Steve Fox

Internist, PCCM, #POCUS. Enjoy tea and biking.

[Siddharth Dugar MD FCCM,FCCM,FASE @siddharth_dugar]

They say "The joy of the task is its reward" but I must admit it is nice to see the book in its print version. This book is a must for anyone preparing for #CCeEXAM #NBE #POCUS boards. Congrats to Editorial team @RSreedharan81 Dr. Sandeep Khanna, Ajit Moghekar and Patrick Collier

[Steve Fox @FoxStevenW]

@EMedCurious @HeyDrNik @R_Tambelli Am I looking at this wrong, or is that a lung in there? It looks like a consolidated lung with pulmonary vasculature in it?

[Steve Fox @FoxStevenW]

@NephroP @IM_Crit_ @khaycock2 @ArgaizR Very interesting! Have seen these vessels within consolidated/atelectatic lung but never thought about hemodynamic significance of the Doppler waveforms. Interested to think/hear more about this… 🤔

I do think that seeing these vessels provides visualization of v/q mismatch

[Steve Fox @FoxStevenW]

@katiewiskar Makes sense! And I will have to start trying corrected carotid flow time, have not done that before

[Steve Fox @FoxStevenW]

@katiewiskar Also i wonder about this cirrhosis and PH, ie does pt have portopulmonary HTN (with cirrhosis being primary cause) or does pt have other cause of primary PH which led to cirrhosis from congestion? Interesting in that the prognosis and treatment goals would be different

[Steve Fox @FoxStevenW]

@katiewiskar In cases like this I wonder about the role of PLR to assess for “reverse volume responsiveness”. Ie LVOT VTI drops with PLR because of ventricular interdependence, reverse bernheim etc… then supporting the idea that CO would benefit from diuresis
2/

[Steve Fox @FoxStevenW]

@CCF_IMCHIEFS Thanks, and miss you all too!

[Steve Fox @FoxStevenW]

@UABDeptMed @UABPulmonary Thanks for the welcome, thrilled to be here!

[Steve Fox @FoxStevenW]

@Issac80 Love a good dynamic air bronchogram image!

[Steve Fox @FoxStevenW]

@siddharth_dugar @RubbleEM @Jose_Diaz_Gomez @GDoufle @rtparadis @VLSorrellImages (and a shoutout to the authors from the above articles I couldn't find on twitter, please tag if identified)

#echofirst #POCUS #IMPOCUS @NBE_96 @ASE360

[Steve Fox @FoxStevenW]

Glad to have the opportunity to work with this team and to share our article in @CASEfromASE. Part of a nice edition with a focus on #POCUS

https://t.co/4ckJEaN9iC

[Steve Fox @FoxStevenW]

Some other important reading in the same edition:

POCUS: Which Path Will you Take https://t.co/UtlIKLXXYx

Point-of-Care Ultrasound: A Case Series of Potential Pitfalls
https://t.co/MxXWp1x71r

[Steve Fox @FoxStevenW]

@siddharth_dugar @SAGEPublishers @NephroP @CCF_PCCM @CCF_IMCHIEFS @MCW_Nephrology Nice to see the article online! Glad to have had the opportunity to be a part of this

[Siddharth Dugar MD FCCM,FCCM,FASE @siddharth_dugar]

POCUS users, ever got confused on what various signs and patterns in lung ultrasound means. Check out our publication @SAGEPublishers https://t.co/ud0dPY4FBl. We explain the major signs,patterns and clinical significance LUS with over 30 high quality videos.

[Richard M. Wardrop III, MD, PhD, MACP, SFHM, FAAP @Mud_Fud]

Better late than never! Congratulations @FoxStevenW the @CCF_IMCHIEFS #IMRP #Fellow of the Year and #POCUS STAR! Thanks for your leadership! @EdenBern @RaedDweikMD @ren_ashton @NealChaisson @CCF_PCCM @AmmarSaati @siddharth_dugar @para_andrew @medpedshosp Good luck @uabmedicine

[Steve Fox @FoxStevenW]

@teachplaygrub Thanks for the fantastic 🧵 ! question on /3

In a noncon ct chest or abdomen, blood doesn’t appear bright. What is it about the brain CT (windowing, etc) that makes it different so that blood is bright? And why don’t the blood vessels in the brain themselves appear bright?

[Abhishek Bhardwaj, MD, FACP @Abhi_Bhardwaj99]

Glimpse of Graduation Festivities at The Cleveland Clinic Critical Care and Pulmonary & Critical Care Medicine Fellowship program @CCF_PCCM .THE best fellowship program in the country!#HappiestFellows @RaedDweikMD @ren_ashton @NealChaisson @CCF_IMCHIEFS @msiuba #PCCM. More2follow

[Steve Fox @FoxStevenW]

@NephroP @siddharth_dugar @msiuba Always so much to learn from @nephroP, we really enjoyed the talk!

[NephroPOCUS @NephroP]

#POCUS sans frontières spécialisées !!
Its a pleasure and honor to participate. Thanks for the invite @siddharth_dugar @FoxStevenW 🙏
@msiuba, TBH it was a little intimidating to present in front of your crème de la crème group.