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@CLOSLER

@closler.bsky.social

Daily clinical insights from Johns Hopkins. Follow us on all social @CLOSLER. Free subscription: http://closler.org/subscribe

180 Followers  |  100 Following  |  193 Posts  |  Joined: 14.11.2024
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Posts by @CLOSLER (@closler.bsky.social)

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Appreciating β€œthank 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

26.11.2025 14:04 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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For pts w/o family present, pause to say, β€œI’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

25.11.2025 20:31 β€” πŸ‘ 4    πŸ” 3    πŸ’¬ 0    πŸ“Œ 1
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For pts w/o family present, pause to say, β€œI’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

25.11.2025 20:31 β€” πŸ‘ 4    πŸ” 3    πŸ’¬ 0    πŸ“Œ 1
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For improved mood and lower stress, consider prescribing exposure to natureβ€”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

24.11.2025 18:16 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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For improved mood and lower stress, consider prescribing exposure to natureβ€”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

24.11.2025 18:16 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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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

20.11.2025 19:11 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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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

21.11.2025 16:36 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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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

21.11.2025 16:36 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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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

20.11.2025 19:11 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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When the working diagnosis doesn’t fit, think againβ€”recheck the facts, consult a colleague, and consider concurrent disease processes. @cpsolvers.bsky.social @missdiagnosis.bsky.social #MedSky closler.org/lifelong-lea...

18.11.2025 17:52 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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When the working diagnosis doesn’t fit, think againβ€”recheck the facts, consult a colleague, and consider concurrent disease processes. @cpsolvers.bsky.social @missdiagnosis.bsky.social #MedSky closler.org/lifelong-lea...

18.11.2025 17:52 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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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

17.11.2025 16:21 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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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

17.11.2025 16:21 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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A pt’s autism was missed for years after a clinician assumed his social struggles were β€œjust 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

14.11.2025 18:25 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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A pt’s autism was missed for years after a clinician assumed his social struggles were β€œjust 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

14.11.2025 18:25 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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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

13.11.2025 20:28 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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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

13.11.2025 20:28 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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"My pt’s father reminded me that exceptional care goes beyond knowledgeβ€”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

12.11.2025 22:05 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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"My pt’s father reminded me that exceptional care goes beyond knowledgeβ€”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

12.11.2025 22:05 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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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...

12.08.2025 19:14 β€” πŸ‘ 9    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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"I found more meaning in my work when I stopped treating β€œcases” 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...

11.11.2025 16:44 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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"I found more meaning in my work when I stopped treating β€œcases” 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...

11.11.2025 16:44 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Attention invested in small momentsβ€”like a few screen‑free minutes at the start of a patient encounterβ€”can compound into a trusting patient-clinician relationship. @tonyrobbinsbs.bsky.social @melrobbins.bsky.social #MedSky tinyurl.com/yeyrumrb

10.11.2025 20:42 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Attention invested in small momentsβ€”like a few screen‑free minutes at the start of a patient encounterβ€”can compound into a trusting patient-clinician relationship. @tonyrobbinsbs.bsky.social @melrobbins.bsky.social #MedSky tinyurl.com/yeyrumrb

10.11.2025 20:42 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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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...

06.11.2025 17:01 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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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...

06.11.2025 17:01 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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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...

31.10.2025 16:41 β€” πŸ‘ 4    πŸ” 2    πŸ’¬ 0    πŸ“Œ 1
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"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

20.10.2025 16:17 β€” πŸ‘ 6    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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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

04.11.2025 16:33 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
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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

04.11.2025 16:33 β€” πŸ‘ 0    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0