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immunotherapy a lot of cancer and rare disease care has improved immensely (I’m on an immune suppressing mAb and it seems quaint now)

Social media loves talking about how everything is getting worse. But what’s something that you’ve seen get _better_ in your lifetime?

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I took my immune system out back of the woodshed and killed it TWICE to teach it to act better and… So far it kinda worked? Amazing. Anyway if there’s a problem we can just kill it again!

Fancy! I am honestly just planing to go to the grocery store. My rule is that if a grocery store has real wasabi in season, they can be trusted with sushi and poke. :) Not that I ever get the real wasabi 💸💸💸. It’s the principle.

the protocol for treating stomach cancer changed a few years ago and survival rates improved drastically. and I'm alive to tell the tale.

Basic bedside US in EM (POCUS). It was still a bit novel when I was finishing my training, most med students and residents are very savvy and this will dramatically improve care in the long run

💯 I learned a very little as a student, I wouldn’t say it was cutting edge when I was a resident but it still seemed new and leading edge in EM, now it’s just in the water

Gene therapy. In med school, I learned that SMA was a sad, fatal disease. 10 years later, babies that universally used to die are now growing up. Now there are hundreds of gene therapies being studied.

thats awesome! I was chatting with a derm colleague recently who really seemed blown away about how meaningful it’s been to so many patients

I graduated in 2008 old enough to have written many sliding scales young enough that even at the time it seemed like it could/should be easily automated