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josh farkas
intensivist • US nerd • FOAMite • skeptic • caffeine & iphone addict • leader of the rebel alliance • writer • resuscitationist • feminist •own opinions, no COI
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josh farkas 8h
totally agree, guanfacine is a really neat drug. glad to hear that you’re getting some good results with it.
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josh farkas 8h
Replying to @MtlWeb3944
yep its pretty close- 8 minute walk thru this skywalk. might help with transportation just to take in the view
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josh farkas 9h
Replying to @DrToddLee
💯 absolutely agree. once the rate of drug-resistance increases you get into a really rough rat-race with increasing resistance (resistance —> broader ABX —> more resistance).
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josh farkas 10h
illicit tour of new building: beautiful patient-centered design. will feel good dispositioning patients out of the ICU to these digs.
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josh farkas 11h
agree, dex looking really good but too soon to be 100% certain (as is always the case). best tx for delirium is probably dispo from ICU to a spa. delirium roundup here
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josh farkas retweeted
Internet Book of Critical Care Mar 23
fresh chapter & cast: Hypertensive emergencies 🤯 - primacy of MAP - definition & target organ damage - pharmacokinetics of IV & oral antihypertensives - PRES
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josh farkas Mar 23
not worth discussing this on twitter, opinions too strong to change.
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josh farkas Mar 22
Replying to @daniel_opazo
usual practice at my shop is 2 grams q24 (although pharmacokinetically it might make more sense to give 1 gram q12).
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josh farkas Mar 22
Replying to @Rippansalhotra
its a stupid-american-doctor thing.
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josh farkas Mar 22
Replying to @fluidloading
meh. i can sort out the junk and implement the good stuff immediately 😛
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josh farkas Mar 22
Replying to @iceman_ex @startle65
stopped using fluoroquinolones years ago & haven't missed them since. eliminating fluoroquinolones in ICU isn't too hard, but requires some courage to give cephalosporins to patients with penicillin allergy.
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josh farkas Mar 22
vanc-zosyn is inappropriate for community-acquired PNA. - lacks atypical coverage - most patients don't require such broad coverage more:
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josh farkas Mar 22
Replying to @GoodishIntent
“I’m just trying to give the patient’s kidneys a challenge”
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josh farkas Mar 21
Replying to @RKleinMD
May generate more buzz/interest in the articles.
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josh farkas Mar 21
Replying to @EMManchester
At this point it's pretty undeniable that it happens (half a dozen articles didn't get published in NEJM during ACC19 by accident). In some cases this can be justifiable (e.g. a really complex paper which is ambiguous and won't immediately change practice).
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josh farkas Mar 21
is it ethically acceptable for journals to withhold publication of practice-changing studies until the next major medical conference?
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josh farkas Mar 21
Replying to @Rick_Pescatore
considering setting my twitter app to automatically block any tweet with the word “associated”
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josh farkas Mar 20
social networking theory applies to the transmission of medical knowledge. FOAMed converts us from weakly-connected graphite, into diamonds. Thanks for attending my TED talk.
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josh farkas Mar 20
Replying to @Doclief
1) sometimes very effective in ARDS although that's controversial () 2) extraordinarily useful to recruit collapsed lung (e.g. lobar collapse). Also my go-to for getting supermorbidly obese patients off the vent (recruits em & keeps them open).
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josh farkas Mar 20
thanks, honored by the mention! you've already hit the main points. if possible find something you're passionate about & enjoy doing - then keep working at it. anything you work at long enough, you'll eventually get good at (skill comes comes *last,* not first).
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