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closler.bsky.social
@CLOSLER
@closler.bsky.social
Daily clinical insights from Johns Hopkins. Follow us on all social
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"Approach each patient encounter with humility and curiosity. If you misstep, apologize and invite a reset to restore trust."- @ranaawdish.bsky.social @agawande.bsky.social @choo.bsky.social @erictopol.bsky.social @kevinmd.bsky.social #MedSky closler.org/wp-admin/pos...
Appreciating “thank yous” and other signs of gratitude from pts can be restorative.

These gifts can be a reminder of the privilege that we have in caring for pts.

@gradydoctor.bsky.social #MedSky #Thanksgiving #Gratitude tinyurl.com/2s3wbzyj
November 26, 2025 at 2:04 PM
Reposted by @CLOSLER
For pts w/o family present, pause to say, “I’m here with you.”

Offer chaplaincy, social work, & volunteers to accompany dying pts in their final moments.

@drjrubenstein.bsky.social @amehtamd.bsky.social @benwthompson.bsky.social #MedSky tinyurl.com/2s3ubju8
November 25, 2025 at 8:31 PM
For pts w/o family present, pause to say, “I’m here with you.”

Offer chaplaincy, social work, & volunteers to accompany dying pts in their final moments.

@drjrubenstein.bsky.social @amehtamd.bsky.social @benwthompson.bsky.social #MedSky tinyurl.com/2s3ubju8
November 25, 2025 at 8:31 PM
Reposted by @CLOSLER
For improved mood and lower stress, consider prescribing exposure to nature—urban parks and leafy sidewalks are free, accessible options.

Try spending time there yourself, too!

@drlucymcbride.bsky.social @drdavidkatz.bsky.social #MedSky tinyurl.com/38pnhdw6
November 24, 2025 at 6:16 PM
For improved mood and lower stress, consider prescribing exposure to nature—urban parks and leafy sidewalks are free, accessible options.

Try spending time there yourself, too!

@drlucymcbride.bsky.social @drdavidkatz.bsky.social #MedSky tinyurl.com/38pnhdw6
November 24, 2025 at 6:16 PM
Reposted by @CLOSLER
Make perimenopause a routine part of midlife care: normalize symptoms, screen for sleep/mood, & offer evidence-based treatments. If needed, refer to a specialist. @larabriden.bsky.social @perimenopausetalks.bsky.social @menopausecare.bsky.social #MedSky tinyurl.com/98nxrjtj
November 20, 2025 at 7:11 PM
Reposted by @CLOSLER
This new class of weight loss drugs aren't a magic fix.

Work with pts to set realistic goals, start low & titrate slowly, & counsel on GI risks.

@yonifreedhoff.com @davidludwigmd.bsky.social #MedSky #GLP1 @easoobesity.bsky.social @worldobesity.bsky.social tinyurl.com/yc2f7e7h
November 21, 2025 at 4:37 PM
This new class of weight loss drugs aren't a magic fix.

Work with pts to set realistic goals, start low & titrate slowly, & counsel on GI risks.

@yonifreedhoff.com @davidludwigmd.bsky.social #MedSky #GLP1 @easoobesity.bsky.social @worldobesity.bsky.social tinyurl.com/yc2f7e7h
November 21, 2025 at 4:37 PM
Make perimenopause a routine part of midlife care: normalize symptoms, screen for sleep/mood, & offer evidence-based treatments. If needed, refer to a specialist. @larabriden.bsky.social @perimenopausetalks.bsky.social @menopausecare.bsky.social #MedSky tinyurl.com/98nxrjtj
November 20, 2025 at 7:11 PM
Reposted by @CLOSLER
When the working diagnosis doesn’t fit, think again—recheck the facts, consult a colleague, and consider concurrent disease processes. @cpsolvers.bsky.social @missdiagnosis.bsky.social #MedSky closler.org/lifelong-lea...
November 18, 2025 at 5:53 PM
When the working diagnosis doesn’t fit, think again—recheck the facts, consult a colleague, and consider concurrent disease processes. @cpsolvers.bsky.social @missdiagnosis.bsky.social #MedSky closler.org/lifelong-lea...
November 18, 2025 at 5:53 PM
Reposted by @CLOSLER
Mindfulness is a clinical tool that allows you to be fully present during patient encounters.

Practiced daily, it can improve focus and mitigate burnout. @drkopacz.bsky.social @jonkabat-zinn.bsky.social #MedSky tinyurl.com/2maxz2p3
November 17, 2025 at 4:21 PM
Mindfulness is a clinical tool that allows you to be fully present during patient encounters.

