Hospitalist @LosAngelesVA | Educator @dgsomucla | #MedEd, #histmed, physical diagnosis, clinical reasoning, & Dad jokes. Tweets are my own.
Los Angeles
Joined December 2011
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My image-based reasoning framework was just published as an @AcadMedJournal Last Page. Use it to level up your image-based teaching!
academic.oup.com/academicmed…
Tyler Larsen retweeted
💅 Chemotherapy nail changes: a visual catalog!
This patient developed 5 different nail findings during treatment.
Hospitalists should:
- Recognize common chemo side effects
- Understand timing of toxicities
- Provide appropriate patient counseling
🔗 doi.org/10.1002/jhm.70149
Thankful to this patient and JHM for letting me share some of what I learned in this vignette!
👁️ Visual diagnosis challenge!
Herpes zoster ophthalmicus with an unusual twist: contralateral facial edema.
Check out this article and remember - physical diagnostic skills still matter!
🔗 doi.org/10.1002/jhm.70124
#HospitalMedicine #VisualDiagnosis #HerpesZoster
I am not sure who (if any) from #MedTwitter is still on here, but I will be giving a talk @SocietyHospMed #shmconverge25 on Thursday 4/24 focused on clinical images and physical diagnosis.
If you're attending, come on by and say hi!
Weird PLEX but okay
Completed my first total plasma exchange (TPE). Removing all the plasma in my body and replacing with Albumin.
This is different from what I did last year: removing 1 L of plasma from my body and then replacing it with 1 L of plasma from my blood boy @talmagejohnson_ . I gave my one liter of plasma to my father.
This time around there's no blood boy involved.
TPE removes all of my body’s plasma and replaces it with Albumin. The therapy objectives are to remove toxins from my body. The evidence is emergent.
Others use TPE for autoimmune disorders, blood disorders, neurological conditions, transplant-related complications, and replacement of missing plasma components.
As we normally do, we completed a bunch of baseline measurements before this therapy including toxins but other things too such as speed of aging, organ ages, microplastics and many other biomarkers. I'll do six total treatments.
The operator, who’s been doing TPE for 9 years, said my plasma is the cleanest he’s ever seen. By far. He couldn’t get over it. When we finished, he couldn’t bring himself to throw it away. He was imagining all the good that it could do in the world.
On people’s face as PRP therapy. In their body, rejuvenating organs. There is probably a path to auction off or donate my plasma on this next go around. Liquid gold.
Remember that when my father received 1 L of my plasma his speed of aging dropped by 25 years and stayed that way for six months. We don’t know if it was from my super plasma or if it was from removing his plasma, but the results are interesting nonetheless.
The whole procedure took just under 2 hours.
Dad's breakfast snafu gave the family the opportunity to discuss preventable errors and human factors engineering today.
It is a profound honor to receive the VA David Worthen Rising Star Award for excellence in health professions education. I am beyond grateful for the village of people- mentors, colleagues, trainees, and patients- who have helped to shape me as a physician and educator.
@TylerLarsenMD, an attending physician at the Greater Los Angeles VA , received the Worthen Rising Star Award for excellence in various facets of health professions education. va.gov/greater-los-angeles-h…
Tyler Larsen retweeted
🧵for the new residents and students on the meaning of 'French' and 'Gauge'.
We've covered this on here in the past, but a lot of new people are starting on surgical rotations, so let's look at them again.
As usual, we'll cover their history and what they mean.
(1/ )
Tyler Larsen retweeted
1/ Email inbox got you down?
This thread is designed for new chiefs residents (and faculty!) on a topic I got very little coaching on before my chief resident year: Email Management.
Keep reading for Tyler’s Top 10 email tips!
#TipsForNewChiefs
Leo's glowing student evaluation:
"Leo was outstanding! He was a pleasure to work with and brought great energy to the team. Leo diligently followed instructions, paid attention well, and patients loved him."
Leo:
Are you writing "Leo" style evaluations of trainees?
Here a few tips to improve your narrative comments.
1. Base comments on observed behaviors.
2. Re-read your comments to mitigate bias.
3. Build up the trainee with constructive feedback to improve performance.
Here is a quick video I made exploring these tips to improve narrative evaluations.
youtu.be/IeWMly-LW-0?si=0DNG…
This is your periodic reminder that a chest x-ray has the same level of radiation exposure as eating 1000 bananas. A lethal dose of radiation is the same as eating 100,000,000 bananas.
Though eating 100,000,000 bananas in a sitting probably isn't good for you either.
The greatest unit of measurement has to be the Banana Equivalent Dose (BED) for radiation exposure.
Though I do wonder if it just makes people afraid to eat bananas rather than helping them understand ionizing radiation exposure.
It’s a bummer to leave #SHMConverge24 but I’m excited to continue on to #AIMW24 now that I’ve officially made my connecting flight with mere minutes to spare!
I’ve had a great time attending my first SHM Converge. It was a blast competing in the Med-Ted teaching competition with such talented educators and a huge honor to win. Grateful to @ChrisMoriates, @SatyaPatelMD and so many others at VA GLA/UCLA for their support. #SHMConverge24
Tyler Larsen retweeted
Amazing 8 minute didactics from stellar young educators at the inaugural MED TED competition at #SHMConverge24 @Annie_Massart_ @DanSteinbergMD
Great to see all the hard work of @SatyaPatelMD who created Podcast Club being recognized here.
The GLA hospitalist division innovated in the curricular space by making a podcast club akin to traditional journal club. MedEd podcasts were vetted by faculty and experts were invited to weigh in (even our chair of medicine, Dr. Zhaoping!)" #HPEWeek2024
