Spokane IM faculty UWSOM IM clerkship site director. US enthusiast,PE diagnosis, better at the bedside. tweets are my own not reflective of my employer #impocus
Spokane, WA
Joined September 2017
- Tweets665
- Following277
- Followers338
- Likes1.3K
Kang Xiao Zhang retweeted
Good morning. Just an outstanding little paper trying to answer a question as old as time: how much farting is too much?
jamanetwork.com/journals/jam…
Well, now we know.
Kang Xiao Zhang retweeted
This week is exactly why I love evidence based medicine.
A splashy JAMA AKI trial <jamanetwork.com/journals/jam…> shows a huge effect size (RR 0.54) and a p value < 0.001. But the results were driven by preventing oliguria and had no effect on creatinine driven AKI, dialysis, shortened length of stay, or mortality.
And in another trial, ZEUS, ziltivekimab was unable to reduce CV endpoints despite effectively blocking IL-6. P-value of 0.9 <globenewswire.com/news-relea…>. This study shakes the foundations of a major hypothesis regarding the relationship of atherosclerosis and inflammation.
I love that the well done, convincingly negative trial will have more impact than the sloppy positive trial.
Kang Xiao Zhang retweeted
Nunca se había aleatorizado el oseltamivir en el paciente crítico con influenza.
REMAP-CAP acaba de hacerlo.
Y el resultado no solo es "no funciona": es probable que aumente la mortalidad a 90 días.
Hilo sobre un preprint que va a incomodar 🧵
1/15
Kang Xiao Zhang retweeted
One of my missions is to make Peripheral Neuropathies more understandable for non-experts. Recognizing that physicians often find PNs challenging, especially in the hospital setting, I collaborated with @MayoClinicNeuro Neuromuscular hospitalists, @ReeceHass and @SantilliAshley, and my former NM co-fellow #JMartinezThompson to develop an engaging infographic that simplifies how to approach neuropathies leading to hospitalization. The incredible artistic skills and creativity of @ReeceHass truly brought this project to life, exceeding all expectations. We hope you find this helpful. neurology.org/doi/pdf/10.121…
Kang Xiao Zhang retweeted
BREAKING: Carter Nilson, a 6'5 forward from Gonzaga Prep, will join the #Zags this season. Carter is the son of former Zag Mike Nilson, who won WCC Defensive Player of the Year in 2000 and spent 20 years as GU's Director of Performance and Nutrition
More: si.com/college/gonzaga/baske…
Kang Xiao Zhang retweeted
What is evidence-based diagnosis?
AKA Bayesian clinical reasoning
Watch my 2 minute pitch for why doctors should care
Kang Xiao Zhang retweeted
Updates in #HospitalMedicine, Part 3
#Metformin #Aspirin #Calcium #Albumin #Cirrhosis #Steroids #WBC #CAP #Pneumonia #Apixaban #VTE #GPT #BetaBlockers
🤖 Made with AI
Kang Xiao Zhang retweeted
This is a great talk on how to speak that more or less also summarizes “how to teach”
#MedEd
Kang Xiao Zhang retweeted
🔥Just published 🔥
ESCMID Clinical Guidelines on the Evaluation and Management of a Reported Antibiotic Allergy #IDXposts
clinicalmicrobiologyandinfec…
ALT Beta lactams flow shart
Kang Xiao Zhang retweeted
Please do not do that research: 10 topics that do not need to be studied
open.substack.com/pub/sensib… via @adamcifu
Kang Xiao Zhang retweeted
Best of 2025 in Hospital Medicine
Expanded in video with more details with paired EBM critical appraisal pearls
If you prefer to read a rapid fire summary, check out my post below
one person described it as the "best summary of major articles...! you beat all my NEJM Journal Club and JAMA subscriptions hands down"
Kang Xiao Zhang retweeted
🧵 The Cardiac Function Curve — why it misleads (Part 1)
1/
The cardiac function curve is one of the most recognisable images in physiology.
Unfortunately, it’s also one of the most misdrawn, mislabelled, and misunderstood.
Let’s redraw it — and see what it really tells us about the circulation.
#MedX #FOAMed #physiology
Kang Xiao Zhang retweeted
1️⃣
Some patients with severe venous congestion have almost no oedema — and that’s confusing at first.
It only starts to make sense once you unpack the physiology. 👇
One picture, enough said.
This is why 👨⚕️👩⚕️ "feelings" about congestion don’t cut it.
#POCUS #Nephpearls #VExUS #FOAMed
Kang Xiao Zhang retweeted
What: Physical diagnosis course
When: December 2-4, 2025
Who: Any of you anywhere in the world you might be
Where: Virtual
Why: We will have fun and learn together - 3 hours per day for 3 consecutive days
Sign up here: physicaldiagnosispdx.com/sig…
More details at pdxpdx.com
Kang Xiao Zhang retweeted
I hear clinicians say the physical exam is dead.☠️ This is just not true 🛑
Here are the 10 most important clinical exam findings in the ICU
A 🧵
(and some things you can probably stop doing...)
#medtwitter #foamed
Kang Xiao Zhang retweeted
For all the new medical students starting this fall there are 10 lessons they don’t teach in medical school (but should) @ross_prager
thesgem.com/2025/06/sgem-xtr…
@SchulichMedDent @WesternU
Kang Xiao Zhang retweeted
You've probably heard "don't give lactated ringers because it raises lactate"
This statement is ~98% false, but there's one crucial practice-changing fact that you need to know.
A 🧵 all about lactic acid and lactated ringers!
1/
Kang Xiao Zhang retweeted
🆕🔥 State of the art review article @CMIComms 🌟s @DrToddLee @DrEmilyMcD
Approach to Clostridioides difficile Diarrheal Infection ( CDI)
Excellent discussions about the management of CDI #IDXposts #mustread
sciencedirect.com/science/ar…
Kang Xiao Zhang retweeted
🧵1/ Last year, a thoughtful reply to our @JAMA_current article sent me down a rabbit hole on CVD prevention.
Should statins be prescribed less or more often? Available OTC? Added to the water supply??
Let’s talk trials, thresholds, and tradeoffs!
Kang Xiao Zhang retweeted
A great study answers a clinical question
And this is a great study
Does one kind of steroid help patients with alcohol-associated hepatitis more than the other?
No
journals.lww.com/hepcomm/ful… @HepCommJournal @juanpabloarab
