Mark Lewis @marklewismd Twitter profile

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Mark Lewis

3 years

A patient who never smoked, never drank, and was fastidious about his diet died of cancer at 49 That patient was my father He went to his grave not knowing he actually carried a genetic mutation that caused his fatal tumor Virtue doesn't necessarily guarantee health RIP Dad

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Mark Lewis

@marklewismd

2 years

I’ve never seen a better graphical depiction of grief

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Mark Lewis

@marklewismd

1 month

Honestly don't know how to earn that 5th star

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Mark Lewis

@marklewismd

11 months

I had a medical student shadow me all day in oncology clinic and, when I asked them at the end what surprised them the most, they paused to reflect & then said “the hope”

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Mark Lewis

@marklewismd

3 years

We were just outside on the day the mask mandate has been lifted here in Utah and someone yelled across the street “TAKE OFF YOUR MASKS!” Before I could reply my 10-year-old shouted “NO THANKS — MY MOM’S A PEDIATRICIAN, MY DAD’S AN ONCOLOGIST, AND I’M NOT VACCINATED!” 🤚 🎤

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Mark Lewis

@marklewismd

8 months

I had a medical student shadowing me today so we spent a lot of valuable time reviewing how to use this piece of specialized equipment that is now almost unique to the healthcare industry

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Mark Lewis

@marklewismd

1 year

The perfect Mother’s Day card doesn’t exi—

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Mark Lewis

@marklewismd

3 years

Please stop telling my patients they wouldn’t have gotten cancer if they’d eaten more vegetables. A healthy diet is a wonderful thing, but it does not protect you from terrible misfortune. Signed, A gastrointestinal oncologist

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Mark Lewis

@marklewismd

4 years

Phew! I was worried my CO2 levels would be high after wearing a mask all day in clinic But then I remembered I have: Lungs Kidneys Homeostasis At least a rudimentary understanding of human physiology

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Mark Lewis

@marklewismd

3 years

Are you worried about blood clots? I have some bad news for you about this virus that’s going around.

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Mark Lewis

@marklewismd

3 months

Gram positive

Dr Money Trees

@DrMoneyTrees

3 months

What is your first thought when you see this kitchen?

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Mark Lewis

@marklewismd

3 months

We always talk about a cure for cancer but, if I’m doing my math right, we should be 16x more excited when we prevent it altogether!

STV News

@STVNews

3 months

No cervical cancer cases have been detected in women who have been fully vaccinated against HPV, Public Health Scotland has revealed.

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Mark Lewis

@marklewismd

4 years

If you find a mask oppressive you are really going to hate an endotracheal tube

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Mark Lewis

@marklewismd

2 years

5 years of survival is a huge milestone in the life of any patient with cancer 5 years ago today I underwent the Whipple procedure to remove a malignant tumor from my pancreas I am so grateful for all the support I’ve received, especially the person who never once left my side

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Mark Lewis

@marklewismd

1 year

Happy “I am not a cat” Day to all who celebrate

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Mark Lewis

@marklewismd

3 years

My original paper “Minor revisions”

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Mark Lewis

@marklewismd

3 years

Scan shows that my pancreas — what’s left of it! — looks stable and no cancer has spread to my liver 🙌🏻 Here’s to another year of enjoying my family and dedicating myself to the work that is my calling — I know I am a lucky patient Thank you #MedTwitter for all the support!

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Mark Lewis

@marklewismd

2 years

My teenager just came to me and said the words every parent dreads hearing: “Dad, I need to memorize the Krebs cycle”

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Mark Lewis

@marklewismd

3 years

UPDATE: 72 hours after the vaccine I correctly plugged in a USB on the first attempt

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Mark Lewis

@marklewismd

4 months

“Babe, have you seen the remote? <deep sigh> “have you checked the post-central gyrus? That’s where you lost it last time”

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Mark Lewis

@marklewismd

10 months

My daughter drew a cancer cell dying and HANG IT IN THE LOUVRE

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Mark Lewis

@marklewismd

4 years

As a gastrointestinal oncologist I cannot begin to tell you how many young patients I’ve seen with incurable #coloncancer after being told they had hemorrhoids without a rectal exam, or irritable bowel syndrome without a colonoscopy #ripChadwick & may we learn from this #crcsm

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Mark Lewis

@marklewismd

2 years

“YOUR PROOFS ARE READY, YOU HAVE 48 HOURS TO RESPOND” Bro, you ghosted me 9 months ago so this new deadline seems a bit sudden and also I thought this was academic publishing, not a hostage negotiation

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Mark Lewis

@marklewismd

3 years

People with pre-existing conditions deserve to keep existing.

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Mark Lewis

@marklewismd

3 years

I'm a board-certified hematologist with a history of pulmonary embolism. The last thing that worried me when I got my vaccine was the risk of blood clots. What worried me, then and now? COVID.

