Patient education on #glucocorticoid #stress #dosing is key to the effective prevention of #adrenal #crises and their associated morbidity and mortality thelancet.com/journals/lan...
#Addison's disease
primary #adrenal insufficiency
#MedSky #EndoSky
Announcing Our New 2026 President-Elect | Please join us in congratulating our newest leader! Joy Wu, MD, PhD, will assume the position at #ENDO2026: https://bit.ly/4sumHx1
Image of a sign for Pennie with text at the bottom that reads “20% of Pennie enrollees drop their coverage after Republicans let subsidies expire.”
TLDR: 1/5 Pennie enrollees had to drop their health coverage thanks to Republicans in Congress letting critical subsidies expire.
Full story: https://penncapital-star.com/briefs/one-in-five-pennie-enrollees-drops-health-coverage-following-expired-subsidies/
Diagrams detail type 1 diabetes' pathophysiology and insulin physiology. 'A' shows normal insulin function in the pancreatic islet. 'B' depicts autoimmune beta cell loss and the effects of rising glucose levels after food intake.
#Type1Diabetes affects approximately 2 million people in the US and 8.4 million people worldwide.
🔗 Learn more about the diagnosis and treatment of type 1 diabetes in this JAMA Review:
ja.ma/3OtlpU6
📈TrumpRx price for acid reflux drug Protonix💊= $200, with no generic options offered. Generic version of this common acid reflux pantoprazole drug at Walmart and Safeway= just $10-12. Price inflation => 18x. Don’t fall for the scam.
Can’t tell people you’re a friend of Epstein? Very low T of him 🙄
I think there’s a group of people who just cannot fathom someone might live a life where thinking of/helping others is your daily activity. Yet we’re your doctors, nurses, teachers, firefighters, clergy & a lot of military (& others). Their life is possible from our “mission driven” mindset
Singer-songwriter Lucinda Williams tapped into America's current period of struggle on her latest album, a collection of protest songs called "World's Gone Wrong."
Many new cases of measles have been reported in South Carolina in the last few days, and there are cases popping up all over the country. This is because vaccination levels have dropped below the level that will protect the unvaccinated and the vulnerable. We have lost
Radiographs of the spine
A 17-day-old boy was referred to a specialty clinic for evaluation of suspected osteogenesis imperfecta. Serial radiographs of the spine showed the development of vertebral compressions by 3.5 months of age. Read the full case details: nej.md/4p9x47c
#MedSky #EndoSky #Orthopedics
Endocrine complications occur in 40–60% of survivors of cancer and include hypothalamic–pituitary disorders, dysregulation of steroid and peptide hormones, and dysregulation of bone and metabolism www.thelancet.com/journals/lan...
#OpenAccess
#MedSjy #EndoSky #OncSky
Rare Causes of Hypoglycemia—Lessons from Case Reports. Read more in #JCEMCaseReports: bit.ly/4pdD4wB #hypoglycemia #insulinoma #WhippleTriad @endocrinesociety.bsky.social
The incidence & prevalence of #thyroid #eye disease (TED) have presumably declined in the last decades, possibly related to more attention given to risk factors (eg, smoking) & faster diagnosis & earlier treatment of #Graves’ #hyperthyroidism www.thelancet.com/journals/lan...
#MedSky #EndoSky
#ENDO2026 Abstract Submitters: The deadline for our Outstanding Abstract Awards is Thursday, January 15. Select the Outstanding Abstract Awards option during abstract submission to apply. Learn more: https://bit.ly/49lxDqp #endocrinology
Endocrine complications occur in 40–60% of survivors of cancer and include hypothalamic–pituitary disorders, dysregulation of steroid and peptide hormones, and dysregulation of bone and metabolism www.thelancet.com/journals/lan...
#OpenAccess
#MedSky #EndoSky #OncSky
“On Not Betraying Our Trainees, Especially Now”
I won an Extraordinary Achievement Award from the Critical Care Assembly last month
The @atscommunity.bsky.social premier journal @atsblueeditor.bsky.social TODAY published the remarks I made on that occasion
www.atsjournals.org/doi/10.1164/...
My brother is the cook. Hr brines it, yes, but the secret is covering the turkey in bacon
My reply to another physician: watching a century of public health progress being rolled back in real time is WILD
Happy Anniversary to this banger of a reply…
Sighs in Gen X
IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA IN RE: SUBPOENA NO. 25-1431-014 : MISCELLANEOUS ACTION : : NO. 25-39 MEMORANDUM KEARNEY,J. November 21, 2025 Our elected Congresspersons granted the Department of Justice limited authority in 1996 to investigate federal health care offenses involving the labeling and distribution of prescription drugs. The Department of Justice is now investigating the labeling and distribution of prescribed clinically authorized puberty blockers and hormone therapy. It subpoenaed fifteen categories of records from The Children's Hospital of Philadelphia including billing and insurance records, communications with manufacturers and sales representatives, and the names and complete medical and psychological records of children receiving gender-affirming care. The Hospital agrees to produce most of the requested materials. But it objects to producing the identities of its child patients and their families along with their confidential medical files. Its objection requires we study two questions: whether Congress authorized a subpoena for the children's confidential medical records, and, if so, whether the children's privacy interests outweigh the Department of Justice's need for these confidential medical records under the Food, Drug, and Cosmetic Act. We find the answer to both questions is "no." We strike the three requests for these child- identifying and treatment and disclosure records as beyond the authority granted by Congress. We also find, even if this private information could be relevant, the heightened privacy interests of children and their families substantially outweighs the Department's need to know the children's names, addresses, and treatment along with disclosures for gender-affirming care at The Children's Hospital of Philadelphia.
BREAKING: Federal judge rejects DOJ's effort to subpoena the names and medical records of children who have received gender-affirming medical care from the Children's Hospital of Philadelphia. storage.courtlistener.com/recap/gov.us...
The Radium Girls
World maps showing the top 20 countries by number of people with diabetes age 20–39 years and by prevalence, and the top 20 countries with the largest percentage growth in prevalence of early-onset diabetes from 1991 to 2021. Copyright: 2025 Elsevier Ltd. All rights reserved.
Early-onset type 2 diabetes remains under-researched and undertreated.
A recent Series synthesises emerging evidence, highlighting urgent research gaps, and calls for population-level prevention & tailored care.
On #WorldDiabetesDay, explore the Series 👉 spkl.io/63321AjMM9
Some of the very programs the Make America Healthy Again movement has said were the key to improving children’s health are now facing cuts by the Trump administration.
Image of voters at a polling place with text at the bottom that reads “Pennsylvania hits record-breaking voter turnout as voters reject Trump and billionaires.”
TLDR: Pennsylvanians turned out to vote in historic numbers in last week’s election to punish Trump and MAGA billionaires for failing to deliver for working Pennsylvanians.
A table from JAMA, published online September 25, 2025, titled "Graduate Medical Education, 2024-2025" by John S. Andrews, MD; Chris Mathews, BA; Shanti K. Kolli, MS. Table 1 shows ACGME-accredited GME programs.
During the 2024-2025 academic year, more than 162 000 active resident physicians were enrolled in ACGME-accredited programs across the US. #MedEd
Learn more about the demographic trends and training structures in US residency programs: ja.ma/4qKMJf9
Good school board results in Lehigh, Northampton, and Monroe counties too
There’s still a long way to go but it looks good
16 years is just a blip on the radar of time
