Joined December 2012
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Not all hospitals are teaching hospitals. But they are all learning hospitals.
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ALT Frustration Angry GIF

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Max Hockstein retweeted
Why do ICU clinicians approach ventilation differently? The approach depends on how the lung is interpreted in real time. In this episode, Dr Rory Spiegel and Dr Max Hockstein explore both sides of APRV. Link in comments 👇
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Thrilled to announce that MIMIC-IV-Ext-CLIF is now available on physionet! Download today and accelerate your ICU data science- the Common Longitudinal ICU data Format (CLIF) consortium (1 M critical illness hospitalizations) will run any well coded project written using this resource!
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This week @TheLancet cover and link to their accompanying editorial thelancet.com/journals/lance…
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New study: Higher annual ECMO center volumes link to fewer pulmonary complications in VV, reduced hemorrhagic issues in VA and VV, but more mechanical complications in VA, dependent on center volume at ECMO start. 📊 #ECMO buff.ly/xc34gNl

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Nope. Just like pulse oximetry won’t replace a blood gas or echo hemodynamics won’t replace a RHC in certain situations, respectively.
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We’re pulling out all the stops to get back to normal service! ❄️ Meet the fire snake. 🔥🐍
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nyc subway goes america first
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Excited to share our work surrounding ACLS medications and neurologic outcomes in ECPR.
In ECPR, higher epinephrine exposure is linked to worse neurologic outcomes—medication effects may be unmasked by ECPR @NickJohnsonMD @csmfisher @JoeTonnaMD @maxhockstein @MedStarHealth @UofUHealth ahajrnls.org/45xykdq
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In ECPR, higher epinephrine exposure is linked to worse neurologic outcomes—medication effects may be unmasked by ECPR @NickJohnsonMD @csmfisher @JoeTonnaMD @maxhockstein @MedStarHealth @UofUHealth ahajrnls.org/45xykdq
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It's official: We are bringing the Commanders home to RFK and activating 180 acres of opportunity on the banks of the Anacostia River. We’re ready to deliver for our city—our businesses, our people, our project. 🔗tinyurl.com/SeptemberDCNewsl…
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The most on-axis shot (ever) is I think what @DavidWienerMD said. Pretty sure that's what he said.
Innovative, hands-on scanning education at #ASE2025 on #HCM from experts like @echoguru at our DIY sessions . Come to #ASE2026 for more of the same (you can't get this on YouTube). @ASE360
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28 Aug 2025
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Like the troponin, imaging, or risk scores, AI will make good doctors great and bad doctors worse. We use technology. Technology doesn’t use us. #ChatGPT
Was interviewed by @TIME magazine about chatGPT in healthcare and it got me wondering whether we’ve forgotten what doctoring really is - a human exercise married to science and trchnology. Anyway not sure when it’ll come out but interesting times indeed @CMichaelGibson @DLBHATTMD @scooperpr @pkothapalliMD
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17 Aug 2025
21. A hyperdynamic LV (“kissing” papillary muscles) on echo is not necessarily a sign of hypovolemia & should not reflexively trigger iv fluid bolus. Give yourself 1 mg of iv epinephrine and see what happens in your LV. Actually: don’t do it!
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5. A normal SBP or MAP doesn’t always mean adequate end organ perfusion
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Few tips for the CA-1s who just started: 1. Call for help early 2. If an LMA doesn’t sit well, replace it or intubate, otherwise you will be fighting under the drapes the whole case 3. If the IV is not running well or you think you need another one, get it at the beginning of the case 4. You can always give more meds, but you can rarely take away what you have given
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