Simran Ganeriwal, MD

📍 Critical Care Fellow @clevelandclinic 🇺🇸 | CCF IM alum | @RCSI_irl ‘20 🇮🇪 | Views are my own | She/her | Mumbai 🇮🇳

[Simran Ganeriwal, MD @SimGaneriwalMD]

Extremely grateful to have matched to @ClevelandClinic for Critical Care! Wouldn’t have been possible without the support of my family, friends and invaluable mentors. 🤍🫶🏼🥰🙏🏻

[Ross Prager @ross_prager]

Nope, we just extubate them.

[IMCrit @IM_Crit_]

Friendly reminder:

During an intra-arrest #POCUS, the finding of RV dilation alone is generally insufficient to conclude the presence of a pulmonary embolism & justify the administration of thrombolytics. After a few min of CPR, RV tends to dilate due to

[Eduardo Mireles-Cabodevila @emireles_c]

Just finished our Annual Fellows Education Day on Respiratory Failure with @nialldferguson @AbhiDuggalMD Umur Hatipoglu, Rachel Scheraga. What a treat! @CCF_PCCM @RaedDweikMD @msiuba @irene_telias @ArielG_RRT @_MSAMEED @ecgoligher @ClevelandClinic @JieLiRRT

[Tom Bellingham @TomP1Bellingham]

He couldn't... could he?

[M Velia Antonini @FOAMecmo]

How to use #ultrasound to support decisions on fluid administration in critical ill pts? #POCUS to assess
🌵signs of overt hypovolemia
🫀signs of critical cardiac conditions
🫁signs of lung/systemic congestion
💦efficacy of fluid bolus
#echofirst #FOAMus
🔓https://t.co/WYEUQPJbgr

[Clement Lee, MD, MSc @ClementLeeMD]

internal medicine docs writing a personal statement:

[Matt Siuba @msiuba]

New 📝 lead by 🌟 fellow @LamarcheRaquel, relevant to anyone who uses minimally/non-invasive CO monitors in patients with septic shock.

Open access at @Crit_Care

🎤 drop in the conclusion paragraph!

[Rushabh Shah @Rushabh_Shah777]

✈️ “Why did you cutoff?”
“I didn’t.”
That chilling cockpit exchange says it all.

The fuel control switch, a lever that requires deliberate manual force, somehow moved to CUTOFF mid-air. In a high-stakes, high-alert moment just seconds after takeoff, one pilot questions the move. The other denies making it.

There were only two people in that cockpit. If neither pulled it, what caused it?

This isn’t just a tragic crash, it’s a case where two experienced pilots were trying to troubleshoot a crisis that should never have occurred in the first place.

Yet in the aftermath, as investigations unfold, it’s once again the classic pattern in aviation disasters:

“A dead pilot who cannot defend himself… vs. a billion-dollar corporation with global PR machinery.”

[Mark Lewis, MD, FASCO @marklewismd]

Hour 7 of medicine rounds

[Neil Stone @DrNeilStone]

You know what HASN'T been tested in randomised, placebo controlled trials?

All those supplements they try and sell you

[Turning the Tide @Turningthe_Tide]

1/
You might think:
"Why give NaCl to someone overloaded with salt and water? Shouldn’t we be pulling sodium out, not putting it in?"
🧂💧
It feels wrong — but correcting chloride can unlock natriuresis.
Let’s break the paradox. 🧵

[Simran Ganeriwal, MD @SimGaneriwalMD]

@msiuba So so well deserved!

[Laura Vater, MD, MPH @doclauravater]

Dear incoming interns:

Remember that your attendings have been practicing medicine for years, while you're essentially getting a new job every 4 weeks.

Know that your job is not to know everything. Your job is to show up, ask questions, & care deeply for your patients.

[Simran Ganeriwal, MD @SimGaneriwalMD]

@SouaidTarek Congratulations Tarek! This is amazing

[Jay Yang @Jayyanginspires]

Beautiful reminder:

[Michael Weintraub, MD @MWeintraubMD]

New study result 🚨
Tirzepatide vs semaglutide SURMOUNT 5 RCT

📉Total body weight loss:
−20.2% with tirzepatide
−13.7% with semaglutide

🤢Discontinuations due to gastrointestinal events: tirzepatide 2.7%, semaglutide 5.6%
🤮vomiting tirzepatide 15.0% vs semaglutide 21.3%

https://t.co/4TwFLgWBOq

[Panagis Galiatsatos, MD, MHS @panagis21]

Every ICU doctor saw this and screamed in horror 😱
@nickmmark
@IM_Crit_

[Simran Ganeriwal, MD @SimGaneriwalMD]

@gabhalpern @GallodeMoraesMD @ogi_gajic @msiuba Congratulations!