Chris Streiler, MD

Husband, father, son, brother, doctor, cat lover, and Stl Cards fan. PCCM, ILD doc,and PCCM Fellowship PD at University Health/UMKC. Tweets🚫medical advice

[Chris Streiler, MD @CStreiler]

@Pricerrors Got it at 9:53 central. Thanks!

[Chris Streiler, MD @CStreiler]

@rmohty QID??? You don’t play around!

[Chris Streiler, MD @CStreiler]

@khaledzeid In addition to autoimmune process.

[Chris Streiler, MD @CStreiler]

@khaledzeid The pattern appears to be a fibrotic NSIP. The question was likely what side of her body does she usually sleep on. My guess is right based on the significantly worse disease on right. She likely has aspiration/reflux (silent or otherwise) overnight.

[Chris Streiler, MD @CStreiler]

@ParijatSen11 @NicoGagelmann This is really well said! Couldn’t agree more. ER a close third.

[Chris Streiler, MD @CStreiler]

@TPP_MD I hope only people who could truly afford the loss are affected, but I’m sure that’s not the case. I was very tempted to get into things like this but decided the risk of total loss wasn’t worth it. I’ll stick with index funds. Unlikely all USA companies go to 0 all at once.

[Chris Streiler, MD @CStreiler]

@ross_prager I think these are all really excellent and thoughtful. My concern with #1 is the generalizability to all comers to the ICU. The issue being is that patients don’t present to hospital uniformly at time 0. Some would get source control at hour 3 of illness and some at day 3.

[Chris Streiler, MD @CStreiler]

@bschaeffer12 I have a kansas license plate in the back and a Mizzou plate in the front! Lots of Mizzou fans just over the border!

[Chris Streiler, MD @CStreiler]

@IM_Crit_ If I only get one lab to determine sick or not, it’s the bicarb all day.

[Chris Streiler, MD @CStreiler]

@nickmmark @vitorborin_ Do you extrapolate this to all ages?

[Chris Streiler, MD @CStreiler]

@PowerMizzoucom DGB and this isn’t particularly close. I was in medical school at Mizzou at the time and we paused class to watch his decision.

[Chris Streiler, MD @CStreiler]

@bschaeffer12 The final 4 should be all 3 seeds.

[Chris Streiler, MD @CStreiler]

@RickyH49 Eckstein, edman, and eckersley for me!

[Chris Streiler, MD @CStreiler]

@nickmmark Pulm/Crit here. Nights was the only week of my M3 surgery rotation that I wasn’t miserable. The skeleton crew meant you got to actually be a part of it. Trauma/hot appy/ischemic gut, all of it was great to see as a student and you really felt like you were in the game on nights.

[Chris Streiler, MD @CStreiler]

@APCCMPD I can’t wait!

[Chris Streiler, MD @CStreiler]

@gbosslet Blue bag or pink bag? Blue bag is much better.

[Chris Streiler, MD @CStreiler]

@nickmmark How are respiratory rates measured on the floor? You count 1 breath and multiply by 18 or 20.

[Chris Streiler, MD @CStreiler]

@gbosslet Heading into the ICU on a rainy Saturday. New interns are shadowing us today. This time of year is always so exciting!

[Chris Streiler, MD @CStreiler]

@umkcIM @AlsakarnehSaqr Can’t wait to see you all in the MICU!