Dr Michael Robinson

Satyan Lakshminrusimha-- thanks for the post and work you are doing in this area. Can all missions of an academic medical center align? ....In this era of diminishing cash flows as costs increase and traditional revenue streams decrease? Can clinical care, education, research, and healthcare administration/operations truly align for common missions and funds flow sustainability? You even highlight that this model may not be sustainable at UC Davis; "the implementation of funds flow had a negative fiscal effect on the academic medical center." Thoughts? #UsingWhatWeHaveBetter

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Frustrated with stone retrieval after a long lithotripsy case? In this episode of the BackTable Urology Podcast, I hosted guest Roger Sur, MD, director of the Comprehensive Kidney Stone Center at UC San Diego Health, to delve into the latest technological advancements in the treatment of kidney stones. The episode focused on the CVAC (continuous vacuum aspiration and irrigation) device as a suction platform for endourologists. I learned interesting historical detail on the evolution from open surgery to modern techniques including percutaneous nephrolithotomy, shockwave lithotripsy, and ureteroscopy. Dr. Sur highlighted the CVAC development journey from lab experiments to FDA approval. We covered data on CVAC’s superiority in patient outcomes and stone-free rates compared to other technologies. Key insights from recent studies, such as the ASPIRE trial, underscore the benefits of CVAC in reducing postoperative events and stone regrowth. Our conversation also explored practical aspects of integrating suction platforms into practices and looked ahead towards the potential for machine learning to refine these technologies. Thank you to Photocure for sponsoring this episode. Learn more at: https://www.photocure.com/ Listen here: https://lnkd.in/gz2qRgVX #Uro197 #residency #BackTable #Urology #Urologist

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Patients administered benralizumab, dupilumab, or mepolizumab exhibit reduced immunity to SARS-CoV-2 post-vaccination. This study highlights the potential impact of these medications on vaccine response. Read more at the provided link. #COVID19 #immunology

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Effects of Restarting Renin-Angiotensin System Inhibitors (RASi) after Discontinuation on Kidney Outcomes and Mortality ca. 2024 #Nephpearls 👉🏼 https://lnkd.in/g4PtZBKq

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Patients with #hereditary #angioedema down-titrate #lanadelumab, maintain symptom control: researchers said that down-titration may be considered with well-controlled symptoms. https://lnkd.in/dD2v27Fm

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Avian Influenza A (H5N2) – Mexico —> 1st fatal human case of avian influenza subtype confirmed in Mexico: WHO https://lnkd.in/gR98Fbu8 “On 23 May 2024, the Mexico International Health Regulations (IHR) National Focal Point (NFP) reported to PAHO/WHO a confirmed fatal case of human infection with avian influenza A(H5N2) virus detected in a resident of the State of Mexico who was hospitalized in Mexico City. This is the first laboratory-confirmed human case of infection with an influenza A(H5N2) virus reported globally and the first avian H5 virus infection in a person reported in Mexico. Although the source of exposure to the virus in this case is currently unknown, A(H5N2) viruses have been reported in poultry in Mexico. According to the IHR (2005), a human infection caused by a novel influenza A virus subtype is an event that has the potential for high public health impact and must be notified to the WHO. Based on available information, WHO assesses the current risk to the general population posed by this virus as low.”

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𝗗𝗼𝗻'𝘁 𝗺𝗶𝗺𝗶𝗰 𝘆𝗼𝘂𝗿 𝗶𝗻𝘁𝗲𝗿𝗻𝗮𝗹 𝗺𝗲𝗱𝗶𝗰𝗶𝗻𝗲 𝗵𝗲𝗿𝗼𝗲𝘀, 𝗯𝗲𝗰𝗼𝗺𝗲 𝘁𝗵𝗲 𝗯𝗲𝘀𝘁 𝘃𝗲𝗿𝘀𝗶𝗼𝗻 𝗼𝗳 𝗬𝗢𝗨! While inspiration is valuable, residency applications crave authenticity. Dr. G's course helps you discover your strengths and develop them into the skills that residency programs seek. Here's how Dr. G's course can help you stand out:   𝙎𝙚𝙡𝙛-𝙙𝙞𝙨𝙘𝙤𝙫𝙚𝙧𝙮 𝙢𝙤𝙙𝙪𝙡𝙚: Identify what truly motivates YOU in Internal Medicine.   𝘼𝙥𝙥𝙡𝙞𝙘𝙖𝙩𝙞𝙤𝙣 𝙢𝙖𝙨𝙩𝙚𝙧𝙮: Craft a powerful personal statement and a resume that showcases your unique value.   𝙄𝙣𝙩𝙚𝙧𝙫𝙞𝙚𝙬 𝙥𝙧𝙚𝙥: Develop strong communication skills and a confident interview presence. ️   𝘾𝙡𝙞𝙣𝙞𝙘𝙖𝙡 𝙧𝙤𝙩𝙖𝙩𝙞𝙤𝙣𝙨: Maximize your rotations and leave a lasting impression on preceptors. ‍   𝙈𝙖𝙩𝙘𝙝 𝙒𝙚𝙚𝙠 𝙜𝙪𝙞𝙙𝙖𝙣𝙘𝙚: Navigate the process with confidence and stay positive. Dr. G's residency course offers the guidance and support you need to succeed in Internal Medicine. Ready to take the next step? ➡️ https://lnkd.in/gy8duCRV 𝘊𝘰𝘮𝘪𝘯𝘨 𝘴𝘰𝘰𝘯, 𝘋𝘳. 𝘎'𝘴 𝘳𝘦𝘴𝘪𝘥𝘦𝘯𝘤𝘺 𝘤𝘰𝘶𝘳𝘴𝘦 𝘰𝘶𝘵𝘭𝘪𝘯𝘦𝘴 𝘢 𝘱𝘳𝘰𝘷𝘦𝘯 𝘮𝘦𝘵𝘩𝘰𝘥 𝘵𝘰 𝘴𝘵𝘳𝘦𝘢𝘮𝘭𝘪𝘯𝘦 𝘺𝘰𝘶𝘳 𝘢𝘱𝘱𝘭𝘪𝘤𝘢𝘵𝘪𝘰𝘯 𝘢𝘯𝘥 𝘴𝘵𝘢𝘯𝘥 𝘰𝘶𝘵 𝘧𝘳𝘰𝘮 𝘵𝘩𝘦 𝘤𝘳𝘰𝘸𝘥. #InternalMedicine #ResidencyMatch #MedicalStudent #MedTwitter #Physician #FindYourPath #AuthenticMedicine #BecomeTheBestYou #MatchDay

