Punyu! /pənjuː/'s Avatar

Punyu! /pənjuː/

@punyulada.bsky.social

BSPharm, MBBS. Medical researcher. Not currently in clinical practice. Dilettante. #FOAMed, Accessible Research Appraisals, Patient Education. Repost =/= Endorsement. Opinions are mine and do not represent my affiliations. Creative account: @punyu.lada.moe

67 Followers  |  12 Following  |  134 Posts  |  Joined: 09.01.2024  |  1.9612

Latest posts by punyulada.bsky.social on Bluesky

Two popular ideas about academic research. Either in a white coat, looking down a microscope, or at the top of library steps lost in thought poring over an ancient hardback. Reality. Blinking at a screen, trying to come up with a decent string of words to search for a missing PDF.

03.01.2025 07:59 — 👍 300    🔁 42    💬 8    📌 7

今年はやっているH1N1肺炎とも違う

This X-ray findings seems different from H1N1-pneumonia
that shows mixture of atelectasis and air-leaks.
H1N1 is at its peaks in Japan

02.01.2025 00:07 — 👍 2    🔁 1    💬 1    📌 0

Dear #MedSky,

Please never tell a patient to "stop crying."

Many people CAN'T stop crying, even if they want to. It's very dismissive of their very real emotions.

ESPECIALLY don't tell them not to cry because it makes YOU uncomfortable. YOU'RE supposed to take care of THEM, not the reverse.

04.01.2025 00:09 — 👍 57    🔁 10    💬 2    📌 1

just in case anyone might know someone, I'm looking to talk to a psychiatrist or expert in the field of anxiety who's comfortable being quoted for an essay I'm doing. specifically, I'm interested in talking about how things have changed over time about how we think about anxiety or diagnose it

03.01.2025 18:26 — 👍 180    🔁 15    💬 9    📌 3
I’d rather not

I’d rather not

Truest thing ever written.

26.12.2024 06:42 — 👍 1638    🔁 160    💬 33    📌 5
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Know someone who’s dreading 2025? Please don’t wait for them to reach out. Instead ‘reach in’ to them. It may be hard to do, but also the most important conversation for both of you. Asking if they’ve seen the StayingSafe.net website is a gentle way to introduce a #SafetyPlan to help them stay safer

03.01.2025 12:05 — 👍 20    🔁 12    💬 1    📌 1
How can I manage compassion fatigue? Most doctors will develop some form of compassion fatigue during their career. Abi Rimmer hears from experts on how to deal with it Shirley Remington, vice chair of the National Association of Clinic...

Managing compassion fatigue:

“the more you give, the more you lose yourself. I have learnt that the more effort I put into looking after myself the better I am at my job. I also enjoy it more.”

(Palliative care consultant) 🩺

03.01.2025 17:55 — 👍 4    🔁 1    💬 0    📌 0
Preview
It's the end of the internet as we know it—and I feel fine Maybe this was the last year of the usable web. If so, blame corporate greed.

"It’s not a dead internet... merely damned by corporate greed, indolence, and indifference. Silicon Valley’s giants no longer compete and no longer innovate; instead they cut costs, boost profit margins, and block out competitors in order to maintain consumer habit and market dominance."

17.12.2024 15:41 — 👍 4    🔁 2    💬 0    📌 0
Preview
EARLY TAVR Breaks New Ground for Preemptive Treatment of Asymptomatic AS (UPDATED) While discussions about the lack of a mortality effect will continue, some say the findings may be enough to change guidelines.

Big news in #CardioSky. Too bad none of those quoted are out here yet! Someone spread the word to Philippe Genereux, Gilbert Tang, Josep Rodes-Cabau, Bernard Prendergast and Tsuyoshi Kaneko that this is where the action is!! www.tctmd.com/news/early-t... By @lamckeown1.bsky.social #TCT24

17.12.2024 16:59 — 👍 3    🔁 1    💬 0    📌 0

New terms for 'skeets' just dropped.

17.12.2024 19:34 — 👍 4    🔁 1    💬 0    📌 0

Looking for a well-written book with great characters, perhaps people on the edge types, funny, thought provoking and with an ending that at least leaves you satisfied.

Protagonist was butchered at the end of the last book and I need lifting, please. 🙏

#booksky 📘📚

17.12.2024 20:22 — 👍 4    🔁 1    💬 6    📌 0
“How a simple math error sparked a panic about black plastic kitchen utensils”: Does it matter when an estimate is off by a factor of 10? | Statistical Modeling, Causal Inference, and Social Science...

“How a simple math error sparked a panic about black plastic kitchen utensils”: Does it matter when an estimate is off by a factor of 10?
statmodeling.stat.columbia.edu/2024/12/13/h...

13.12.2024 16:49 — 👍 63    🔁 25    💬 2    📌 5

"So, as the paper claims, the estimated actual exposure from [black] kitchen utensils of 34,700 [ng/day] is more than 80 per cent of the EPA limit of 42,000.

