Elena Segre, MD

Cardiology Fellow. Exercise Physiologist. Trying my hardest not to kill my plants ✈️🇺🇲🩺🫀🐱

Views =own not USAF/ DOD. She/her.

[Elena Segre, MD @ElenaSegreMD]

@jing_gennieWang Cardiology: STEMI, cold and wet

[Elena Segre, MD @ElenaSegreMD]

@CardioNerds @ShashankSinhaMD @vbluml @karanpdesai @EuniceDuganMD Always a treat to round/learn from Dr. Sinha, so excited for my commute home for some new clinical pearls 🦪

[Elena Segre, MD @ElenaSegreMD]

@DoctorDoctorBi @nursekelsey Being humble and knowing our limits is also a critical skill for practicing medicine. I deeply value the skills our nursing colleagues bring to the table and would never presume to be the expert in the room at nursing tasks

[Elena Segre, MD @ElenaSegreMD]

@DoctorDoctorBi @nursekelsey Not sure how putting in a difficult urinary cather is a vital skill for a cardiologist 🙃 good to know how to do but one person can't possibly good at every skill in medicine and knowing our strengths and weakneas is critical for patient care

[Elena Segre, MD @ElenaSegreMD]

@everson_md @nursekelsey Still not placing it sorry 🙃

[Elena Segre, MD @ElenaSegreMD]

@Lioness79457760 @shmeshmergency @nursekelsey Yup. As a cardiology Fellow I promise the only kind of catheter anyone wants me doing is a lhc or rhc. There are so many skills in medicine, one person cannot possibly be the best at all. Teamwork makes the dream work

[Elena Segre, MD @ElenaSegreMD]

@michael_train10 It's nice to keep the patient informed first and foremost. I also preface some statements with "I'm going to talk some shop right now, and I'll answer all the questions you have after"

[Elena Segre, MD @ElenaSegreMD]

@michael_train10 I've found that when responding to rapids my favorite thing is to talk directly to the patient and give my instructions to other staff that way

[Elena Segre, MD @ElenaSegreMD]

@michael_train10 "hi I'm Dr. Segre and there are a lot of people in your room right now because x. Can you tell me how you are feeling?.... I'd like to give you some fluids/do imaging/etc because I'm worried about x. X is the next steps what questions do you have"

[Elena Segre, MD @ElenaSegreMD]

@jtrebach Learning to call poison control is one of the top 10 skills I learned as a pgy1 in the ICU. Always so grateful to have them on board in a toxin case

[Elena Segre, MD @ElenaSegreMD]

@saltylungs Hope you are feeling better soon!!!!!

[Tony Breu @tony_breu]

1/15
Why is torsemide my preferred loop diuretic when treating heart failure?

As a follow-up to a recent tweetorial on furosemide and gut edema, let me offer a 3-part ode to torsemide.

[Eric Feigl-Ding @DrEricDing]

NEW—scientists at Walter Reed Army Institute of Research will soon announce that they have developed a vaccine that protects people from COVID-19 and all its variants, even #Omicron, called The ‘Spike Ferritin Nanoparticle COVID-19 vaccine’, or SpFN. 🧵
https://t.co/C140590sPj

[Elena Segre, MD @ElenaSegreMD]

@Broncos @JonathonCooper7 I was so hoping for Delta waves on the shoes, but they are still pretty cool 🫀

[Elena Segre, MD @ElenaSegreMD]

@united SR-71 Blackbird for sure

[Elena Segre, MD @ElenaSegreMD]

@cshah621 @Caulimovirus Every single fever of unknown origin workup with ID/rheum/onc

[Elena Segre, MD @ElenaSegreMD]

@ShariqShamimMD Briefly scrolling through, the bottom left looked like a spooky Halloween related case. Turns out fact is scarier than fiction 🎃 Thanks for sharing!

[Elena Segre, MD @ElenaSegreMD]

I haven't yet mastered how to balance giving hope and giving reality with critically ill patients' family. What is the best way to do no harm? #MedTwitter
#Covid_19
‘You’re Dying,’ I Told My Patient. I Wish I Hadn’t. https://t.co/YaMhxKzIRk

[Elena Segre, MD @ElenaSegreMD]

@rinoah77 @screamingmd @DrCasteelEM @reverendofdoubt The problem is when instead of decreasing the number of shifts to do 12s, residents just work 6 12s. For sure I'd rather work 6 8s