James Anstey, MD(@jeanstey) 's Twitter Profileg
James Anstey, MD

@jeanstey

@OHSUDHM Hospitalist, Assistant Prof, Clin Educator. IM POCUS/Procedures. UME Advising and Faculty Coach. @OHSUSOM ‘15, @UCSFIM ‘18. Opinions my own.

ID:130070738

calendar_today06-04-2010 06:25:01

1,8K Tweets

395 Followers

218 Following

Ria Dancel, MD(@ria_dancel) 's Twitter Profile Photo

Wanna learn some in Hawaii? You’ll hang with some of my favorite peeps, hone your skills, and surf after. Can’t beat that

Wanna learn some #POCUS in Hawaii? You’ll hang with some of my favorite peeps, hone your skills, and surf after. Can’t beat that
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James Anstey, MD(@jeanstey) 's Twitter Profile Photo

So a full body MRI takes long enough that you’d barely be able to pay the tech to run the incredibly dangerous machine to do the scan with that money.

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Dr. Glaucomflecken(@DGlaucomflecken) 's Twitter Profile Photo

Man it really bothers me when people label certain specialty residency programs as “easy.” All it does is invalidate any mental/physical challenges trainees may have, and it’s just flat out wrong.

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James Anstey, MD(@jeanstey) 's Twitter Profile Photo

One of my favorite courses to teach at with one of the best collections of expert faculty. Can’t wait and would love for you to join us!

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James Anstey, MD(@jeanstey) 's Twitter Profile Photo

In a functional system there is communication and everyone values each others expertise (we have it all self contained with a pre-op clinic), but anesthesia is a procedure so the proceduralist should 💯 have final say of doing the procedure just like the surgeon on the surgery.

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James Anstey, MD(@jeanstey) 's Twitter Profile Photo

Great study! My take away when combined with US studies is that it continues to be riskier to not learn/use POCUS that to learn/use it.

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James Anstey, MD(@jeanstey) 's Twitter Profile Photo

To be fair dealing with that nonsense adobe software not to mention my MacBooks ever present desire to subvert it is regularly one of the most challenging tasks I face.

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James Anstey, MD(@jeanstey) 's Twitter Profile Photo

So was stranded in Denver (luckily at my parents) due to a PDX snow storm and missed a POCUS conference then finally got home to get stranded (at home atleast) without power and school/daycare closed all week due to an icestorm. Those CA fires aren’t looking so bad in rearview.

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James Anstey, MD(@jeanstey) 's Twitter Profile Photo

Awesome thread. Such a nuanced topic. If I had to choose one though it’d be fluid tolerance given responsiveness is about 10x harder to determine. If I can know I’m not going to hurt the patient, then giving fluids that don’t help a ton isn’t a terrible outcome.

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James Anstey, MD(@jeanstey) 's Twitter Profile Photo

Had this sorta epiphany maybe a month ago (not necessarily calling myself a high performer but definitely a prior guilt driven worker). Amazing to have the guilt largely dissipate and no one has called telling me I’m dropping the ball.

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James Anstey, MD(@jeanstey) 's Twitter Profile Photo

That’s a pretty big difference and probably explains the outcome. Can’t go around saying that to refs and expect to keep playing.

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James Anstey, MD(@jeanstey) 's Twitter Profile Photo

Some people’s goals are to get in the NEJM, actually improve medicine, or the far more difficult goal of becoming full professor. Mine is to get in the BMJ December Issue. Just haven’t quite found the study yet but I’m looking.

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