Med Peds Hospitalist
@medpedshosp.medsky.social
Professor of Medicine and Pediatrics. CCLCM of CWRU. Father and husband. TKD Master. 🥋 RT ≠ endorsement. Governor @OhioACP
FAAP FACP SFHM FRCP FRCPCH
FAAP FACP SFHM FRCP FRCPCH
Pinned
Pediatric Hospital Medicine: A High-Value Approach: 9781975209872: Medicine & Health Science Books @ Amazon.com
Pediatric Hospital Medicine: A High-Value Approach: 9781975209872: Medicine & Health Science Books @ Amazon.com
www.amazon.com
Delighted to share the publication of our book:
Pediatric Hospital Medicine - A High Value Approach!!
A first of its kind!!! #highvaluecare
www.amazon.com/Pediatric-Ho...
Pediatric Hospital Medicine - A High Value Approach!!
A first of its kind!!! #highvaluecare
www.amazon.com/Pediatric-Ho...
Free access - a new publication:
Promises and Pitfalls of Large Language Models use to interpret Healthcare Guidelines
dl.acm.org/doi/10.1145/...
#LLM #AI #guidelines
@acpimphysicians.bsky.social @spaqisociety.bsky.social @societyhospmed.bsky.social @societygim.bsky.social @atreja.bsky.social
Promises and Pitfalls of Large Language Models use to interpret Healthcare Guidelines
dl.acm.org/doi/10.1145/...
#LLM #AI #guidelines
@acpimphysicians.bsky.social @spaqisociety.bsky.social @societyhospmed.bsky.social @societygim.bsky.social @atreja.bsky.social
Promises and Pitfalls of Large Language Models use to interpret Healthcare Guidelines | Companion Proceedings of the 16th ACM International Conference on Bioinformatics, Computational Biology and Heal...
dl.acm.org
December 6, 2025 at 3:40 PM
Free access - a new publication:
Promises and Pitfalls of Large Language Models use to interpret Healthcare Guidelines
dl.acm.org/doi/10.1145/...
#LLM #AI #guidelines
@acpimphysicians.bsky.social @spaqisociety.bsky.social @societyhospmed.bsky.social @societygim.bsky.social @atreja.bsky.social
Promises and Pitfalls of Large Language Models use to interpret Healthcare Guidelines
dl.acm.org/doi/10.1145/...
#LLM #AI #guidelines
@acpimphysicians.bsky.social @spaqisociety.bsky.social @societyhospmed.bsky.social @societygim.bsky.social @atreja.bsky.social
Storytelling: How to Make Data Meaningful?
While data and metrics provide the foundation for decisions, the emotional connection created through storytelling engages teams, fosters a shared vision, and drives lasting change.
www.sciencedirect.com/science/arti...
While data and metrics provide the foundation for decisions, the emotional connection created through storytelling engages teams, fosters a shared vision, and drives lasting change.
www.sciencedirect.com/science/arti...
Storytelling: How to Make Data Meaningful?
www.sciencedirect.com
December 6, 2025 at 2:40 AM
Storytelling: How to Make Data Meaningful?
While data and metrics provide the foundation for decisions, the emotional connection created through storytelling engages teams, fosters a shared vision, and drives lasting change.
www.sciencedirect.com/science/arti...
While data and metrics provide the foundation for decisions, the emotional connection created through storytelling engages teams, fosters a shared vision, and drives lasting change.
www.sciencedirect.com/science/arti...
Transforming Health Care from Volume to Value: Targeting Essential Therapies for Improved Health
OPEN ACCESS!
Value-based care approach to optimizing medications and blood product, underuse of guideline-based medical therapies in CAD, CHF and COPD.
www.amjmed.com/article/S000...
OPEN ACCESS!
Value-based care approach to optimizing medications and blood product, underuse of guideline-based medical therapies in CAD, CHF and COPD.
www.amjmed.com/article/S000...
