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@closler.bsky.social
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Daily clinical insights from Johns Hopkins. Follow us on all social @CLOSLER. Free subscription: closler.org/subscribe

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@CLOSLER @closler.bsky.social · 26/11/2025
Appreciating “thank yous” and other signs of gratitude from pts can be restorative. These gifts can be a reminder of the privilege that we have in caring for pts. @gradydoctor.bsky.social #MedSky #Thanksgiving #Gratitude tinyurl.com/2s3wbzyj
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@CLOSLER @closler.bsky.social · 25/11/2025
For pts w/o family present, pause to say, “I’m here with you.” Offer chaplaincy, social work, & volunteers to accompany dying pts in their final moments. @drjrubenstein.bsky.social @amehtamd.bsky.social @benwthompson.bsky.social #MedSky tinyurl.com/2s3ubju8
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@CLOSLER @closler.bsky.social · 25/11/2025
For pts w/o family present, pause to say, “I’m here with you.” Offer chaplaincy, social work, & volunteers to accompany dying pts in their final moments. @drjrubenstein.bsky.social @amehtamd.bsky.social @benwthompson.bsky.social #MedSky tinyurl.com/2s3ubju8
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@CLOSLER @closler.bsky.social · 24/11/2025
For improved mood and lower stress, consider prescribing exposure to nature—urban parks and leafy sidewalks are free, accessible options. Try spending time there yourself, too! @drlucymcbride.bsky.social @drdavidkatz.bsky.social #MedSky tinyurl.com/38pnhdw6
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@CLOSLER @closler.bsky.social · 24/11/2025
For improved mood and lower stress, consider prescribing exposure to nature—urban parks and leafy sidewalks are free, accessible options. Try spending time there yourself, too! @drlucymcbride.bsky.social @drdavidkatz.bsky.social #MedSky tinyurl.com/38pnhdw6
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@CLOSLER @closler.bsky.social · 20/11/2025
Make perimenopause a routine part of midlife care: normalize symptoms, screen for sleep/mood, & offer evidence-based treatments. If needed, refer to a specialist. @larabriden.bsky.social @perimenopausetalks.bsky.social @menopausecare.bsky.social #MedSky tinyurl.com/98nxrjtj
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@CLOSLER @closler.bsky.social · 21/11/2025
This new class of weight loss drugs aren't a magic fix. Work with pts to set realistic goals, start low & titrate slowly, & counsel on GI risks. @yonifreedhoff.com @davidludwigmd.bsky.social #MedSky #GLP1 @easoobesity.bsky.social @worldobesity.bsky.social tinyurl.com/yc2f7e7h
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@CLOSLER @closler.bsky.social · 21/11/2025
This new class of weight loss drugs aren't a magic fix. Work with pts to set realistic goals, start low & titrate slowly, & counsel on GI risks. @yonifreedhoff.com @davidludwigmd.bsky.social #MedSky #GLP1 @easoobesity.bsky.social @worldobesity.bsky.social tinyurl.com/yc2f7e7h
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@CLOSLER @closler.bsky.social · 20/11/2025
Make perimenopause a routine part of midlife care: normalize symptoms, screen for sleep/mood, & offer evidence-based treatments. If needed, refer to a specialist. @larabriden.bsky.social @perimenopausetalks.bsky.social @menopausecare.bsky.social #MedSky tinyurl.com/98nxrjtj
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@CLOSLER @closler.bsky.social · 18/11/2025
When the working diagnosis doesn’t fit, think again—recheck the facts, consult a colleague, and consider concurrent disease processes. @cpsolvers.bsky.social @missdiagnosis.bsky.social #MedSky closler.org/lifelong-lea...
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@CLOSLER @closler.bsky.social · 18/11/2025
When the working diagnosis doesn’t fit, think again—recheck the facts, consult a colleague, and consider concurrent disease processes. @cpsolvers.bsky.social @missdiagnosis.bsky.social #MedSky closler.org/lifelong-lea...
