hammancheez.bsky.social · 3d

"The chancellor approved it"

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Emily Moin @emilymoin.com · 3d

Beta blocking sinus tachycardia

Marjorie James Keenan @unenthusiast.com · 3d

In honour of spooky month, share a 4 word horror story that only someone in your profession would understand.

rm -rf ~/

hammancheez @hammancheez.bsky.social · 3d

"The chancellor approved it"

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Reposted by Zaven Sargsyan

Goodishintent @omnintensivist.bsky.social · 4d

Rude

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Zaven Sargsyan @sargsyanz.bsky.social · 4d

Degradation of validity, elusiveness of truth everywhere

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Zaven Sargsyan @sargsyanz.bsky.social · 4d

Are a lot of google reviews fake / AI-generated now?

There's a company with 2.8 starts on 108 reviews on yelp

And 4.9 stars on 5,400 reviews on google - which all read very similar, and seem to concentrate heavily in the last several months.

My experience with the company was much more yelpy

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Zaven Sargsyan @sargsyanz.bsky.social · 4d

Second one has a flagellum

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Zaven Sargsyan @sargsyanz.bsky.social · 4d

Thanks.. I think some of it is driven by HF care accreditation/quality metrics imposed from on high (ACC or AHA)?

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James 🎃cello 🌉 @jamespirruccello.com · 5d

If non-dramas are allowed, Scrubs, to me, is the most evocative of what it was like to be a medical resident.

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Zaven Sargsyan @sargsyanz.bsky.social · 5d

The benefit of GDMT for HFrEF seems much greater / more important than of "GDMT" for HFpEF.

While the downsides--side effects, cost, pill burden, etc--are agnostic of benefit.

And yet I'm seeing a trend of "GDMT for HF" being increasingly conflated across the EF spectrum. Anyone else?

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NEJM.org @nejm.org · 5d

A 23-year-old man with autism spectrum disorder and chronic constipation presented to the emergency department with a 1-week history of abdominal pain on his left side, nausea, and vomiting. 1/2

#MedSky

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Zaven Sargsyan @sargsyanz.bsky.social · 5d

Interesting that they excluded uncomplicated cases.

Yes the complexity and risks of OPAT are greater in 6 rather than 2 weeks.

But much of it is front-loaded, e.g. PICC insertion, vanc levels/dosing, catheter thrombosis. Whereas cost of dalba linear with # of doses.

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Reposted by Zaven Sargsyan

Paul Sax @paulsaxmd.bsky.social · 5d

What the DOTS trial of Staph bacteremia tells us:
• Dalbavancin d1 and d8 vs daily IVs for WEEKS
• No left-sided IE/CNS/prosthetics
• Dalba not superior by DOOR endpoint, but similar clinical outcomes.
Big implications for inpt care. More here! #IDSky tinyurl.com/3hjzkt96

DOTS: Optimism Around a “Negative” Dalbavancin Trial

The DOTS randomized clinical trial of dalbavancin versus standard-of-care for Staph aureus bacteremia (SAB) just landed in JAMA, where it undoubtedly will be featured in numerous ID, hospitalist, and ...

tinyurl.com

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