DoNoHarmProject (@DoNoHarmProject) profile picture

DoNoHarmProject

@DoNoHarmProject

A project to remind patients and clinicians about harms that can occur from too much medicine -- by Tanner Caverly MD, MPH and Brandon Combs, MD

 Denver, CO
lowninstitute.org/take-action/the-do-no-harm-project/
Joined August 2013
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Photo by DoNoHarmProject (@DoNoHarmProject)Photo by DoNoHarmProject (@DoNoHarmProject)Photo by DoNoHarmProject (@DoNoHarmProject)Photo by DoNoHarmProject (@DoNoHarmProject)Photo by DoNoHarmProject (@DoNoHarmProject)Photo by DoNoHarmProject (@DoNoHarmProject)Photo by DoNoHarmProject (@DoNoHarmProject)
nytimes.com/2019/12/26/upsho… via @NYTimes
The Watch Is Smart, but It Can’t Replace Your Doctor (Published 2019)

The Watch Is Smart, but It Can’t Replace Your Doctor (Published 2019)

Apple has been advertising its watch’s ability to detect atrial fibrillation. The reality doesn’t quite live up to the promise.

nytimes.com
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Prof. Feynman (@ProfFeynman) profile picture
Prof. Feynman
@ProfFeynman24 Oct 2019
• See failure as a beginning. • Never stop learning. • Assume nothing, question everything. • Teach others what you know. • Analyze objectively. • Practice humility. • Respect constructive criticism. • Take initiative. • Give credit where it's due. • Love what you do.
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Neil Keshvani (@NeilKeshvani) profile picture
Neil Keshvani@NeilKeshvani7 Oct 2019
Replying to @JAMAInternalMed
@JAMAInternalMed Teachable Moments Tweetorial #6 The Importance of Obtaining Sexual History in Older Adults: A Teachable Moment by Dr. Nathaniel Pedley and Dr. Joshua Khalili @KhaliliJosh @UCLAIMChiefs @UCLAHealth #highvaluecare #tweetorial @JAMA_current jamanetwork.com/journals/jam…
The Importance of Obtaining Sexual History in Older Adults

The Importance of Obtaining Sexual History in Older Adults

This Teachable Moment describes a man in his 70s with a medical history of noninvasive bladder cancer who presented to his primary care clinic with significant weight loss and was subsequently found...

jamanetwork.com
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Prof. Feynman (@ProfFeynman) profile picture
Prof. Feynman
@ProfFeynman1 Oct 2019
It's OKAY • to make mistakes • to be less than perfect • to not know things • to be yourself • to be wrong
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Lucy Kalanithi (@rocketgirlmd) profile picture
Lucy Kalanithi@rocketgirlmd18 Sep 2019
“When we put people through things with a goal that’s not achievable, that allows people to suffer without a purpose.” @danielalamasmd nytimes.com/2019/09/13/healt…
For Older Patients, an ‘Afterworld’ of Hospital Care (Published 2019)

For Older Patients, an ‘Afterworld’ of Hospital Care (Published 2019)

Long-term care hospitals tend to the sickest of patients, often near the end of their lives. Many will never return home.

nytimes.com
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John Mandrola, MD (@drjohnm) profile picture
John Mandrola, MD
@drjohnm8 Sep 2019
New book arrived today. Dr Lown wastes no time. This is the third paragraph. He wrote it 20+ years ago; perhaps it’s more true today. Can’t wait to get into this. #medicalconservative @lowninstitute
Image from John Mandrola, MD (@drjohnm)
Image from John Mandrola, MD (@drjohnm)
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Ken Covinsky (@geri_doc) profile picture
Ken Covinsky@geri_doc19 Aug 2019
Outcomes of Intensifying Older Adults Antihypertensive Regimens While Hospitalized: More complications, More readmissions, BP control at i year not better. BP needs management as outpatient Inpatient titration harmful. "Dont just do something Stand there" ja.ma/2HdNlWP
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Prof. Feynman (@ProfFeynman) profile picture
Prof. Feynman
@ProfFeynman15 Aug 2019
"Study the science of art. Study the art of Science. Develop your senses - especially learn how to see. Realize that everything connects to everything else." -- Leonardo da Vinci (1452 - 1519)
Image from Prof. Feynman (@ProfFeynman)
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Ken Covinsky (@geri_doc) profile picture
Ken Covinsky@geri_doc13 Aug 2019
10 ways to have a better conversation Strongly recommend this awesome Celeste Headlee TED Talk! 11 minutes of wisdom- how go be a better listener and better communicator. Put your ego aside and prepare to be amazed by the person in front of you! #hpm youtu.be/R1vskiVDwl4
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Prof. Feynman (@ProfFeynman) profile picture
Prof. Feynman
@ProfFeynman16 Jul 2019
If you want to master something, teach it. The more you teach, the better you learn. Teaching is a powerful tool to learning.
Image from Prof. Feynman (@ProfFeynman)
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Atul Gawande (@Atul_Gawande) profile picture
Atul Gawande
@Atul_Gawande9 Jul 2019
Thoughtful case from @RobertPearlMD that another factor driving physician burnout is the crude form of performance measurement we have in medicine. Certainly: current measures are not aligned with either the goals of patients or clinicians for care. forbes.com/sites/robertpearl…
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Matthew Wynia (@MatthewWynia) profile picture
Matthew Wynia@MatthewWynia8 Jul 2019
This is tragic. Among 454,813 opioid-naive patients with ankle sprains, 8.3% filled an opioid prescription within 7 days of diagnosis and of these, 8.4% were still using opioids 90-180 days later. bit.ly/2NEaeYR
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Ken Covinsky (@geri_doc) profile picture
Ken Covinsky@geri_doc28 Jun 2019
Unbelievable. I really hope the MOCA developers reconsider this unfortunate path. Trying to worry MOCA users about liability is inappropriate and a disservice. I can almost hear my Grandma saying "What Chutzpah!"
Eric Widera, MD (@EWidera) profile pictureEric Widera, MD@EWidera27 Jun 2019
Looks like the MOCA test is following the path of the MMSE where it is a pay to play scenario (see pic). I guess we need to move to the SLUMS? #geriatrics #dementia #Alzheimer
Image from Eric Widera, MD (@EWidera)
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Congratulations on your commentary, @ldscherer in @JAMAInternalMed!! jamanetwork.com/journals/jam…
Decision Aids for Prostate Cancer Screening—The True Potential Remains Unknown

