“How then can we reconcile the concept of ‘letting go of the outcome’ with our fundamental desire and commitment to making patients feel better and live longer?”—Bhagavad Gita, Dichotomy of Control, and Metric Medicine: The Conflict of Burnout, out in EHJ.
Elated to take on the role of Medical Director of Clinical Research for Regional Cardiovascular Medicine at the
@ClevelandClinic
; thank you, Dr.
@UmeshKhotMD
, for bestowing the trust & entrusting me this opportunity; we have a unique chance to construct a learning health system.
Three years since I graduated from last fellowship at
@MethodistHosp
; I received this official letter from our Dean at
@CWRUSOM
today; most sincere & heartfelt thanks to my mentors who believed in me; for those who haven’t, thank you too for keeping the 🔥;
#AssociateProfessor
#COVID
ー19 and the healthcare workers: Lessons from the
#BhagavadGita
; out now in
@escardio
@oxfordpress
. Thank you to
@TomLuscher
and Andros Tofield for their progressive mindset to get this published expeditiously in the European Heart Journal.
It is hard to succeed as a professional woman. I see my wife who’s an ophthalmology resident, a mother of a 2.5-year-old toddler boy, and blessed us with second son this week (yes; Santa came early for us). Men have it easier than women at every step of the ladder; we need change
Disclaimer: Long Thread (and my wife is truly the better half for not being on social media)
Friday, June 17, 2022 marked a landmark day for the Kalra family. Kunal, my wife, graduated from her (second)
#ophthalmology
residency from
@CWRUSOM
in Cleveland, Ohio; the first was 1/
Seeing my patient’s
#LV
systolic function improve from 16% to 55% within 6 months following concerted effort to initiate quadruple backbone of beta-blocker,
#ARNI
,
#SGLT2i
, and
#MRA
is as satisfying as primary angioplasty and stenting for
#STEMI
from plaque destabilization.
My father, Dr. Ram Narain Kalra, cardiologist and medical director of Kalra Hospitals (and the hardest working man I know), was awarded the (richly deserved) Lifetime Achievement Award by Delhi Medical Association (
@delhimediasso
). Congratulations, Papa! We are very proud of you.
I received a very special birthday (Oct 16) gift in the email earlier this week on Oct 19, by our Institute Chairman, Dr.
@LarsSvenssonMD
! Thank you, kindly, for this acknowledgment and honor. The Sones-Favaloro Award is the most prestigious award at the
@ClevelandClinic
HVTI.
These are pictures of my medical school in Shimla, Himachal Pradesh, India—the Queen of Hills & the summer capital of British India; Himachal Pradesh is a northern state in India, situated in the Western Himalayas. These photos were taken by Dr. Merwaha, a faculty member.
Haven’t acknowledged this enough in public, but I ought to. My wife, Kunal, has toiled incredibly hard and made intangible sacrifices to see me (and us) where I’m at in my career today (and us as a family unit). She’s been our silent warrior; took a back seat after having... 1/
In a novel analysis of data from
@AAMCtoday
, we systematically report, for the first time, an association between cardiovascular disease fellow and program director race. Our findings are published now, online first in
@JACCJournals
#JACCAdvances
.
#OneIUCV
Super excited for my younger brother (Dr. Ankit Kalra) to have passed the arduous theoretical cardiovascular medicine National Board of Examination boards in India! We’re now a family of three board-certified cardiologists (father and his two sons). Priceless!
Aaloo Ka Parantha (whole wheat bread stuffed with potatoes, green chilli and coriander), Dahi (freshly strained yogurt) aur (and) Aam Ka Aachaar (mango pickle) for breakfast. Mrs. Kalra’s Kitchen is in top form this weekend!
#PunjabiBreakfast
#PurePunjabi
#PubjabisLoveTheirFood
Madam
@ACCinTouch
President, Dr.
@ditchhaporia
at the Times Square in New York City—what a moment for
#SouthAsians
; also a keynote photograph for highlighting the scourge and burden of atherosclerotic vascular disease & coronary artery disease in
#SouthAsians
. Let’s seize it!
Dear manuscript writers, please use the phraseology, “compared with,” in place of “compared to.” Earnest and sincere most request, yours truly, the Oxford comma guy.
