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Brett Biebelberg, MD @bbiebelberg.bsky.social · 14d

Me hyping myself up to try, again, to place an ultrasound–guided IV

Reposted by Brett Biebelberg, MD

Brett Biebelberg, MD @bbiebelberg.bsky.social · 26d

This is intern year except every 2 weeks you go back to rolling a wooden box filled with patients you know nothing about, subspecialty services you have no experience in, new attending and senior resident preferences, and
bathrooms you don’t know the codes for 😀

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Brett Biebelberg, MD @bbiebelberg.bsky.social · 26d

This is intern year except every 2 weeks you go back to rolling a wooden box filled with patients you know nothing about, subspecialty services you have no experience in, new attending and senior resident preferences, and
bathrooms you don’t know the codes for 😀

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Brett Biebelberg, MD @bbiebelberg.bsky.social · Aug 2

Wow! Glad you’re doing well. Thanks for reading.

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Brett Biebelberg, MD @bbiebelberg.bsky.social · Aug 1

5/ Read the CDC MMWR here: cdc.gov/mmwr/volumes...

#medsky #publichealthsky #publichealth #toxicology @ryanmarino.bsky.social @deborahb.bsky.social @sejordt.bsky.social @clairem402.bsky.social

Tetrahydrocannabinol Intoxication from Food ...

This report describes THC intoxication among patrons ...

cdc.gov

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Brett Biebelberg, MD @bbiebelberg.bsky.social · Aug 1

4/ THC wasn't immediately known to be the cause.

Emergency services initially tested the restaurant and the homes of several customers for carbon monoxide but found no leaks

Instead, one of the pizzeria patrons who went to the ED had a UDS collected which was positive for THC

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Brett Biebelberg, MD @bbiebelberg.bsky.social · Aug 1

3/ The owner of the pizzeria told officials they'd run out of cooking oil and grabbed what they thought was canola oil from the shared commercial kitchen

In fact, they had grabbed hemp-derived THC-infused cooking oil

They didn't know 'D9' was short for Δ9-tetrahydrocannabinol

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Brett Biebelberg, MD @bbiebelberg.bsky.social · Aug 1

2/ the restaurant's food had been contaminated with THC.

Oops.

The pizzeria operates in a building that shares a commercial kitchen with a state-licensed maker of edible THC products.

What happened, exactly?

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Brett Biebelberg, MD @bbiebelberg.bsky.social · Aug 1

1/ Last October, 85 people ages 1-91 developed dizziness, drowsiness, anxiety, and/or memory distortion. Some went to the ED. They'd all recently eaten at a Wisconsin pizzeria.

Local public health officials investigated. As reported in last week's CDC MMWR, they found

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Brett Biebelberg, MD @bbiebelberg.bsky.social · Jul 30

Case-control study in @jamanetworkopen.com suggests living in close proximity to a golf course substantially increases the risk of developing Parkinson's Disease, likely related to pesticide use.

Proximity to Golf Courses and Risk of Parkinson Disease

This case-control of older US adults examines risk of Parkinson Disease by proximity of residence to a golf course.

jamanetwork.com

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Reposted by Brett Biebelberg, MD

Nick Mark, MD @nickmark.bsky.social · Jun 30

It's that wonderful time of year when new residents are joining the ICU team!

Here are a few of my favorite @criticalcaretime.bsky.social infographics to help you understand key concepts:
⚡️Undifferentiated shock
💉 Vasopressors
😮‍💨 The physiologically difficult airway &
🧪 Metabolic acidosis

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Brett Biebelberg, MD @bbiebelberg.bsky.social · Jun 27

👊🏻

Brett Biebelberg, MD @bbiebelberg.bsky.social · Jun 27

First week of residency down.

