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#2thingssunday
1) Assessment of bleeding risk prior to a procedure:
HEMSTOP - if > 2 then stop and refer for Hematology eval.
Fanrastic case of Wenicke encephalopathy!!!! Wow!!! Thiamine absence (rather than deficiency) in 2026!!!
Our new case report at @BMJCaseReports - The diagnosis that you DON'T want to miss!
Wernicke’s encephalopathy in an adolescent.
casereports.bmj.com/content/…
@ClevelandClinic @ACPIMPhysicians @OhioAcp @SocietyHospMed @SocietyGIM @ABPeds @ABIMcert @DrMauinforma @CWRUSOM
Excellent thread on a brand new article re: whether we should routinely withhold IV iron in hospitalized patients with infection. A must read!
Thread about whether we should withhold IV iron in hospitalized patients with infection.
pubmed.ncbi.nlm.nih.gov/4296…
@StratCons @doctormacias @MayoClinicPBM @Bloodman @HermelinMD @Papa_Heme @PaulSaxMD @ClevelandClinic @BethisraelD @HarvardHealth @ACPIMPhysicians @OhioAcp @roondoctors @DrMauinforma @SocietyHospMed @AABB @BloodPortfolio @TWDFNR @JHospMedicine @BrownJHM
Read the latest @OhioAcp Governor's newsletter - Fall 2026 at acponline.org/about-acp/chap…
@ACPIMPhysicians
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1/10 🧠 Can a patient with Alzheimer's disease refuse medical treatment?
Yes. A diagnosis of dementia does NOT automatically mean a patient lacks decision-making capacity.
Capacity is more than memory or cognitive test scores.
Let's review the 4 essential components. 🧵👇
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Thank you Dr. Avi O'Glasser and @SPAQIedu for the opportunity to participate in this outstanding review on Perioperative Medicine for the Internal Medicine Clinician at @JAMAInternalMed
jamanetwork.com/journals/jam…
@ClevelandClinic @ACPIMPhysicians @OhioAcp @SocietyHospMed
Excellent thread on Kratom and its use; what clinicians need to know!
@ACPIMPhysicians @MoMohmandMD @whinnec @ab_peds @AmerAcadPeds @ABIMcert
#kratom
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In 225 clinical scenarios based on Choosing Wisely recommendations, LLMs aligned with evidence-based guidance, recommending potentially unnecessary tests or treatments in just 5.4% of responses and rarely withholding appropriate care. Researchers found that LLMs were more likely to suggest unnecessary care in scenarios where clinical guidance is debated or symptoms could reasonably justify additional testing.
These findings suggest that commercial LLMs generally align with evidence-based principles of medical restraint while highlighting opportunities for targeted improvement. bit.ly/3UevlnQ @deanarielmd @ClalitHealth @GuyLaban @bengurionu
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Choosing the right imaging study matters in patients with brain tumors.
The 2025 ACR Appropriateness Criteria®️: Brain Tumors provides evidence-based guidance to support appropriate imaging decisions across clinical scenarios.
A useful resource for clinicians in neurology, oncology, radiology, and hospital medicine.
doi.org/10.1016/j.jacr.2025.…
#BrainTumors #NeuroOncology #Radiology #EvidenceBasedMedicine
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It was an honor to be the Guest Editor along with @whinnec and Alpesh Amin on this new issue of @Med_Clinics on "Principles of Leadership in Healthcare".
The articles are all listed in Pubmed.
pubmed.ncbi.nlm.nih.gov/?sor…
@ClevelandClinic @ACPIMPhysicians @OhioAcp @SocietyHospMed @SocietyGIM @SPAQIedu @vineetgsvm @marishaburden
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Replying to @whinnec
As artificial intelligence is becoming increasingly capable of clinical diagnosis, a new commentary argues that clinicians remain essential for managing risk and accountability, drawing on four uniquely human capacities that #AI cannot replicate. bit.ly/4h039MG @andrewparsonsMD @AdamRodmanMD
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The changing therapeutic landscape of small-cell lung cancer - The Lancet thelancet.com/journals/lance…
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Dr. @MoMohmandMD is presenting the EBM approach to #IntravenousFluids in the Hospital. #ccfhm26
@whinnec
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A privilege to deliver this morning @RutgersU Medicine Grand Rounds on "Transitions of Care of Patients with Complex Diseases of Childhood". @njmsmedpeds @ClevelandClinic @ACPIMPhysicians @OhioAcp @MoMohmandMD @AmerAcadPeds @nmpra #meded #medpeds
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Updated guidance from @goKDIGO recommends a more individualized approach to managing anemia in chronic kidney disease, including tailored treatment decisions, preferred use of IV iron for patients on hemodialysis, and addressing reversible causes before drug therapy. Read a synopsis of the guidelines here: bit.ly/4yhoVDn
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What a truly fantastic keynote lecture by @ChadhaRomil on "Opportunities and Risks of AI in inpatient medicine" at the @ClevelandClinic Hospital Medicine Summit #ccfhm26
Day 1 is live! Dr Romil Chadha - our keynote speaker talking about Opportunities and Risks of AI in the inpatient space at the @ClevelandClinic summit of hospital medicine!
@whinnec @medpedshosp @OhioAcp @ACPIMPhysicians @SocietyHospMed
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Register to the @OhioAcp annual meeting in Columbus! New venue and excellent speakers!
@ClevelandClinic @NEOMEDedu @UHhospitals @metrohealthCLE @UToledoIM @SummaHealth @uofcincy @mtanidmd @craigniel13 @Mud_Fud @EllenGelles @MoMohmandMD @whinnec @AndreiBrateanu
Register for the 2026 @ACPIMPhysicians Ohio / Air Force Chapters Meeting Annual Scientific Meeting
Monday, October 26 & Tuesday, October 27, 2026 Hilton Columbus/Polaris | Columbus, OH
acponline.org/about-acp/chap…

































