Sameed M
@_MSAMEED
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Pulmonary & Critical Care @ClevelandClinic . #FOAMed . 🏴🇵🇰🇺🇸Tweets reflect my personal opinion. #pulmCC . #PH #ILD #SEVAmaster
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So after reviewing fellowship applications, and helping review dozens of personal statements I have come to the conclusion that most of these have three main themes that are repeated
1) The curious case of a patient who is not the candidate yet I know more about him than the
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Dear Mustafa,
Thank you for highlighting a sore truth, we as IMGs got here today because of the altruism of many other IMGs and US physicians. To use the vulnerability of an IMG and charge them is a horrible new trend. Same goes for charging humungous amounts for very poor
People who extort IMGs by making them pay to review their PS are the worst. Also just because you matched doesn’t make you an expert in the match and how to write personal statements.
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Echocardiographic signs to screen for PH, a thread🧵
@MegriMohammed
@Huzaifahsmd
@ATS_PC
@ZonairKhanMD
@heresi_gustavo
@criticalcaremom
@SobanUmar
@PVRI
@Huzaifahsmd
@AmjadKanj
@echonous
@sbonnet2
@PHatStanford
@EinsteinPccm
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@CounselorDOS
@HinaRKhar
Dear Mr. Chollet (
@CounselorDOS
), I hope that in your meetings you raised the human rights abuses, carried out by
@HinaRKhar
government; the abrogation of constitution and continuous denial to our right to vote
@BradSherman
recently raised this issue on the floor of the house
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Many trainees are starting their journey as a fellow. Fellowship is a unique training experience and it flies even faster than your residency, a thread to set yourself for success 🧵🪡
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High risk patients for developing Post-Extubation Stridor/Larnygeal Edema. Be ready and prepared
#Chest2018
#PulmCCed
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61
For all my friends preparing for the Pulmonary Boards, here is my simple threat for CPET interpretation for boards.... this is an overtly simplistic take but helpful......🧵🪡
@Huzaifahsmd
@rawalmd
@ZinmarHtun2
@U_D_Majumdar
@TemplePCCM
@EinsteinPccm
@CCF_PCCM
@MegriMohammed
4
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In 2012 Martin Tobin wrote an opinion piece in the
@ATSBlueEditor
regarding the Myth of ventilator settings, it spoke about the following myths
#weaning
#ICU
#SEVA
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Looking forward to serve as Fellow-in-Training member for the section of Mechanical Ventilation
@CHESTCritCare
, excited to learn from amazing people
@GallodeMoraesMD
@virenkaul
@Chaeface
@ChrisCarrollMD
. Thank you
@accpchest
@davidschulman
@emireles_c
@RobChatburn
#SEVA
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Starting the
@atscommunity
with
@ACM_LTx_Bronch
starting the FTS 2022
@PKirupaharan
@yashbsarda
#ATS2022
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NTM Treatment Pearls for the Boards, A thread 🧵
@Huzaifahsmd
@rawalmd
@ZinmarHtun2
@EinsteinPccm
@criticalcaremom
@TemplePCCM
@JulioHuapayaMD
@bajaj_div
@accpchest
- Overtly simple for the boards
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The feeling when this comes out from a bronch of an acutely hypoxic patient. Things we learn in training, any guesses what’s the diagnosis?
@ZinmarHtun2
@Huzaifahsmd
@rawalmd
@rama_elyafawi
@UMdPCCM
@nirosshan
@Abhi_Bhardwaj99
@UMdPCCM
@CCF_PCCM
@GallodeMoraesMD
@emily_fri
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Presenting my work on work of breathing during a spontaneous breathing trial, are the modern ventilators as good as T-piece when turned to 0/0? answer might surprise you
@OfVentilation
@GallodeMoraesMD
@leticiakawano
@virenkaul
@ATSCritCare
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Matched into PCCM fellow
@CCF_PCCM
, it’s time to
#belikeren
.
@gretchemaben
@emireles_c
@msiuba
Lookong forward to learn.
@ren_ashton
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Wish to learn how IMGs can pursue an academic career, with the visa hurdles and challenges. Come join us
@ProjectImg
The wait is over!! We have the best Academicians on board from Cleveland Clinic.