Transforming Health Care from Volume to Value: Targeting Essential Therapies for Improved Health
The healthcare landscape is evolving rapidly due to escalating costs from the traditional
fee-for-service model. Value-based care has emerged as a viable solution, and initiatives
focus on areas prone...
www.amjmed.com
December 6, 2025 at 2:35 AM
Transforming Health Care from Volume to Value: Targeting Essential Therapies for Improved Health
OPEN ACCESS!
Value-based care approach to optimizing medications and blood product, underuse of guideline-based medical therapies in CAD, CHF and COPD.
www.amjmed.com/article/S000...
OPEN ACCESS!
Value-based care approach to optimizing medications and blood product, underuse of guideline-based medical therapies in CAD, CHF and COPD.
www.amjmed.com/article/S000...
Please DO NOT order single-unit plasma.
Plasma dose is weight-based - 10-20 ml/kg.
onlinelibrary.wiley.com/doi/10.1111/...
Plasma dose is weight-based - 10-20 ml/kg.
onlinelibrary.wiley.com/doi/10.1111/...
Is it time for the death knell of single‐unit plasma?
Background and Objectives A plasma transfusion dose should be weight-based (10–20 mL/kg), which equates to three to four units in an average-sized adult; therefore, the transfusion of single units u...
onlinelibrary.wiley.com
December 6, 2025 at 2:24 AM
Please DO NOT order single-unit plasma.
Plasma dose is weight-based - 10-20 ml/kg.
onlinelibrary.wiley.com/doi/10.1111/...
Plasma dose is weight-based - 10-20 ml/kg.
onlinelibrary.wiley.com/doi/10.1111/...
A maximum surgical blood ordering schedule: Does it add value?
Should you order a Type and screen on all surgical patients?
pmc.ncbi.nlm.nih.gov/articles/PMC...
Should you order a Type and screen on all surgical patients?
pmc.ncbi.nlm.nih.gov/articles/PMC...
A maximum surgical blood ordering schedule: Does it add value?
Implementing and complying with a maximum surgical blood ordering schedule (MSBOS) is challenging but essential to avoid waste and reduce costs. MSBOS helps manage blood product scarcity and healthcare expenditure by avoiding unnecessary ...
pmc.ncbi.nlm.nih.gov
December 6, 2025 at 2:22 AM
A maximum surgical blood ordering schedule: Does it add value?
Should you order a Type and screen on all surgical patients?
pmc.ncbi.nlm.nih.gov/articles/PMC...
Should you order a Type and screen on all surgical patients?
pmc.ncbi.nlm.nih.gov/articles/PMC...
December 6, 2025 at 2:19 AM
Reposted by Med Peds Hospitalist
The United States may be heading into its second severe flu season in a row, driven by a mutated strain called subclade K that’s behind early surges in the United Kingdom, Canada and Japan.
A new virus variant and lagging vaccinations may mean the US is in for a severe flu season | CNN
The United States may be heading into its second severe flu season in a row, driven by a mutated strain called subclade K that’s behind early surges in the United Kingdom, Canada and Japan.
cnn.com
November 18, 2025 at 2:32 PM
The United States may be heading into its second severe flu season in a row, driven by a mutated strain called subclade K that’s behind early surges in the United Kingdom, Canada and Japan.
Reposted by Med Peds Hospitalist
A new type of seasonal flu virus is raising concerns among health officials as winter approaches. Here's what to know about subclade K.
What is subclade K? The fast-spreading flu type drawing concern
A new type of seasonal flu virus is raising concerns among health officials as winter approaches. Here's what to know about subclade K.
www.scrippsnews.com
November 24, 2025 at 4:54 PM
A new type of seasonal flu virus is raising concerns among health officials as winter approaches. Here's what to know about subclade K.