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Mark Lewis

@marklewismd

3 years

Yikes, would you take a drug* with this side effect profile?! (*oh, it's the placebo arm of the Pfizer vaccine trial)

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Mark Lewis

@marklewismd

3 years

I'm an oncologist My wife is a pediatrician Our children will be getting vaccinated against COVID-19 when they are age-eligible

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Mark Lewis

@marklewismd

4 years

My regal wife figured out how to make her PPE slightly less intimidating to the kids that she treats 👑 ❤️

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Mark Lewis

@marklewismd

3 years

Olive Garden’s social media manager logging into their account

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Mark Lewis

@marklewismd

1 year

The perfect drug name doesn't exi--

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Mark Lewis

@marklewismd

3 years

Can’t wait for the vaccine to slide into my DMs* *Deltoid Muscles

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Mark Lewis

@marklewismd

2 years

We have a broken system when the patient sits stone-faced absorbing their cancer prognosis and only breaks down into tears when they ask how much their treatment is going to cost

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Mark Lewis

@marklewismd

3 years

If you’ve ever said “sorry this slide is so busy” I have massive news for you about who controls the content of your PowerPoint presentation

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Mark Lewis

@marklewismd

3 years

Overheard someone rejecting any COVID vaccine that "messes with DNA" and man are they not gonna like how I treat cancer

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Mark Lewis

@marklewismd

4 years

“How was your weekend?” “Not so great. Watched nice people with cancer die from a preventable infection because some healthy folks decided it was too inconvenient to wear a mask. And, while this will haunt me forever, they’ll never know that they killled someone.”

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Mark Lewis

@marklewismd

2 years

<raises hand at oncology conference> Have we tried being “done with cancer”?

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Mark Lewis

@marklewismd

3 years

I’m an oncologist. I give chemo. I balance risk/benefit for a living. I will be getting the vaccine this week.

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Mark Lewis

@marklewismd

5 years

My daughter came to visit my oncology clinic last week. This is the Christmas list she made over the weekend. Despite all that looks bleak, I have renewed hope in the future. #MondayMotivation #endcancer

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Mark Lewis

@marklewismd

1 year

Cancer continues to threaten millions of lives But to witness a stage IV patient enter remission, having received not a drop of chemotherapy but rather immunotherapy, is a near-miracle I didn’t foresee when my career began Not all tears in an oncology clinic are shed in sadness

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Mark Lewis

@marklewismd

2 years

Sometimes this feels like the most meaningful piece of equipment in the whole hospital

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Mark Lewis

@marklewismd

3 years

A patient apologized to me that their scans got worse I asked: "Why are you sorry?" They said: "Because I know it must be hard for you to break bad news" --- Patients don't fail treatment Treatment fails patients

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Mark Lewis

@marklewismd

1 month

Kate Middleton's appearance -- as one of the most photographed people in the world! -- is proof that you can't tell someone has cancer (or is on treatment) just by looking at them Her weight has fueled all sorts of speculation, and unintentional loss is one sign of malignancy…

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Mark Lewis

@marklewismd

4 years

Following my wife’s example I’ve made my own PPE more visually appealing to patients

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Mark Lewis

@marklewismd

3 years

I’m an oncologist I give chemo Some people say chemo is poison Chemo given at the wrong dose, to the wrong person, or for the wrong reason, that’s poison See also: ivermectin

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Mark Lewis

@marklewismd

3 years

Edward's Frappuccino order is more complicated than most of the chemotherapy I prescribe

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Mark Lewis

@marklewismd

4 months

Dear @aetna My patients woke up January 1st, 2024 with the same cancers they had December 31st, 2023 I also gave you notice as to which treatments should extend into this year Let’s end the delays of “re-approving” what was already working for people with little time to wait

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Mark Lewis

@marklewismd

1 year

Really enjoyed this text thread with my fellow physicians as we celebrated #NationalDoctorsDay

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Mark Lewis

@marklewismd

6 months

No one: Absolutely no one: #Cigna , the day before Thanksgiving: hey, you know that medicine which has been working for your patient with cancer for YEARS? Yeah, we're not going to approve that any more ...

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Mark Lewis

@marklewismd

3 years

This is the smile of an oncologist who just told someone they are cancer-free

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Mark Lewis

@marklewismd

11 months

<due to extenuating circumstances my 12-year-old had to accompany me to the hospital this weekend; as I got him settled in my office before rounds he heard a noise> “Dad, what’s that weird sound? Is that a code blue?” “No, son, that’s the fax machine”

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Mark Lewis

@marklewismd

4 years

When the radiologist is bored 👇🏻

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Mark Lewis

@marklewismd

3 years

In a year of extraordinary selfishness please note how Dolly Parton isn’t cutting in line to get the vaccine she partly funded

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Mark Lewis

@marklewismd

4 years

There’s a lot of terrible news in the world right now so I thought you’d like to know that someone’s cancer just completely vanished.