Dr
@AsadurRahman87
Dr Sobia Farooq and Dr
@_MSAMEED
will explain to us about Academic Career Pathways for IMGs
Register from the link below. 🙌🏻
@projectimgnet
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First publication of fellowship, a topic we come across every day. Grateful to the supervision from
@emireles_c
, the input from
@medpedshosp
and
@hkc1980
. Privileged to have such mentorship.
Preoperative Pulmonary Risk Assessment
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Proud to have received the Pulmonary & Critical Care Resident of the year; I wish my parents could have joined I miss them a lot;
#Marylandproud
Congratulations to our
#Classof2020
internal medicine and transitional year residents! We are proud of you. We will miss you. All the best! 👏👏👏
@UMMC
@drozmanali
@_MSAMEED
@Deya_AlkhatibMD
@ACPinternists
@AcpMaryland
#IMProud
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Pre-Oxygenation is important, address it before considering intubation
#CHEST2018
#PulmCCed
#airwaymanagement
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Lessons after my First month as PCCM fellow:
- Be passionate about your training
- Show empathy to your patient & family
- Read about your patient early in the morning
- RT and nurses are your team make them stake holders
- Try to learn and improve on your knowledge everyday
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Focus on pulmonary rehabilitation for your COPD patients.
#COPD
#FTS
#ATS2022
@atsearlycareer
@PR_Assembly
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When you are midway writing the discussion of your manuscript and you see on twitter Caruana beating Carlsen. Sigh....
#STLRapidBlitz
#GrandChessTour
. Now have to wait for
@agadmator
video.
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Dear
#PathTwitter
any online resource to review slides for common pulmonary pathologies in ILD.
@ahsanuitis
@OmarChughtai
@leticiakawano
@enagupta_pccm
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@ZulfiqarAhmed69
A lot of such products were tested in Pakistan during the pandemic, they were based on an ambu bag design that was imprecise. It lacked backing by clinical evidence, and bench testing of some showed huge variability breath to breath. Unfortunately mostly publicity
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Ephedra is a Chinese herb that has active ingredients ephedrine and pseudoephedrine, this was banned in US abased on a meta-analysis of 52 studies (Shekelle et al. JAMA 2003) it increases risk of MI (heart attack), seizures and psychiatric illness in young people, dose 60-120 mg
The FDA and European Union banned dietary supplements containing ephedrine because of their serious safety risks.
Especially in connection with cardiovascular toxicities including myocarditis, arrhythmias, myocardial infarction, cardiac arrest, and sudden death.
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Disclaimer: This thread is intended for educational purposes and address the misinformation regarding the coronavirus outbreak in China (
#COVID
-19) and since this is an evolving situation, the information in this thread might change in the coming days.
Q1: What is Coronavirus?
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@drdangayach
speaks about use of Twitter regarding
#physicianburnout
#CHEST2019
#CHESTSoMe
@ChrisCarrollMD
@virenkaul
@Chaeface
@GallodeMoraesMD
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There is no greater satisfaction than getting the confirmation of your manuscript submission. Lots of sleepless nights for this day. Special thanks to
@emireles_c
for his patience in this one
#academicWriting
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@ChrisCarrollMD
speaking about trends on twitter posts about Asthma , great study
#CHEST2019
#CHESTChat
#SoMe
@virenkaul
@drdangayach
@Chaeface
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Announcing the next winners in the Countdown to
#CHESTChallenge2021
. More prizes to come. Bonus chances for the grand prize for those who tag
#CHESTTrainees
in their posts. Congratulations!
@Faizakhalid24
@SankalpPatelDO
@_MSAMEED
@ArjunSaradna
@Payal_Sen30
@j0m00re1
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What a day, patient s/p trach, bleed (likely TI fistula) bronched upper airway laryngoscopy removed 1.1 L blood, clot extending from right main till BI and another clot using glidoscope from the airway measuring 4 inch x 1.5 inch, great teamwork
@CleClinicRespir
@AbhiDuggalMD
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So last meal in Baltimore after a hell of a day of packing and cleaning; tomorrow I change call signs, as I would leave Maryland and start a new chapter in Cleveland Ohio where, fun; challenges and academic life of a PCCM fellow begins; proud to be joining
@CCF_PCCM
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Our fellow
#JeeYoung
presenting her findings of POCUS TTE in cirrhosis patients in septic shock
@ClevelandClinic
@CCF_PCCM
@RaedDweikMD
come to learn mover area A P80 Hall F
#ATS2022
2
4
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Mother to my dear friend
@talhakareem11
@drrubinaakhtar7
a practicing ObyGn doctor, voice of democracy and women rights in the society has been detained by police only for exercising her democratic rights
@hrw
,
@amnestyusa
@IlhanMN
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This is a must read for anyone who wants strong internal medicine basics - recommend it to all my medical students and residents
You may like this book if you are a medical student, PA student, resident physician, attending physician, PA, nurse, pharmacist, or other clinician.
