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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ Profile
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ

@RebeccaEBerger

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@WeillCornell Hospitalist by way of @Stanford , @ColumbiaPS , @MGHMedicine and @MGHHMU . Former @NEJM Fellow. Interested in pt safety, delivery innovation, med ed.

New York, NY
Joined January 2014
Don't wanna be here? Send us removal request.
@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
4 years
3am musings: where have all the pyelonephritis and GI bleed and heart failure admissions gone? Are they going to come in next week sicker? are our primary care heroes managing with telemedicine? Or will we learn something about who really needs admission when COVID is behind us?
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
That gut-wrenching feeling when you admit a patient to the hospital with COVID in April who has been eligible for vaccination since January. A missed opportunity: for access, for equity, for education.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
2 years
Introducing the newest #medtwitter protege - eager and ready to learn from you all!
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
When admitting a patient with COVID who โ€œdidnโ€™t have a chance to get vaccinated yetโ€ and feels miserable, turn them into an ambassador. Ask them to call their unvaccinated friends and family from their lonely hospital room and be a vaccine advocate. It works. Sometimes.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
2 years
Snuck out between patients to get this guy vaccinated today! #vaccineswork @WeillCornell
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
1 year
@DGlaucomflecken Placement in acute or subacute rehab centers. If our physicians and physical therapists who are seeing patients daily think a patient is not safe to go home, infuriating that an insurance โ€œpeerโ€ feels qualified to make a different assessment. just leads to longer LOS which is $$$
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
4 months
When are we going to start holding insurance companies accountable for practicing medicine without a license? PT and MD seeing patient daily know patient needs rehab after discharge but some โ€œpeerโ€ reads a single line in a note and refuses authorization. Patient in tears.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@TheBlondeRN Thoughts and prayers
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
11 months
Just completed 14 days on service in the hospital. Still testing every admission for COVID. For the first time since March 2020, zero patients with positive COVID tests. Also, >1 year since I have cared for a patient with severe COVID (requiring oxygen). #VaccinesWork
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
7 months
Hospital medicine: spend half of your day convincing patients they need to stay in the hospital and the other half reassuring patients that they are safe to leave...
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
7 months
PGY-11 here, and I still get the back-to-school jitters the night before starting service. Sleep terribly. Up before my alarm. Every. Time.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
โค๏ธ NYC! (Still not ready to dine inside thoughโ€ฆ)
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
Diagnosis Iโ€™ve seen missed when a UTI is blamed for AMS: stroke, seizure, bacteremia, medication withdrawal.
@JHospMedicine
Journal of Hospital Medicine
3 years
Things We Do for No Reason: Obtaining urine testing in older adults with delirium without signs or symptoms of urinary tract infection @ORourkeJr @MMemari88 @MariAleMendozaD @DoctorBhav @SocietyGIM @HopkinsMedicine @umiamimedicine
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@marklewismd Where did they find a population in mid-2020 in which only 33% were fatigued? Seems implausible.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
8 months
One of my favorite things to do after a busy night shift is send an unsolicited email to a residency or fellowship program director giving positive feedback about working with one of their trainees. Bonus points for bcc'ing the trainee. #academicmedicine #meded #wellness
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@rubin_allergy โ€œI know youโ€™ve told your story to a lot of people already, but Iโ€™m going to ask you a few more questions to confirm all the details so I can try to get you the right diagnosisโ€
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@JenniferLeahMD Cannot tell you how many times Iโ€™ve had this conversation with colleagues in academia. Is it enough to โ€œjustโ€ be a really good doctor?
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
5 years
@pgyfun I didnโ€™t want to do EM because...I am not brave enough to be simultaneously managing multiple traumas, getting STEMIs to the lab, diagnosing and supporting women having miscarriages, deciding which cough needs to be isolated....then after shift planning my next backpacking trip
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
4 years
Proposal: can we please suspend all password expirations/renewals until after #COVID19 has abated?
