Tripti Nagar

PGY5 PCCM Fellow🫁🩻 | Former Chief Resident at @waynestate Internal Medicine | 🇮🇳 | First gen doc with an undying love for Bollywood 💃🏽 | She/Her

[Tripti Nagar @tnagar2392]

month 1 of PGY4 and I couldn’t say it better if I tried

[𝕵𝖔𝖗𝖌𝖊 𝕴. 𝕸𝖎𝖗𝖆𝖓𝖉𝖆 @georgepapadapol]

#ATS2025 Pearls:
Clinical Year in Review on Pulmonary Function Testing:

1. Clinical implications of switching to race-
neutral reference equations in Spirometry:

-This study analyzed data from 13,324 clinical pulmonary function results in White and Black individuals and showed that the use of race-neutral
z-scores for spirometry were more strongly associated with clinical risk of exacerbations and hospitalizations for COPD.

-These findings support that the recent changes to PFT interpretation align well with disease risk

-More Black than White patients showed a change in severity classification between approaches when using % predicted thresholds (20.2% vs 6.1%), but not with z score thresholds (12.6% vs 12.3%)

-On a population level, % predicted values do not provide a uniform distribution at every age, and so their use to define severity levels may overestimate severity of impairment in older compared with younger adults relative to z scores

-An increased severity classification with a race-
neutral approach was associated with increased
risk of exacerbation when using z-score thresholds (OR, 2.34; 95% CI, 1.51-3.63), but not when using % predicted thresholds (OR, 1.08; 95% CI, 0.61-1.93)

-A decreased severity classification with a race-
neutral approach was associated with lower risk
of exacerbation with both %predicted (OR, 0.49;
95% CI, 0.28-0.87) and z-score (OR 0.67; 95% CI,
0.50-0.90) thresholds

-This study showed that Global equations doesn't misclassifying White individuals
👉https://t.co/21WQlrrI7d

[Tyler Olson, EA @olsonplanner]

If you think physicians are overpaid, maybe you should take the necessary course work in undergrad, take and pass the MCAT, apply for med schools, pay hundreds of thousands for tuition, learn for 4 years in a very high pressure learning environment, then pay thousands more to apply for a training job that you may or may not get, then if you do get it, you get to work 80 hours a week making $15/hour for 3 - 9 years wherein more than one day off in a row is a rarity, all the while many normal life events and processes get pushed to the side, then you FINALLY get a “real” job that’ll pay very well but you’ll realize your patients are not your customers (the insurance companies are), they are the product, and you’ll realize you have a lot to learn about the business of medicine in order to advocate for your patients and for yourself in order to be okay.

Then YOU can say “no thanks I don’t deserve to make that much.”

Or you can just skip all of that, realize now that the insurance and hospital system complexes are trying to hoodwink you, and appreciate the life work and care physicians commit to all of us, recognizing that while all things in medicine play a role in what we see today, physicians themselves are not the villain.

They are on our side.

[gamerEMdoc @GamerEMDoc]

For every PGY1 thats nervous about July 1, theres a PGY2 nervous about no longer being an intern, a PGY3 nervous about being in their last year, and a graduate nervous about being a new attending. And someone with years of experience out there who knows you all will be ok.

[Gabriel Bosslet @gbosslet]

Want to improve physician wellness?

1. eliminate non-compete clauses
2. 12 weeks paid new parent leave
3. get rid of shifts longer than 16 hours for housestaff
4. Long term: train and hire more physicians so that 1 FTE= 1 FTE

What am I missing?

[Tripti Nagar @tnagar2392]

Reminiscing on the last 3 unforgettable years after recently graduating and filled with so much joy knowing I met and worked with incredible colleagues turned friends. This is just the beginning! 🍾

[Tripti Nagar @tnagar2392]

@malkeasaad @mili_galecio

[Tripti Nagar @tnagar2392]

Loved working with this team to take a closer look at medical marijuana trends for IBD and the effect of marijuana legalization on prescriptions. DC, here we come! @DDWMeeting @AmCollegeGastro #GITwitter #womeninGI

[Jeremy Hess, DO @JHessDO]

#DDW here we come! Elated to share this great project with the assistance of some stellar residents/future GIs and mentors. @DDWMeeting @tnagar2392 #AGA @AmerGastroAssn

[Tripti Nagar @tnagar2392]

@shifaumarMD @bcm_gihep @VAHouston @KanwalFasiha @JasonHouMD @AmCollegeGastro @ASGEendoscopy @AmerGastroAssn @VinayChandraMD @TKapetanos @MajumderShounak @AHNGastro @ShyamTMD @DougSimonetto Congratulations!

[Tripti Nagar @tnagar2392]

@JahanaviMD @AmCollegeGastro always a pleasure working with you Dr. Ramakrishna! Can’t wait to see the big things in store for you ���️

[Tripti Nagar @tnagar2392]

Thrilled to announce the publication of our manuscript in @ACGCRJ - ‘Invasive Pulmonary Candidiasis in a Patient Requiring Chronic Total Parenteral Nutrition (TPN)’. So many questions re: fungal PPX in cases of chronic TPN to explore! @JahanaviMD

[Tripti Nagar @tnagar2392]

@MN_GIMD Needed this today! Thank you 🤞🏽

[Tripti Nagar @tnagar2392]

Personal highlight of #DDW2023 - presented my research on social media content of Crohn’s & it’s effect with young pts. Great convos opening the doors to impactful healthcare info! Thanks to my team for making this come to life @JahanaviMD @cu_ri_ou_s @DDWMeeting @AmCollegeGastro

[Tripti Nagar @tnagar2392]

Hello Chicago! Excited to be in the city and see what this weekend brings for my first @DDWMeeting @AmCollegeGastro #GITwitter #WomeninGI #DDW2023

[Jahanavi M. Ramakrishna @JahanaviMD]

Accessibility = availability + affordability this is a step in the right direction - FDA Approves First Over-the-Counter Naloxone Nasal Spray https://t.co/rZfgA9B7XR

[Abdullah Yesilyaprak @mdyesilyaprak]

I couldn't have achieved this without the amazing team @tnagar2392 @JahanaviMD @KevserAkyuz2 @HusseinAltahan, our mentors @doctorchoksi, Dr Tegeltija and support from @waynemedicine

[Tripti Nagar @tnagar2392]

So proud of my team in presenting the first case of ESBL E. Coli pericarditis in addition to eosinophilic myocarditis diagnostic queries and our research on Ivabradine as salvage therapy in Afib with RVR

[Jahanavi M. Ramakrishna @JahanaviMD]

Excited to be a virtual presenter at ACC - a couple of posters including the first case of ESBL E. coli purulent pericarditis and Ivabradine as salvage therapy for A. Fib with RVR #waynestaterepresent #WarriorStrong @mdyesilyaprak @HusseinAltahan @tnagar2392 @KevserAkyuz2

[Matthew Solomon, MD, PhD @MDSolomonMD]

I’m looking forward to moderating today’s #ACC23 poster session: “All About the Aorta” with @sabramowitz_, @LizJeanMarie1, @JahanaviMD, @tnagar2392, @lizhutchinsmd, @A_SteinMerlob, and @KatieYoungMD. https://t.co/UqrsUJmnKn #aortichealth

[Tripti Nagar @tnagar2392]

Thrilled to be presenting my research in one of my favorite cities at my first @DDWMeeting! See you in the Windy City! #GITwitter #DDW2023

[Tripti Nagar @tnagar2392]

@tswifterastour 6 tickets to detroit! Either date!!