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Proud to be presenting the follow up on our reintubation study last year, now looking at CLD and albumin as risk factors for reintubation
#CHEST2020
.
@accpchest
; hoping for some incredible feedback from
@GallodeMoraesMD
and
@virenkaul
. Grateful to
@MITCriticalData
for the cohort
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Thank you for the praise, a lot of hard work to summarise a relatively less talked about topic.
@emireles_c
@medpedshosp
An excellent review of
#Perioperative
#Pulmonary
#RiskAssessment
from
@medpedshosp
: Preoperative Pulmonary Risk Assessment
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My
#CHEST2018
poster at 870, lucky to have had presented
@accpchest
and met a number of amazing people thanks to all those who stopped by
#Trainee
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Mechanical Ventilation Education day
@CCF_PCCM
@emireles_c
throwing some curve balls at the fellow, proud to be joined by
@CleClinicRespir
@CCAD
and guess who I have as my team, the one and only
@RaedDweikMD
#VentRounds
#PCCM
#VirtualConference
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@gehnaak
@UWorldMedical
I believe that’s correct, as in late stage thyroid storm, you have heart failure, multi organ failure leading to shock and hypotension
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Lovely time teaching our interns and awesome interactions. Best of luck to all this is just a humble start
It’s always a pleasure to have our
@CCF_PCCM
colleagues teach our Intern ICU Boot Camp every year and then get to work with them in the ICU. Thank you!
@FoxStevenW
@JorgeVargas555
@Thind888
@Abhi_Bhardwaj99
@ErinCovert22
@emireles_c
@ren_ashton
@_MSAMEED
0
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As I enjoy my
#MatchDay
I want to thank two very special friends and mentors
@virenkaul
and
@GallodeMoraesMD
. Thank you for being an inspiration and mentor. You two are family and I couldn’t have done it without you.
#PulmCC
#mentors
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@ACM_LTx_Bronch
up next the mast himself updating us about lung transplant
#ATS2022
@ClevelandClinic
@CCF_PCCM
@RaedDweikMD
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There is nothing more satisfying than putting a subclavian CVC in transverse view with continuous needle visualisation
#fellowship
#PCCM
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Apparently my article made it to Twitter
@GallodeMoraesMD
@virenkaul
@vanholdenmd
@DrKPennington
@ngshah1
@ellenmarciniak
@AliGhaffarNMU
#pulmcc
In the EOLIA trial, early use of ECMO did not significantly improve mortality at 60 days in patients with severe ARDS, but when used as a rescue modality ECMO might help improve survival
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Time to start a
#belikeZonair
@ZonairKhanMD
is very hardworking and dedicated University Hospital PCCM is lucky to have him
@ZonairKhanMD
represents "tough love" to me.
Helping me recognize my areas of improvement during the first few weeks of PGY1, and mentoring me, he tried his level best to set me up for success. My first game-changing senior! 🌟
Zonair, brother, you will be missed! 😃
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My poster at P509 in area D, looking forward to some tough questions
@virenkaul
@GallodeMoraesMD
@DrKPennington
@gretchemaben
#AT2019
@JennieZhang12
@ngshah1
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Is lack of mortality benefit from mechanical circulatory support is due to delay in starting MCS? Do we need a “door to support time?”
#CHEST2018
#PulmCCEd
#MCS
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Soon to follow my infograph, to summarise the findings and the first look at the prediction score..... THANK YOU
@accpchest
#CHEST2019
for the opportunity, big shoutout to
@Chaeface
@virenkaul
@GallodeMoraesMD
and
@PendlKM
for their eternal support.....
#CHESTCritCare
.
@_MSAMEED
higher driving pressure pre intubation related to higher chance of extubation failure!
The systemic factors they looked at.