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
1 year
Honored to ride @onepeloton live from home this morning alongside hundreds of other women physicians (and watching dozens in the studio) with Jen Sherman celebrating #NationalWomenPhysiciansDay @PelotonMed
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@gruntdoc @AlanaKinrich Often checked inpatient for patients with unexplained eosinophilia from endemic areas, especially prior to starting steroids which would be done routinely for COVID patients. Strongyloides hyperinfection syndrome can be devastating and easily prevented with ivermectin.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
5 years
Very excited to have a new role caring for brand new tiny human! So you wonโ€™t see many #twearls or #POCUS tweets for a little while. Advice from #mommedtwitter on surviving the first few months? @emily_fri @babbymd @doctorsadieL @CadenceDO @RoxanaDaneshjou @VonAnneli
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
1 year
Department of Medicine Grand Rounds @WeillCornell - standing room only for the first time in over 3 years - @Dr_AnthonyFauci back at his Alma mater, in a generous 55mins imparting as much wisdom as possible
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@DavidJuurlink History of โ€œHFpEF.โ€ Truth: started on furosemide for lower extremity edema which was a side effect of their amlodipine.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@KBrookeGolisch So are commutes, showers, grocery shopping and laundry considered leisure now?
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
2 years
My kid's lunch: a bento box full of organic bell peppers, grapes meticulously cut into quarters, pasture raised hard boiled eggs My lunch:
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
2 years
@RJS_med Itโ€™s called clinical intuition. Keep honing it. Itโ€™s great when we can articulate why weโ€™re worried about a patient, but โ€œthis patient just doesnโ€™t look rightโ€ will get you very far.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@Caulimovirus Veto. On patients admitted for strokes, non-withdrawal seizures, appendicitis, SBO from adhesions, knee replacements, too easy for medicine to become an H&P/med/rec/discharge secretary service. We have speciality training and are best suited to manage many medical problems.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
2 years
This year I am thankful for people who take action to right the wrongs they see in the world, so I just donated to @AnnieAndrewsMD 's campaign for congress. Thank you for giving our children a voice!
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
1 year
@Dr_Oubre When I tell people I spend nearly as much time in front of a computer as with patients in my typical day as a hospitalist, so often they ask why I donโ€™t have a scribe. But itโ€™s not just about the writing. That is when my thinking and processing and decision-making gets refined.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@txhealthplans This is an incredibly irresponsible tweet. Prior authorizations are a barrier to patient-centered care. They serve only to contribute to insurance company profits at the expense of patients. They add waste to the system and contribute to physician burnout.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
I'll be honest. My 2yo is still adjusting. But he also sometimes gives us a hard time about brushing his teeth, buckling his car seat, and not eating chocolate for breakfast. It's our job as parents to keep our kids safe and healthy.
@meganranney
Megan Ranney MD MPH ๐ŸŒป
3 years
Here's the thing: my 9 year old doesn't whine about masks. At all. Just as he doesn't whine about wearing a seatbelt. He knows it what he has to do, for now, to stay safe. But because data is better than anecdote, here's a quick poll from @RosenthalHealth :
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
4 months
Hospital medicine goal: Make the discharge med list shorter than the admission med list (especially for patients >65yo). Why is deprescribing so satisfying?
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
Excited to share our experience designing and implementing an inpatient vaccination program at @nyphospital . Thanks to @nejmcatalyst for your interest in the piece!
@nejmcatalyst
NEJM Catalyst
3 years
Leaders at @nyphospital faced challenges and successes in offering and administering #Covid19Vaccines to hospitalized patients, while addressing concerns from both patients and clinicians: @RebeccaEBerger
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@hsbhatia this is actually what we are saying in our head every time we call a consult, even if we arenโ€™t saying it out loud.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@MatthewCappucci Walked into a lobby to meet a group for an interview dinner; group was splitting to two different restaurants. Coordinator asked โ€œMexican or Chinese?โ€ I said โ€œWell my great-great grandparents immigrated from the Ukraineโ€ฆโ€ before I realized she wasnโ€™t asking about my heritage.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
1 year
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
You know you are a meant to be a generalist when you flirt with the idea of going back and doing a subspecialty fellowship every few months...but each time a different one. This month, especially grateful for colleagues in Rheum, ID, Endocrine. #proudtobeGIM #HowWeHospitalist
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
Our institution went live on Epic in October 2020, and the floors/units still sort out of order. Multiple optimization requests, so far I'm told not fixable. My list sorts as "ED-5-4-14-11-10." My 2yo can count to 14, why can't a multi-billion dollar EMR?