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@CLOSLER @closler.bsky.social · 17/11/2025
Mindfulness is a clinical tool that allows you to be fully present during patient encounters. Practiced daily, it can improve focus and mitigate burnout. @drkopacz.bsky.social @jonkabat-zinn.bsky.social #MedSky tinyurl.com/2maxz2p3
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@CLOSLER @closler.bsky.social · 17/11/2025
Mindfulness is a clinical tool that allows you to be fully present during patient encounters. Practiced daily, it can improve focus and mitigate burnout. @drkopacz.bsky.social @jonkabat-zinn.bsky.social #MedSky tinyurl.com/2maxz2p3
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@CLOSLER @closler.bsky.social · 14/11/2025
A pt’s autism was missed for years after a clinician assumed his social struggles were “just part of being Muslim.” Include questions about faith & culture to better understand your pt’s lived experience. This may help to avoid stereotyping. @weselymd.bsky.social #MedSky tinyurl.com/3rv6ubts
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@CLOSLER @closler.bsky.social · 14/11/2025
A pt’s autism was missed for years after a clinician assumed his social struggles were “just part of being Muslim.” Include questions about faith & culture to better understand your pt’s lived experience. This may help to avoid stereotyping. @weselymd.bsky.social #MedSky tinyurl.com/3rv6ubts
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@CLOSLER @closler.bsky.social · 13/11/2025
For patients with insomnia, coach them to visualize vivid, unrelated images to disrupt rumination and promote sleep onset. You can try it yourself, too! @rachelsalasmd.bsky.social @sleepdoctor.bsky.social @sleepdiplomat.bsky.social @aricprather.bsky.social tinyurl.com/ynn7ssz7
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@CLOSLER @closler.bsky.social · 13/11/2025
For patients with insomnia, coach them to visualize vivid, unrelated images to disrupt rumination and promote sleep onset. You can try it yourself, too! @rachelsalasmd.bsky.social @sleepdoctor.bsky.social @sleepdiplomat.bsky.social @aricprather.bsky.social tinyurl.com/ynn7ssz7
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@CLOSLER @closler.bsky.social · 12/11/2025
"My pt’s father reminded me that exceptional care goes beyond knowledge—it’s also the humility to admit uncertainty & the skill to forge collaborative partnerships w/ pts & families."-Dr. Mike Crocetti @scottvernaglia.bsky.social #MedSky tinyurl.com/y7kbyzza
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@CLOSLER @closler.bsky.social · 12/11/2025
"My pt’s father reminded me that exceptional care goes beyond knowledge—it’s also the humility to admit uncertainty & the skill to forge collaborative partnerships w/ pts & families."-Dr. Mike Crocetti @scottvernaglia.bsky.social #MedSky tinyurl.com/y7kbyzza
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@CLOSLER @closler.bsky.social · 12/08/2025
Now more than ever, create an affirming healthcare environment for #lgbtqiaplus patients by using respectful language & addressing unique care needs. @cjstreed.bsky.social @tmprowell.bsky.social @lgbtqhealthexce.bsky.social @lgbtqhealth.bsky.social closler.org/uncategorize...
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@CLOSLER @closler.bsky.social · 11/11/2025
"I found more meaning in my work when I stopped treating “cases” and started seeing people. Compassionate attention became my most effective clinical tool."-Dr. Dimitri Tito @rschaefmd.bsky.social @armyemdoc.bsky.social #MedSky closler.org/passion-in-t...
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@CLOSLER @closler.bsky.social · 11/11/2025
"I found more meaning in my work when I stopped treating “cases” and started seeing people. Compassionate attention became my most effective clinical tool."-Dr. Dimitri Tito @rschaefmd.bsky.social @armyemdoc.bsky.social #MedSky closler.org/passion-in-t...
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@CLOSLER @closler.bsky.social · 10/11/2025
Attention invested in small moments—like a few screen‑free minutes at the start of a patient encounter—can compound into a trusting patient-clinician relationship. @tonyrobbinsbs.bsky.social @melrobbins.bsky.social #MedSky tinyurl.com/yeyrumrb
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@CLOSLER @closler.bsky.social · 10/11/2025
Attention invested in small moments—like a few screen‑free minutes at the start of a patient encounter—can compound into a trusting patient-clinician relationship. @tonyrobbinsbs.bsky.social @melrobbins.bsky.social #MedSky tinyurl.com/yeyrumrb
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@CLOSLER @closler.bsky.social · 06/11/2025
Trust in established medical standards is at a low ebb. Clinicians can help repair & build trust by receiving all pt stories and beliefs, no matter how misguided, w/ curiosity & concern. @drtomfrieden.bsky.social @rschaefmd.bsky.social #MedSky closler.org/connecting-w...
