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Matteo CesariVaccine skeptic Robert F. <a href="https://mastodon.social/tags/Kennedy" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Kennedy</a> Jr. is sworn in as Trump’s <a href="https://mastodon.social/tags/health" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#health</a> chief after a close Senate vote<a href="https://mastodon.social/tags/Trump" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Trump</a> <a href="https://mastodon.social/tags/Science" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Science</a> <a href="https://mastodon.social/tags/Novax" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Novax</a> <a href="https://mastodon.social/tags/Craziness" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Craziness</a> <a href="https://mastodon.social/tags/Politicss" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Politicss</a> <a href="https://mastodon.social/tags/MedMastdon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#MedMastdon</a> <a href="https://apnews.com/article/rfk-trump-health-secretary-vote-5dbefeef0537dc241e6fb33b8f2a748b" rel="nofollow noopener noreferrer" translate="no" target="_blank">https://apnews.com/article/rfk-trump-health-secretary-vote-5dbefeef0537dc241e6fb33b8f2a748b</a>

AskPippa🇨🇦Old style surgical equipment. From the Museum of Healthcare in Kingston, <a href="https://c.im/tags/Ontario" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Ontario</a>. <a href="https://c.im/tags/medmastdon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#medmastdon</a> <a href="https://c.im/tags/history" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#history</a>

Rosemary The SaltyMass General was one of the first places to adopt a patient code of conduct, which you can read below.I think the real defining moment of that was COVID, where we finally started pushing back on behavior like that. And it's about damn time.<a href="https://mstdn.social/tags/MedMastdon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#MedMastdon</a>

AskPippa🇨🇦"The many <a href="https://c.im/tags/menopause" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#menopause</a> myths your patients may believe A look at the many preconceptions (and their related products) your patients may have about menopause." This is a new story I wrote for the Medical Post/Canadian Healthcare Network which summarizes a talk at a recent <a href="https://c.im/tags/obgyn" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#obgyn</a> conference. The site is password protected but free for <a href="https://c.im/tags/doctors" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#doctors</a> and <a href="https://c.im/tags/pharmacists" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#pharmacists</a> in <a href="https://c.im/tags/Canada" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Canada</a>. Here are the first few paragraphs:Myths, misinformation and questionable products for use in menopause abound. So, what should doctors say when faced with patients asking about supplements, ‘estrogen imbalance,’ expensive tests, or social-media inspired treatments?At the recent annual meeting of the Ontario regional conference for the Society for <a href="https://c.im/tags/Obstetricians" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Obstetricians</a> and <a href="https://c.im/tags/Gynecologists" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Gynecologists</a> of Canada (<a href="https://c.im/tags/SOGC" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#SOGC</a>), Dr. Alison Shea, assistant professor of obstetrics and gynecology at McMaster University, addressed these topics.She emphasized that while information on the internet is highly accessible, menopausal management is highly individualized.“What somebody may say on social media that really helped them, may lead someone to ask about (it),” she said, stressing that doctors should explain that “what works for one person might not work for you.” Myths around menopause are common, and social-media material relating to menopause can be associated with product advertising. On Instagram alone, half of the menopause hashtags are for advertisements. And, according to BNN Bloomberg, the global market for menopausal products hit US$15 billion in 2021. The selling of products should set off alarm bells, Dr. Shea said. High profile brandsSome high profile brands associated with menopausal products that patients might mention include GOOP, Stripes, the Galvenston Diet, and the Balance <a href="https://c.im/tags/Health" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Health</a> App.Actor Gwyneth Paltrow’s GOOP, and Naomi Watts’ Stripes, both sell various products with little to no science behind them, she said. Yet, some of the Stripes products are decent, such as vaginal moisturizers which are hylaronic acid based. But its advisory board is lacking, consisting of only one ob-gyn, a dermatologist and a journalist.The creator of the Galviston Diet has some helpful content, but their goal is to sell various products, Dr. Shea said. Some of the supplements appear to be fine for healthy aging, but they may not do much for menopausal symptoms.The Balance Health App from the U.K. tracks menopause symptoms. This can be useful, but there are free and paid versions. The vocabulary of menopause mythsEstrogen imbalance: This is the idea that high <a href="https://c.im/tags/estrogen" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#estrogen</a> or “estrogen dominance” are the underlying cause for bothersome menopause symptoms and need to be kept in check. “We know this is not true,” Dr. Shea said. While fluctuating levels of estrogen can stimulate endometriosis, or stimulate some fibroid growth, lower estrogen levels are more responsible for bothersome menopausal symptoms "Estrogen dominance" is sometimes used to describing an ‘imbalance’ of estrogen and progesterone. However, this is not a scientific term. Some patients may purchase progesterone cream products to help with the supposed imbalance, but progesterone does not work well through the skin. And if it were absorbed it may contribute to a worsening of mood symptoms in some. The only time estrogen may need so-called balancing is if there is an overgrowth of lining the uterus, or proliferative endometrium, she said.Probiotics are also being sold claiming to influence estrogen metabolism in the gut, but there’s very little evidence.Hormone testing kits and..."<a href="https://c.im/tags/medmastdon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#medmastdon</a> <a href="https://a.gup.pe/u/medmastodon" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@medmastodon</a> <a href="https://www.canadianhealthcarenetwork.ca/many-menopause-myths-your-patients-may-believe" rel="nofollow noopener noreferrer" translate="no" target="_blank">https://www.canadianhealthcarenetwork.ca/many-menopause-myths-your-patients-may-believe</a>

