Andri

just ordinary anesthesiologist....

[Andri @Andriqiu]

@Wardana27631622 @keluhkesahkonoh Taksi koperasi ni... mana biayanya suka nambah ga ngotak.

[Andri @Andriqiu]

@pertamina135 baru saja dari spbu ini, saya mau isi pertamax, cuma boleh tunai. Jadi harus cari spbu lain. Tolong dong

[Andri @Andriqiu]

@gramedia Mauuu

[Andri @Andriqiu]

@CommuterLine apakah comm line dari stasiun kramat ke tanah abang langsung atau tukar rangkaian di stasiun kampung bandan ya...

[Andri @Andriqiu]

@CommuterLine apakah kramat ke tanah abang bisa langsung kak? Ada jadwal nya kah?

[Sergio Moreno M @Serginho1409]

Review
How can common errors in left heart echocardiography be avoided? https://t.co/1Jm8ACs3dt #Echofirst #echofirst #Cardiology #cardiophile #MedEd

[Josh Farkas MD 💊 @PulmCrit]

New blog: Fresh dueling guidelines about post-arrest care from the AHA & ESICM

💔 BP & O2 targets
💔 Who needs emergent cath?
💔 pan-CT scans
💔 temp targets
💔 neuroprognostication

Which guideline do I love? 😍 You'll have to read the post to see

https://t.co/pvURD9zg53

[The Touchline | 𝐓 @TouchlineX]

🚨 𝗡𝗘𝗪: Lamine Yamal before El Clásico:

• He posted a controversial story on IG

• He posted all his goals against Real Madrid on IG

• His father went live saying: “I cook them here and my son cooks them there.”

• He got a new haircut just for El Clásico.

• He mocked Real Madrid with streamer Ibai Llanos, saying: “I've already scored at the Bernabeu. The last time I went there, I won 4-0!”

He ended up El Clásico with 0 goals, 0 assists, 0 shots on target and lost possession 21 times.

[NephroPOCUS @NephroP]

#POCUS #VExUS
New study explores intrarenal venous flow (IRVF) patterns and fluid removal in critically ill patients - an interesting effort, though with several gaps.
However, the conclusion carries a high risk of misinterpretation:
“Discontinuous IRVF patterns at baseline were significantly associated with fluid removal success, representing a physiologically based marker for deresuscitation readiness.”
Does that mean we should wait for the IRVF to become discontinuous before starting to remove fluid?!
🔗doi: 10.1186/s13089-025-00447-z. PMID: 41051454

[Corrado Fiore @fiore_corrado]

🔥Check out our new paper on “3D assessment of mitral valve in clinical pratice” published in European Heart Journal - Imaging methods and practice @alessia_gimelli

Thank you Prof Patrizio Lancellotti @cardiopole for opportunity and @TommasoViva for collaboration!

👉https://t.co/EuFtUGG0US

[Ahmed Mohsen @drahmedmohsen85]

🫀 Top #Echocardiography Apps for cardiologists 📱

1️⃣ ASE Echo Guide
🔗 https://t.co/bZYzV9XLEG

2️⃣ BSE Echo Calc
🔗 https://t.co/Ol8lJrOhLA

3️⃣ Echo Cardio Notes
🔗 https://t.co/VPNr79HRPU

4️⃣ Echo Companion
🔗 https://t.co/Pp0vEMCr5z

#Cardiology #Echo

[Philippe Rola @ThinkingCC]

Essentially Magder’s curve of the RV here (blue line), but flip the axes

[Jakub Patryn @Ostratrzustka]

@ThinkingCC https://t.co/0tpPLnR2GU

Can we say that this is identical to Sunagawa's mathematical derivation? Section "Quantitative representation of cardiac output curve by expansion of ventriculo-arterial coupling"

[Dr Dave Cartland BMedSc MBChB Ex-MRCGP @CartlandDavid]

From FB: I know the exact pressure it takes to crack a rib during CPR. But last Tuesday, I learned a patient’s silence can break a doctor’s soul.

His name was David Chen, but on my screen, he was "Male, 82, Congestive Heart Failure, Room 402." I spent seven minutes with him that morning. Seven minutes to check his vitals, listen to the fluid in his lungs, adjust his diuretics, and type 24 required data points into his Electronic Health Record. He tried to tell me something, gesturing toward a faded photo on his nightstand. I nodded, said "we'll talk later," and moved on. There was no billing code for "talk later."

Mr. Chen died that afternoon. As a nurse quietly cleared his belongings, she handed me the photo. It was him as a young man, beaming, his arm around a woman, standing before a small grocery store with "CHEN'S MARKET" painted on the window.

