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A reminder that every time you brush off of the death of a child from Covid-19 because they had 'underlying health conditions' you are talking about someone like me. 25yrs on, I'm alive and healthy. Kids with illnesses are not "expendable" nor are they all "going to die anyway"

Flight Attendant: Is there a doctor on the plane? Me: sure, I'm an ICU doc. FA: oh great you can do anything! Me: absolutely. Just grab the ICU nurse, RT, pharmacist, PT, social work, all of my medical & surgical consultants, oh and I need a vent ultrasound CRRT and

Kids with disabilities and medical complexity are more vulnerable to Covid. When a child dies from a preventable disease, their underlying condition isn’t an explanation for their death. It’s an illustration of our failure to protect them. #GetVaccinated #FollowPublicHealthRules

Some of y'all really have no idea how many vaccines go into enabling you to live past age 5.

What if the reason why we're all burned out is because the productivity norms of our profession are based on white men whose wives who took care of everything from cooking to copyediting for them a century ago?

The medical system has been around for ages, adores empathy and compassion, + loves the word "Wellness" but does little to promote its action. It fails to support adult learners, infantilizes us and is incredibly slow to evolve despite our plea to do so. 3/5

Alexsandra Nilges If you do vanc zosyn someone will say the AKI is from antibiotics and not septic shock. If you do vanc cefepime flagyl someone will say the AMS is from cefepime and not from septic shock.

In 2019, I was a CVICU patient in cardiogenic shock due to fam cardiomyopathy. Had to get a heart transplant! This week, I’m a doctor in a CVICU. Got my Crit Care Medicine #fellowship diploma, & have a few shifts left. 🥹 Huge thank you to my #organdonor for this. #donatelife

Dr. Meghna Patel presenting her cutting edge research on immune profiling in heart failure & VAD patients. Beyond BNP to the potential biomarkers of the future? #PCICS22

Dr. Dave Kwiatkowski discussing the PC4 NEPRON collaborative’s work on peritoneal dialysis and impact on fluid balance in high risk post-op neonates. #PCICS22

So, how was your call night? Dr. Brian Han discussing day vs night shift provider and RN staffing and the impact on outcomes for high-risk events (cardiac arrests, ECMO cannulations). #PCICS22

Low Cardiac Output Syndrome breakout session has been fantastic. @pproeleveld sharing insights into timing of the ‘MO. Tough dilemma for many of us, exciting to hear other thoughts and his deep dive. #pcics22 PCICS

Dr. Atim Ekpenyong presenting on the use of POCUS in resuscitation at #PCICS22. Video showing the “jumping jelly bean” appearance of a heart compressed by a very large effusion 😳

Now as a "mid-career" peds intensivist I find myself often repeating the same axioms/directives to my residents. I put these 16 rules up on the unit. For my #PedsICU friends, what rules do you use? some rules wouldn't fit in 1 tweet. #MedTwitter A🧵

“You’re going to save more lives being thorough than being clever”

For male academics (who are 4x more likely to have a partner at home doing domestic care), the start of the COVID pandemic was a publishing boon. Of the 45 most prolific medical journal authors (60+ papers) during the 1st 18 months, just 5 were women. bmj.com/content/381/bm…

Provocative session on rethinking HLHS WCPCCS2023 One area of agreement: feed the babies! #WCPCCS2023

Pumped to start out a weekend call with this amazing group of women providers in the PCICU! CCF PICU Fellows Cleveland Clinic Children’s

To me, the most valuable thing about training at a number of different places is learning how little of what we do actually matters. Meaning there are lots of ways we can manage something to achieve a positive outcome