Practiced daily, it can improve focus and mitigate burnout. @drkopacz.bsky.social @jonkabat-zinn.bsky.social #MedSky tinyurl.com/2maxz2p3
November 17, 2025 at 4:21 PM
Reposted by @CLOSLER
A pt’s autism was missed for years after a clinician assumed his social struggles were “just part of being Muslim.”

Include questions about faith & culture to better understand your pt’s lived experience.

This may help to avoid stereotyping. @weselymd.bsky.social #MedSky

tinyurl.com/3rv6ubts
November 14, 2025 at 6:25 PM
A pt’s autism was missed for years after a clinician assumed his social struggles were “just part of being Muslim.”

Include questions about faith & culture to better understand your pt’s lived experience.

This may help to avoid stereotyping. @weselymd.bsky.social #MedSky

tinyurl.com/3rv6ubts
November 14, 2025 at 6:25 PM
Reposted by @CLOSLER
For patients with insomnia, coach them to visualize vivid, unrelated images to disrupt rumination and promote sleep onset.

You can try it yourself, too!

@rachelsalasmd.bsky.social @sleepdoctor.bsky.social @sleepdiplomat.bsky.social @aricprather.bsky.social tinyurl.com/ynn7ssz7
November 13, 2025 at 8:28 PM
For patients with insomnia, coach them to visualize vivid, unrelated images to disrupt rumination and promote sleep onset.

You can try it yourself, too!

@rachelsalasmd.bsky.social @sleepdoctor.bsky.social @sleepdiplomat.bsky.social @aricprather.bsky.social tinyurl.com/ynn7ssz7
November 13, 2025 at 8:28 PM
Reposted by @CLOSLER
"My pt’s father reminded me that exceptional care goes beyond knowledge—it’s also the humility to admit uncertainty & the skill to forge collaborative partnerships w/ pts & families."-Dr. Mike Crocetti @scottvernaglia.bsky.social #MedSky tinyurl.com/y7kbyzza
November 12, 2025 at 10:05 PM
"My pt’s father reminded me that exceptional care goes beyond knowledge—it’s also the humility to admit uncertainty & the skill to forge collaborative partnerships w/ pts & families."-Dr. Mike Crocetti @scottvernaglia.bsky.social #MedSky tinyurl.com/y7kbyzza
November 12, 2025 at 10:05 PM
Reposted by @CLOSLER
Now more than ever, create an affirming healthcare environment for #lgbtqiaplus patients by using respectful language & addressing unique care needs. @cjstreed.bsky.social @tmprowell.bsky.social @lgbtqhealthexce.bsky.social @lgbtqhealth.bsky.social closler.org/uncategorize...
August 12, 2025 at 7:14 PM
Reposted by @CLOSLER
"I found more meaning in my work when I stopped treating “cases” and started seeing people. Compassionate attention became my most effective clinical tool."-Dr. Dimitri Tito @rschaefmd.bsky.social @armyemdoc.bsky.social #MedSky closler.org/passion-in-t...
November 11, 2025 at 4:44 PM
"I found more meaning in my work when I stopped treating “cases” and started seeing people. Compassionate attention became my most effective clinical tool."-Dr. Dimitri Tito @rschaefmd.bsky.social @armyemdoc.bsky.social #MedSky closler.org/passion-in-t...
November 11, 2025 at 4:44 PM
Reposted by @CLOSLER
Attention invested in small moments—like a few screen‑free minutes at the start of a patient encounter—can compound into a trusting patient-clinician relationship. @tonyrobbinsbs.bsky.social @melrobbins.bsky.social #MedSky tinyurl.com/yeyrumrb
November 10, 2025 at 8:42 PM
Attention invested in small moments—like a few screen‑free minutes at the start of a patient encounter—can compound into a trusting patient-clinician relationship. @tonyrobbinsbs.bsky.social @melrobbins.bsky.social #MedSky tinyurl.com/yeyrumrb
November 10, 2025 at 8:42 PM
Reposted by @CLOSLER
Trust in established medical standards is at a low ebb. Clinicians can help repair & build trust by receiving all pt stories and beliefs, no matter how misguided, w/ curiosity & concern. @drtomfrieden.bsky.social @rschaefmd.bsky.social #MedSky closler.org/connecting-w...
November 6, 2025 at 5:01 PM