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@CLOSLER @closler.bsky.social · 06/11/2025
Trust in established medical standards is at a low ebb. Clinicians can help repair & build trust by receiving all pt stories and beliefs, no matter how misguided, w/ curiosity & concern. @drtomfrieden.bsky.social @rschaefmd.bsky.social #MedSky closler.org/connecting-w...
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@CLOSLER @closler.bsky.social · 31/10/2025
"Approach each patient encounter with humility and curiosity. If you misstep, apologize and invite a reset to restore trust."- @ranaawdish.bsky.social @agawande.bsky.social @choo.bsky.social @erictopol.bsky.social @kevinmd.bsky.social #MedSky closler.org/wp-admin/pos...
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@CLOSLER @closler.bsky.social · 20/10/2025
"When I became a pt, loss of control helped me realize how much trust I needed to place in my MD. As a clinician, I will remember my experience and the need to build trust with candor and clear communication."-Katelyn Jackson @drkopacz.bsky.social @ranaawdish.bsky.social #MedSky tinyurl.com/2czm82kh
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@CLOSLER @closler.bsky.social · 04/11/2025
Lifestyle medicine involves co-creating plans w/ pts for diet, physical activity, sleep, stress, & social connection. This can have an impact on both prevention & treatment of disease. @hubermanlab.com #MedSky tinyurl.com/34x8czt8
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@CLOSLER @closler.bsky.social · 04/11/2025
Lifestyle medicine involves co-creating plans w/ pts for diet, physical activity, sleep, stress, & social connection. This can have an impact on both prevention & treatment of disease. @hubermanlab.com #MedSky tinyurl.com/34x8czt8
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@CLOSLER @closler.bsky.social · 03/11/2025
Make talking about sexual health a routine part of care—explain why you’re asking and avoid assumptions. If it feels awkward, name it to build trust and show patients that sexual well-being matters. @inaparkmd.bsky.social @juliamarcus.bsky.social @profkevinfenton.bsky.social tinyurl.com/58e38md7
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@CLOSLER @closler.bsky.social · 03/11/2025
Make talking about sexual health a routine part of care—explain why you’re asking and avoid assumptions. If it feels awkward, name it to build trust and show patients that sexual well-being matters. @inaparkmd.bsky.social @juliamarcus.bsky.social @profkevinfenton.bsky.social tinyurl.com/58e38md7
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Rana Awdish MD @ranaawdish.bsky.social · 31/10/2025
A short piece on humility #MedSky
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@CLOSLER @closler.bsky.social · 31/10/2025
"Approach each patient encounter with humility and curiosity. If you misstep, apologize and invite a reset to restore trust."- @ranaawdish.bsky.social @agawande.bsky.social @choo.bsky.social @erictopol.bsky.social @kevinmd.bsky.social #MedSky closler.org/wp-admin/pos...
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@CLOSLER @closler.bsky.social · 30/10/2025
Use motivational interviewing to partner w/ teens in decision-making & aligning goals. This can foster collaboration & lead to improved health outcomes. @drhowardliu.bsky.social @drcjohns.bsky.social @scottvernaglia.bsky.social #MedSky closler.org/connecting-w...
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@CLOSLER @closler.bsky.social · 30/10/2025
Use motivational interviewing to partner w/ teens in decision-making & aligning goals. This can foster collaboration & lead to improved health outcomes. @drhowardliu.bsky.social @drcjohns.bsky.social @scottvernaglia.bsky.social #MedSky closler.org/connecting-w...