SnehaYo, letter-writers for residency/fellowship/faculty positions! If you find yourself typing "This candidate meets the stereotype of _______ people" just tell the candidate to find another letter-writer. <a href="https://mastodon.online/tags/whyyyyyyyyyyyyyygodnoooooooooooo" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#whyyyyyyyyyyyyyygodnoooooooooooo</a> <a href="https://mastodon.online/tags/AdventuresInAcademia" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#AdventuresInAcademia</a> <a href="https://mastodon.online/tags/MedMastdon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#MedMastdon</a>

Tejas Desai, MD ☑️NephTwitterArchive.com demand data:•Lifetime demand (searches): 45477 •Mean monthly demand: 1139 searches •Monthly demand 95% CI: 919 to 1359 searchesAs we start 2023, we thank everyone in <a href="https://med-mastodon.com/tags/NephTwitter" class="mention hashtag" rel="tag">#NephTwitter</a> for using and contributing to this unique search engine. <a href="https://med-mastodon.com/tags/MedicalNewsToday" class="mention hashtag" rel="tag">#MedicalNewsToday</a> <a href="https://med-mastodon.com/tags/meded" class="mention hashtag" rel="tag">#meded</a> <a href="https://med-mastodon.com/tags/MedMastdon" class="mention hashtag" rel="tag">#MedMastdon</a> <a href="https://med-mastodon.com/tags/MedMastJC" class="mention hashtag" rel="tag">#MedMastJC</a> <a href="https://med-mastodon.com/tags/nephed" class="mention hashtag" rel="tag">#nephed</a> <a href="https://med-mastodon.com/tags/NephMastodon" class="mention hashtag" rel="tag">#NephMastodon</a> <a href="https://med-mastodon.com/tags/nephpearls" class="mention hashtag" rel="tag">#nephpearls</a> <a href="https://med-mastodon.com/tags/nephbeans" class="mention hashtag" rel="tag">#nephbeans</a>

Dr. Shazma Mithani, MD, FRCPCFebrile seizures can be very scary for parents. Thankfully, they are usually self limited and look much scarier than they really are. <a href="https://mstdn.ca/tags/fever" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#fever</a> <a href="https://mstdn.ca/tags/febrileseizure" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#febrileseizure</a> <a href="https://mstdn.ca/tags/febrileseizures" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#febrileseizures</a> <a href="https://mstdn.ca/tags/viruses" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#viruses</a> <a href="https://mstdn.ca/tags/MedMastdon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#MedMastdon</a>

Susannah The TiredWhen you would rather live with your severe; unrelenting; sleep stealing; mental health crisis inducing pain, than talk to your pain doctor... you know there's a real abuse problem in the medical community. 💔I am so tired of the fight to be heard. To be validated. Believed. Respected. Humanised. Helped. <a href="https://disabled.social/tags/NEISvoid" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#NEISvoid</a> <a href="https://disabled.social/tags/Disability" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Disability</a> <a href="https://disabled.social/tags/ChronicPain" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#ChronicPain</a> <a href="https://disabled.social/tags/MedMastdon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#MedMastdon</a> <a href="https://disabled.social/tags/MedTwitter" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#MedTwitter</a> <a href="https://disabled.social/tags/MedTwitterMigration" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#MedTwitterMigration</a>

Dr Ian KellarRaw account of what it's like being a GP right now: <a href="https://www.theguardian.com/society/2022/nov/27/stress-exhaustion-1000-patients-a-day-english-gp-nhs-collapse" rel="nofollow noopener noreferrer" target="_blank">https://www.theguardian.com/society/2022/nov/27/stress-exhaustion-1000-patients-a-day-english-gp-nhs-collapse</a> <a href="https://fediscience.org/tags/MedMastdon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#MedMastdon</a> <a href="https://fediscience.org/tags/NHS" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#NHS</a>

ScottI hate shaving and I only shave before night shift 1. A hangover from Covid when I’d have to wear FFP3 mainly on nights and needed a clean face. It’s a shame that the most groomed I ever am is Friday 8pm handover on labour ward. <a href="https://toot.community/tags/MedMastdon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#MedMastdon</a> <a href="https://toot.community/tags/NHS" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#NHS</a> <a href="https://toot.community/tags/LAZYBOI" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#LAZYBOI</a>

Raising Square PegsI’ve seen a few psychotic breaks related to unexpected medication effects. Usually steroids. Recently saw an emotionally complex individual tipped into psychosis by their SSRI. WORST I’ve seen. (Caveat I’m not in psychiatry, so I’m sure there are worse examples out there). For 3 days I had this patient as their behaviours escalated. Exhausting and demoralizing. Self harming and hallucinating. All I can say is thank god psychiatry figured out the trigger. <a href="https://mstdn.ca/tags/MedMastdon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#MedMastdon</a> <a href="https://mstdn.ca/tags/Psych" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Psych</a> <a href="https://mstdn.ca/tags/Nursing" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Nursing</a>

Raising Square Pegs<a href="https://mstdn.ca/tags/AHS" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#AHS</a> <a href="https://mstdn.ca/tags/Epic" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Epic</a> <a href="https://mstdn.ca/tags/MedMastdon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#MedMastdon</a> <a href="https://mstdn.ca/tags/Rover" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#Rover</a> This little bad boy is making the AHS rollout of Epic/ Connect Care bearable. Starting to get my head around it.

Garrett Sprague, MD :verified:<a href="https://med-mastodon.com/@greenhousemd" class="u-url mention">@greenhousemd</a> interact with people on other servers and gather followers. The federated timeline shows you content from people followed by the people you follow. The more people outside of <a href="https://med-mastodon.com/tags/MedMastdon" class="mention hashtag" rel="tag">#MedMastdon</a> follow you, the more likely people who follow those people will also see the content. No algorithm to promote things like the <a href="https://med-mastodon.com/tags/birdsite" class="mention hashtag" rel="tag">#birdsite</a> but in a way that’s a good thing.

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