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Jennifer Gulas MD, FACP, FHM

@doctorajgu.medsky.social
3.1K followers 7.3K following 882 posts

Academic Hospitalist MD | APD IM | Interests-pt safety, QI, POCUS, faculty development, meded, pain mgmt, & obesity. Carbs, ice cream, Diet Coke and cold brew lover. Cinephile-wrote thesis on Almodóvar. Fred the auggie=perrijo. Polyglot.

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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 26/02/2026
www.theguardian.com/lifeandstyle...
theguardian.com
The stranger secret: how to talk to anyone – and why you should
Forget fear of public speaking. A lot of people now shy away completely from speaking to anyone in public. But if we learn to do this it’s enriching, for ourselves and society
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 20/02/2026
Explore this gift article from The New York Times. You can read it for free without a subscription. www.nytimes.com/2025/11/16/s...
nytimes.com
A Pill for Women’s Libido Meets a Cultural Moment
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 11/02/2026
www.newyorker.com/magazine/202... #medsky #addictionmedicine #glp1s
newyorker.com
Can Ozempic Cure Addiction?
GLP-1 drugs, which have helped some people curb drug and alcohol use, may unlock a pathway to moderation.
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 11/02/2026
Explore this gift article from The New York Times. You can read it for free without a subscription. www.nytimes.com/2026/02/10/w... #medsky #epsteinfiles #drpeterattia
nytimes.com
Peter Attia’s Ties to Epstein Spark a Backlash From Doctors
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Reposted by Jennifer Gulas MD, FACP, FHM
Tan-Lucien Mohammed, MD, FACR @tlhm-md.bsky.social · 11/02/2026
74-Year-Old Woman With Dyspnea, Muscle Weakness, and Rapidly Progressive Bilateral Diffuse Pulmonary Infiltrates Diagnosis? 🤔 journal.chestnet.org/article/S001... Cr. @accpchest.bsky.social #radiology #pulmsky @pulmpeeps.bsky.social @drfurkanufuk.bsky.social
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 10/02/2026
#QOTD
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Reposted by Jennifer Gulas MD, FACP, FHM
Eric Widera, MD @ewidera.bsky.social · 09/02/2026
“…the growing enthusiasm for biomarkers risks obscuring a fundamental truth: biomarkers only reflect disease pathology. They cannot assess cognition or illuminate the functional changes that transform memory concerns into meaningful impairment.” #alz jamanetwork.com/journals/jam...
jamanetwork.com
Importance of Function for Alzheimer Diagnosis and Management
This Viewpoint offers a reminder, amid new laboratory testing for Alzheimer disease, of the primary care practitioner’s important role in functional assessment of activities of daily living.
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Reposted by Jennifer Gulas MD, FACP, FHM
Bob Wachter @bobwachter.bsky.social · 20/01/2026
On tonight's All Things Considered on NPR, I discuss patients' use of AI for health. While there are risks, many patients benefit. Overall, I favor tools that guide patients through their symptoms (with iterative Q's & A's) rather than general tools like GPT or Gemini. www.npr.org/transcripts/...
npr.org
The benefits of AI in health care outweigh potential hazards, many experts say
ChatGPT Health is OpenAI's foray into medicine, and so far, it gets high marks from both a cancer patient and a leading doctor. But there are worries it could be misused.
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Reposted by Jennifer Gulas MD, FACP, FHM
Paul Williams @paulnwilliams.bsky.social · 25/07/2025
*How to round with Paul Williams* Tips for medical students, interns, and the curious - a thread Just in case this might be helpful. Your mileage may vary with other attendings, who may violently disagree with these. (1/16)
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Reposted by Jennifer Gulas MD, FACP, FHM
David Rind @davidrind.bsky.social · 10/02/2026
podcasts.apple.com/us/podcast/6...
podcasts.apple.com
#62: GLP-1s: Life-Changing Results… at What Cost?
Podcast Episode · Live Long and Well with Dr. Bobby · 02/05/2026 · 51m
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Reposted by Jennifer Gulas MD, FACP, FHM
Journal of Internal Medicine @jinternmed.bsky.social · 09/02/2026
New article to read! Myasthenia gravis following the initiation of statin therapy. ➡️ Statin initiation may be associated with increased risk of new-onset MG during the first 6–12 months. 🔗 doi.org/10.1111/joim.70072 #MyastheniaGravis #MG #statins
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 10/02/2026
Check out the Expert Witness Newsletter: expertwitness.substack.com?r=1iik5n #medsky #medmalpractice #medicolegal
expertwitness.substack.com
The Expert Witness Newsletter | Med Mal Reviewer | Substack
Expert witness opinions for medical malpractice lawsuits. Click to read The Expert Witness Newsletter, by Med Mal Reviewer, a Substack publication with tens of thousands of subscribers.
