List of the most popular hashtags for theme #PULMONARY

The “incentive spirometer” business is a billion dollar industry . It’s an instrument that measures how deep a breath you just took. It’s made to help patients take deep breaths to prevent pneumonia and other consequences of shallow breathing when you’re sick. Doctors and nurses love waving the instrument in front of patients and telling them to use it. And patients try to make the little measurement thingy go up as high as they can when someone is standing in front of them encouraging them to take a deep breath on it. Wow. Like people don’t know how to take a deep breath and can’t possibly be motivated to do it on their own without someone standing there measuring it? Ummm, maybe not... the instrument is often left in patients rooms with instructions to use it every hour or so and it will often go unused, lying on a ledge somewhere. In fact, large review articles (Respiratory Care dec 2017, Cochrane review 2011) have concluded there was no evidence that incentive spirometry works. However, a recent small study highlighted by @eddyjoemd showed that educating patients about how to use the incentive spirometer decreased length of stay by a day and other benefits compared to no education. Based on this, do hospitals now have something they can point to that supports them purchasing incentive spirometers? I mean what hospital would NOT want to decrease length of stay just by buying this little instrument? Aaaahhh, but there is a noticeable flaw in this study! BOTH groups used incentive spirometry. There was no comparison to doing the same educating and monitoring of patients and their deep breathing WITHOUT the instrument. What if staff stood there and motivated patients to take deep breaths just like they did in the study, except not with an instrument? I’ll bet the results would be the same as they were when they educated with the instrument. Are we saying we can’t possibly get people to do deep breathing for free? I don’t believe that. If we stopped buying stupid incentive spirometries as a crutch and actually spent the time to educate and motivate our patients to take deep breaths, BILLIONS WOULD BE SAVED. Thanks for coming to my TED talk!

Computers are one of the greatest keepers of knowledge and we constantly rely on them to find answers. But, they are still just a machine. And this machine has three considerable limitations: 1. The ability to truly observe all of the body’s mechanisms and interactions and draw a conclusion and 2. The ability to provide patients with human emotion and contact. 3. You have to turn them “on”. But in all seriousness, when I come to your bedside, I am going to look at you NOT at the computer. I’m going to feel your wrist and check your pulse. I’m going to listen to your heart and imagine the blood traveling through your valves. I’m going to look into your eyes and feel your breath travel inside and out. My interaction with you, not the computer, will write this story. I will ask you a multitude of questions then observe in silence as I’ve encountered something that demands more thought. Only then will I sit down to view labs and imaging as a way to supplement your story. Finally, I will sit with you again, human to human. I will explain what I have found and our plan going forward. I will answer your questions, hold your hand if you need me too and, regardless of your background, I will stay with you until you understand. Throughout my career, I have realized the importance of being human and that the only “human error” to be made would be to rely soley on nonhuman things. This is what being a Doctor is to me. Remember, you are a doctor for the person in the bed...not the computer or your attending. Explain it to them. #motivation #work #bedsidemanner#medicine #MD #ocean #advice #medicinedeconstructed #study #read #pulmonary #criticalcare #california #lagunabeach #newportbeach #MD #hardwork #iowa #CCOM #internalmedicine #medstudent #rotations #doctor #physician #universityofiowa #please #KU #universityofkansas #embracetheopportunity #study cred @modunks

Flail Chest in Trauma⠀ ⠀ #FOAMed #Meded #PhysicalExam images made searchable on GrepMed:⠀ ⠀ "Flail Chest" -> https://www.grepmed.com/images/2891 ⠀ ⠀ Source: https://twitter.com/EkremMusalar/status/1017489553777741824⠀ ⠀ #MedStudent #Residency #Doctor #Physician #MedicalStudent #MedicalSchool #PhysicalExamination #Trauma #Surgery #EmergencyMedicine #Emergency #TraumaSurgery #Flail #FlailChest #Pulmonary

Steve Martin (my tank) is singing backup for me Let it rip, Steve!

. In left ventricular non-compaction cardiomyopathy (LVNC), the left ventricle contains bundles or pieces of muscle that extend into the chamber. These pieces of muscles are called trabeculations. Cardiac MRI @advanced_mri_ @sonia.rezaei Siemens Magnetom AERA 1.5T #advanced_mri #radiologyresident #mritech #mri #medicalimaging #radiologytech #medicine #ventricle #heartattack #emergency #cardiologyfellow #radiology #radiologytech #cardiac #cardiovascular #vascular #cardiologist #heart #ventricle #pulmonary #cardiology #medical #doctor #tissue #tract #angio #aorta #subclavian #echocardiograms

#repost with the lovely @reesewitherspoon at the @vanityfair party☺️ #thesmiletour #thesmiletour2019

Cardiac MRI at 3T Cine truefisp sequences @advanced_mri_ #advanced_mri #radiologyresident #mritech #mri #medicalimaging #radiologytech #medicine #ventricle #heartattack #emergency #cardiologista #vessel #science #radiology #radiologytech #cardiac #cardiovascular #vascular #cardiologist #heart #ventricle #pulmonary #cardiology #medical #doctor #tissue #tract #angio #aorta #subclavian #echocardiogram

Filming with Steve Martin and the fantastic @hsohkam and my green shoes, of course

Observe in real-time the effect of drugs and stimuli you apply to your cells! Here, the company Actelion (now Idorsia) developed a drug (Selexipag (Uptravi®) for the treatment of pulmonary arterial hypertension (PAH). See how the cell relaxes after the drug is added. This was imaged with the 3D Cell Explorer. Impressive!⠀ . Observe em tempo real o efeito de drogas e estímulos que você aplica às suas células! Aqui, a empresa desenvolveu uma droga (Selexipag (Uptravi®) para o tratamento da hipertensão arterial pulmonar. Veja como a célula se relaxa após a adição da droga. Essa imagem foi obtida com o 3D Cell Explorer ! ⠀ . #Repost @nanolive_sa . #biotecnologia #biotec #biotech #biologia #biomedicina #mestrado #doutorado #phd #farmacia #medicamento #hipertensao #biocel #biologiacelular