Starting today, I’m launching a four-day, 15-stop listening tour across Ohio. Across the state, I’m meeting with families, teachers, and local leaders to hear what’s working—and what’s not. Because the best ideas come from the people living them.

On this day in 1747, James Lind began his study on sailors with scurvy, the world's "first clinical trial." #ClinicalTrialsDay #NephSky 👉 www.bbc.com/news/uk-engl...

1. Incredible ruling! An Ohio appeals court has ruled that trans care is healthcare, strikes down youth trans care ban! It made the ruling using the Republican-passed "health care freedom amendment" meant to overturn Obamacare! Subscribe to support my journalism. You'll want to read this one.

One of the biggest lessons I've learned in medical school is that almost everyone has some form of impostor syndrome. What defines success is whether you choose to let it inhibit you or allow it to motivate you. #MedSky #FoodForThought

AOA induction dinner! Congratulations to my amazing classmates; can’t wait to see where you end up in 2 weeks and hear about your future accomplishments! #Match2025 #UCCOMClassof2025

Malignant spinal cord compress (MSCC) is an oncologic emergency that impacts about 5% of patients with cancer, leading to pain, weakness, and paralysis. Let's explore the physiology, anatomy, presentation, workup and treatment. A 🧵 #PhysiologyFriday #MedStudentSky #OncSky

Just completed a module on lead reversals as part of my M4 EKG elective, which has suddenly unlocked a series of trust issues I didn’t know I had 😳 #TrustButVerify @fuqekgs.medsky.social

Harrison, whose plasma contained a rare antibody, rolled up his sleeve 1,173 times from 1954 to 2018. The Australian is credited with helping 2.4 million babies and advancing scientific research.

#NephMadness 2025 is live on the #AJKDBlog: bit.ly/WelcomeNM25 Topics include: - Resistant Hypertension - Obesity - Green House - Minimal Change Disease - Disaster Nephrology - Genetics - Hemodialysis - CAR-T for Kidney Disease Looking forward to the fun and learning with all of you!

Can't wait to hear all of these podcasts covering #NephMadness topics

Superior vena cava syndrome is a medical emergency caused by obstruction of blood flow to the SVC with malignancies causing ~60% of cases. However, with the rising use of central lines and pacemakers, the incidence is increasing. A🧵 #PhysiologyFriday #MedStudentSky #MedSky #Skytorial #OncSky

What are some of the common and rare indications and complications of therapeutic plasma exchange? Find out in our new study published in BMC Nephrology! 🩸https://bmcnephrol.biomedcentral.com/articles/10.1186/s12882-025-03970-2#citeas @gudnephron.bsky.social #NephSky #MedStudentSky

Leukostasis is another life-threatening complication of leukemia where extremely high white blood cell counts lead to blood vessel obstruction, leading to ischemia and organ failure. Immediate intervention is crucial. A 🧵 #PhysiologyFriday #Skytorial #MedStudentSky #OncSky

Neutropenic fever is another oncological emergency in patients receiving chemotherapy with a high mortality rate. Let's dive into the basics! A 🧵 #PhysiologyFriday #Skytorial #MedStudentSky #MedSky #OncSky #IDSky

Continuing our discussion on oncological emergencies from last week, let's tackle malignant hypercalcemia, which occurs in 20-30% of malignancies with a grim prognosis. A must-know🧵 for medicine trainees! #PhysiologyFriday #MedSky #NephSky #OncSky #Onconeph #MedStudentSky

As I gear up for residency, I've been reviewing some key medicine topics. I'm currently reviewing oncologic emergencies, starting with Tumor Lysis Syndrome. This is high yield content on the wards and the boards, so let's dive in! A 🧵 #PhysiologyFriday #MedSky #NephSky #MedStudentSky #Skytorial

Madison Keys!!! 🇺🇸🎾

Why do we use glucagon as an antidote in the setting of beta blocker and calcium channel blocker toxicity? Welcome to another #PhysiologyFriday A 🧵 #MedSky #CardioSky

Suggested New Year's Resolution: more mindful prescribing of IV fluids 🫧 Far too often I see IV fluids thrown around with minimal consideration; meanwhile, we'll deliberate for hours about a dose of lasix 🤦‍♀️ Here are the 10 most common fluid prescription mistakes I see 🧵 #emimcc

Next to fluids, IV diuretics are some of the most commonly mis-prescribed medications in acute medicine 💉🩸 Let's unpack 5 common diuretic prescribing mistakes, and how to correct these 🧵 #emimcc

In an attempt to start GDMT, a 70yoF with recently diagnosed HFrEF and Stage 3b CKD is started on an ARB and a beta-blocker. A week later, she presents to the ED with bradycardia, hyperkalemia, and hypotension. What happened? A 🧵 #PhysiologyFriday #MedSky #CardioSky #NephSky

Hypothyroidism has various cardiovascular manifestations including arrhythmias, high blood pressure, dyslipidemia, heart failure, and pericardial effusion. What are the physiologic mechanisms underlying these associations? Welcome to another #PhysiologyFriday! A 🧵 #MedSky #CardioSky

Finished with my last residency interview! I am so grateful to have met so many inspiring humans along the journey who have confirmed my passion and excitement for pursuing a career in Internal Medicine. #IMProud #Match2025 #TheFutureIsBright

A fantastic paper led by Dr. Eric Warm on the unintended consequences of Pass/Fail in #MedEd @acadmedjournal.bsky.social journals.lww.com/academicmedi...