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Mark Lewis

@marklewismd

3 years

On this day 4 years ago I had surgery to remove cancer from the head of my pancreas. As I celebrate my Whipple-versary I know I am incredibly fortunate to have avoided metastasis so far. Good health is such a precious gift and one that I dearly wish to share with my patients.

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Mark Lewis

@marklewismd

4 years

I’m a physician. There are certain things you only know inside a profession. Saying Dr. Fauci is a bad doctor is like saying Michael Jordan is terrible at basketball.

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Mark Lewis

@marklewismd

4 years

I updated the pain scale

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Mark Lewis

@marklewismd

2 years

An empty ICU bed is one of the most beautiful sights I’ve seen while rounding in the hospital over the last 2 years

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Mark Lewis

@marklewismd

4 years

When you ask a patient with a terrific sense of humor for a stool sample #MedTwitter

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Mark Lewis

@marklewismd

4 years

I am a blood doctor. There are all different types of blood: A, B, AB, and O. Imagine hating someone because they — through no fault or choice of their own — had a different type than you. That’s how absurd racism is. And we all bleed the same. 🩸

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Mark Lewis

@marklewismd

3 years

#tbt of my daughter reminding her oncologist father what to really wish for this Christmas 🙏

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Mark Lewis

@marklewismd

3 years

Anti-mRNA bros are gonna be so triggered when they find out where protein comes from

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Mark Lewis

@marklewismd

4 years

Being a doctor right now is just like being a nerd in high school. All I’m trying to do is explain science to people but the popular kids still want to hurt me.

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Mark Lewis

@marklewismd

4 years

A lot of people suddenly concerned about their oxygen and carbon dioxide levels if they wear masks. Not to worry — in the ICU those are managed for you.

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Mark Lewis

@marklewismd

9 months

What does a GI oncologist get his wife for her 45th birthday? A screening colonoscopy! (Follow me for more pro tips on thoughtful gifts and keeping the magic alive in your marriage)

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Mark Lewis

@marklewismd

3 years

I see a lot of people talking about the survival rate of COVID-19 as if it's a reason to dismiss the virus Speaking as an oncologist, you can survive a cancer diagnosis too, but you still don't want cancer

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Mark Lewis

@marklewismd

2 years

“I see you posted your Wordle score but haven’t responded to my email” “Yes, in medicine that’s called triage”

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Mark Lewis

@marklewismd

4 years

Insurance company: "hi, Dr. Lewis, we are denying your scan. It has to be for a neuroendocrine tumor" Me: "I ordered it for a gastrinoma, which is a type of neuroendocrine tumor" Them: ... Me: ... Insurance company: "the order must say 'neuroendocrine tumor'" Me: <sobs>

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Mark Lewis

@marklewismd

1 year

COMPETITIVE EATING FAIL: a 7 lb. burger consumed in 30 minutes 🤢

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Mark Lewis

@marklewismd

3 years

When you say “they only died because of co-morbidities” you’re telling patients with pre-existing conditions they don’t deserve that existing part

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Mark Lewis

@marklewismd

3 years

Flight attendant: is there an insurer on the plane who can give us prior authorization to ask for a doctor?

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Mark Lewis

@marklewismd

2 years

This might be the most humane email signoff I've ever seen

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Mark Lewis

@marklewismd

1 month

Literally did it today because if I still practiced exactly how I was trained it would now be malpractice

Ben Yahr

@benyahr

1 month

When your doctor has to Google something in front of you

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Mark Lewis

@marklewismd

3 years

@catherinewcai

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Mark Lewis

@marklewismd

3 years

I wonder which of her teachers ends up feeling worse here?

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Mark Lewis

@marklewismd

1 month

I'm being bombarded by questions (quite understandably) about why any patient would undergo chemotherapy if a surgery had successfully removed their cancer I struggled to come to the same understanding when I was first being trained as an oncologist A THREAD

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Mark Lewis

@marklewismd

3 years

So basically today is December 37th, 2020

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Mark Lewis

@marklewismd

3 years

Me: I’m afraid I have some bad news Patient: doctor, before you say anything else, I’m sorry you’ve had to bear this burden Me: <speechless at such selflessness> —— Is oncology sad? Yes. Is it inspiring to witness the incredible nobility of your fellow humans? Also yes.