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Reposted by Brett Biebelberg, MD

josh farkas 💊 @pulmcrit.bsky.social · Jun 9

ZODIAC trial: For ischemic stroke patients who are awaiting thrombectomy, flat positioning reduced the risk of neuroworsening or death

Premature termination but seems reasonable

Statistically robust results

Best available evidence; should change practice

pubmed.ncbi.nlm.nih.gov/40465238/ #EMIMCC

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Reposted by Brett Biebelberg, MD

josh farkas 💊 @pulmcrit.bsky.social · Jun 2

when perfusion falls, the most vulnerable tissue suffers first.

so for someone with a chronic carotid artery stenosis, urosepsis can manifest with focal neuro symptoms.

a rabbit from the secret life of pets is angry and says `` i 'm sorry ... what ? ''

ALT: a rabbit from the secret life of pets is angry and says `` i 'm sorry ... what ? ''

media.tenor.com

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Brett Biebelberg, MD @bbiebelberg.bsky.social · May 18

My palliative care elective in med school was my most impactful rotation. I’m eager to rotate on PC as a resident.

It felt like another world of medicine. A reprieve from the cog-in-the-wheel, task-rabbit medicine we practice. A version that prioritizes patients, dialogue, and bedside care
#medsky

Steven Ilko 🏥 🚁💨 @zentensivistilko.bsky.social · May 14

Spending 3 weeks with my palliative care colleagues is such a refreshing and validating experience. To watch and learn from these experts while navigating difficult EoL questions with such patient centeredness is incredible. If you're in training, please consider spending dedicated time with them.

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Brett Biebelberg, MD @bbiebelberg.bsky.social · May 14

Could it be that simple?

Hanging a folding chair on the wall in patient rooms increased the patient-reported likelihood that physicians sat at the bedside, spent enough time, and checked for understanding.

shmpublications.onlinelibrary.wiley.com/doi/10.1002/... @jhospmedicine.bsky.social #medsky

Wall‐mounted folding chairs to promote resident physician sitting at the hospital bedside

Click on the article title to read more.

shmpublications.onlinelibrary.wiley.com

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Reposted by Brett Biebelberg, MD

Amy Maxmen, PhD @amymaxmen.bsky.social · May 1

A 25% reduction in research funding in the US would lower GDP by 3.8%— a decline similar in magnitude to that in the Great Recession.

A 75% reduction in research funding would lower GDP 11% — a larger decline than in any recession since the Great Depression.
www.nytimes.com/2025/04/30/b...

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Reposted by Brett Biebelberg, MD

Brett Biebelberg, MD @bbiebelberg.bsky.social · Apr 20

Takeaways from @nejm.org acute abdomen review:
➡️ Don’t withhold analgesia
➡️ CT angio abd/pelv w/ IV contrast is usually ideal image; ultrasound for others but high performance variability
➡️ Consult surgery ASAP
➡️ Beware of cognitive bias
www.nejm.org/doi/full/10....
#medsky

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Reposted by Brett Biebelberg, MD

Walid Malki 🍉 @wanderinger.bsky.social · Mar 29

Diuresis and fluid status comes up on almost every single ICU patient (especially in a cardiac ICU🫀)

It’s very important to understand how each diuretic works, how they can be combined to augment urine output & their limitations

Check out my starter guide for diuresis in the ICU

#MedSky #Nephsky

Infographic reviewing main diuretic options in the ICU as well as a proposed algorithm for a diuretic challenge

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Brett Biebelberg, MD @bbiebelberg.bsky.social · Apr 20

💯

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Brett Biebelberg, MD @bbiebelberg.bsky.social · Apr 20

Takeaways from @nejm.org acute abdomen review:
➡️ Don’t withhold analgesia
➡️ CT angio abd/pelv w/ IV contrast is usually ideal image; ultrasound for others but high performance variability
➡️ Consult surgery ASAP
➡️ Beware of cognitive bias
www.nejm.org/doi/full/10....
#medsky

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Brett Biebelberg, MD @bbiebelberg.bsky.social · Apr 19

Wellness will be when I don't have to do a module on how to use hand sanitizer

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Brett Biebelberg, MD @bbiebelberg.bsky.social · Apr 19

Ah, yes. Just a little mistake.

Trump Officials Blame Mistake for Setting Off Confrontation With Harvard

An official on the administration’s antisemitism task force told the university that a letter of demands had been sent without authorization.

www.nytimes.com

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Brett Biebelberg, MD @bbiebelberg.bsky.social · Mar 27

What could go wrong?

www.nbcnews.com/health/healt...

HHS plans to shutter or downsize several health agencies, including at CDC

Health and Human Services is planning to cut 10,000 jobs across the sprawling department.

www.nbcnews.com