Tony Breu Add us as a preferred source on Google
🔄 Data last refreshed 4 days ago
🤝
Make a deal with Tony Breu
🔒 Paid proposals held safely in escrow — released only when the work's approved.
Followers
108K
Posts
9.1K
Following
893
Account age
14 yrs
💰 Suggested sponsorship rate
$605 – $983 / sponsored post
Estimated from audience size & typical reach — every deal is negotiable and held in SocialDB escrow.
🎁 Free analysisfor Tony Breu
📊 Post performance
113.5K
Avg views / post
1.1×
Reach vs followers
Apr 2012
On X since
🔥 Top post: Here is an updated list of my tweetorials. · 113.5K views
📊 Activity & format
Posting cadence
0.08 / week
A lower-frequency account — each post lands with more weight.
Content mix
Mostly images
Recent: 0 video · 9 image · 9 text.
Follower / following
121×
Follows 893 back. A strong ratio — an audience that follows them, not a follow-for-follow network.
Recent posts
View on X ↗
1/15
🤔Why do antibiotics reduce the risk of rebleeding after acute variceal hemorrhage?
I understand why antibiotics reduce infections, but the mechanism by which they reduce rebleeding is not immediately apparent.
Let's have a look.
1/18
🤔Why does heart failure with preserved ejection fraction (HFpEF) lead to sodium retention?
With reduced ejection fraction (HFrEF), decreased cardiac output (CO) leads to neurohormonal activation and sodium avidity.
If CO is preserve…
1/14
🤔Why does it take weeks for the radiographic evidence of pneumonia to clear?
Patients often feel better DAYS after starting treatment.
And yet the chest x-ray takes WEEKS to return to normal.
Why the delay?
1/4 - The Mystery
A doctor is on overnight call in the hospital. They are also hooked up to continuous ECG monitoring.
🤔What might cause the following tracing?
1/16
🤔Why does subarachnoid hemorrhage lead to deep/inverted "cerebral T-waves"?
This ECG finding is so dramatic. But as we will see, these patients often have normal hearts.
Why does an issue in the brain manifest on a test of the heart…
1/12
🤔Why does iron deficiency cause fatigue, even in the absence of anemia?
I have often equated iron with hemoglobin and oxygen-carrying capacity.
But there is so much more to it!
1/13
🤔Why does multiple myeloma cause anemia and not pancytopenia?
If the issue is infiltration of the bone marrow with plasma cells, wouldn't all cell lines be low?
Let's have a look.
1/17
🤔Why do we use epinephrine to treat cardiac arrest?
Epinephrine can CAUSE cardiac arrest. And yet we give it as part of ACLS to treat the condition it caused.
This paradox requires explanation.
1/15
🤔Why are splenic metastases so rare?
I always saw the spleen as a lymphoid organ similar to lymph nodes. If the latter are major sites of metastases, why not the former?
Why makes the spleen so inhospitable?
1/17
[Why] is furosemide susceptible to malabsorption from "gut edema"?
When a patient with heart failure is hospitalized with congestion I often hear "let's use IV furosemide; they're probably not absorbing the PO."
It's a comment uniq…
1/17
How does calcium "stabilize the cardiac membrane" in hyperkalemia?
I learned early in my intern year to use calcium in the setting of severe hyperkalemia.
I never really learned how it works. The answer requires some history. And un…
1/18
🤔Why does heart failure with preserved ejection fraction (HFpEF) lead to sodium retention?
With reduced ejection fraction (HFrEF), decreased cardiac output (CO) leads to neurohormonal activation and sodium avidity.
If CO is preserve…
1/14
🤔Why does it take weeks for the radiographic evidence of pneumonia to clear?
Patients often feel better DAYS after starting treatment.
And yet the chest x-ray takes WEEKS to return to normal.
Why the delay?
1/4 - The Mystery
A doctor is on overnight call in the hospital. They are also hooked up to continuous ECG monitoring.
🤔What might cause the following tracing?
1/16
🤔Why does subarachnoid hemorrhage lead to deep/inverted "cerebral T-waves"?
This ECG finding is so dramatic. But as we will see, these patients often have normal hearts.
Why does an issue in the brain manifest on a test of the heart…
1/12
🤔Why does iron deficiency cause fatigue, even in the absence of anemia?
I have often equated iron with hemoglobin and oxygen-carrying capacity.
But there is so much more to it!
1/13
🤔Why does multiple myeloma cause anemia and not pancytopenia?
If the issue is infiltration of the bone marrow with plasma cells, wouldn't all cell lines be low?
Let's have a look.
1/17
🤔Why do we use epinephrine to treat cardiac arrest?
Epinephrine can CAUSE cardiac arrest. And yet we give it as part of ACLS to treat the condition it caused.
This paradox requires explanation.
1/15
🤔Why are splenic metastases so rare?
I always saw the spleen as a lymphoid organ similar to lymph nodes. If the latter are major sites of metastases, why not the former?
Why makes the spleen so inhospitable?
1/17
[Why] is furosemide susceptible to malabsorption from "gut edema"?
When a patient with heart failure is hospitalized with congestion I often hear "let's use IV furosemide; they're probably not absorbing the PO."
It's a comment uniq…
1/17
How does calcium "stabilize the cardiac membrane" in hyperkalemia?
I learned early in my intern year to use calcium in the setting of severe hyperkalemia.
I never really learned how it works. The answer requires some history. And un…
💡 Facts
🗓️Joined X in 2012 — 14 years ago.
👁️Averages 113.5K views per post.
📤Posts about 0.1× per week.
💬3.18% engagement rate.
🏅Earned the 100K Followers for passing 100K followers.
🕵️ Fake follower check
Estimated60/100
Fair
Credibility score
82%
Real
Real audience
Low
Fake-follower risk
High
Data confidence
- Est. 82% real, active audience · Low fake-follower risk.
- Engagement (~1.1× of followers engage each post) is around typical for X.
- Organic base — far more followers than accounts it follows.
- Established account (14+ years old).
- 3.18% engagement — below the ~14.4% typical for this size.
Heuristic estimate from engagement, follower ratios, account age & growth — a screening signal, not a guarantee.
About
Hospitalist, VA Boston. Assistant Professor, @harvardmed and @HMSbioethics. Co-host, @CuriousClinPod. Usually at #AMreport. Views are my own.
📸 Gallery
🔀 Audience overlap
EstimatedEstimated shared audience with similar creators — useful for avoiding overlap (or doubling down) when planning a campaign.
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