Being presented at
#CHEST2019
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My special shout-out to
@virenkaul
for brining us together
#ATSmemories
@atscommunity
@GallodeMoraesMD
@GarchaMed
@fjaffer88
@EmmGeezee
@KaminskiMed
@GrahamCarlos
@emily_fri
@Chaeface
@mwsharp5
@NitinSeam
@drdangayach
@PendlKM
@laxswamy
@anandiyermd
@atscommunity
@pallipulm
@GeriPulm
@jacepeabody
@TaylorBono
@UABPulmonary
@KathleenLindell
@GrahamCarlos
@jbricha1
@SGandotraMD
@nvhstewart
@ChrisWorsham
@guzelikay
@ChrisCarrollMD
@RaedDweikMD
@KaminskiMed
@basakcoruhUW
@DrMStiegler
@joshpauljolly
@KerriBerriKerri
@Jakob_McSparron
@AvrahamCooperMD
@leticiakawano
@RachelQuaneyMD
@emily_fri
@fjaffer88
@PendlKM
@_MSAMEED
@stevedoyle85
@grecoa3
@GarchaMed
Sharing joy Part 4
#ATSmemories
@atscommunity
w/
@GallodeMoraesMD
@arghavan_salles
@navithadev
@emily_fri
@NitinSeam
@mnballinger
@guzelikay
@e_m_larsson
.. have about 100 more photos. So will stop now, but please share some of yours and brighten my day!!!
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@CCF_PCCM
@ClevelandClinic
CCF fellows doing strong
@atscommunity
#ats2020
with their research
@FoxStevenW
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#PAV
resulted in higher rates of successful liberation from invasive
#mechanical_ventilation
, shorter duration of MV and
#ICU
stay compared to
#PSV
.
@MegriMohammed
@vaporidi
@virenkaul
@GallodeMoraesMD
@Huzaifahsmd
@M_Waleed__
@RobChatburn
@msiuba
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Excited about this channel from
@accpchest
, all
#Zentensivist
follow
@CHESTCritCare
, congratulations
@virenkaul
@GallodeMoraesMD
and
@crit_caring_MD
Hello everyone, welcome to
@CHESTCritCare
tweeter account!The content will be curated by your co-chairs
@crit_caring_MD
@virenkaul
and
@GallodeMoraesMD
and we would love to know what you want to see and appreciate any feedback.
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On service back
@CleClinicRespir
MICU and just finished ECCO2R cannulation as bridge to transplant. Cool
#hemolung
#fellowship
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Ideal place to run data for your oral session at
#CHEST2019
, 24 variables and 1879 patients, 2 years worth of data here we go.
#ScientologyTheAftermath
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1) Set goals and expectations day 1 of your rotation make 2-3 goals for yourself to get out of this block, also ask your staff what are their expectations from you. Every staff expects different things so getting a head starts allows you to set yourself for maximising learning
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3) Leading your team, fellowship is about learning to lead, while as a resident we get good at doing things, now we need to learn to supervise. Hard transition but a meaningful one
1
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Proud and lucky that I am going to be training at
@ClevelandClinic
@CleClinicRespir
A patient at the Cleveland Clinic left a heartfelt message on a glass door, detailing his appreciation for all the doctors and nurses who took care of him.
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Apparently acceptance without revisions is a thing.
@emireles_c
@medpedshosp
@hkc1980
#academics
grateful for this opportunity
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Join me in welcoming and following the Cleveland Clinic Respiratory institute
@CleClinicRespir
to Twitter
1
2
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Dr. Meng presenting our poster about Altmetric data in poster area 1 T141
@virenkaul
@fjaffer88
@PendlKM
#CHEST2019
#CHESTSoMe
0
1
11
I absolutely endorse this specially part about parking and support for exam fees. Kudos to
@ummidtownim
for free parking, lunch and paying for our ABIM exam fee.
APPLICANTS: reminder that you should strongly consider residency program perks in your rank list. Example: free & available parking, lunch stipends, educational resources, $ for exam fees, wellness days for appointments, and ability to plan some of your schedule).
#Match2023
22
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Honoured to presenting three original investigations on
@accpchest
#CHEST2019
; my 2 years of work on reintubation risk stratification as an oral session and a session on
#SoMe
mentored by none other than
@virenkaul
1
0
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A great point made by young
@BasimAlee
, proud to see such mature thoughts from such a young guy. You have a great feature and I am sure your words would resonate
@ProjectImg
@Inside_TheMatch
.
