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Problems with IV Vitamin K for hospitalized patients with #cirrhosis - smallest to biggest 1. Vit K deficiency is rare 2. It does not do anything 3. It sends mixed signals to learners about the meaning of INR in cirrhosis

NEW: A coalition of Arizona Palestinian, Arab, Muslim, and progressive community leaders issue statement on the presidential election. "In our view... allowing the fascist Donald Trump to become President again would be the worst possible outcome for the Palestinian people."

I’ll be honest: I find this view very strange. It either divorces politics from morals, or it divorces morality from friendship. (1/x)

It will never be over

Not every supporter of A2 Props C & D is a Republican, but nearly every Republican will support C & D. There is a reason Republicans have funneled tens of thousands of dollars into these proposals: C & D are Republicans’ only path to win on #A2Council. Don’t be fooled. VOTE NO!

I did Nazi see this apology coming.

Personal opinion badly disguised as evidence forms the bulk of most "evidence-based consensus guidelines" that most doctors blindly accept as truth

happy halloween to my scientists, I am an electron cloud

Happy Halloween from the scariest thing in a hospital: A mislabeled blood bank specimen. #blooducation

This place is so toxic. I’m not sure i wanna stay anymore. Elon Musk is a petulant child who took a wonderful tool and turned it into an incel neonazi vanity project of hatred and grifters. But that’s what he is. “Adjacent to refuse, is refuse” -Jerry Seinfeld

Three Days…to elect Kamala Harris & @TimWalz, and protect our local elections! Finish strong! #GoVote! #Vote #MakeAPlan #HarrisWalz #A2Council #VoteLocal

Vitamin K doesn’t improve INR or reduce bleeding in people hospitalized with cirrhosis journals.sagepub.com/doi/10.1177/00….

one of the reasons I am so hopeful that the future of medicine is bright is because younger doctors ARE now expressing that they do not want to be held captive by their careers. being more human WILL make them better doctors, surely!

As a man, I’m just not scared like Trump. I’m not scared of telling the truth. I’m not scared of humility. I’m not scared of people who don’t look like me. I’m not scared of immigrants, of powerful women, of working people, of trans people, of Muslims. I’m not scared of love. I’m

It’s been like 3 years since I could see Vinay Prasad MD MPH tweets after being Blocked by Vinay Prasad MD MPH AB CD EFGH and…wow. I knew he became mostly irrelevant outside of the contrarian medical community. But boy he’s weird. Let that freak flag fly, Vinny. 😂 Sad. Great mind lost.

😂😂😂 AI pathology is only interesting to non pathologists #bot

The Phlegmfighter This comes up a lot. Every time I tweet about vitamin k. 1. Does vit k distinguish malnutrition in people with cirrhosis? No evidence it does. 2. Is vit k deficiency prevalent in malnourished patients with cirrhosis? No

The Phlegmfighter 3. Can vit k improve inr in cirrhosis? Unlikely because vit k metabolism is impacted (over/above possible deficiency) 4. Say it does improve inr in a listed patient with cirrhosis. You want to reduce their MELD score? Why? 5. What is the benefit of lowering inr slightly?