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 09/02/2026
Is there a doctor on board? The midair emergency call medical professionals dread www.theguardian.com/world/2026/f... #medsky
theguardian.com
Is there a doctor on board? The midair emergency call medical professionals dread
Doctors must assess the risk they can accept by treating someone 10,000 metres in the air and with a captive audience
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 09/02/2026
Explore this gift article from The New York Times. You can read it for free without a subscription. www.nytimes.com/2026/02/01/o... #medsky
nytimes.com
Opinion | My Patient Was Dying. His Wife Refused to Accept It.
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 07/02/2026
www.medscape.com/s/viewarticl... #medsky
medscape.com
What Happened to the Prestige of Being a Doctor?
‘Back in the day’ butts heads with ‘medicine today.’ A candid look at why physicians may never have the authority, respect, and trust doctors enjoyed 50 years ago.
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Reposted by Jennifer Gulas MD, FACP, FHM
josh farkas 💊 @pulmcrit.bsky.social · 31/01/2026
Updated the acute ischemic stroke chapter based on 2026 ASA/AHA guidelines Chapter focuses on supportive care (*not* who gets lysis/EVT) This has not changed very much Top blue numbered section is designed to be used as a checklist when you settle these pts into ICU emcrit.org/ibcc/ais/ #EMIMCC
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Reposted by Jennifer Gulas MD, FACP, FHM
Butterfingers 💪🇨🇦 @trikebum.bsky.social · 07/02/2026
open.substack.com/pub/staycuri... #medsky #health
open.substack.com
The Headline-Grabbing Statin Study Everyone Is Oversimplifying T
A new Lancet study says statin side effects are overblown. Headlines are running that millions more people should be taking statins. Let's see truth through nuance...
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Reposted by Jennifer Gulas MD, FACP, FHM
NEJM.org @nejm.org · 19/09/2025
Tumor lysis syndrome has evolved and become less predictable with the introduction of new cancer therapies. A new review explores risk factors and causes of the syndrome, as well as strategies for treatment and prevention. Learn more: nej.md/4plR9sh #MedSky #Oncology
An illustrated diagram of the pathophysiology of tumor lysis syndrome.
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 19/09/2025
www.news-medical.net/news/2025091...
news-medical.net
Heart attacks in women under age 65 are caused by factors other than clogged arteries
A new Mayo Clinic study finds that many heart attacks in people under 65 - especially women - are caused by factors other than clogged arteries, challenging long-standing assumptions about how heart a...
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 17/09/2025
www.openevidence.com/feed/43087
openevidence.com
Discover Feed | OpenEvidence
The leading medical information platform.
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Reposted by Jennifer Gulas MD, FACP, FHM
CORE IM @coreimpodcast.bsky.social · 16/09/2025
1/ 🚨 NEW #WhiteboardAnimation: ILD 🫁 Let’s talk ILD classification & management ⤵️ 🎥: www.youtube.com/watch?v=GjBg... 🖥️: www.coreimpodcast.com/2025/09/14/i...
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 16/09/2025
www.acpjournals.org/doi/10.7326/...
acpjournals.org
The Cost-Effectiveness of Semaglutide and Tirzepatide for Patients With Knee Osteoarthritis and Obesity | Annals of Internal Medicine
Background: Glucagon-like peptide-1 receptor agonists (GLP1RAs) lead to substantial weight loss and pain reduction in persons with knee osteoarthritis and obesity. Objective: To evaluate the cost-effe...
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 13/09/2025
www.medscape.com/viewarticle/...
medscape.com
What Happens When Billing Codes Don’t Match the Diagnosis?
Dr Alok Patel highlights new research showing that ICD-10 codes often fail to match patients’ true diagnoses, raising questions about accuracy, billing, and whether AI could help close the gap.
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 12/09/2025
www.medscape.com/viewarticle/...
medscape.com
Why Primary Care Physicians Can’t Ignore Lp(a) Any Longer
Elevated lipoprotein(a) affects 1 in 5 patients and drives early heart attacks — yet it often goes undetected in routine outpatient care.