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
2 years
@thesavvymd @mowwyjane Agree re warm layers for overnight, but itโ€™s not the thermostat itโ€™s your hypothalamus. Itโ€™s called the 3am freezies @EHahnMD
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
Had a blast discussing a fascinating case of salicylate toxicity with the @CPSolvers Virtual Morning Report tonight (it's morning somewhere?). Pearl: in severe cases, salicylate toxicity can be associated with noncardiogenic pulmonary edema!
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
5 years
Excited to (finally) share the results of our @MGHMedicine QI project where we found that hiring discharge schedulers increases appointment attendance. Good for patients, good for residents, good for health system!
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
5 years
Is there anything more satisfying than watching hypernatremia melt away, correcting exactly as you expect after calculating a free water deficit and correction rate? No? Just me? @DrDanRestrepo ? #medtwitter
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@BeccaBrass The hypothalamus seems to really give up around 3am.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
8 months
@greenhousemd My 3yo walked around saying that his mommy had a baby in her uterus. #DoctorKidProblems
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@mike_natter Get married. Donโ€™t get married. Have kids. Donโ€™t have kids. Donโ€™t smoke and donโ€™t drink. Smoke two packs a day and drink bourbon every night. Hard to know which advice to follow.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
1 year
@MrsPA_C Not the point of this post but also AAP recommends no popcorn till 4yo due to choking risk.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
Vaccinating at the Armory today!
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@darakass
Dara Kass, MD
3 years
If you have been vaccinating please post a selfie๐Ÿ‘‡๐Ÿป! I was in Queens yesterday and the Armory in Washington Heights tomorrow. It really is the best antidote to the trauma of the past year. Thanks for sharing @BenjaminAbella
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
Officially my favorite way to end a night shift! #ThisIsOurShot #COVIDvaccine #dose2 โฆ @WeillCornell โฉ โฆ @nyphospital โฉ
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@nrgruski Agree with sentiment (interns have so much to learn from nursing expertise) but must disagree with content. PRN anti-HTN rarely indicated inpatient. In rare cases when necessary, avoid IV. In even rarer cases where need IV, avoid hydral. Medicine consult always happy to help!
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@NatMulkey Took me an embarrassingly long time to understand what a fellow was. Also avoid introducing your PGY1s to patients as "interns," sounds like an unpaid college summer student.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
10 months
@emily_fri This is 1000% me. What I lack in encyclopedic knowledge of zebra diagnoses I make up for in obnoxious detail-orientedness and unshakable ability to sweat the small stuff.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
7 days
because of @COREIMpodcast , a patient I admitted last week was cardioverted inpatient. Would previously never have thought to consult. I hope @ShreyaTrivediMD and her team understand how important their work is in improving care for patients
@COREIMpodcast
CORE IM
12 days
1/ ๐Ÿšจ NEW #5Pearls episode: Rhythm Control in A Fib ๐Ÿซ€ Rhythm control >> rate control alone, but HOW & WHY? We dive into why sinus is superior! Review how to achieve sinus w/ this toolkit โคต๏ธ! ๐ŸŽง: ๐Ÿ–ฅ๏ธ: CME:
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 months
Hey #MedTwitter #hospitalmedicine look at this amazing diagram from @jacionline showing a timeline of typical onset of various drug hypersensitivity syndromes. Thanks @KimberlyBlumen1 and team!
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
9 months
Hi, I'm Rebecca, and I have a problem...
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
2 years
@MrsPA_C Moms who mostly/exclusively pump deserve the medal in my book! I find direct feeding much easier and struggle to find motivation to pump unless I absolutely have to! Most importantly weโ€™re all doing whatโ€™s best for ourselves and our babes.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
I cannot justify why it took me so long, but I finally read (okโ€ฆlistened to) @RanaAwdish โ€™s In Shock. Absolutely will change the way I practice medicine, parent, and live my life. Thank you for your willingness to share your story to help us be better humans.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
2 years
@courtneywrites @clhubes Both proud and embarrassed that my almost 3-yo knows which of his favorite shows are on Amazon prime video vs Netflix vs YouTubeโ€ฆ.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
2 months
What a spectacular profile of my chief resident @TaisonBell and his path as a clinician, educator, communicator, founder, leader and dad.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
After hundreds of thousands of lives needlessly lost, I am grateful to see a light at the end of this dark tunnel. I am in awe of the scientists who worked tirelessly for the last year to make this possible. Looking forward to a brighter 2021. #IGotTheShot #CovidVaccine
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@SexplainedMed I only once ran a rapid response while wearing @willowpump
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
1 year
@sargsyanz Set up suction.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@DrGRuralMD Iโ€™m 100% supportive of breastfeeding and wish moms had more support on the whole process but WHY does this have to be so negative? Frame it as โ€œbenefits of breastfeedingโ€ and even a section on โ€œbenefits of exclusive breastfeeding/avoiding early bottlesโ€ but seriously?