Pregnancy-Associated Myocardial Infarction: A Review of Current Practices and Guidelines—A multidisciplinary publication with perspectives from cardiac anesthesia, cardiac surgery, interventional cardiology, maternal fetal medicine, and obstetrics.
An experience I wish on no parent. Thank you,
@CleClinicKids
& Drs. Hani Najm,
@ShaanAmdani
(pediatric cardiologist), Julie Niezgoda (pediatric cardiac anesthetist), and Elizabeth Hellerstein (former pediatrician) for taking such great care of our family.
In the months leading up to his son’s heart surgery,
@AnkurKalraMD
had to reconcile a doctor brain with father fears. Our latest Off Script blog on
@TCTMD
After the
#MedBikini
campaign provoked by a misogynistic study that scrutinized female doctors’ social media posts, this week’s
#Parallax
episode (Ep
#32
) w/👸🏻
@DrMarthaGulati
is about creating a safer environment for female healthcare professionals.
World-class
#chicken
#biryani
(Basmati rice slowly simmered with tender chicken marinated with coriander, herbs, mint and spices) served with cucumber
#raita
(freshly strained yogurt spiced with black pepper and cumin); Mrs. Kalra’s kitchen has hit a purple patch during
#lockdown
Hands down the most incredible India-Pakistan match I’ve watched in years; will go down in the books as the most dramatic run chase—arguably the greatest!
@imVkohli
—you are the 🐐. Melbourne has witnessed history.
#T20WorldCup2022
#INDvPAK
#ViratKohli
Sharing failures is equally important; my list of failures is longer than my list of successes. This was my last year of applying for this esteemed honor, & I didn’t make it. I sincerely thank my mentors who’ve supported me for the past 3 years for this
@ACCinTouch
award & honor.
“Education is not filling of a pail but the lighting of a fire.” — William Butler Yeats; Kalra Junior’s natural traction to this particular enriched textbook, edited by Dr.
@tavrkapadia
, is a moment worth immortalizing; a
@CardioNerds
in the making.
Children are such beautiful teachers of how to live a simple, skillful, and goal-oriented life. Their focus on a specific task is unparalleled, their resolve to get it accomplished a sign of perseverance, and their ability to have at it despite innumerable failures a message 1/
You can take Indians out of India; you can’t take India out of Indians. Happy 73rd Independence Day, Mother India. We love you! तुझमें रब दिखता है, यारा मैं क्या करूँ (in you, I see God).
First
#TricValve
(transcatheter bicaval valves system) implantation in the 🇺🇸 performed by Dr.
@tavrkapadia
Sir and my brother, Dr. Rishi Puri, both at
@ClevelandClinic
—congratulations! Recalcitrant right-sided heart failure due to severe tricuspid regurgitation is an unmet need.
Diagnosing acute pulmonary embolism when paged 📟 for cardiac catheterization laboratory activation for suspected inferior
#STEMI
is priceless; pointers to diagnosis: a) presenting symptom: acute-onset shortness of breath; b) initial rhythm:
#PEA
; c) 12-lead
#ECG
: S1Q3T3
#FOAMed
The monk replied, ‘Most importantly, I learned the value of only staying focused to one's own intended action; the Bhagavad Gita calls it Karmayoga. If we can all train ourselves to say what we think, and do what…” The physician and the monk, out in
#EHJ
.
Not often do we find individuals who match the intensity & the passion for clinical investigation, yearn to improve themselves with every manuscript, & quite frankly, end up teaching their mentors. It has been my honor & privilege to be part of your journey,
@Ashish_Kumar_MD
. 🎉
Received this heartfelt
#thankyou
greeting card earlier this week from the wife of a deceased patient I was involved with in
#endoflife
#decisionmaking
. On a late Friday afternoon as I was winding down, I took the time after work to call her and thank her, and let her know 1/
One of the first things painted by the young Mike Gibson, today Professor of Medicine at Harvard, researcher and interventional cardiologist, was a cloud. Years later while painting angiograms, Dr. Gibson came up with the idea of myocardial blush. 1/
Blessed to have led this with my spiritual teacher, mentor, friend, & colleague, the inimitable Dr.
@ChinnaiyanMD
—no one else can write this better than her, in my humble, professional opinion. Heart, Mind, & Soul: Spirituality in Cardiovascular Medicine.
