Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 26/02/2026www.theguardian.com/lifeandstyle...theguardian.comThe stranger secret: how to talk to anyone – and why you shouldForget 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 030
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 20/02/2026Explore 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.comA Pill for Women’s Libido Meets a Cultural Moment 010
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 11/02/2026www.newyorker.com/magazine/202... #medsky #addictionmedicine #glp1snewyorker.comCan Ozempic Cure Addiction?GLP-1 drugs, which have helped some people curb drug and alcohol use, may unlock a pathway to moderation. 110
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 11/02/2026Explore 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 #drpeterattianytimes.comPeter Attia’s Ties to Epstein Spark a Backlash From Doctors 132
Reposted by Jennifer Gulas MD, FACP, FHMTan-Lucien Mohammed, MD, FACR @tlhm-md.bsky.social · 11/02/202674-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 021
Reposted by Jennifer Gulas MD, FACP, FHMEric 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.comImportance of Function for Alzheimer Diagnosis and ManagementThis 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. 041
Reposted by Jennifer Gulas MD, FACP, FHMBob Wachter @bobwachter.bsky.social · 20/01/2026On 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.orgThe benefits of AI in health care outweigh potential hazards, many experts sayChatGPT 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. 1204
Reposted by Jennifer Gulas MD, FACP, FHMPaul 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) 1163
Reposted by Jennifer Gulas MD, FACP, FHMDavid Rind @davidrind.bsky.social · 10/02/2026podcasts.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 011
Reposted by Jennifer Gulas MD, FACP, FHMJournal of Internal Medicine @jinternmed.bsky.social · 09/02/2026New 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 022
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 10/02/2026Check out the Expert Witness Newsletter: expertwitness.substack.com?r=1iik5n #medsky #medmalpractice #medicolegalexpertwitness.substack.comThe Expert Witness Newsletter | Med Mal Reviewer | SubstackExpert 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. 000
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 09/02/2026Is there a doctor on board? The midair emergency call medical professionals dread www.theguardian.com/world/2026/f... #medskytheguardian.comIs there a doctor on board? The midair emergency call medical professionals dreadDoctors must assess the risk they can accept by treating someone 10,000 metres in the air and with a captive audience 000
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 09/02/2026Explore this gift article from The New York Times. You can read it for free without a subscription. www.nytimes.com/2026/02/01/o... #medskynytimes.comOpinion | My Patient Was Dying. His Wife Refused to Accept It. 021
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 07/02/2026www.medscape.com/s/viewarticl... #medskymedscape.comWhat 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. 010
Reposted by Jennifer Gulas MD, FACP, FHMjosh farkas 💊 @pulmcrit.bsky.social · 31/01/2026Updated 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 2113
Reposted by Jennifer Gulas MD, FACP, FHMButterfingers 💪🇨🇦 @trikebum.bsky.social · 07/02/2026open.substack.com/pub/staycuri... #medsky #healthopen.substack.comThe Headline-Grabbing Statin Study Everyone Is Oversimplifying TA 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... 011
Reposted by Jennifer Gulas MD, FACP, FHMNEJM.org @nejm.org · 19/09/2025Tumor 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 0186
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 19/09/2025www.news-medical.net/news/2025091...news-medical.netHeart attacks in women under age 65 are caused by factors other than clogged arteriesA 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... 073
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 17/09/2025www.openevidence.com/feed/43087openevidence.comDiscover Feed | OpenEvidenceThe leading medical information platform. 020
Reposted by Jennifer Gulas MD, FACP, FHMCORE IM @coreimpodcast.bsky.social · 16/09/20251/ 🚨 NEW #WhiteboardAnimation: ILD 🫁 Let’s talk ILD classification & management ⤵️ 🎥: www.youtube.com/watch?v=GjBg... 🖥️: www.coreimpodcast.com/2025/09/14/i... 152
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 16/09/2025www.acpjournals.org/doi/10.7326/...acpjournals.orgThe Cost-Effectiveness of Semaglutide and Tirzepatide for Patients With Knee Osteoarthritis and Obesity | Annals of Internal MedicineBackground: 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... 010
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 13/09/2025www.medscape.com/viewarticle/...medscape.comWhat 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. 000
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 12/09/2025www.medscape.com/viewarticle/...medscape.comWhy Primary Care Physicians Can’t Ignore Lp(a) Any LongerElevated lipoprotein(a) affects 1 in 5 patients and drives early heart attacks — yet it often goes undetected in routine outpatient care. 010
Reposted by Jennifer Gulas MD, FACP, FHMCORE IM @coreimpodcast.bsky.social · 11/09/20251/ 🚨 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 195
