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theamirimani.bsky.social
I talk about drugs, diseases, drugs, misinformation, and drugs. Opinions mine and not particularly good.
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Hospital Pharmacists #PharmSky #MedSky

Learning things the hard way can have awful long term implications. True for patient care and public advocacy.

Interesting to see so much news about measles outbreaks and hospitalization that doesn't even mention its effect on the immune system. It's not good guys #MedSky #PharmSky www.bbc.com/future/artic...

Those who suggest that victims of vaccine preventable diseases are deserving of it will be insta-blocked. Most cases are children. And both kids and adults could be unvaccinated because of lack of access, misinformation, contraindications. Public health is not about leaving anyone behind.

Crazy to think that telling me a paper I didn't write was accepted for presentation would get me to present would be effective Being in front of a lectern to present a paper I never wrote or read of is the modern version of the dream of having a final exam for a class I didn't attend all semester

Despite a deluge of stupid shit dominating the news cycle, H5N1 continues to hit new milestones in the background. Almost as if viruses don't care.

Seeing the social media feed of someone who was recently diagnosed with cancer. It's now full of quack/💩 "cancer treatments" in their ads and recommendations #MedSky / #RxSky this some dystopian shit

New ERA document on vitamin D use in CKD Bottom line: the use of vitamin D is to…….increase blood levels of vitamin D academic.oup.com/ndt/advance-... in @ndt-era.bsky.social #NephSky

IV Fluid orders should come with automatic stop/reassess dates. Fight me. #MedSky

🏥 Pharmacist interventions in hospital range from deep literature review to answer complex pharmacotherapy questions to "Plz no give laxative to diarrhea patient 💩"

Have we considered just ignoring the dumb comments? Maybe the lesson for the next few years is to watch what they do and (heavily) filter out what they say.

Fake Reviews Have Become the Internet’s Perfect Crime' megaphone.link/CORU1488401357 I had a fun FIVE star chat with Shaye Ganam on CHED880 about fake & manipulated online reviews! ⭐⭐⭐⭐⭐!

Interesting seeing alt-med folks reflexively point to harms of prescription Rx when some alternative practice is criticized. As if actual HCWs are wearing prescription med jerseys and those issues threaten our jobs. As if "Big Pharma" doesn't also sell & profit massively off supplements.

I've said this before but: In my imaginary list of "diseases that are much worse than their names suggest", whooping cough is king. Ever seen a cyanotic child making coughing gestures with barely a sound because there's no air left in their lungs?

We got access to dictation software in the hospital and it's amazing. I get to combine my love of detailed documentation with my love of hearing my own voice ❤️ MedSky / RxSky

What was started without indication can be stopped without indication. #RxSky #MedSky

Is there some secret hospital somewhere telling patients they'll "never walk again"? Who actually uses this kind of language outside of movies?! #Medsky #SkyRx

RETRACTED: Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial www.sciencedirect.com/science/arti... #RxSky #MedSky

Your take-away from this shouldn't be "Wow, thank goodness the FDA protects people from this stuff" (though that's true) It should be "If the FDA is actually catching so many issues despite relatively negligible funding towards this task, just how common is this problem?"

Worth noting while hospitals undergo surge: An overflowing emerge represents a problem with *admitting* patients (ie full units). Everyone's doing their best. Please be kind #MedSky #RxSky

My main takeaway from an introductory, just-for-fun, not-on-your-exam lecture on nonparametric statistics is that I hate it

A meta-analysis of garbage studies is just louder garbage #RxSky #Medsky

In this comment chain: 50% people not surprised at suboptimal care postpartum women receive. 50% people SHOCKED that anyone still uses colace.

This sort of thing happens y'know? You're walking through the factory floor holding an open bottle of Viagra 💊 (as men often do). You stumble & spill the whole thing into a vat that's mixing your herbal supplement. You then repeat this accident with multiple lots of the drug. #Medsky #RxSky

Alternative medicine tends to live "in the gaps" of modern medicine. In its limitations and systemic and cultural failures. Every time there's a breakthrough that shrinks a gap, you're going to see push back from the folks that make their money there.

Your plane crashes. You, Ariana Grande, and Cynthia Erivo are the only survivors. You are all starving to death. You come across this mushroom. Ariana and Cynthia say they have been holding space in their stomachs for this mushroom and would like to eat it. What do you think?

If you are looking for a new doctor a good rule of thumb is to avoid those that sell supplements

I made a #MedSky starter pack! Very much a work in progress but I’ll keep adding to it! Lmk who Ive missed! go.bsky.app/FMtNFoX

Botox is a crucial agent for severe spasticity. For many patients it's *the only thing* that will meaningfully help 🚨

I've been described as a nihilist when it comes to critically appraising studies. The strength and robustness of that data was WILD. The things you can achieve with funding, motivation, and a disease that's ripping through people at breakneck speed.

Today’s class session in my introductory public health class is going to be entirely devoted to an overview of how vaccines work and how they are researched and regulated. I believe it is my responsibility as a public health professor to share this information and be available to discuss questions.

2 out of 2 pharmacists recommend this sweet ass charcuterie board.

Big chains pressure their Pharmacists to dispense more. To follow-up for refills more. To do meds checks more. Who could have foreseen they'd be pressured to prescribe more?! #SkyRx #MedSky