The realization hit me like a physical blow. I knew his ejection fraction and his creatinine levels. I knew his insurance provider and his allergy to penicillin. But I didn't know his wife's name or that he had built a life from nothing with his own two hands. I hadn’t treated David Chen. I had managed the decline of a failing organ system. And in the sterile efficiency of it all, I had lost a piece of myself.

The next day, I bought a small, black Moleskine notebook. It felt like an act of rebellion.

My first patient was Eleanor Gable, a frail woman lost in a sea of white bedsheets, diagnosed with pneumonia. I did my exam, updated her chart, and just as I was about to leave, I paused. I turned back from the door.

"Mrs. Gable," I said, my voice feeling strange. "Tell me one thing about yourself that’s not in this file."

Her tired eyes widened in surprise. A faint smile touched her lips. "I was a second-grade teacher," she whispered. "The best sound in the world... is the silence that comes just after a child finally reads a sentence on their own."

I wrote it down in my notebook. Eleanor Gable: Taught children how to read.

I kept doing it. My little black book began to fill with ghosts of lives lived.

Frank Miller: Drove a yellow cab in New York for 40 years.
Maria Flores: Her mole recipe won the state fair in Texas, three years running.
Sam Jones: Proposed to his wife on the Kiss Cam at a Dodgers game.

Something began to change. The burnout, that heavy, gray cloak I’d been wearing for years, started to feel a little lighter. Before entering a room, I’d glance at my notebook. I wasn’t walking in to see the "acute pancreatitis in 207." I was walking in to see Frank, who probably had a million stories about the city. My patients felt it too. They'd sit up a little straighter. A light would flicker back in their eyes. They felt seen.

The real test came with Leo. He was 22, angry, and refusing dialysis for a condition he’d brought on himself. He was a "difficult patient," a label that in hospital-speak means "we've given up." The team was frustrated.

I walked into his room and sat down, leaving my tablet outside. We sat in silence for a full minute. I didn't look at his monitors. I looked at the intricate drawings covering his arms.

"Who's your artist?" I asked.

He scoffed. "Did 'em myself."

"They're good," I said. "This one... it looks like a blueprint."

For the first time, his gaze lost its hard edge. "Wanted to be an architect," he muttered, "before... all this."

We talked for twenty minutes about buildings, about lines, about creating something permanent. We didn't mention his kidneys once. When I stood up to leave, he said, so quietly I almost missed it, "Okay. We can try the dialysis tomorrow."

Later that night, I opened my Moleskine. I wrote: Leo Vance: Designs cities on paper.

The system I work in is designed to document disease with thousands of data points. It logs every cough, every pill, every lab value. It tells the story of how a body breaks down.

My little black book tells a different story. It tells the story of why a life mattered.

[Andri @Andriqiu]

@mediaindonesia salalh ketik di seluruh artikel. Yang dimaksud adalah FISI nuklir, bukana FUSI nuklir. Mohon dikonfirmasi pada ahli fisika kata2 dalam artikel ini.

[Media Indonesia @mediaindonesia]

Dunia energi kembali dikejutkan dengan temuan baru dari seorang fisikawan Amerika Serikat. Ia mengungkap bahwa limbah nuklir ternyata bisa didaur ulang menjadi tritium https://t.co/2zQCjABoEX

[Media Indonesia @mediaindonesia]

Dunia energi kembali dikejutkan dengan temuan baru dari seorang fisikawan Amerika Serikat. Ia mengungkap bahwa limbah nuklir ternyata bisa didaur ulang menjadi tritium https://t.co/2zQCjABoEX

[SrivatsaNagachandan @Srivatsa34]

🔟 Ten Commandments for Intensivist (ICU wisdom continued… )
1.Hemodynamics is not numbers, it’s physiology — A MAP of 65 in one is shock in another.
2.Never trust a single parameter — Heart rate lies, CVP lies, even lactate lies. Look for the orchestra, not the soloist.

[Ashley Miller @icmteaching]

🧵 What is Critical Closing Pressure — and why does it matter for perfusion?

A thread to clear up one of the most misused and misunderstood ideas in circulatory physiology.
👇

[Ashley Miller @icmteaching]

🧵 "What really determines tissue perfusion?"

– and why most explanations get it wrong.

Let’s sort out MAP, CVP, CCP, autoregulation, vasopressors, and the flow that actually reaches your organs.
👇

[IMCrit @IM_Crit_]

The American Thoracic Society (ATS) updated its recommendations on some aspects of the diagnosis and management of community-acquired pneumonia (CAP)