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Will Preston @willpreston.bsky.social · 9h

I’d like to nominate this case for a pulitzer prize

Reposted by Will Preston

NEJM.org @nejm.org · 14h

Case Record of the MGH: A 36-year-old man was admitted because of fever, hypoxemia, and bacteremia. Imaging revealed pulmonary opacities, thickening of the duodenal wall, and a thrombus in the right renal vein. A diagnosis was made. Full case details: nej.md/3KYBaAE

#MedSky

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Will Preston @willpreston.bsky.social · 1d

Sorry @kenjennings.bsky.social

Will Preston @willpreston.bsky.social · 1d

The NEJM case records this week is an all timer with Dr Dhaliwal. They do a Watson on jeopardy! style challenge where his answers are compared to an AI’s - should definitely read for yourself but just want to be the first to say humanity’s still got it baby!

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Reposted by Will Preston

Joshua Budhu @jbudhu.bsky.social · 3d

5/6🧵Unauthorized immigrants contribute billions to the U.S. health system — more than they receive in care.
In 2017 alone, net contributions totaled:
$20.8B to Medicare

$21.3B to Medicaid

$14.7B to private insurance

They are net funders, not burdens.

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Will Preston @willpreston.bsky.social · 11d

I don’t think twice about going into a MRSA room but if I see contact precaution for medbed bugs I’m not going in

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Will Preston @willpreston.bsky.social · 11d

Almost like people want socialized healthcare! Best we can do is cut the largest public insurance, replace vaccines with crank science, gut our research institutions, and prevent any new HCWs from coming here but here’s an AI video of our demented president saying he’ll make you live forever.

Alex Kaplan @alkapdc.bsky.social · 12d

Trump tonight appears to have pushed the false "medbed" conspiracy theory, which has spread in the far-right internet over the years. www.yahoo.com/news/qanon-c...

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Will Preston @willpreston.bsky.social · 13d

There’s a great one on thickened liquids. Also over using RPP.

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Reposted by Will Preston

Brendel @brendelbored.bsky.social · 17d

Trump: don’t take acepitoemponoene

RFK Jr: *moth crawls out of mouth*

A nude man is in the background, only referred to as “the colonel”

Person watching on tv: well if they say so

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Will Preston @willpreston.bsky.social · 22d

Reading the blog awhile but turns out scrolling right past the podcast lol. Great ep. I guess even tho the 2mm in all 4 leads has LR 16, it’s from a case-control with only 4 such cases so is it really enough to go by? Seems straightforward enough to repeat a similar study tho maybe I’ll try.

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Will Preston @willpreston.bsky.social · 24d

Sad and important case. I’ll be looking for this EKG pattern but imo jury is out on ability to indicate PE in all comers. The Witting study has a low +LR (found in 11% with PE and 5% of controls) and is done as case-control so at real risk of spectrum bias. Would love to know about the controls here

EMCrit Blog and Podcast @emcrit.bsky.social · 26d

EMCrit 408 - Behind the Scenes of an Infuriating Medical Malpractice Trial.
I am joined by @medmalreviewer to discuss the case and then in a true surprise-the Jury Foreperson weighs in.
@embouncebacks @GitaPensaMD
[#FOAMed for Now]
emcrit.org/408

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Will Preston @willpreston.bsky.social · Sep 5

Just off the press

RSV Vaccine Effectiveness Against Hospitalization Among US Adults Aged 60 Years or Older During 2 Seasons

This study investigates respiratory syncytial virus vaccine effectiveness against hospitalization among US adults aged 60 years or older during 2 seasons.

jamanetwork.com

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Will Preston @willpreston.bsky.social · Aug 31

You should go to the hospital if you break your spine

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Will Preston @willpreston.bsky.social · Aug 26

Always has been meme with the caption “wait it’s all volume status”

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Will Preston @willpreston.bsky.social · Aug 25

I am loath to report the most parsimonious diagnosis is scurvy. I recommend continued palliation with poultices as seen here or perhaps cauterization of the most severe lesions, as well as an extra portion each of hardtack and grog for the remainder of his voyage.

