PCCM doc, Director, Northwestern Medicine ILD Program. Lung Transplant physician, Louisville native, baseball super fan. Tweets/comments are my own

Joined October 2023
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Reminder for all young parents: You only get: - 1 Summer with your baby - 3 with your toddler - 9 with your child - 5 with your teenager This time is precious. Don’t rush it.
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#Lungcancer doesn’t follow the rules, but screening guidelines still do. Study from @AnkitBharatMD et al @NorthwesternMed shows that 65% of ppl Dx w LC wouldn’t have qualified for screening - a gap we can’t ignore. Women & ppl w no tobacco most impacted. jamanetwork.com/journals/jam…
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“Every physician carries within himself a small cemetery, where from time to time he goes to pray.” — René Leriche The guilt is real. Each name finds its place there, quiet and heavy. What surprises me still are the families who meet loss with gratitude—who somehow thank you through their own heartbreak. That grace stays with you far longer than the failure ever does.
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Idiopathic pulmonary fibrosis is a very very tough disease – the current drugs slow but do not reverse the decline in lung function These are early data (phase 2a) but Taladegib, a hedgehog pathway inhibitor, looks like it increases lung capacity and improves lung function
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19 Sep 2025
This will be absolutely devastating in the medical field. ~30% residents are international medical graduates & ~10k of 43k residency spots are filled by docs with H1-B visas. Previously the h-1B fee was <$5,000. No hospital will pay a $100k fee for a $55k resident salary.
19 Sep 2025
Trump signs an EO on H-1Bs raising "the fee that companies pay to sponsor H1-B applicants to $100,000"
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Join us on October 17 for the fourth annual Canning Thoracic Institute Symposium in downtown Chicago. This event is approved for six AMA PRA Category 1 Credits and MOC points. This symposium will bring together distinguished experts to discuss a range of topics on interstitial lung disease, interventional pulmonology and thoracic surgery, obstructive lung disease and chronic thromboembolic pulmonary hypertension. northwestern.cloud-cme.com/c…
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28 Aug 2025
RFK Jr uses long scientific sounding words and talks very confidently. He is therefore able to convince many that he knows what he is talking about. But to actual experts it's very obvious he hasn't got a clue. A sophisticated and successful con man.
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29 Jul 2025
Amazing group to be a part of, happy to be a small piece of the puzzle here. Great academics, great education and great people to be around. #CTI
The Northwestern Memorial Hospital Pulmonology and Lung Surgery Program has been ranked No. 7 in the nation by U.S. News & World Report, 2025 – 2026. Thank you to @NM_Lung team for your commitment to advancing lung health. breakthroughsforphysicians.n…
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Breathe: Idiopathic pulmonary fibrosis and progressive pulmonary fibrosis are characterised by progressive fibrosis and share common pathophysiological pathways that have led to the study of promising new therapeutic targets. bit.ly/3RdJRqA
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We give thanks for a great #Jesuit, Fr. Albert J. Bischoff, SJ, who has gone home to God. He joined the Society of Jesus at age 52, after serving as a priest in the Archdiocese of Cincinnati for more than 20 years. As a Jesuit, he served as associate pastor of St. Ignatius Parish in Chicago, a campus minister at @BrebeufJesuit, and in campus ministry at @XavierU for over 25 years. jesuitsmidwest.org/memoriam/…
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15 Jun 2025
Unbelievable stifling of science and education for no reason. This affects not just the scientists but every employee of the univ and hospital. Let me be clear. Every patient cared for by a Northwestern physician will be affected by this nonsensical slashing of awarded funds.
Seems odd that the administration is just canceling funding to Northwestern for no explicable reason. Why Northwestern? wsj.com/us-news/education/no…
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ERJ Open Research: Variants of SFTPA1 and SFTPA2 are involved in interstitial lung disease and lung cancer. Penetrance for the first event is 50% at 60 years old, rising to 89.3% at 80. Penetrance for lung cancer reached 50% at age 80, earliest case diagnosed at age 30.
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18 Apr 2025
I really hope that this is not accurate and journals are left alone - without political pressure - to decide what they publish and what they don't Is this true @accpchest ? #foamed #foamcc #meded #MedTwitter
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Thanks to the incredible work of our Northwestern Medicine Black Lung Department, a recent outreach event connected our team with over 200 coal miners. We heard powerful stories of how NARCAN has helped save lives in their communities, and many miners began the U.S. Department of Labor Black Lung exam process. These exams can be repeated every two to three years.
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More highlights from @journal_CHEST @accpchest @ChrisCarrollMD #MedTwitter 🚨 RCT in ICU patients with severe CAP! Can adding metagenomic next-gen sequencing (mNGS) of BAL fluid improve clinical outcomes? Let’s break down this game-changing multicenter trial 🧵👇
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How Chicago’s River Turned Irish Green - Honoring St Patrick’s day (1/2) Chicago River, first dyed green on March 17, 1962, ahead of the St. Patrick's Day parade, idea sparked by Stephen Bailey, business manager of the Chicago Journeymen Plumbers Local Union 130. Practice traces back to 1961, when Bailey noticed a plumber’s white coveralls stained bright green from a dye used to detect sewage leaks in the river. This dye, originally employed during Mayor Richard J. Daley’s efforts to clean up Chicago’s polluted waterways in the 1950s, inspired Bailey to propose a grand gesture for the holiday. With Daley’s blessing—a fellow Irishman from Bridgeport who initially dreamed of dyeing Lake Michigan green—the plumbers dumped 100 pounds of the dye into the river in 1962. The result was a vibrant green hue that lasted a full week, far exceeding expectations and cementing a new tradition. One quirky tale involves the original ambition to dye Lake Michigan. Daley, a consummate showman, was talked down to the more manageable river by practical minds, including Bailey, who saw the plumber’s stained clothes as a lightbulb moment. Interestingly, it took a lot of trial-and-error in the early years: that first 100-pound batch in 1962 was excessive, turning the river green for days longer than intended. By 1963, they reduced it to 50 pounds, and today, the recipe has settled at 40 pounds, lasting about 5-6 hours—or up to 48 hours with little wind or rain. A standout moment came in 2016 when the river broke tradition: Tom Rowan, a veteran dyer, led the crew to turn it blue to celebrate the Chicago Cubs’ World Series win, a rare departure from the green norm. The process itself is theatrical—two boats, one dropping the dye, another stirring it with a “Mixmaster” churn—performed by descendants of the Rowan and Butler families, who’ve guarded the tradition for decades. #ChicagoRiver #StPatricksDay #GreenRiver #IrishPride #WindyCity … contd below
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18 Feb 2025
Just seeing this post and haven’t read the paper but I must say, another article from the GOATs at the Hines VA that challenges commonly held beliefs because they just don’t match what we experience in the ICU. Thanks Drs Jubran, Tobin and Laghi. #pccm
Really interesting study & editorial on mech ventilatory support Often instituted when we observe high work-of-breathing under the assumption this will help air hunger - not necessarily. Low tidal volume vent is probably a bad idea in patients without ARDs (bc torture is bad)
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26 Dec 2024
Best new wristware I could imagine, thanks @oriswatches and Libby (by way of @taylorswift13). Merry Christmas #ILD family!
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15 Dec 2024
Pulmonologist: do you have any exposure to wild birds? Patient: umm…
This dude took bird watching to the next level
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The Avg been to 8 of these places. What's your number? Me 21
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