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GLP-1 Drugs: Transform Your Health! ✅ Lose weight effectively  ✅ Control blood sugar effortlessly  ✅ Reduce cravings & fat mass  ✅ Lower heart disease risk  ✅ Improve blood pressure & lipids  ✅ Boost quality of life with sustainable changes Take charge of your health today! 💊 #HealthyLiving #WeightLoss #GLP1Benefits #TransformYourLife

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An important question in the adjuvant treatment of high risk ER+/HER2 negative breast cancer with abemacicib: is the benefit of abemacicib compromised in those that require dose reductions? A secondary analysis of MonarchE suggests that reducing the dose to manage side effects did not alter efficacy. Clinicians should utilize dose modifications when necessary to maximize adherence. https://lnkd.in/gz9xfEWW

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Oregon Physician's Protocol Breach Potentially Exposes Over 2,400 Patients to Infections An Oregon Anesthesiology Group physician may have exposed over 2,400 patients to hepatitis B, hepatitis C, and HIV due to a protocol breach. The hospitals involved are actively working with patients to address this issue. Key Points: Location: Oregon Anesthesiology Group. Potential Exposures: Over 2,400 patients at risk for hepatitis B, hepatitis C, and HIV. Hospital Response: Hospitals are collaborating with affected patients to provide necessary support and testing. This incident highlights the critical importance of strict adherence to medical protocols to ensure patient safety. #PatientSafety #Healthcare #Oregon 🏥⚠️🩺 https://lnkd.in/dMCpbSXB

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Cross-sectional study 69 Systemic Sclerosis Pts: 33% w/ PPI-refractory esophagitis & 2/3 w/ EGD normal esophageal mucosa. PPI-refractory esophagitis was more commonly linked to diffuse SSc subset (43 vs 17%) and GI dysmotility (66 vs 8%; p = <0.001) https://buff.ly/3Tv7AUP

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To accompany testing should be payment for pharmacist services to interpret and apply the results.

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😳 𝐅𝐚𝐜𝐢𝐚𝐥 𝐛𝐥𝐮𝐬𝐡𝐢𝐧𝐠 𝐢𝐬 𝐭𝐡𝐞 𝐬𝐮𝐝𝐝𝐞𝐧 𝐫𝐞𝐝𝐝𝐞𝐧𝐢𝐧𝐠 𝐨𝐟 𝐭𝐡𝐞 𝐟𝐚𝐜𝐞 𝐝𝐮𝐞 𝐭𝐨 𝐢𝐧𝐜𝐫𝐞𝐚𝐬𝐞𝐝 𝐛𝐥𝐨𝐨𝐝 𝐟𝐥𝐨𝐰 𝐭𝐨 𝐭𝐡𝐞 𝐬𝐤𝐢𝐧. It typically occurs in response to emotions like embarrassment, anxiety, or stress but can also be triggered by certain social situations or even physical exertion. While occasional blushing is normal, excessive or uncontrollable blushing may indicate a condition known as erythrophobia, an intense fear of blushing. This can lead to significant emotional distress and avoidance of social interactions. Treatments, ranging from lifestyle changes and therapy to medical interventions, can help manage this condition effectively. Do you need help managing this condition? We're here to help. 🌐 www.marcoscarci.co.uk #erythrophobia #phobia #blushing #london #medicine #surgery #londonsurgeon #marcoscarci

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Cedars Sinai affiliated. Dr. Randy B. Feldman What to Expect at the Infectious Disease Doctor First, an infectious disease doctor will review your medical data and perform a physical exam. Based on this initial review, they will order tests, which could include: Blood and urine tests Throat swabs Stool samples Spinal taps Imaging scans Tissue biopsies They may consult with other specialists, such as a dermatologist for skin infections or a pulmonologist for lung problems. Follow-up appointments may also be scheduled if necessary.  On your first visit, bring all your medical records: X-rays, laboratory reports, and immunization records. Bring a list of any allergies you have and medications you take — including birth control pills, as these can interfere with antibiotics.

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The LIBERTY-CSU CUPID Study reveals insights into the management of Chronic Spontaneous Urticaria. Learn more about the latest findings and treatment options in this study. Discover how to effectively address this chronic condition. #CSU #ChronicUrticaria

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Naturopathic medicine is: 🤍 Comprehensive in its approach to whole health, whole person primary care. 🤍 Focused on addressing underlying causes of acute and chronic diseases. 🤍 Dedicated to preventative medicine, health promotion, minimally invasive therapies, and reducing healthcare costs. 🤍 Individualized to empower patients and to support health-related lifestyle changes. Join us as we celebrate Naturopathic Medicine Week and share more information about naturopathic medicine and its mission to revolutionize healthcare!

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