Aaron Rupar @atrupar.com · Aug 23

both of these photos of Trump's hand were taken today (Getty)

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Reposted by Will Preston

josh farkas 💊 @pulmcrit.bsky.social · Aug 24

Every hospital in the US had immediate access to expert toxicologists (via poison control).

Most hospitals *lack* access to inpatient addiction medicine services.

Structurally, we’re great at resus, but then we often fail at chronic tx of substance use disorders.

jamanetwork.com/journals/jam...

Substance Use Disorder Program Availability in US Hospitals

This cross-sectional study examines differences in the delivery of different substance use disorder programs in safety-net hospitals vs non–safety-net hospitals across the US and evaluates whether the...

jamanetwork.com

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Reposted by Will Preston

Ken Jennings @kenjennings.bsky.social · Jul 17

This is correct. Any candidate cynically “triangulating” on trans kids is a non-starter, and now is the time to say so. There’s still so much time to advance candidates that DON’T suck.

Parker Molloy @parkermolloy.com · Jul 15

I will never, ever vote for Gavin Newsom. Ever, under any circumstances. I don't care if he becomes the Dem nominee, he's still not getting my vote.

Julie Rei Goldstein @julierei.bsky.social · Jul 15

On a recent podcast Gavin Newsom tells Shawn Ryan how the Trans sports issue opened the door for him to change his mind on GAC for Trans Youth.

As someone who adored him since 2004 and voted for him 5 times, I can't wait for him to leave office.

There is no way I will be voting for him a 6th time.

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Will Preston @willpreston.bsky.social · Aug 20

As clinicians there is little we can do about radiology interpretations, but should try to stick to the diagnostic algorithms and avoid relying on hunches. Missed PE has <5% risk of recurrence and mortality which is probably less than major bleeding risk from cumulative years on an unnecessary DOAC.

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Will Preston @willpreston.bsky.social · Aug 20

Writing up a case with my residents and shocked at what I'm learning about diagnosis of PE. PIOPED II the last RCT of CTA had a PPV of only 58% in the low risk group; more recent retrospective had 25% of all positive scans deemed false positive on expert review (including 16% of lobar PE).

Overdiagnosis of Pulmonary Embolism by Pulmonary CT Angiography | AJR

OBJECTIVE. The purpose of this study is to evaluate the rate of overdiagnosis of pulmonary embolism (PE) by pulmonary CT angiography (CTA) in a tertiary-care university hospital. MATERIALS AND METHODS...

ajronline.org

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Will Preston @willpreston.bsky.social · Aug 7

ID doesn’t want us to read the forbidden trial

jamanetwork.com/journals/jam...

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Will Preston @willpreston.bsky.social · Aug 6

I’ve never wanted be embroiled in online cancel culture and I really hate to say this as a fan, but last night at the NY Liberty game I didn’t feel John Turturro was clapping with adequate enthusiasm during the Big Ellie Stomp.

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Will Preston @willpreston.bsky.social · Aug 5

Teaching Open Evidence jokes about neurosurgeons and then asking it to explain them to me so I can be sure it understands.

Will Preston @willpreston.bsky.social · Aug 2

Two and a half years from the last ep but at its best. Such great reflections on how we reason and how to improve. I’ll never conclude a case conference with “high index of suspicion” ever again.

Will Preston @willpreston.bsky.social · Aug 2

New hoofbeats let’s goooooo 😎🤙

CORE IM @coreimpodcast.bsky.social · Jul 21

1/ 🚨 NEW #Hoofbeats episode!

Let’s diagnose BOTH the patient and the clinician by figuring out the disease process and the cognitive processes that led us towards/away from it 🩺

🖥️: www.coreimpodcast.com/2025/07/21/d...

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Reposted by Will Preston

Steve Sladkowski @sladkow.bsky.social · Jul 24

Folk's...... The Tiny Desk

www.youtube.com/watch?v=Gh9p...

PUP: Tiny Desk Concert

YouTube video by NPR Music

www.youtube.com

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