Krishna Pandya, MD MSCE

Fellow @PennPulmonary via @MGHMedicine | Native New Yorker, lover of all things 🫁 | Aspiring transplant pulmonologist

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

@DrparrayMD @smithECGBlog @ShariqShamimMD @EM_RESUS @DrRazi4 @PendellM @The_Nanashi_O @amalmattu @RobertHermanMD @ecgandrhythmRoe Get posterior leads! V7-9!

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

@RogerKimMD Thanks Roger!

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

@melina_manolas @RestivoAnderson Thanks Melina!! 🤗

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

Excited to share our summary on pulmonary rehabilitation, an underutilized and critically important treatment that can help our patients with chronic respiratory disease. Thanks to my coauthors Drs. Davis and @RestivoAnderson!

[JAMA @JAMA_current]

This JAMA Clinical Guidelines Synopsis summarizes the American Thoracic Society’s 2023 guidelines on pulmonary rehabilitation for adults with chronic respiratory disease.

https://t.co/9stV8lcIkB

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

@olsonplanner Should we switch over to PAYE? This is insaneeeee

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

@eemoin Digit preference!! We talked about this paper in the CP epi class with Steve @jasleenminhas

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

@ourhealthstudy @nutritionix @RomitB_MD @AAgarwalaMD @DrMarthaGulati @purviparwani @iamritu @dranulala @SVRaoMD @dramitkhera @KevinShahMD @GarimaVSharmaMD 🆘!!! @ourhealthstudy breaking our hearts now so we dont end up needing them fixed later! 😭

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

@nickmmark In some cultures, especially those where people speak British-English (India and the likes..) the term that was learned and adopted is “expired”. It is interjected into non-English conversations in place of the non-English word for die, without malintent behind its use.

[Raghu Chivukula, MD PhD 🫁🧬🧠 @chivukula_raghu]

Well-deserved recognition of a rare, true “triple threat” - congratulations @jmvyasmdphd !

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

@jmvyasmdphd @VyasLab @MGHMedicine @MGHResScholar @mghmedres Congrats Jay!! 🎉

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

@jason_ryanmd We’re already there! *enter different attendings for the right and left ventricles*

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

@TBrnaughtTB I love that clearance for GNR bacteremia is on there. People are always so shocked that it’s not indicated! We have to spread awareness 😂

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

Almost F3s!! 🫁

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

@eemoin Mansion MD

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

@sgremminger It’s funny you think we all choose our own schedules..

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

Congratulations to the presenters on fantastic work: Armaan Akbaar (JHU), Irene Bello (Hosp Clinic Barcelona), Sanjay Dutta (Sydney), Lucas Hoyos Mejia (Univ Hosp Zurich), Kevin Kulshrestha (Cincinnati Children’s)

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

🔎Conventional DBD v cDCD in🇨🇭: DBD correlated w/⬆️ ⏰ vent, ⬆️90d mortality. cDCD assoc w/⬆️LOS. BUT late outcomes w/o significant diff b/t groups (marginally superior 1yr mortality but early CLAD in cDCD cohort)
- Can we safely follow suit?
- Can this ⬆️access to pediatric pts?

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

🔎Extended criteria donors⬆️ pool, but significant regional variation in acceptable age. Single center eval don >68YO vs not. No difference in rates of post-op ECMO, LOS (ICU or hosp), or 30d mortality, overall death.
- So what’s stopping us?

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

🔎We use mechanical insufflation/exsufflation routinely for critically ill patients. One group performed blinded RCT of MIE on organ donors, which ⬆️ % of eligible lung donors!
- Can we use this to ⬆️ donor pool?
- What’s stopping us from universal implementation?

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

🔎Rates of intraop 🫁 turndown after initial acceptance have ⬆️ to up to 10% at some institutions in the last 20 yrs
- Can we improve communication b/t OPO & txp centers prior to transport/travel?
- What are the reasons behind 🫁decline?
- How will this change in the CAS era?

[Krishna Pandya, MD MSCE @KrishnaPandyaMD]

@ISHLT marathon coming to an end this afternoon with one last session! How can we increase the lung donor pool?