Vasilii Bushunow

Integrated Palliative Care + Heme/Onc Fellow at UPMC.

[Vasilii Bushunow @VBushunow]

@kidney_boy A helpful corollary is that patient has AKI with high bicarb, worth checking the calcium for same reasons as above, because unless severely contracted AKI often has mild acidosis rather an alkalosis

[Vasilii Bushunow @VBushunow]

@CaseyMcQuadeMD Congrats, Casey, well deserved!

[Vasilii Bushunow @VBushunow]

@GomezDLeonMD @drjgauthier Could be argued that each bullet point is an agendum, so slide title still ought to be agenda 🤔

[Vasilii Bushunow @VBushunow]

@chadinabhan Just finished Snowflake in a Blizzard by Dr. Steven Hatch. Excellent writing. Some portions haven’t aged well with CV19, but overall great read on uncertainty in medicine. Up next is The Wine Dark Sea Within by Dr. Dhun Sethna 📚

[Vasilii Bushunow @VBushunow]

@jelevenson Heart emoji is an inadequate expression of the emotion a memorial like brings out.
A patient of mine who passed away recently was a childhood survivor of the Polish Holocaust. His story is incredible.

[Zaven Sargsyan @sargsyanz]

Ultrasound: “no evidence of cholecystitis”

Op report: “gangrenous cholecystitis with extremely friable tissue. Purulent drainage with manipulation of gallbladder.”

I've seen this many times.

Thread

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[Tony Breu @tony_breu]

1/18
🤔Why does the diagnosis of Streptococcus bovis bacteremia immediately raise the specter of colon cancer?

If colon cancer leads to barrier disruption and translocation of bacteria into the blood, shouldn't E. coli bacteremia raise the same concern?

Is S. bovis unique?

[Pitt General Internal Medicine @PittGIM]

Rechallenge with immune checkpoint inhibitor-based therapy in advanced urothelial cancer seems feasible with manageable toxicity, but further data is needed to optimally select patients.

Read more from @LDiamantMD & colleagues: https://t.co/ZTcEaPaFoC

[Vasilii Bushunow @VBushunow]

@NephroMD @askrenal @caryboyd3 @kidney_boy @RodTan07 @kkalra_22 @MedEdPGH @RayRenal Yes thank you, that is one of links, and your paper on hypomagnesemia in cancer patients the other.

[Vasilii Bushunow @VBushunow]

@askrenal Any good outcomes with using SGLT2i in hypomagnesemia? Some suggestions it would work below.
@NephroMD @caryboyd3 @kidney_boy @RodTan07 @kkalra_22 @MedEdPGH
10.1016/j.xkme.2020.01.010
10.34067/KID.0005622020

[Vasilii Bushunow @VBushunow]

I met Dr. Bui 5 years ago at my residency interview day @PittGIM, and she has been an inspiration ever since. A true leader in patient-centered care. Congrats Dr. Bui!!

[Pitt General Internal Medicine @PittGIM]

Congrats to @tweebui for being awarded the @GoldFdtn's 2022 Pearl Birnbaum Hurwitz Humanism in Healthcare Award! 🎉 This award honors a woman who has advanced the well-being of underserved or vulnerable populations in the healthcare arena.

Learn more: https://t.co/y1xMxPVtt9

[Pitt General Internal Medicine @PittGIM]

Congratulations to Dr. Jane Schell for being promoted to Section Chief of our Palliative Care & Medical Ethics section! 🎉 Dr. Schell has developed a communication curriculum for nephrology fellows on #pallcare topics and attained numerous other achievements in #palliativecare.

[Sanam Loghavi, MD صنم لغوی 🔬🧬 @sanamloghavi]

Meet our ⁦@ASH_hematology⁩ #ImageBank team!!! so excited to work with ⁦@KMirza⁩ ⁦@AaronGoodman33⁩ ⁦@artsinyc⁩ to bring you the best educational material one image at a time!! Huge thanks to ⁦@gvencut1⁩ for his support as we transition in! ⁦#ASH22

[Pitt Medicine Chiefs @PittIMChiefs]

It’s already been a week since Fellowship Match Day, but we are just as proud now as we were then!

Check out our match results here: https://t.co/zUbBM8MU9v

[Vasilii Bushunow @VBushunow]

A great thread!
The social dynamic is very important, and something that’s hard to establish as a student or resident when the setting and players change so frequently.

[Varun Phadke MD @VarunPhadke2]

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Fri. 4PM. You just got consult #8.

Then, a call: "We have a new consult. This patient's been here for 2 weeks. We’re not sure what’s going on & wanted you on board.”

😱

You: "…so, what’s the question…?"

How do we improve this interaction?

This week: Receiving Consults

[Vasilii Bushunow @VBushunow]

@AkoczoAgnes @PittDeptofMed @PittHPMfellows @PittHemeOnc Thank you, Agnes. I’ve had great role models here from the very start! :)

[Vasilii Bushunow @VBushunow]

Delighted to share that I’ve matched to the integrated Heme/Onc and Palliative Fellowship @PittDeptofMed. Immensely grateful to @PittHPMfellows and @PittHemeOnc for such a unique opportunity, and to all those who have inspired and supported me along the way.

[Vasilii Bushunow @VBushunow]

@DidemSayginMD @PittDeptofMed @PittHPMfellows @PittHemeOnc Thank you!!! Very excited. Looking forward to see you when you’re back here too!

[Vasilii Bushunow @VBushunow]

@nikiforova_md @PittDeptofMed @PittHPMfellows @PittHemeOnc Thank you!! Looking forward to being back in the GIM world and Monte a little more :)

[Vasilii Bushunow @VBushunow]

Too many role models and mentors to list!! @PittGIM @PittIMChiefs @PittPalCare