Brett Biebelberg, MD

@bbiebelberg.bsky.social

IM PGY1 @ Penn, researching sepsis @MGH/BWH, gun violence prevention advocate, EMT, via Harvard. 🗣evidence-based medicine, QI, public health, humanity in medicine. Career changer & proponent of physician leadership. #medsky #emimcc #pccm 🫀🫁

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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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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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 · last yr.

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.

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

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

Something I didn't appreciate until the residency process: It's wrong to assume the institution where someone trained was the "best" they could do There are so many other factors––proximity to loved ones, teaching quality, schedule, culture––that can outweigh prestige when deciding where to train

I’ve been wearing a mask to see every patient these days, since it seems like half of them knowingly or unknowingly have flu A. But before I walk into the room, I always pull my mask down for a second to show my face and flash a smile. I find this makes a big difference. #medsky