Ohio, I’m running for Governor. I’ve spent my life listening to Ohioans, helping families, and solving problems. It’s time for leadership that gives power back to the people. Together, we can build the Ohio we all dream of. Join us: actonforgovernor.com/donate-launch

Ohio, PLEASE make this happen!

🎨✨Beautiful infographic by @brianrifkin.bsky.social #NephJC #TopNephrology

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The role of hyperthyroidism in cardiovascular disease is well-documented. What are the pathophysiologic mechanisms underlying thyroid hormone's role in arrhythmias, hypertrophy, and heart failure? Welcome to #PhysiologyFriday! A 🧵 #MedSky #CardioSky

Happy new year!! 🎉 The year I become a doctor!! #Match2025 🩺

We found that almost 40% of 12-21 year old females are iron deficient. jamanetwork.com/journals/jam... I’ve been asked how this is possible evolutionarily. I have a few thoughts. 🧵

Downloaded >3600 times, check out How to be a GREAT Mentor journals.physiology.org/doi/full/10.... @apspublications.bsky.social

Did you know that craving specific smells, such as Pine-Sol, musty basements, gasoline, or rubber tires can be a symptom of iron deficiency anemia? Welcome to this week's #PhysiologyFriday, a 🧵 on desiderosmia. #MedSky #Skeetorial

Poisonings and intoxications #Nephpearls #NephSky ALL: Metabolic acidosis ALL: Osmolar gap ALL: Altered mental status KETONES: Alcohol, Isopropyl alcohol NO ANION GAP: Isopropyl alcohol Ca OXALATE CRYSTALS: Ethylene glycol VISUAL CHANGES: Methanol

National Geographic has an article on this! www.nationalgeographic.com/magazine/art.... Apparently the low humidity and reduced pressure at high altitudes decreases the sensitivity of our sweet/salty taste buds which is why people crave tomato juice, which is rich in umami flavor, on flights!

On the 22nd day of Pharmacy Advent, let’s explore N-acetylcysteine (NAC) in massive acetaminophen (APAP) overdoses AND non-APAP-related hepatotoxicity. What makes NAC so versatile in managing liver injury? Let’s dive in! 👇 #medsky #pharmsky #EMsky #toxsky #nursesky

One of the more absurd things that gets said in the ER a lot is that a chief complaint probably isn’t serious or real when it’s an unhoused patient. Gonna blow some minds and point out that *people sleeping outdoors with no money are actually going to get sick more often*.

Day 20 of Pharmacy Advent: Let’s continue from our chat about anticoagulation in ESLD—today we’ll focus on warfarin in ESRD. What are some considerations for warfarin use in dialysis patients? Is it completely safe? Let’s dive in! 👇 #medsky #pharmsky #nephrosky #hemesky #MedEd

Day 21 of Pharmacy Advent: beta-lactam allergy & cross-sensitivity! With 4 days to Christmas, let’s unwrap this topic...I feel like this comes up occasionally, thus deserves its own post. Whether it’s a refresher or new knowledge, let’s dive in!👇 #medsky #pharmsky #EMsky #nursesky #MedEd #GPsky

🧠Honored to be elected as Chair of the AAN Movement disorders section from 2025-2027. Let’s go! 🧠 @aanmember.bsky.social

Have you ever heard the adage that poinsettias are poisonous to pets? What does the science actually say? Welcome to another #PhysiologyFriday! A 🧵 #Skeetorial #MedSky #VetSky

Explore a career in nephrology with the 2025 Kidney TREKS Program! 🌟 Explore Bar Harbor, ME, or Chicago, IL, and connect with a mentor to grow your research and career. Deadline: January 22, 2:00 p.m. EST. Apply Now! 🔗https://www.asn-online.org/treks 📷 Credits: Arvin Halim

🦠We call a lot of things “sepsis” 🔎Our #AnnalsofIM study examined how broad this grab bag really is ⚠️Among ~75,000 patients with sepsis, we found remarkably wide spectrum of presentations & outcomes across infection source & organ dysfunction patterns Thread ⬇️ #medsky #emimcc #idsky #pharmsky

1/ Day 16 of Pharmacy Advent: Let’s talk hyponatremia—seeing it more frequently in ED. Why is hypokalemia risk factor for Na overcorrection & risk of ODS? We’ll briefly review recent SRMA on slow vs fast Na correction too. Here we go, let’s dive in!👇 #medsky #pharmsky #EMsky #HMsky #nursesky #emimcc

📟 Consulted a few times last week for, “Is this an RTA?” and my knee-jerk answer is “No”. 📖 The truth is that RTAs are rare though we talk about them a lot in med school. So here are some causes of a non-gap acidosis that are more common than an RTA. A 🧵 #nephsky #emimcc #icusky

One question I often ask during residency interviews is "What qualities do successful interns at your program possess?" The top answer I get is "Be teachable". But what does being "teachable" mean and how can you develop this quality? A 🧵 geared towards clinical med students #MedSky #MedEdSky