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@kjdelay1 I work with fantastic PAs and NPs as part of a collaborative team. I see every patient for whom I am the attending of record, every day. This is physician-led, team-based care and itโ€™s what our patients deserve.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
2 years
@eemoin @BenZabar Encephalitis โ€œwithโ€ COVID. AKI โ€œwithโ€ COVID. Falls leading to fractures โ€œwithโ€ COVID.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
2 years
Coming up for air after an exceptionally busy 14 days on service with hard-working @WCMDeptofMed residents. In between caring for our complex patients, here are some things we read and learned together @WCM_MedChiefs (1/X):
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
5 years
@pgyfun Seriously what you guys do is mind boggling. So much respect.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@darakass @ashishkjha It's so illogical to me that mask mandates and "opening" are linked to each other. If the goal is to re-open schools, stores, movie theaters, gyms, doubling down on mask mandates would allow this to happen safely.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@kathryniveyy In residency @mghmedres we kept a running Guinness book. Every time I thought Iโ€™d thought Iโ€™d found a record, someone had beat me to it. Platelets 1. WBC 300K. CK 500,000, HgA1C 18%. pH 6.6. Absurd numbers. @DrDanRestrepo @JonathanWing9 @galbamd @AllisonRBond @UREssien
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
Got the opportunity again to be a discussant on @CPSolvers VMR today. I associate rigors and anorexia with bacteremia - turns out it's been studied! In this paper, normal food consumption had neg LR 0.18, while rigors had positive LR 4.78 for bacteremia!
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
I feel seen.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
5 years
Sorry bud. Youโ€™ll thank me in a few years. #VaccinesWork #TwoMonths
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@callie_mt Mine keeps asking Alexa to set a timer. For 2 minutes. 4 minutes. 1 minute. When asked whatโ€™s going to happen in 2 minutes, replies โ€œthe timer goes off.โ€ Logical, if nothing else.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
6 years
Appropriately cloudy skies on the day I say goodbye to the place I have called home for the last 5 years. It has been the greatest privilege to train and work at @MGHMedicine . To everyone who has guided me on this journey, especially to the patients, thank you.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
4 years
@marksalke @bschapiroMD @meganranney @AndreaR9Md @DrJenGunter (For next year) stethoscope with his name engraved so residents and attendings have to give it back if they borrow it
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
5 years
@rabihmgeha To echo @andrewdunn111 above โ€œIโ€™m just covering.โ€ Instead โ€œI am caring for this patient tonight, how can I help?โ€ Also a la @rabihmgeha โ€œIโ€™m just going to do a quick exam.โ€ Patients donโ€™t want quick. Quick = ?cutting corners. They want thorough and comprehensive!
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
1 year
Lesson from this week on service: it takes way longer to explain to a patient why you do NOT want to give them antibiotics. #stewardship #hospitalmedicine
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
Frustrated by the massive missed opportunity by corporations who spent millions creating SuperBowl ads. Why didn't commercials normalize mask-wearing, distancing, celebrating and working remotely, and getting vaccinated? Too much business-as-usual last night. #SuperSpreaderBowl
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 months
@DrRissman Oh if only my toddler had a mute button.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
10 months
Me: I have a lot of flexibility in my schedule this summer, maybe Iโ€™ll try to catch up on some health maintenance like seeing a derm for my overdue skin check. Dermatology: hahahahaha hereโ€™s our next available appointment!