Reposted by Med Peds Hospitalist
The currently circulating seasonal #influenza H3N2 subclade K increases unusually early this season. #Vaccination highly recommended especially for individuals >65 years and individuals with #chronic diseases or #immunocompromised. See also the @ecdc.europa.eu assessment: tinyurl.com/7rrsj86h
November 27, 2025 at 7:55 PM
The currently circulating seasonal #influenza H3N2 subclade K increases unusually early this season. #Vaccination highly recommended especially for individuals >65 years and individuals with #chronic diseases or #immunocompromised. See also the @ecdc.europa.eu assessment: tinyurl.com/7rrsj86h
Reposted by Med Peds Hospitalist
What about wastewater. We’ve seen blips of H1N1, but the only significant Flu spike we’ve seen was entirely H3N2 subclade K. It was kind of early to see a spike like that.
7/
7/
November 23, 2025 at 8:07 PM
What about wastewater. We’ve seen blips of H1N1, but the only significant Flu spike we’ve seen was entirely H3N2 subclade K. It was kind of early to see a spike like that.
7/
7/
Reposted by Med Peds Hospitalist
H3N2 subclade K variant makes up 56% of flu cases as fewer Americans get vaccinated
New flu strain could escape vaccine immunity as holiday travel begins
A new H3N2 flu variant could bypass vaccine immunity, raising concerns for a rougher flu season as holiday travel begins and vaccination rates drop.
www.koaa.com
November 30, 2025 at 1:00 AM
H3N2 subclade K variant makes up 56% of flu cases as fewer Americans get vaccinated
Full List of Degrees Not Classed As ‘Professional’ by current administration. 😱😱😡😡
www.newsweek.com/full-list-de...
www.newsweek.com/full-list-de...
Full list of degrees not classed as ‘professional’ by Trump admin
Certain students may no longer receive the same loan for their studies as what counts as "professional" will determine how much they get.
www.newsweek.com
November 23, 2025 at 11:50 PM
Full List of Degrees Not Classed As ‘Professional’ by current administration. 😱😱😡😡
www.newsweek.com/full-list-de...
www.newsweek.com/full-list-de...
Reposted by Med Peds Hospitalist
Bravo @ellengelles.bsky.social for being elected as the Ohio ACP new Governor-elect designee!
@metrohealthcle.bsky.social @abimcert.bsky.social @cjchiu.bsky.social @acpimphysicians.bsky.social
www.acponline.org/about-acp/ch...
@metrohealthcle.bsky.social @abimcert.bsky.social @cjchiu.bsky.social @acpimphysicians.bsky.social
www.acponline.org/about-acp/ch...
November 21, 2025 at 8:35 PM
Bravo @ellengelles.bsky.social for being elected as the Ohio ACP new Governor-elect designee!
@metrohealthcle.bsky.social @abimcert.bsky.social @cjchiu.bsky.social @acpimphysicians.bsky.social
www.acponline.org/about-acp/ch...
@metrohealthcle.bsky.social @abimcert.bsky.social @cjchiu.bsky.social @acpimphysicians.bsky.social
www.acponline.org/about-acp/ch...
Liberal or Restrictive Postoperative Transfusion in Patients at High Cardiac Risk
The TOP Randomized Clinical Trial
"liberal transfusion strategy did not reduce 90-day death or major ischemic outcome rates compared with a restrictive strategy."
jamanetwork.com/journals/jam...
The TOP Randomized Clinical Trial
"liberal transfusion strategy did not reduce 90-day death or major ischemic outcome rates compared with a restrictive strategy."
jamanetwork.com/journals/jam...
Liberal or Restrictive Postoperative Transfusion in Cardiac Risk
This randomized clinical trial tests whether a liberal compared with a restrictive transfusion strategy lowers the risk of a cardiac event 90 days after major vascular or general surgery among patient...
jamanetwork.com
November 19, 2025 at 7:51 PM
Liberal or Restrictive Postoperative Transfusion in Patients at High Cardiac Risk
The TOP Randomized Clinical Trial
"liberal transfusion strategy did not reduce 90-day death or major ischemic outcome rates compared with a restrictive strategy."
jamanetwork.com/journals/jam...
The TOP Randomized Clinical Trial
"liberal transfusion strategy did not reduce 90-day death or major ischemic outcome rates compared with a restrictive strategy."
jamanetwork.com/journals/jam...