That sounds bad. But 60 times 7,000 𝘪𝘴 𝘯𝘰𝘵 42,000. It is 𝟰𝟮𝟬,𝟬𝟬𝟬... The estimated exposure is not even a tenth of the reference dose" 🧮🤦🏽‍♂️

14.12.2024 01:37 — 👍 20    🔁 13    💬 4    📌 2
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Yup

13.12.2024 15:52 — 👍 2493    🔁 498    💬 23    📌 30
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Doctors Without Borders is reiterating its urgent calls for the protection of civilians and for an immediate and sustained #ceasefire.

Nowhere is safe in #Gaza and no one is spared.

10.12.2024 01:30 — 👍 614    🔁 354    💬 9    📌 14
Preview
Simultaneous Acute Myocardial Infarction, Aortic Dissection, Pulmonary Embolism, and Pneumothorax Chest pain is a frequently misdiagnosed presenting symptom, with a broad differential diagnosis that includes critical, time-sensitive cardiopulmonary conditions that necessitate rapid and accurate identification.

My troponin bumped from the mere headline of this case report.

"Simultaneous Acute Myocardial Infarction, Aortic Dissection, Pulmonary Embolism, and Pneumothorax."

#medsky #emedsky #emimcc #openaccess

pmc.ncbi.nlm.nih.gov/articles/PMC...

08.12.2024 14:52 — 👍 62    🔁 15    💬 16    📌 7

Rather happy with this one. We used a Lot Quality Assurance Sampling (LQAS) approach in surveillance of #AMR in #UTI in Indonesia. Working on this rapid surveillance approach for quite a while.
doi.org/10.1093/aje/...

05.12.2024 11:50 — 👍 7    🔁 2    💬 0    📌 0
Chicken chicken chicken
YouTube video by Yoram Bauman Chicken chicken chicken

And here's the presentation!

It's still as funny as the first time I watched it:

youtube.com/watch?v=yL_-...

05.12.2024 12:55 — 👍 0    🔁 0    💬 0    📌 0

My personal satirical article collection is rather meager, and none of it comes from medicine.

I feel like many people already know about Doug Zonker's "Chicken Chicken Chicken: Chicken Chicken", but I'll share it here for those who haven't seen it:

improbable.com/airchives/pa...

05.12.2024 12:53 — 👍 0    🔁 0    💬 2    📌 0

I started reading the screenshot you posted after I sent that reply, and realised it may just be a very humorous title (I'm not a native English speaker, so it took me until the references to laughter/humour in the actual text to figure that it may be an actual study!)

I'll read the full paper!

05.12.2024 12:50 — 👍 0    🔁 0    💬 0    📌 0

At the same time, pathology and radiology still fascinate me; I could have gone either road!

There's almost no specialisation I loathe or outright dislike, and I sometimes still wish I can pursue surgery, but that doesn't mean I'm unhappy with what I'm doing.

05.12.2024 10:59 — 👍 0    🔁 0    💬 0    📌 0

I understand feeling liable of potentially misinforming patients or others.

Renal pathophysiology is still something I don't understand that well, and I probably won't speak about it in depth because I know my limitations. Likewise rheumatology.

05.12.2024 10:59 — 👍 0    🔁 0    💬 1    📌 0

I hope no one finds it bothersome that I share posts outside of my specific field of specialisation.

I always felt out of place when attendings (and even even registrars/residents/speciality trainees) only talk about or show interest in their own specific fields.

Almost feeling like I'm "wrong".

05.12.2024 10:59 — 👍 3    🔁 0    💬 1    📌 0
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I collect #unusual and #irreverent articles, satire and serious. Always looking for more. #AltJournalClub #Academic

Brings new meaning to the question "What clown got you pregnant?" #NeoSky #MedSky #ObSky

pubmed.ncbi.nlm.nih.gov/21211796/

05.12.2024 07:16 — 👍 4    🔁 2    💬 2    📌 1

Medical clowning?

I had to do a double take, even knowing this is a more satirical article!

Are there any other gems in your collection?

05.12.2024 10:53 — 👍 0    🔁 0    💬 1    📌 0
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🩸Flame cells

Plasma cells that have glycogen-rich, vermillion-staining fibrils.

Strongly associated with IgA myeloma but can pop up in other plasma cell dyscrasias or inflammatory conditions with rapid immunoglobulin production.
#hemesky #medsky #IMsky #myeloma #pathsky #hemepath #hemeonc #oncsky

05.12.2024 07:39 — 👍 15    🔁 2    💬 1    📌 0
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Congratulations to Pod 3 at The Royal Adelaide Hospital Intensive Care Unit for their exceptional Christmas tree, kindly provided by the awesome @kolygate.bsky.social.
An exceptional effort bravo!!
#MedSky #AnSky #recycle

05.12.2024 09:01 — 👍 46    🔁 5    💬 7    📌 5

The reasoning? My handwriting apparently deteriorated the more time I spent typing.

After a year of staying away from JumpStart typing games, my handwriting became more legible, and it stays that way.

The more time I spend typing letters or manuscripts, I feel my handwriting worsen, again. (2/2)

05.12.2024 10:51 — 👍 0    🔁 0    💬 0    📌 0

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