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Reposted by Jennifer Gulas MD, FACP, FHM
CORE IM @coreimpodcast.bsky.social · 11/09/2025
1/ 🚨 NEW #GrayMatters: Orthostatics part 1️⃣ Orthostatic hypotension is VERY common ‼️ ✨ 20% of those over 60 years old ✨ 50% in nursing homes Causes: ✨ Decreased venous return ✨ Neurogenic 🖥️: www.coreimpodcast.com/2025/09/11/o... Sponsor: Oakstone CME
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 11/09/2025
www.youtube.com/watch?v=7g-L...
youtube.com
Masterclass | Food as Medicine: Evidencia Reciente y Aplicación Clínica con la Dra Patricia Restrepo
YouTube video by AMMEV MX
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 10/09/2025
Explore this gift article from The New York Times. You can read it for free without a subscription. www.nytimes.com/2025/09/10/o...
nytimes.com
Opinion | It’s Not You, It’s the Food
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 09/09/2025
www.medscape.com/viewarticle/...
medscape.com
Don’t Make Lifestyle Medicine an Afterthought
Lifestyle behavior change is a treatment option for many chronic diseases. Why don’t we tell patients?
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 05/09/2025
www.nytimes.com/2025/09/05/w...
nytimes.com
The Redness and Itching Wouldn’t Stop. Then Things Got Dangerous.
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Reposted by Jennifer Gulas MD, FACP, FHM
Nature @nature.com · 05/09/2025
A newly discovered type of immune cell found in fat tissue seems to contribute to the chronic inflammation associated with ageing go.nature.com/3V2EOLU
go.nature.com
Newfound immune cell in mice hints at why inflammation spikes with old age
Pathogen-consuming cells found in fat tissue also play a part in lipid balance.
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 05/09/2025
www.healio.com/news/primary...
healio.com
Q&A: Medical misinformation and disinformation 'getting worse,' driving burnout
Medical misinformation and disinformation are running rampant, taking up more time in already jam-packed primary care visits and impacting physicians’ ability to deliver quality patient care, ac...
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 04/09/2025
She saw a rash on her arm after swimming, then came a shocking diagnosis - Newsweek apple.news/A7j0tltggTEG...
apple.news
She saw a rash on her arm after swimming, then came a shocking diagnosis — Newsweek
A Gen Z woman returned from vacation with more than just memories—what she believed was a chlorine rash was something else entirely
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 04/09/2025
www.medscape.com/viewarticle/...
medscape.com
Baxdrostat: A 'Game Changer' for Hypertension?
A new class of antihypertensive agent that blocks the production of aldosterone has shown impressive results in patients with resistant or uncontrolled hypertension.
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 04/09/2025
shmpublications.onlinelibrary.wiley.com/doi/full/10....
shmpublications.onlinelibrary.wiley.com
Artificial intelligence in hospital medicine
Click on the article title to read more.
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 04/09/2025
www.nytimes.com/2025/08/04/w...
nytimes.com
Once a Death Sentence, This Heart Condition Is Finally Treatable
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Reposted by Jennifer Gulas MD, FACP, FHM
The PLOT DOC, MD🩺📝✍️ @theplotdoc.bsky.social · 01/09/2025
For those trying to gaslight about vaccinations during the pandemic, just remember: Every hospital in the world had a COVID unit No hospital had a vaccine side effects ward #medsky #covid #vaccinations
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Reposted by Jennifer Gulas MD, FACP, FHM
OncoDaily @oncodaily.bsky.social · 01/09/2025
A Helpful Guide to Avoid Grand Rounds Pitfalls by David Johnson - Stephen V Liu @stephenvliu.bsky.social oncodaily.com/voices/steph... #Cancer #GIOnc #MedEd #MedX #MedNews #Health #Medicine #OncoDaily #Oncology
oncodaily.com
Stephen V Liu: A Helpful Guide to Avoid Grand Rounds Pitfalls by David Johnson - OncoDaily
Stephen V Liu: A Helpful Guide to Avoid Grand Rounds Pitfalls by David Johnson / cancer, David Johnson, OncoDaily, Oncology, Stephen V Liu
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 01/09/2025
“They tell me in the office that GLP-1s scare them but they aren’t scared by processed foods.” #eso #foodforthought #glp1s
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 01/09/2025
You slept eight hours. You’re still exhausted. Here’s why. - TIME apple.news/AQya3CicfRWa...
apple.news
What to Do If You Wake Up Tired Every Day — TIME
Here's what to know about unrefreshing sleep.