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@CLOSLER @closler.bsky.social · 29/10/2025
"As my patient’s symptoms eased, our conversations evolved from medical check-ins to life planning. Including patient-defined milestones—like “safe to fly”—in the treatment plan makes healthcare more meaningful for both patients and clinicians."-Dr. Todd Kolb #medsky tinyurl.com/mw7uc579
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@CLOSLER @closler.bsky.social · 29/10/2025
"As my patient’s symptoms eased, our conversations evolved from medical check-ins to life planning. Including patient-defined milestones—like “safe to fly”—in the treatment plan makes healthcare more meaningful for both patients and clinicians."-Dr. Todd Kolb #medsky tinyurl.com/mw7uc579
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@CLOSLER @closler.bsky.social · 23/10/2025
ROMO—the Relief of Missing Out—is the burnout antidote you can start tonight. Consider skipping the next conference and protecting your weekends to have energy to give exceptional care to every patient. @drkopacz.bsky.social @scottvernaglia.bsky.social #MedSky tinyurl.com/43kr9hym
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@CLOSLER @closler.bsky.social · 29/10/2025
Wooohooo!
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Shannon Scott-Vernaglia, MD @scottvernaglia.bsky.social · 29/10/2025
I love this! This weekend I'll be having ROMO when I miss a fundraising gala at work--can't wait to see the fun pictures! Thank you @drkopacz.bsky.social and @closler.bsky.social
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@CLOSLER @closler.bsky.social · 27/10/2025
Lead with trauma-informed, dignity-first care: clarify the patient’s priorities and take the time to build a trusting relationship. @drkopacz.bsky.social @soulinmedicine.bsky.social #MedSky tinyurl.com/56wb4k27
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@CLOSLER @closler.bsky.social · 27/10/2025
Lead with trauma-informed, dignity-first care: clarify the patient’s priorities and take the time to build a trusting relationship. @drkopacz.bsky.social @soulinmedicine.bsky.social #MedSky tinyurl.com/56wb4k27
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@CLOSLER @closler.bsky.social · 24/10/2025
When symptoms evolve or remain unexplained despite reassuring tests, ask, “What am I missing?” Revisit the presumptive diagnosis and reconsider the differential—both vital for and part of seeking feedback on your diagnostic accuracy. @cpsolvers.bsky.social #MedSky tinyurl.com/3ts6jbez
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@CLOSLER @closler.bsky.social · 24/10/2025
When symptoms evolve or remain unexplained despite reassuring tests, ask, “What am I missing?” Revisit the presumptive diagnosis and reconsider the differential—both vital for and part of seeking feedback on your diagnostic accuracy. @cpsolvers.bsky.social #MedSky tinyurl.com/3ts6jbez
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@CLOSLER @closler.bsky.social · 23/10/2025
ROMO—the Relief of Missing Out—is the burnout antidote you can start tonight. Consider skipping the next conference and protecting your weekends to have energy to give exceptional care to every patient. @drkopacz.bsky.social @scottvernaglia.bsky.social #MedSky tinyurl.com/43kr9hym
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@CLOSLER @closler.bsky.social · 22/10/2025
To build an exceptional care team: foster psychological safety, model humility, and solicit input from every person. Daily rituals of respect can sustain excellent patient care. @panagis.bsky.social #MedSky closler.org/lifelong-lea...
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@CLOSLER @closler.bsky.social · 22/10/2025
To build an exceptional care team: foster psychological safety, model humility, and solicit input from every person. Daily rituals of respect can sustain excellent patient care. @panagis.bsky.social #MedSky closler.org/lifelong-lea...
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@CLOSLER @closler.bsky.social · 20/10/2025
"When I became a pt, loss of control helped me realize how much trust I needed to place in my MD. As a clinician, I will remember my experience and the need to build trust with candor and clear communication."-Katelyn Jackson @drkopacz.bsky.social @ranaawdish.bsky.social #MedSky tinyurl.com/2czm82kh
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@CLOSLER @closler.bsky.social · 17/10/2025
"Pts’ community participation can be a powerful determinant of health—an essential part of your assessment & care plan. Try asking, 'Are you part of a faith community, & how is it affecting you right now?'"- @warrenkinghorn.bsky.social @dukepsychiatry.bsky.social tinyurl.com/4cfjr4t8
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