Paul Scheel

Hopkins Advanced Heart Failure Transplant Faculty. #hopkinsheart. Osler residency alum. #washumed. Notre Dame obsessed. Tweets are my own (if there are tweets)

[Michelle Kittleson MD PhD @MKIttlesonMD]

#TipsForNewAttendings

Trainees often ask questions like “Do you want increase Lasix today?”

My favorite response: “What do YOU want to do?”

Encourage them to make the decisions- prepare them for when you’re no longer their safety net!

#kittlesonrules

[Michelle Kittleson MD PhD @MKIttlesonMD]

#TipsForNewDocs

Before ordering a test, have a plan for a normal, abnormal, or indeterminate result. If this thought experiment demonstrates the test won’t change management, or if you don’t know how to interpret/act upon all possible results, don’t order it.

#kittlesonrules

[Ahmet Kilic @AhmetKilicMD]

Kicking off the first wet lab of the academic year with a combined plastic surgery / cardiac surgery discussion on sternal / wound closure. Big shout out to Dr. Lily Mundy of plastics and Dr. Hamza Aziz of cardiac for lending their expertise. @HopkinsCTSurg

[Michelle Kittleson MD PhD @MKIttlesonMD]

#TipsForNewDocs

You’re never too important to pre-round. Almost 20 years from training, I still review labs & notes from RNs & consultants before team rounds.

If you have an idea of the plan, rounding is more efficient and you can spend more time teaching.

#kittlesonrules

[Paul Scheel @Js08Paul]

Excellent study (congrats @BrenerMickey et al) with and eloquent editorial summarizing such an important study. Much to be learned based on our prior results along with these and looking forward to more work in this field. @stevenhsu_md

[Ryan J Tedford MD @RyanTedfordMD]

And important editorial by @Brian_Houston12 & @JamesCFangMD

A lot of factors to consider. @stevenhsu_md @Js08Paul

Optimizing Hemodynamic Interventricular Interactions in LVAD Recipients: Is Speed Everything? | JACC: Heart Failure https://t.co/4s2QujgnUO

[Michelle Kittleson MD PhD @MKIttlesonMD]

#TipsForNewDocs

Phrases to avoid on rounds:

Gentle diuresis (be specific!)

Soft blood pressure (can it be hard?)

Making good urine (what's bad urine?)

Specific assessments and goals/targets = better care.

#kittlesonrules

[Amy G. Fiedler, MD @FiedlerAmy]

Fantastic experience being a faculty member with the incredible @NirUrielMD and @AlbertHicksMD at the @AbbottCardio Advanced MCS Topics course in NYC 🫀👩‍⚕️🌆

I always learn so much and am so inspired by my colleagues across the country!

[Ahmet Kilic @AhmetKilicMD]

Amazing work that will increase the donor pool for patients waiting on scarce organs ! Huge shoutout to @APolancoMD @cpasrij - absolute studs in the heart failure program for their dedication and tireless efforts !

[Antonio Polanco, MD @APolancoMD]

@cpasrij and I performed the first DCD heart transplant @HopkinsMedicine, which also happened to be our 25th heart txp of 2024! NRP technology was used to procure the organ from a DCD Donor 1100 miles away! @KSharmaMD @hopkinsheart #dcd #hearttransplant

[Kavita Sharma @KSharmaMD]

First DCD heart transplant performed last night @HopkinsMedicine by @cpasrij @APolancoMD! Milestone moment for @hopkinsheart and @HopkinsCTSurg ! Incredible dedication and efforts by all team members. @AhmetKilicMD @stevenhsu_md @ngilotraMD @jvaishnavmd @Js08Paul @VirginiaSHahnMD @luigiadamomdphd @priyaumapathi @docsabe @EdKasper3

[Ryan J Tedford MD @RyanTedfordMD]

Two posters at her first @ISHLT! Our superstar @MUSC_Cardiology tMCS coordinator @tmcsbird is truly changing what’s possible: elevating patient care and research! @HajjJennifer @Brian_Houston12 @Carnicelli_Ant @jpyourshaw @witer_lucas @ArmanKilicMD

[Steven Hsu @stevenhsu_md]

Why does late RHF occur post LVAD?

LVAD unloading diminishes septal contraction, which weakens RV contractility. Coupled with persistent RV afterload, it leads to RV-PA uncoupling in the LVAD. @RyanTedfordMD @Brian_Houston12 @NavinKapur4 @JonGrinsteinMD @MarkBelkinMD

[Paul Scheel @Js08Paul]

Check it out! We loved doing this work and continue to do so. Many insights to be gained from PVL and correlation with clinical variables to try and bring to the broader LVAD patient community

[JHLT @TheJHLT]

Pressure-volume loops uncover occult RV dysfunction & ↓ reserve in LVAD, w/ PAPi as potential surrogate; ↓septal contraction 2/2 LV unloading a possible mechanism based on echo septal strain @Js08Paul, @stevenhsu_md, @hopkinsheart

🔗 https://t.co/p24p5RxThg

[JHLT @TheJHLT]

Pressure-volume loops uncover occult RV dysfunction & ↓ reserve in LVAD, w/ PAPi as potential surrogate; ↓septal contraction 2/2 LV unloading a possible mechanism based on echo septal strain @Js08Paul, @stevenhsu_md, @hopkinsheart

🔗 https://t.co/p24p5RxThg

[Paul Scheel @Js08Paul]

Come join us at our session tomorrow. Looks of RV discussion in different disease phenotypes grounded with representative cases. @RyanTedfordMD

[Johns Hopkins Cardiology @hopkinsheart]

Join panelists @SteveMathaiMD @stevenhsu_md @AriCedars and @Js08Paul from @HopkinsMedicine tomorrow at #ACC24

[Carlos Ortiz Bautista @Carlos_Ortiz85]

Novel insights into the prevalence of intrinsic RVD and the importance of IVS and summed RV afterload in the RV-PA coupling during LVAD support.

https://t.co/Se8mgsj9HB

[Paul Scheel @Js08Paul]

@EnduringHearts celebrating and giving back to organizations that make amazing things happen in pediatric heart transplant!

[Kavita Sharma @KSharmaMD]

Happy Heart Month and National Women Physicians Day tomorrow! Proud of our @hopkinsheart HF/Transplant team this week performing 5 heart transplants in 7 days! Kudos to @APolancoMD @ChetanPasrija @AhmetKilicMD and our multiD teams! @ngilotraMD @stevenhsu_md @EdKasper3 @docsabe @HopkinsMedicine @HopkinsCTSurg @GoRedForWomen

[Patrick Sullivan @PSullivan000]

Exciting new RV #PVloop analysis in #LVAD patients w conductance catheter.

Link: https://t.co/wVA1F4cXQo

Congrats to Dr. @BrenerMickey and all involved!

#pvloops #hemodynamics #heartfailure #mcs

[Jeff Teuteberg @JeffTeuteberg]

⬆️LVAD speed may impact RV function via septum
⬇️LVAD speed may impact RV function via afterload
🚨Excellent study of RV physiology using PV loops by @stevenhsu_md. PAPi as the best surrogate for RV-PA coupling?

@RyanTedfordMD @ISHLT @TheJHLT @MKIttlesonMD