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Mark Lewis

@marklewismd

5 months

Henry Kissinger’s death is also an opportunity to remember Anthony Bourdain as a fearless, globe-trotting antidote to American isolationism as he spoke truth to power wherever he saw it misused around the world

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Mark Lewis

@marklewismd

3 years

People always ask my wife & I what it’s like being a dual physician couple:

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Mark Lewis

@marklewismd

4 years

What’s always struck me is that, when I first suspected I had cancer, I was told I was a hypochondriac I’m ashamed to admit it but the only reason I got properly diagnosed is that I’m a doctor and was able to invoke some professional courtesy Many patients are not so fortunate

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Mark Lewis

@marklewismd

2 years

Two of my patients died this weekend I used to blame myself for every death but even the best oncologist can’t conjure up immortality Sometimes, often, the best I can do is offer quality of life over longevity But the truth is that I still miss these dear people so very much

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Mark Lewis

@marklewismd

4 years

My mom gave me a cactus my freshman year of college and under my care it shriveled and died. It was then I realized that, if I can kill literally anything that grows, I would make a decent cancer doctor.

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Mark Lewis

@marklewismd

4 years

So as has been widely reported, personal protective equipment (PPE) is running low for medical personnel during #coronavirus #Covid_19 Today my awesome pediatrician wife & my mother-in-law used at-home materials to sew masks STEP-BY-STEP TWEETORIAL 1/

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Mark Lewis

@marklewismd

1 year

Been thinking about this a lot this week; we all find our own ways to cope in the face of serial tragedies

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Mark Lewis

@marklewismd

2 years

Starting to wonder about food Had dinner last night, now it’s morning and I’m hungry for breakfast If these meals really “worked”, would they need to be repeated?

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Mark Lewis

@marklewismd

4 years

I hesitate to admit this but here goes: Cancer made me a better person. I take fewer things for granted now, especially my health. I’m more likely to tell my loved ones they’re precisely that. And every morning I’m grateful to open my eyes again. #CancerSurvivorDay

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Mark Lewis

@marklewismd

3 months

My father died thirty years ago today He was 49, I was 14 Most charitably it can be chalked up to my immaturity at the time of his death but it’s taken the full three decades since then for me to realize that I am not “getting over it” I am never getting over it

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Mark Lewis

@marklewismd

1 year

I did something today I promised myself I would never do I don’t know how I’ll live with the shame but somehow it helps to admit it, even if I lose the respect of my peers Here goes <deep breath> I used the Krebs cycle in clinical practice

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Mark Lewis

@marklewismd

3 years

Years ago I enrolled a young man on a clinical trial as his last therapeutic hope. He was not saved. But before he died he asked me to convey the results of the research to his family posthumously. This week, that study matured & showed a significant survival improvement. 1/

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Mark Lewis

@marklewismd

3 years

Dear Santa, You can skip me this year. I’m good.

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Mark Lewis

@marklewismd

1 month

@SPuro88 This feels like a word problem from 6th grade math

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Mark Lewis

@marklewismd

5 years

Hi! I'm an oncologist. You might know me from my greatest hits including "no, I don't recommend alkaline water as your body is remarkably homeostatic and maintains your pH balance", "anaerobic glycolysis means cancer can make its own sugar", and "no, I'm not hiding the cure"

George Alba

@galbamd

5 years

Hi! I’m a pulm / critical care doc. You might know me from my greatest hits including “not sick enough for ICU,” “why isn’t this patient in the ICU already,” “doesn’t need a bronch,” “too hypoxemic for bronch,” & the always unforgettable, “you can breathe normally now.”

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Mark Lewis

@marklewismd

3 years

The first rule of discussing HIPAA is not spelling it HIPPA

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Mark Lewis

@marklewismd

3 years

As an oncologist I’d be mighty careful with something that’s 10000x stronger than chemo

Bad Medical Takes

@BadMedicalTakes

3 years

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Mark Lewis

@marklewismd

1 month

@jtrebach “More a comment than a question”

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Mark Lewis

@marklewismd

2 years

As an oncologist I attend a lot of funerals The thing I hear the most from eulogists? "I wish I had said these things to them when they were alive" Don't wait; speak your heart to your loved ones with the fierce urgency of now

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Mark Lewis

@marklewismd

4 years

Next investigation: why do firefighters use so much water?

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Mark Lewis

@marklewismd

2 months

Unbeknownst to me our daughter took a series of photos of me getting over-excited explaining the mechanism of action of a new drug to my wife My takeaways? 1) I talk with my hands too much 2) find yourself someone who looks at you like this while you’re geeking out #nerdlove

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Mark Lewis

@marklewismd

3 years

Too real

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Mark Lewis

@marklewismd

3 years

Me: I have good news for you! Patient: Me first! I convinced my friends to get vaccinated! I told them chemo is more tolerable than I had feared, and that the shot was way easier than chemo Me: Well done! Ready for my good news? Patient: Yes! Me: That same chemo is working :)

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