Decision Aids for Prostate Cancer Screening—The True Potential Remains Unknown

In 2009, routine prostate cancer screening using a prostate-specific antigen (PSA) test was described as “the controversy that refuses to die.”1(p1351) Unfortunately, 10 years later, the controversy...

jamanetwork.com
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The public health epidemic no one is talking about... - Lown Institute lowninstitute.org/news/blog/…
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In praise of slowness and the need to develop *tiempo giusto* — “you’ve got to have a range of speeds. Like any piece of music, you can’t have just one tempo.”
Five Books - Expert Book Recommendations (@five_books) profile pictureFive Books - Expert Book Recommendations
@five_books14 Jun 2019
"The point that Bertrand Russell makes persuasively and eloquently is that there is an intimate link between slowness and living more deeply and fulfillingly." Carl Honoré (@carlhonore) discusses the best books on slow living. fivebooks.com/best-books/slo…
Five Books: The best books on Slow Living, recommended by Carl Honoré

Five Books: The best books on Slow Living, recommended by Carl Honoré

The best books on Slow Living, as recommended by journalist and author Carl Honoré

fivebooks.com
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Matthew Wynia (@MatthewWynia) profile picture
Matthew Wynia@MatthewWynia12 Jun 2019
Since 1996, the list price of insulin has increased by 1,300% in the U.S. Patients w/o insurance or on #HDHP pay an average of $300 per vial for insulin. Its discoverers sold the patent to a university for $3 (Canadian), so it would be readily available to all who need it.
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Lizzie Aby, MD (@LizzieAbyMD) profile picture
Lizzie Aby, MD@LizzieAbyMD10 Jun 2019
Inaugural JAMA IM Teachable Moments Tweetorial: The utility of urine eosinophils in acute kidney injury & acute interstitial nephritis based on the article by Anna Strasma & Shradha Kulkarni in @JAMAInternalMed! #highvaluecare #tweetorial @TWDFNR jamanetwork.com/journals/jam…
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Ken Covinsky (@geri_doc) profile picture
Ken Covinsky@geri_doc7 Jun 2019
Medicare make it very hard for cancer patients to receive life prolonging RX+hospice simultaneously VA encourages concurrent care Study shows Concurrent care reduces costs+ leads to less burdensome rx at end of life Medicare must allow concurrent care #hpm ja.ma/2WwT6IE
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Rita Redberg (@RFRedberg) profile picture
Rita Redberg@RFRedberg7 Jun 2019
We @JAMAInternalMed are delighted to welcome our next class, and thank the current TM Fellows. It was an amazing and accomplished applicant pool! Congrats to all
Lizzie Aby, MD (@LizzieAbyMD) profile pictureLizzie Aby, MD@LizzieAbyMD6 Jun 2019
Congratulations to Neil Keshvani (@NeilKeshvani) from @UTSWIMchief, Raymond Yeow (@RaymondYYeow) from @umichmedicine and Caroline Sloan from @Duke_GIM @dukemedicine on being chosen to be the 2019-2020 @JAMAInternalMed Teachable Moment Editorial Fellows! 👏 jamanetwork.com/collections/…
Teachable Moment

Teachable Moment

Explore this JAMA Internal Medicine series intended to educate medical trainees about the harms that result from overuse of health services.

jamanetwork.com
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