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 11/09/2025www.youtube.com/watch?v=7g-L...youtube.comMasterclass | Food as Medicine: Evidencia Reciente y Aplicación Clínica con la Dra Patricia RestrepoYouTube video by AMMEV MX 010
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 10/09/2025Explore 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.comOpinion | It’s Not You, It’s the Food 061
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 09/09/2025www.medscape.com/viewarticle/...medscape.comDon’t Make Lifestyle Medicine an AfterthoughtLifestyle behavior change is a treatment option for many chronic diseases. Why don’t we tell patients? 010
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 05/09/2025www.nytimes.com/2025/09/05/w...nytimes.comThe Redness and Itching Wouldn’t Stop. Then Things Got Dangerous. 020
Reposted by Jennifer Gulas MD, FACP, FHMNature @nature.com · 05/09/2025A newly discovered type of immune cell found in fat tissue seems to contribute to the chronic inflammation associated with ageing go.nature.com/3V2EOLUgo.nature.comNewfound immune cell in mice hints at why inflammation spikes with old agePathogen-consuming cells found in fat tissue also play a part in lipid balance. 04813
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 05/09/2025www.healio.com/news/primary...healio.comQ&A: Medical misinformation and disinformation 'getting worse,' driving burnoutMedical 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... 020
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 04/09/2025She saw a rash on her arm after swimming, then came a shocking diagnosis - Newsweek apple.news/A7j0tltggTEG...apple.newsShe saw a rash on her arm after swimming, then came a shocking diagnosis — NewsweekA Gen Z woman returned from vacation with more than just memories—what she believed was a chlorine rash was something else entirely 130
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 04/09/2025www.medscape.com/viewarticle/...medscape.comBaxdrostat: 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. 020
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 04/09/2025shmpublications.onlinelibrary.wiley.com/doi/full/10....shmpublications.onlinelibrary.wiley.comArtificial intelligence in hospital medicineClick on the article title to read more. 010
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 04/09/2025www.nytimes.com/2025/08/04/w...nytimes.comOnce a Death Sentence, This Heart Condition Is Finally Treatable 010
Reposted by Jennifer Gulas MD, FACP, FHMThe PLOT DOC, MD🩺📝✍️ @theplotdoc.bsky.social · 01/09/2025For 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 310427
Reposted by Jennifer Gulas MD, FACP, FHMOncoDaily @oncodaily.bsky.social · 01/09/2025A 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 #Oncologyoncodaily.comStephen V Liu: A Helpful Guide to Avoid Grand Rounds Pitfalls by David Johnson - OncoDailyStephen V Liu: A Helpful Guide to Avoid Grand Rounds Pitfalls by David Johnson / cancer, David Johnson, OncoDaily, Oncology, Stephen V Liu 041
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 100
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 01/09/2025You slept eight hours. You’re still exhausted. Here’s why. - TIME apple.news/AQya3CicfRWa...apple.newsWhat to Do If You Wake Up Tired Every Day — TIMEHere's what to know about unrefreshing sleep. 010
Reposted by Jennifer Gulas MD, FACP, FHMNEJM.org @nejm.org · 30/08/2025In 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 0185
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 30/08/2025Source: www.whsv.comwhsv.comWHSV | Harrisonburg, Staunton, Waynesboro, Shenandoah Valley | News, Weather, SportsWHSV | Harrisonburg, Staunton, Waynesboro, Shenandoah Valley | News, Weather, Sports 010
Reposted by Jennifer Gulas MD, FACP, FHMSoumya Rangarajan, MD, MPP @soumya-goblue.bsky.social · 27/08/2025I 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. 1183
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 27/08/2025www.nejm.org/doi/full/10....nejm.orgRehabbed to Death | NEJMFor 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... 010
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 26/08/2025sleep.biomedcentral.com/articles/10....sleep.biomedcentral.comEffects 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... 010
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 26/08/2025www.bbc.com/future/artic...bbc.comThe bizarre ways food messes with the medicines we takeOccasionally 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. 011
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 16/08/2025This is crazy people.com/new-dad-29-t...people.comNew Dad, 29, Was Told He Had Tonsillitis. He Was Dead the Next DayA 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. 000
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 16/08/2025How Job Stress Can Age Us www.nytimes.com/2019/07/25/w...nytimes.comHow Job Stress Can Age Us (Published 2019) 041
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 16/08/2025www.medscape.com/viewarticle/...medscape.comHow a Lawsuit Can Break a Doctor — and What to Do About ItEven 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. 010
Jennifer Gulas MD, FACP, FHM @doctorajgu.medsky.social · 16/08/2025www.reuters.com/business/hea...reuters.comNovo Nordisk's Wegovy gets accelerated US approval for liver disease MASHNovo 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. 011
Reposted by Jennifer Gulas MD, FACP, FHMJAMA Internal Medicine @jamainternalmed.com · 16/08/2025Most 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 152