Is psychological, social & economic stress associated with
#COVID
ー19 pandemic associated with the incidence of stress (
#Takotsubo
) cardiomyopathy? Find out the answers in our
@ClevelandClinic
original investigation, out now in
@JAMANetworkOpen
.
Blessed & thankful on this
#Thanksgiving
to be among 22
@ClevelandClinic
Heart, Vascular & Thoracic Institute staff awarded the historic & prestigious (F. Mason) Sones + (René) Favaloro Award; deeply cherish & value the plaque, sitting next to 200th
@NEJM
Essay Winner Cup (2012).
As a direct extension of the Heart, Vascular and Thoracic Institute
@ClevelandClinic
Main Campus
#TAVR
program, under the leadership of Drs. Kapadia, Svensson and Khot, we started the first regional
#TAVR
program at
@MyAkronGeneral
in 2019. Today, we are a year old.
Schadenfreude: Does the desire to succeed at all cost result in a detriment to the individual’s soul? Thank you,
@AkhilNarangMD
for convincing us to write this. And thank you, European Heart Journal (
@OUPAcademic
) for having the courage to publish this.
the bedrock of sacrifices women make. In comparison to what she’s done to support my career, I feel I haven’t contributed much of anything. However, I will strive hard to support her through her residency.
#HeForShe
/Fin
#CardioTwitter
—kindly opine upon the following case (shared with permission); 71-yo South Asian, physically-active, asymptomatic man; HTN; non-DM; one-off episode of angina following cold exposure (has remained asymptomatic otherwise); high calcium score prompted the angiogram.
Extremely distraught reading the turn of events in
#NewDelhi
,
#India
; not the city I know; not the country I know; the true
#Delhiites
do not endorse this face of my home city and our capital. We are and will always be a
#secular
,
#sovereign
nation.
It’s a good day when Reviewer
#2
(for a top tier journal) first comment is “well thought out paper, extraordinarily well written”—wish it were like that for every paper. Thank you, Reviewer
#2
.
Kicking off 2021 with our original investigation re: relation of malnutrition to outcome following orthotopic heart
#transplantation
; 2012-2015; 7,940 ❤️ transplants; 19.1% malnourished patients— ⬆️ in-hospital mortality, requirement of
#MCS
, cost & LOS.
Happy Mother’s Day to the fabulous women in our lives; they are the true foundation of our lives; our silent warriors; our unsung heroes. We love you; you’re irreplaceable, revered, and we’re even existential because you brought us into this world (Circa 1980s: Mommy and I)
@ErinMichos
Thank you,
@ErinMichos
! I am a foreign medical graduate, & I can vouch the struggle is real. However, a simple mental tool to beat the “struggle” is to have no expectations from anyone, & let one’s work speak for itself. I’ve chronicled my own here ().
Celebrating the birth of the great text,
#BhagavadGita
, today. There is not a single situation (that we all may encounter at some point in our lives), that isn’t dealt with in this great text. It has the answers to all the questions; our purpose, our destinies, our happiness.
Introducing the book cover mock of my upcoming poetry book titled, “Ibadah,” slated for release on 02.14.2020. I’m grateful to Dr.
@ChinnaiyanMD
for writing a beautiful foreword, to
@Thisbhanu
for her riveting synopsis, & to Vyana Novus-Magee for her art manifestations for words.
Three years ago, on this day,
@radcliffeCARDIO
#Parallax
Episode 1 was broadcast. Fast forward three years, we’ve hosted 70 guests, have 3000 minutes on air, & are downloaded in over 50 countries with over 60,000 downloads for 65-odd episodes. The icing on the cake is that… 1/
Elated to share that the Section of Invasive and Interventional Cardiology at the Department of Cardiovascular Medicine at
@ClevelandClinic
will be represented at
@CRT_meeting
2021. Details of the late-breaking trial sessions will soon be made available—thanks Dr.
@tavrkapadia
!
#Parallax
Ep 36; we speak with newly-nominated US Cardiology Review board members, Dr. (Assoc. Prof.)
@ErinMichos
& Dr.
@DBelardoMD
to talk about how we can turn talk into action—we discuss gender disparity in the leadership of academic journalism. 1/
In this pilot study in
@IndianHeartJ
,
@docmohitgupta
et al. conclude shorter telomere length among young, non-diabetic, non-smoker MI patients compared w/young controls without MI in a South Asian cohort. Telomere length may be a potential screening tool.