Unpopular opinion: Sharing your high USMLE scores on social media is not a good look.
#medstudenttwitter
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All mankind is from Adam, and an Arab has no superiority over a non-Arab nor a non-Arab has any superiority over an Arab;also a white has no superiority over a black nor does a black have any superiority over a white
#blacklivesmatter
#WhiteCoatsForBlackLives
#WeAreInThisTogether
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I absolutely agree that this is borderline exploitation (borderline since it isn’t illegal). It up-trended in the pandemic. There needs to be more open debate about it. While it may allow for career growth, the upfront cost in this time of inflation might just be too much…..
Unpaid research fellowships for IMGs should be illegal, working for 1-2 years without getting a salary on the off chance of matching and starting residency is borderline exploitation
#medtwitter
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Excellent step, I have made my share of mistakes when I applied as an IMG for residency, I am grateful to
@GallodeMoraesMD
and
@virenkaul
who mentored me much better when applying for fellowship; I would love to help any IMG applying for IM
#IMproud
In the coming few days/weeks, I will be tweeting about my experience as an IMG going through the
#NRMP
residency match. The goal is to shed light on the lessons I've learned & the mistakes I've made. I hope you'll find my comments helpful. Stay tuned
#MedTwitter
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Emory stole the show at the last minute hard luck
@ClevelandClinic
and well played
@UMich
#CHEST2018
1
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@virenkaul
speaks about the lung cancer conversation on twitter using hashtags
#LCSM
and
#LCAM
#CHEST2019
#CHESTPulm
@ChrisCarrollMD
@drdangayach
0
3
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Maybe the most important session I will ever present I’m scared of questions from
@GallodeMoraesMD
who might have had a sneak peek at the preliminary results.
@MayoPCCM
#CHEST2019
3
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Dr. Au presenting the importance of involving families in ICU
#CHEST2019
#CHESTCritCare
@natashasaburmd
poster
@ChrisCarrollMD
@virenkaul
1
2
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Great news, another vaccine showing substantial efficacy. Another win for science and congratulations to all the people involved. Great option for patients who show relevance about mRNA, this is a protein subunit vaccine.
#COVID19
#VaccinesWork
1
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Loved my time at Midtown, popped in a lot of procedures at the MICU; the program is fun and the residents are great and very collegial. Great program and more importantly everyone one is welcome ✊🏿 ✊🏾 ✊🏽
Come and join our family!
Learn about our categorical internal medicine and transitional year residency programs 👇
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Myth # 1
PSV trial is spontaneous - by definition a weaning trial done on Pressure support is assisted, in the study we show that even when turned to PSV - 0 different ventilators provide different levels of pressure support
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5) Find a mentor; not only to guide your research, but also career, trainee life and personal/professional growth
0
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Title: Physical Dynamics of the Cough Mechanism
Authors: B. B. Ross; R. Gramiak; H. Rahn
Pmid: 13271252
Article link:
As a fellow this might be my favourite article I have read, such a beautiful piece
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@accpchest
#Chestchat
Also getting an observer to provide feedback is sometimes hard to find 2/2
0
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Thank you
@ATC_Ventilator
for the beautiful thread.
#weaning
Conclusion: The endotracheal tube adds significant work of breathing that is tolerable only in patients who breathe quietly. A generalization of the statement "The endotracheal tube mimics the work of breathing after extubation" is not supported by evidence.
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RCT from ICU regarding ramped (elevation of HOB) Semler et al. 2017 did not improve SpO2 - do you elevates HOB for preoxygenation?
#CHEST2018
#pulmCCed
#airwaymanagement
0
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2) Ask for feedback, while some staff are excellent at feedback some might not go into granular details - as you set your goals at the start of the week of you don’t hear from your staff just ask me how did I do in achieving those goal….. getting good feedback is key to growth
1
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Dr. Jay Peters explains his strategy for ventilation of an asthmatic
#CHESTCritCare
#
#CHEST2019
@vanholdenmd
@Chaeface
@RaedDweikMD
@GallodeMoraesMD
0
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@accpchest
A3: Patient focus care starts from understanding your patient and communication is an important part of it. Hope to improve the time spent with the patient and not spending in front of a computer screen treat the patient not a disease
#CHEST2018
#PulmCC
0
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