#TWDFNR
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jhospmedicine.bsky.social
LMWH and DOACs are first line for most acute VTE. Why are we still reaching for the heparin drip?

Time to rethink the reflex.

🔗: https://shmpublications.onlinelibrary.wiley.com/doi/10.1002/jhm.70331
✍️: @SaklawiMD
🖼️: #VisualAbstract: Catie Glatz
#SHM #JHM #MedTwitter #VTE #TWDFNR
September 18, 2026 at 6:30 PM
jhospmedicine.bsky.social
TWDFNR; Sitting versus standing at the bedside during rounds. What is best for physician-patient communication?
🔗: https://doi.org/10.1002/jhm.70293
✍️: Gray et al
🖼️: #VisualAbstract by @Eric Burnett
#JournalofHospitalMedicine #SHM #TWDFNR
August 26, 2026 at 3:12 PM
jhospmedicine.bsky.social
TWDFNR; Sitting versus standing at the bedside during rounds. What is best for physician-patient communication?
🔗: https://doi.org/10.1002/jhm.70293
✍️: Gray et al
🖼️: #VisualAbstract by @Eric Burnett
#JournalofHospitalMedicine #SHM #TWDFNR
August 26, 2026 at 3:12 PM
jhospmedicine.bsky.social
Opioid use disorder ≠ no opioids for acute pain. 💊
When withholding opioids can cause harm, how should hospitalists manage acute pain?

🔗: https://shmpublications.onlinelibrary.wiley.com/doi/10.1002/jhm.70295
✍️: Anna-Maria South MD

🖼️: #VisualAbstract: Catie Glatz
#SHM #JHM #PainMedicine#OUD #TWDFNR
August 20, 2026 at 8:29 PM
huntercurry23.bsky.social
In case you needed a reminder that Strep pneumo urinary antigen has poor sensitivity. Let’s stop ordering tests that won’t change our management plan #TWDFNR #IDSKY
January 7, 2025 at 11:02 PM
jameew.bsky.social
When I was a brand new peds hospitalist, I enjoyed learning from the TWDFNR campaign & journal articles. Excited I got a chance to contribute.

Big picture: Stop teaching caregivers “reflux precautions” bc there is no evidence it works.

shmpublications.onlinelibrary.wiley.com/doi/10.1002/...
Things We Do for No Reason™: Teach caregivers reflux precautions
To decrease symptoms of physiological infant reflux, nonpharmacological techniques named “reflux precautions” are taught to families. Reflux precautions do not have a universal definition but can inc...
shmpublications.onlinelibrary.wiley.com
July 24, 2025 at 7:59 PM
shivn.bsky.social
Another TWDFNR - annual fit testing for N95 masks www.cambridge.org/core/journal...
Annual N95 respirator fit-testing: an unnecessary burden on healthcare | Infection Control & Hospital Epidemiology | Cambridge Core
Annual N95 respirator fit-testing: an unnecessary burden on healthcare - Volume 45 Issue 2
www.cambridge.org
April 21, 2025 at 10:14 PM
brwnmgk.bsky.social
See the blog at lylahhealth.com/b-s-wellness... for more. #cardiology #gutmicrobiome #HeartHealth #TWDFNR #prebiotics #wellnessmyths
November 22, 2025 at 3:22 PM
tonybreu.bsky.social
Would love your input @RealJTT @TWDFNR @WrayCharles @Pahwa @medicalaxioms @FutureDocs @DrKerbel @DrJoshuaAD @gracefarris @RJmdphilly https://twitter.com/tony_breu/status/926555396659130369
November 18, 2024 at 8:13 AM
tonybreu.bsky.social
I'm looking for ideas for the #TWDFNR talk at #hospmed18. Hospitalists, others, please complete this survey:
https://PollEv.com/surveys/brKtRXrmi/web
PollEv | Poll Everywhere
This is the place to be if you're trying to participate i...
PollEv.com
November 18, 2024 at 7:59 AM
tonybreu.bsky.social
#TWDFNR session at #hospmed18 is starting in 10 minutes.

I'm excited! I hope you are too! https://twitter.com/tony_breu/status/981664109124096000
November 18, 2024 at 7:44 AM
tonybreu.bsky.social
Repeat of #TWDFNR session at #hospmed18 is starting in 10 minutes.