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Reposted by Jennifer Gulas MD, FACP, FHM
NEJM.org @nejm.org · 30/08/2025
In hypertrophic cardiomyopathy, thickened heart muscle often obstructs blood flow. Imaging aids in diagnosis, and treatments such as myosin inhibitors and defibrillators have improved the prognosis. Learn more in a new Review Article: nej.md/4n2pFWQ #MedSky #CardioSky
Panel A: A cross-section of a normal heart (top) and an endomyocardial biopsy sample from a normal heart (bottom; with hematoxylin and eosin staining) that shows normal histologic characteristics.  

Panel B: A cross-section of the heart of a patient with HCM (top), characterized by a hypertrophied free wall of the left ventricle and greatly hypertrophied interventricular septum adjacent to the anterior leaflet of the mitral valve, and an endomyocardial-biopsy sample from a heart with HCM (bottom; with hematoxylin and eosin staining) that shows enlarged myocytes in disarray.
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 30/08/2025
Source: www.whsv.com
whsv.com
WHSV | Harrisonburg, Staunton, Waynesboro, Shenandoah Valley | News, Weather, Sports
WHSV | Harrisonburg, Staunton, Waynesboro, Shenandoah Valley | News, Weather, Sports
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Reposted by Jennifer Gulas MD, FACP, FHM
Soumya Rangarajan, MD, MPP @soumya-goblue.bsky.social · 27/08/2025
I hereby declare with my MD that #hypertension is a heart condition and every healthcare worker in the country has HTN due to nature of our jobs under RFK Jr. and can qualify for the #vaccine. Thank you for your attention to this matter.
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 27/08/2025
www.nejm.org/doi/full/10....
nejm.org
Rehabbed to Death | NEJM
For a substantial minority of older adults, a stay in a post-acute care facility is the gateway into a cycle between the hospital and the nursing home that spans the final months of life. Certain M...
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 26/08/2025
sleep.biomedcentral.com/articles/10....
sleep.biomedcentral.com
Effects of continuous positive airway pressure therapy on the recurrence and progression of atrial fibrillation in patients with concomitant obstructive sleep Apnea: a systematic review - Sleep Scienc...
Obstructive Sleep Apnea (OSA) has been frequently linked with the development of atrial fibrillation (AF) due to the underlying mechanism of hypoxia-induced surge in sympathetic activity leading to el...
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 26/08/2025
www.bbc.com/future/artic...
bbc.com
The bizarre ways food messes with the medicines we take
Occasionally the food we eat can interfere with the way drugs are supposed to work. Now scientists are trying to harness these effects to boost the efficacy of treatments.
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 16/08/2025
This is crazy people.com/new-dad-29-t...
people.com
New Dad, 29, Was Told He Had Tonsillitis. He Was Dead the Next Day
A 29-year-man, Michael Reynolds, who had just become a father was told by doctors that he had tonsillitis. He died the next day. Here's what happened.
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 16/08/2025
How Job Stress Can Age Us www.nytimes.com/2019/07/25/w...
nytimes.com
How Job Stress Can Age Us (Published 2019)
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 16/08/2025
www.medscape.com/viewarticle/...
medscape.com
How a Lawsuit Can Break a Doctor — and What to Do About It
Even highly skilled clinicians are not immune to error — and when legal proceedings follow, the emotional burden can be just as damaging as the professional consequences.
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Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 16/08/2025
www.reuters.com/business/hea...
reuters.com
Novo Nordisk's Wegovy gets accelerated US approval for liver disease MASH
Novo Nordisk said on Friday the U.S. Food and Drug Administration had granted accelerated approval for its weight-loss drug Wegovy to treat a serious liver condition known as metabolic dysfunction-associated steatohepatitis.
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Reposted by Jennifer Gulas MD, FACP, FHM
JAMA Internal Medicine @jamainternalmed.com · 16/08/2025
Most viewed this week from JAMA Internal Medicine: Shorter durations of #antibiotic prophylaxis, including no prophylaxis, appear noninferior to longer durations for preventing mortality in patients with #cirrhosis and upper gastrointestinal bleeding. ja.ma/3UyChbY
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