Reposted by Med Peds Hospitalist
I have gone back in a limited way recently as part of a journal role. It is still alive but definitely different subjects and tone, & paid-subscriber amplification means hearing from fewer. Looking into alternatives - Roon is between Twitter/Linkedin and launching now www.roon.com/doctors/home
Roon for Doctors
A new way for doctors to learn from each other—fast. Roon for Doctors offers perspectives from medical experts on relevant questions in medicine.
www.roon.com
November 18, 2025 at 3:56 PM
I have gone back in a limited way recently as part of a journal role. It is still alive but definitely different subjects and tone, & paid-subscriber amplification means hearing from fewer. Looking into alternatives - Roon is between Twitter/Linkedin and launching now www.roon.com/doctors/home
November 17, 2025 at 4:41 PM
Reposted by Med Peds Hospitalist
Finally understood TMLE’s “doubly robust” property through simulation. Works well when either outcome OR treatment model is correct. XGBoost + TMLE captured complex relationships without manual specification. It worked on simulated complex data, would it work in real world? 🤔 #rstats #idsky #episky
Bias, Variance, and Doubly Robust Estimation: Testing The Promise of TMLE in Simulated Data | Everyday Is A School Day
Finally understood TMLE's "doubly robust" property through simulation. Works well when either outcome OR treatment model is correct. XGBoost + TMLE captured complex relationships without manual specif...
www.kenkoonwong.com
November 17, 2025 at 1:55 AM
That is why my dental hygiene routine is:
1) Flossing using Plackers (the floss do not break like other brands)
2) Water flossing with Philips waterpik after Plakers.
3) Tooth brushing with fluoride paste after meals.
4) Nightime mouthwash with fluoride.
Health starts in the mouth!
1) Flossing using Plackers (the floss do not break like other brands)
2) Water flossing with Philips waterpik after Plakers.
3) Tooth brushing with fluoride paste after meals.
4) Nightime mouthwash with fluoride.
Health starts in the mouth!
November 16, 2025 at 5:37 PM
That is why my dental hygiene routine is:
1) Flossing using Plackers (the floss do not break like other brands)
2) Water flossing with Philips waterpik after Plakers.
3) Tooth brushing with fluoride paste after meals.
4) Nightime mouthwash with fluoride.
Health starts in the mouth!
1) Flossing using Plackers (the floss do not break like other brands)
2) Water flossing with Philips waterpik after Plakers.
3) Tooth brushing with fluoride paste after meals.
4) Nightime mouthwash with fluoride.
Health starts in the mouth!
ACR Appropriateness Criteria® Horner Syndrome -new publication; contributed as the Internal Medicine expert, representing @acpimphysicians.bsky.social
pubmed.ncbi.nlm.nih.gov/41193044/
pubmed.ncbi.nlm.nih.gov/41193044/
ACR Appropriateness Criteria® Horner Syndrome - PubMed
Horner syndrome is a combination of signs and symptoms caused by abnormalities in the oculosympathetic pathway. Typically, patients present with ipsilateral miosis, ptosis, and anhidrosis. Imaging the oculosympathetic pathway is complex because of its extensive course, need for targeted protocols, a …
pubmed.ncbi.nlm.nih.gov
November 8, 2025 at 2:30 AM
ACR Appropriateness Criteria® Horner Syndrome -new publication; contributed as the Internal Medicine expert, representing @acpimphysicians.bsky.social
pubmed.ncbi.nlm.nih.gov/41193044/
pubmed.ncbi.nlm.nih.gov/41193044/
Reposted by Med Peds Hospitalist
Great start to #ACPOH25 with the visit of Dr. Jason Goldman, President of @acpimphysicians.bsky.social
Superb leadership by Dr. @kschmidtmd.bsky.social who created a workd class conference!
Superb leadership by Dr. @kschmidtmd.bsky.social who created a workd class conference!
November 7, 2025 at 7:23 PM
