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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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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
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 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
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
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
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
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
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
"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
"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
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
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
Lifestyle medicine involves co-creating plans w/ pts for diet, physical activity, sleep, stress, & social connection. This can have an impact on both prevention & treatment of disease.
@hubermanlab.com #MedSky tinyurl.com/34x8czt8
November 4, 2025 at 4:33 PM
Make talking about sexual health a routine part of care—explain why you’re asking and avoid assumptions. If it feels awkward, name it to build trust and show patients that sexual well-being matters. @inaparkmd.bsky.social @juliamarcus.bsky.social @profkevinfenton.bsky.social tinyurl.com/58e38md7
November 3, 2025 at 4:50 PM
"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...
October 31, 2025 at 4:41 PM
Use motivational interviewing to partner w/ teens in decision-making & aligning goals. This can foster collaboration & lead to improved health outcomes. @drhowardliu.bsky.social @drcjohns.bsky.social @scottvernaglia.bsky.social #MedSky closler.org/connecting-w...
October 30, 2025 at 7:31 PM
"As my patient’s symptoms eased, our conversations evolved from medical check-ins to life planning. Including patient-defined milestones—like “safe to fly”—in the treatment plan makes healthcare more meaningful for both patients and clinicians."-Dr. Todd Kolb #medsky

tinyurl.com/mw7uc579
October 29, 2025 at 8:56 PM
Lead with trauma-informed, dignity-first care: clarify the patient’s priorities and take the time to build a trusting relationship. @drkopacz.bsky.social @soulinmedicine.bsky.social #MedSky tinyurl.com/56wb4k27
October 27, 2025 at 7:36 PM
When symptoms evolve or remain unexplained despite reassuring tests, ask, “What am I missing?” Revisit the presumptive diagnosis and reconsider the differential—both vital for and part of seeking feedback on your diagnostic accuracy. @cpsolvers.bsky.social #MedSky tinyurl.com/3ts6jbez
October 24, 2025 at 2:08 PM
ROMO—the Relief of Missing Out—is the burnout antidote you can start tonight. Consider skipping the next conference and protecting your weekends to have energy to give exceptional care to every patient. @drkopacz.bsky.social @scottvernaglia.bsky.social #MedSky tinyurl.com/43kr9hym
October 23, 2025 at 4:52 PM
To build an exceptional care team: foster psychological safety, model humility, and solicit input from every person. Daily rituals of respect can sustain excellent patient care. @panagis.bsky.social #MedSky closler.org/lifelong-lea...
October 22, 2025 at 8:02 PM
"When I became a pt, loss of control helped me realize how much trust I needed to place in my MD. As a clinician, I will remember my experience and the need to build trust with candor and clear communication."-Katelyn Jackson @drkopacz.bsky.social @ranaawdish.bsky.social #MedSky tinyurl.com/2czm82kh
October 20, 2025 at 4:17 PM
"Pts’ community participation can be a powerful determinant of health—an essential part of your assessment & care plan. Try asking, 'Are you part of a faith community, & how is it affecting you right now?'"- @warrenkinghorn.bsky.social @dukepsychiatry.bsky.social tinyurl.com/4cfjr4t8
October 17, 2025 at 5:21 PM
"Standard of care is provisional—reassess therapies as evidence evolves. Be open to changing your thinking and practice as new data emerge."-Dr. Samuel Durso @drmarthagulati.bsky.social #MedSky closler.org/lifelong-lea...
October 16, 2025 at 5:46 PM