Jason Prosek

Hmm, i’m not driven to write a thought piece on it.

But whether subconscious or not, I think there are patterns when physician vs provider are used.

Using the word physician gets you closer to the individual. “Physician wellness”

“Provider” shows up more in discussions/measures of productivity.

Intern year, 2a, fist full of half written H&Ps in hand - i saw a “Zamboni” driver (waxing hospital hallway) gliding peacefully down the hall. In a moment of clarity i saw how content he looked and i thought, you know I could be happy doing that the rest of my life.

That’s my reaction any time I hear “crosstalk”. A lot of hand
wavy descriptions of how organs talk to each other. I’m not saying they don’t, but the word Crosstalk is doing a hell of a lot of work in these instances.

When I was discovering Jethro Tull in HS, I was disappointed each time I went to the next album. I was always expecting Aqualung pt 2, or thick as a brick pt 2. But with sufficient listens I finally followed where Ian Anderson was going. And that’s how you get Songs from the Wood. Keep progressing

Have never once had a dream about med school. Dream all the time about undergrad. Why?
(I loved undergrad! Endured med school, it should be noted)

Basically USMLE step 1. Coming from an engineering background, I really struggled to come to terms that I spent two years preparing for a very high stakes word association exam.

Lolz. Who said biologists don’t have a sense of humor

I see a far side cartoon. Pseudo? They call us the Pseudo? But we evolved earlier than this guy. He’s the pseudo!

Wait a minute false & true killer whales have the same genus/species?!

The battle we face is the HRS pt on a med/surg ward: Not sick enough for xfer to ICU (so no NE), so terli is nice option to hopefully achieve same outcome.

The cultural barrier we face is that the accepted standard of care for HRS is octreotide and midodrine and the latter is frankly placebo.

I’m reading this mere minutes after reading Watson obituaries.

My takeaway is we are obligated to aggressively document the real person in real time. Flood the zone. Because future generations will inevitably whitewash it due to lack of perspective, and perhaps a proclivity towards hero worship?

A great talk on hyponatremia! As a fellow “channeleer”, was so happy to meet Amy Yau! I learned about risk factors for over-correction and ODS and mechanisms of cerebral edema and demyelination. #channelyourenthusiasm @kidneyboy.bsky.social @amyaimei.bsky.social @asnkidney.bsky.social #kidneywk

Entangled Life: How Fungi Make Our Worlds, Change Our Minds & Shape Our Futures How Fungi Make Our Worlds, Change Our Minds & Shape Our Futures

If you’re down this rabbit hole, i can’t recommend this book enough:

bookshop.org/p/books/enta...

Bummer, you will not be taking up golf down there. Just more time to work on your memoirs.

I came here to say cardiologist never have to worry about hypercreatininemia cut-offs if you start flozin/entresto/spiro and then never check labs again

Trimming tree branches while on top of my garage, similar thoughts ran thru my mind.

Also decided after age 50 I’ll be paying someone for this.

Hmm, my equivalent would be “we’re happy to use ICU bed for fixed rate Levo for HRS”

“it’s more of a comment than a question” ;)

Is the XTC / Dukes thing otherwise unprecedented in history?

I figured you’d asked for anatomically accurate foot processes

Agree with this approach - increase spiro to enable d/c of drugs that are clearly not “scratching that itch“

“I don’t respond well to BP meds“ (edema, tachycardia on CCBs) for me, increases my suspicion that the patient has PA!

So I remove them in order of greatest side effect, often CCB first

What the heck is the “drug that speeds up dialysis”? This guy seemed less fed up with the “system” than simply fell in to a very bizarre conspiratorial wave of thought.

On some abandoned message board someone referred to them as “penalty tracks” and I thought that person gets it.

“8 glasses”
Yep I can do that 🍷
“of 8 oz”
Still following… ☕️
“of water per day”
Mate, you lost me there. What are you on about?

My fav part of the endo soc guidelines is the incredibly pragmatic and what I call the hospitalist carve out - 1) if you gave fluids and it got worse - prob SIADH. 2) if you fluid restricted and it got better - prob SIADH. In other words - just go for it! If you guess wrong, call me (on hosp day #2)

Same for us with about 30 feet of straight runway from the back door. But she runs right past us. We figure for this pure athlete it’s the sheer joy of being about a pound lighter and untethered.

Also helps to answer the timeless question “I wonder if that was a poop or a pee?

Big Country - In a Big Country
(song gets your foot in the door, but man, what a great album)

Haircut 100 - love plus one meets this criteria. Boy meets girl was song 1 and a hit, but not *the* hit

Don’t forget that 20-30% of patients with RHTN have primary aldosteronism. These patients get extrarenal, BP-independent benefits from MR-blockade. So be sure PA is excluded before reaching for amiloride. #nephsky

Best exchange in Meeting People is Easy -
Reporter: have you been influenced by Genesis, Pink Floyd?
Thom and co. in unison: we *hate* progressive rock!

Hahahaha. Laughable.

I mean, Jonny’s playing an *actual* mellotron thru OK Computer and Kid A.

Don’t let them tell you prog is a 4-letter word!