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 months
@DxRxEdu Today on rounds we managed status epilepticus, reviewed a patients colonoscopy images, discussed an acid/base abnormality, and send off a PNH screen. Oh and of course ordered a lot of diuretics.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
11 months
Beaming with pride to learn that @ShiraAnneSachs was honored by the @WCM_MedChiefs @WeillCornell Medicine residents as the Hospital Medicine Attending of the year. Dedication to the residents, her patients, and her kids - what more could you ask for?
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@AnnKumfer You can discontinue docusate and save a patient pill burden for a day, or you can teach a resident to discontinue docusate and save thousands of patients thousands of unnecessary pills for the duration of the residentsโ€™ career.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
@blondemedSJW Iโ€™m going to a wedding later this month with these rules, and to be honest itโ€™s the only reason Iโ€™m OK going.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
5 years
@MKIttlesonMD First day on my medicine clerkship, interrupted rounds to ask the senior resident what a bowel regimen is. And now I am a hospitalist!
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
2 years
@kjdelay1 @soumya_goblue I remember when scheduling medical school interviews there was one school that I spent hours looking at flight options trying to figure out how to spend as little time there as possibleโ€ฆbefore realizing that was a sign and cancelled the interview altogether.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
1 year
If youโ€™ve ever written โ€œAfib s/p PPMโ€ in a note (weโ€™re all guilty), take a listen to this fantastic breakdown of cardiac devices for the internist by the always on-point โฆ @COREIMpodcast โฉ crew. Thanks โฆ @ShreyaTrivediMD โฉ and team!
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
Shana Tova to all. Here's to a better 5782.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
1 year
A day in the life of an off-service academic hospitalist mom in NYC: up before dawn for books and legos, made pancakes, QI project meeting, tackled email inbox, taught med student EBM session, saw Lea Michele in Funny Girl on Broadway, zoom QA meeting #balance #offservice
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
The U.S. COVID experience is paradigmatic of our entire "health care" system. Dismal adherence to primary prevention and public health, breathtaking sophistication and speed of biomedical research, uncoordinated and sloppy implementation exacerbating underlying inequities. #COVID
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
1 month
After collecting dust in a drawer for the last 5 years, it's time to turn in this historical relic. Medicine, welcome to 2024. Next up - fax machines?
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
6 years
Incredible progress in < 4 years at @MGHMedicine by @DrSarahWakeman and team with new models of care for patients with Substance Use Disorder
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
Flexing my teaching muscles again for the next two weeks on service with @WeillCornell @WCM_MedChiefs residents! Already two days behind, but #Twearls coming at you. Apologies if any are repeats, but my twearling skills are rusty. I'll be back in shape in no time.
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
4 years
Inpatient #Twearl Day 3/14 @WeillCornell : How do you interpret/correct QTc in setting of pacer/bundle causing wide QRS? Multiple published formulas: QTLBBB โ€“ (0.86 * QRSLBBB โ€“ 71)? [QT - (0.7 * QRS - 50)] / sqrt RR? Links in subsequent tweets. Help from #cardiotwitter ! @NinoNJ ?
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
5 years
Just stumbled upon my resident evals from this year, my first at @WeillCornell . Glad to see they identify my love of teaching, attn to detail, dedication to patient care. But we share frustration that I can't finish rounds on time! Any tips on efficiency (w/o missing details?!)
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
1 year
@clhubes The zoom meeting in one ear while making dinner and breastfeeding is my greatest trifecta achievement.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
5 years
The emotional roller coaster of maternity leave: baby takes an hour to go down for his 35 minute morning nap, and then you find out a paper is accepted for publication. #mommedtwitter #academicmedicine #womeninmmedicine
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
2 years
A busy week last week on the @WeillCornell Academic Hospital Medicine Elective, a unique experience for two medical students working directly with a hospitalist. In between rounds, orders, and family meetings, here is what we learned: @WeillCornell (1/X)
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Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
5 years
And thatโ€™s a wrap! Thanks to โฆ @WeillCornell โฉ โฆ @WCMGIM โฉ for an incredible year as a Hospital Medicine Clinical Scholar.
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@RebeccaEBerger
Rebecca Berger ๐Ÿ‡ฎ๐Ÿ‡ฑ
3 years
When Epic automatically identifies a hospitalist as a patient's PCP......time to invest in outpatient care management/readmission reduction/social support/all of the things that might help keep people from coming back to the hospital.
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