In this network meta-analysis of 6 RCTs comparing antithrombotic strategies post
#TAVR
, Mahalwar et al. report SAPT as the preferred antithrombotic regimen compared with other regimens in patients who do not have other indications for anticoagulation.
The most contemporary analyses on dual antiplatelet therapy (
#DAPT
) duration post percutaneous coronary intervention (
#PCI
), out now in
@CircAHA
. Terrific effort and perseverance by
@safinmc
; & a great personal learning experience to co-lead w/
@DLBHATTMD
.
Anytime your mentor (who happens to be a giant in cardiovascular medicine), someone whom you’ve looked up to and tried (failingly) to emulate through all these years, acknowledges your effort, it is priceless & special. As a mentee, you live for these moments; 🙏 Dr.
@DLBHATTMD
.
My former attending physician (and current mentor), Dr.
@CMichaelGibson
, showered some of his stardust on me. Thank you, Sir! My first poetry book released during the pandemic,
@ibadahthebook
, has been featured in the
@latimes
! Thank you,
@makedaeaster
!
#Parallax
Ep 57
#Diwali
special with my long-time friend and now colleague extraordinaire, Dr.
@ambarish4786
; from our time together at the
@aiims_nd
to his current appointment at
@UTSWNews
, we discuss his blossoming career as a physician👨⚕️ investigator🕵️.
Congratulations to our mentor, Dr.
@DLBHATTMD
(at
@BrighamWomens
), for this well-deserved honor, and for allowing me to be a part of his cover story in
@ACCinTouch
’s Cardiology Magazine! We love you, Dr. Bhatt!
Pretty impressed by unique sessions planned for
@ACCinTouch
#ACC2022
–Art with Heart: Tales of Creativity in Cardiology (
#Parallax
) and The Spiritual Art of Healing (
@ibadahthebook
) both being featured… amazed, floored, honored! Thank you, Drs. Pamela Morris and
@DougDrachmanMD
!
To teachers who’ve taught me immensely, Happy Teachers Day (Sep 5), Drs.
@DLBHATTMD
,
@tavrkapadia
,
@n_kleiman
, Reardon,
@virani_md
, &
@WilliamZoghbi
. Teachers Day is celebrated in 🇮🇳 to mark Dr. Sarvepalli Radhakrishnan’s birth anniversary, India’s 1st vice-president (1952-1962).
Dear
@WhiteHouse
and
@CDCgov
, this
@BMJ_Open
randomized controlled trial (yes, the gold standard of evidence in Medicine) unequivocally showed that cloth masks (read “bandanas”) don’t work in curbing the droplet spread of viral infection.
#droppedthebar
What is the effect of vegetarian diet on ischemic heart disease & all-cause mortality? Vexing topic; observational data; ambiguous definitions; confounding—yes, there are inherent limitations to these analyses. Yet, they’re practice-informing—in
@AJPCardio
Combating sedentary time in the
#echofirst
laboratory; benefits of treadmill workstation noted were less low back pain, improved mood, improved sleep, increased focus & attention at work, less stress, increased productivity & increased energy level. EHJ: .
Largest meta-analysis (to date) on this topic; 86 studies; 459,755 patients; exceptional effort by Matt Lee, Kieran Docherty & Naveed Sattar; grateful to be included in this effort with Dr.
@Neil_Mehta
; & finally a paper with the prolific
@mvaduganathan
.
Every human who has ever been impacted by decades of tension & bloodshed in
#Kashmir
must watch this film. Constitutional. Detailed. Educational. Fact-checked. Emotional. Relevant. Impactful.
@yamigautam
must get the National Film Award for this act. Applause. Wow!
#Article370
Last year, on Valentine’s Day, 2020, I had the immense fortune of launching my first poetry book,
@ibadahthebook
, in collaboration with
@ClevelandClinic
Arts & Medicine Institute. As we turn a new leaf into 2021, we’ve put together this video/book trailer, celebrating its 1 year.
Quite frankly the best animation series India may have ever produced; my boys are hooked (so am I)! Thank you for this treat,
@DisneyPlusHS
.
#TheLegendOfHanuman
—do not miss this one!