Tej Patel, MD

PCCM Fellow Washington University in St. Louis/Barnes- Jewish Hospital.

[Stephan A Mayer @stephanamayer]

1/ So now it's the cataclysmic TTM -2 trial, just published in @NEJM. How can a world changing trial like HACA published in 2002 now be effectively reversed almost 20 years later? I will explain.

https://t.co/8QoKln6wRx

[Tej Patel, MD @TejM_Patel]

@MohitHarshMD @WashUIMRes Brie = Wellness

[Tej Patel, MD @TejM_Patel]

@this_is_svenka Man, and here I thought you were just looking to hook people up with the swag at cut rate prices...

[Tej Patel, MD @TejM_Patel]

@_plyons This would be so much better than CareEverywhere

[Tej Patel, MD @TejM_Patel]

The @Netflix show Surgeon’s Cut, episodes 3 & 4, on Devi Shetty and Nancy Asher: 10/10 would recommend to a friend

[WashU Medicine Internal Medicine Residency @WashUMedIMRes]

Shout out to our all star resident, Dr. Micah Luderer, for speaking out on @KMOV against the lack of a mask mandate in MO. @GovParsonMO - we urge you to please reconsider as a mask mandate can save lives

https://t.co/8l0iYgCDYH

[American Thoracic Society (ATS) @atscommunity]

Can you answer this ATS Quick Hits? A 64-year-old male with a past medical history significant for COPD, diastolic congestive heart failure, OSA, and history of cardiac arrest requiring CPR, presented to the hospital due to shortness of breath. See more: https://t.co/4LUuwImxIy

[Tej Patel, MD @TejM_Patel]

@david_furfaro Similiarly, esmolol in septic shock was looked at in @JAMA_current in 2013 (I only know this because it was recently mentioned on rounds):
https://t.co/RGpCPASx7p

[Tej Patel, MD @TejM_Patel]

Not gonna lie, had never thought about this before.

[Tony Breu @tony_breu]

1/
Why is our thirst immediately quenched after the ingestion of water?

As we'll note, it takes ~10 minutes for serum osmolarity to change. And yet thirst drops far more rapidly.

Something must be bypassing the blood...

[Tej Patel, MD @TejM_Patel]

@Dyson is more than just hair dryers and vacuums. Designed a new ventilator in 10 days... and plans to produce 15,000 units. https://t.co/NN0jiAltF4

[Nick Mark MD @nickmmark]

An updated version of the #ICUOnePager (v2.7) on critical care of patients with #COVID19 is now available, incorporating newer published data, and more info about ventilator weaning. #covid4MDs #FOAMcc download the .PDF or .PPT with hyperlinks ➡️https://t.co/y1s2DVdeSb

[Tej Patel, MD @TejM_Patel]

If it hasn’t been said, it’s an interesting time to be an intern #Covid_19

[Tej Patel, MD @TejM_Patel]

Why are Patagonia fleeces so popular among residents?! I don’t get it...They start to pill almost immediately after wear in the hospital #MedicalMysteries

[Tej Patel, MD @TejM_Patel]

This episode by ⁦@HiddenBrain⁩ provides more insight into the complexities, challenges, and dynamic nature of GOC/end of life discussions than any lecture I’ve had on the topic. https://t.co/OdbF093ILv

[Tej Patel, MD @TejM_Patel]

Interesting commentary on the importance of camaraderie, duty hours, and changes in medicine (at least from the perspective of an intern)... https://t.co/59dz5CeyuR

[Tej Patel, MD @TejM_Patel]

The #CITRIS -ALI Trial: no statistically significant difference in mSOFA scores, but statistically significant difference in mortality?! https://t.co/KAeAe6Z2Le

[Zaven Sargsyan @sargsyanz]

330 septic, hypotensive patients had blood cultures taken before antibiotics and then within 2 h after antibiotics.

Pre-abx: 31% positive
Post-abx: 19% positive

A big drop in yield, but not as much as one might expect.

https://t.co/3or0wpUiV2

[Tej Patel, MD @TejM_Patel]

Interesting given the small dosages of each medication (amlodipine, HCTZ, losartan, and atorvastatin)

[NEJM @NEJM]

Original Article: Polypill for Cardiovascular Disease Prevention in an Underserved Population https://t.co/vgZzyr4cU2

[Tej Patel, MD @TejM_Patel]

Interpreting CD4 counts (and viral loads) in patients with HIV during an acute illness ⁦⁦@JAMA_current⁩ https://t.co/fDSsMAX4DM

[Tej Patel, MD @TejM_Patel]

@macwalterMD Do you have any good review articles discussing sedating agents/analgesia in mechanically ventilated patients?