I'm excited! I hope you are too!

See you there. https://twitter.com/tony_breu/status/981664109124096000
November 18, 2024 at 7:44 AM
tonybreu.bsky.social
As I prepare for #hospmed18, I would love see your answers to these case questions. Two are from my #TWDFNR 2017. Two will be presented this year.

Come to the session on Tuesday 4/10 at 11am (or the repeat at 4:30pm) to see how everyone answered!
November 18, 2024 at 7:32 AM
tonybreu.bsky.social
Over the next 40 minutes, I'll be live-tweet my session on #TWDFNR here at #hospmed18

Follow along for links to articles and supplemental material.
November 18, 2024 at 7:32 AM
tonybreu.bsky.social
Acid environments (like the stomach...) are associated with reduced platelet aggregation and coagulation.

Green et al. Gastroenterology. 1978;74(1):38-43.

#TWDFNR
#HospMed18

https://www.ncbi.nlm.nih.gov/pubmed/21830
November 18, 2024 at 7:32 AM
tonybreu.bsky.social
2010;(7):CD005415.

#TWDFNR
#HospMed18

<a href="http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD005415.pub3/abstract;jsessionid=EE41579CB5932F35A68A20DFA316E8F1.f01t02" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD005415.pub3/abstract;jsessionid=EE41579CB5932F35A68A20DFA316E8F1.f01t02
November 18, 2024 at 7:32 AM
tonybreu.bsky.social
2013;173(12):1058-64.

#TWDFNR
#HospMed18

<a href="http://linkinghub.elsevier.com/retrieve/pii/S1071916406012206" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">http://linkinghub.elsevier.com/retrieve/pii/S1071916406012206
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1689981
Redirecting
linkinghub.elsevier.com
November 18, 2024 at 7:32 AM
tonybreu.bsky.social
2010;(7):CD005415.

#TWDFNR
#HospMed18

<a href="http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD005415.pub3/abstract" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD005415.pub3/abstract
November 18, 2024 at 7:32 AM
tonybreu.bsky.social
What happens when you sodium restrict? Neurohormonal axes are ramped up. Is this harmful in acute HF?

Graudal et al. Cochrane Database Syst Rev. 2011.

#TWDFNR
#HospMed18

<a href="http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD004022.pub3/abstract" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD004022.pub3/abstract
November 18, 2024 at 7:17 AM
tonybreu.bsky.social
Over the next 40 minutes, I'll be live-tweet my session on #TWDFNR here at #hospmed18

Follow along for links to articles and supplemental material.
November 18, 2024 at 7:17 AM
tonybreu.bsky.social
Acid environments (like the stomach...) are associated with reduced platelet aggregation and coagulation.

Green et al. Gastroenterology. 1978;74(1):38-43.

#TWDFNR
#HospMed18

<a href="http://ncbi.nlm.nih.gov/pubmed/21830" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">http://ncbi.nlm.nih.gov/pubmed/21830
November 18, 2024 at 7:17 AM
tonybreu.bsky.social
Here's a summary of the two RCTs examining sodium/fluid restriction in acute HF.

1. Travers B et al. J Card Fail. 2007;13(2):128-32.
2. Aliti et al. JAMA Intern Med. 2013;173(12):1058-64.

#TWDFNR
#HospMed18...
November 18, 2024 at 7:16 AM
tonybreu.bsky.social
What happens when you sodium restrict? Neurohormonal axes are ramped up. Is this harmful in acute HF?

Graudal et al. Cochrane Database Syst Rev. 2011.

#TWDFNR
#HospMed18

<a href="http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD004022.pub3/abstract" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD004022.pub3/abstract
November 18, 2024 at 7:16 AM
tonybreu.bsky.social
Here's a snapshot of the clinical/teaching roles of attendees at #TWDFNR this afternoon.

#HospMed18
@SHMLive
November 18, 2024 at 7:04 AM
tonybreu.bsky.social
Were you convinced that pre-endoscopic PPI were a #TWDFNR

Looks like some were convinced. Still some work to do!

#HospMed18
November 18, 2024 at 7:04 AM