Puah Ser Hon

Respiratory physician and Intensivist, a medical educator and a nerd hiding behind a stethoscope.

[Puah Ser Hon @Ser_Hon]

On the fear of death - “The eternal silence of infinite terrifies me.” Blaise Pascal, 17th century French philosopher.

[Puah Ser Hon @Ser_Hon]

Voltaire (1694-1778) - described the art of medicine as ‘entertaining the patient while nature effects the cure’.

[Puah Ser Hon @Ser_Hon]

This is an interesting population based study that looked at smokers ⩾40 years - 23% smokers <10 pack years still develop #COPD within 5 years of follow up. (Çolak et al ERJ 2024) https://t.co/LNxCo3BApU

[Puah Ser Hon @Ser_Hon]

Beautiful video by Dr Gemma Taylor’s group on how nicotine addiction together with mental health, and how smoking cessation improves mental health. #smokingcessation #mentalhealth #stopsmoking

https://t.co/zzipx3ZKJy

[James D Chalmers @ProfJDChalmers]

EMBARC publication alert!
In 16730 patients from 28 countries we found Co-diagnosis of bronchiectasis and COPD was associated with worse outcomes- BUT
COPD label is often applied to patients without airflow obstruction pointing to widespread misdiagnosis
https://t.co/RfLE1FwDp0

[Puah Ser Hon @Ser_Hon]

Was fortunate to be able to learn about CAMH’s Smoking Cessation efforts and share the Singapore experience. The team from Intrepid Labs and STOP partners are so dedicated and passionate. Thanks so much for your warm and wonderful hospitality. @PSQuitSmoking

[Puah Ser Hon @Ser_Hon]

"Progress over perfection" - heard in a consultation.

[Puah Ser Hon @Ser_Hon]

Trust and inspire - the way to unleash greatness, a book by #StephenMRCovey. To command & conquer has often been the leadership (and parenting) style by most. Its time to reflect and learn to move people not by dangling carrots but through igniting internal fires. #leadership

[Puah Ser Hon @Ser_Hon]

“Train people well enough so that they can leave. Treat them well enough, so they don’t want to.” @richardbranson #leadership #quotes #leadingforgood #TheresaGoh

[Puah Ser Hon @Ser_Hon]

“Leadership needs direction, alignment and commitment.”#theresakoh #leadingforgood

[Puah Ser Hon @Ser_Hon]

New #ARDS Guidelines from @ATSBlueEditor . I think these strategies, both being applied and avoided, are already being done. Still, some personalization will always be required depending on the lung that’s in front of you.

[ICU OnePager @OnePagerICU]

Cystic lung diseases are confusing! Here's a OnePager guide to the differential of cystic lung disease that includes:
🫁Upper vs lower lobe predominance
🫧Shape/morphology of cysts
🚬Disease/exposure associations
🧬Genetic associations
🔍Other findings

https://t.co/bqQT5jqHZr

[Pulm PEEPs @PulmPEEPs]

We're back with another #RadiologyRounds by Pulm PEEPs Associate Editor @TessLitchman @BWHPulmCCM

An immunosuppressed 65-year-old man presents with neutropenic fever. He is started on empiric broad spectrum anti-biotics with vancomycin and zosyn. Serum beta-D-glucan is positive

[Puah Ser Hon @Ser_Hon]

Dedicated to all of us who look at our inboxes more than we should. #emails #work #WorkLifeBalance

https://t.co/RPEqXEaMvj

[Puah Ser Hon @Ser_Hon]

Good summary article. Frankly, i am a believer of steroids especially in ARDS. Need to keep an eye on its use in the subphenotypes (hypo vs hyperinflammatory) to see if it benefits (or cause more harm) in either. #ARDS #ICU #Steroids

[Critical Care Reviews @CritCareReviews]

Corticosteroids in adults with acute respiratory distress syndrome and severe pneumonia (by @D_Jayasimhan)

CCR Journal Watch
https://t.co/Sp06oA6IDG

Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at https://t.co/nitMzacLrj

[Puah Ser Hon @Ser_Hon]

My bronchiectasis tutorial looks more and more like the vicious vortex. Maybe should have used the green marker for all phlegm related words and drawings. #meded #bronchiectasis #medtutorial

[STS @sgthoracicsoc]

Congratulations to all attendees selected for Oral Presentation! We hope you had an enriching experience learning from peers, leaders in the field! Photo taken at Respiratory Infection Oral Presentation Session with Co-chairs. #apsr2023 @APSRapsr

[Puah Ser Hon @Ser_Hon]

Definitions of COPD have evolved over time - showing the advancement in science and knowledge of the disease but yet it still feels that we are still only at the tip of the iceberg. Credit: Prof Fernando Martinez @sgthoracicsoc @APSRapsr #APSR2023 #COPD

[Puah Ser Hon @Ser_Hon]

Sputum colour - the greener the meaner the disease. Slide Credits to Prof Yeon-Mok Oh. @APSRapsr @sgthoracicsoc #APSR2023

[Puah Ser Hon @Ser_Hon]

The results of studies for inhaled antibiotics have been heterogeneous and with frustrating mixed signals.Pooling them together shows a very good signal towards benefit. An important area we need to pay attention to.Excellent talk be @ProfJDChalmers @sgthoracicsoc #APSR2023