Great review of the mechanisms and physiology of APRV in this months CHEST Physician www.chestphysician.org/airway-press... @accpchest.bsky.social

As the main #PALISI25 meeting kicks off, Chair Dr. Akira Nishisaki provides opening remarks. Meet our Executive Committee! #PedsICU

The Very Rev Kate Moorehead Carroll, calling out the hypocrisy of those who present an alternative version of Jesus youtu.be/nEJ3T7U3d4Q?...

Seen this morning. Apparently my account is just an animal photography account now. And don’t worry, he’s going to take the gator to a “farm”…

(At the risk of becoming an animal photography account) got a great shot of a hummingbird in our back yard this morning!

@thanhneville.medsky.social! So excited for your talk at #CHEST2025 on Humanizing Dying in the ICU and the @3wishesprogram.bsky.social!

What a difference a month makes! Zoey has turned into quite an active cat toddler!

Deadline August 27th for late-breaking abstracts and gamification abstracts! Join us at #CHEST2025 this October 19-22nd in Chicago!

Just how reliable are bedside sputum assessments anyway? 📄 Schuiteman et al in #journal_CHESTCritCare @accpchest.bsky.social www.chestcc.org/article/S294... 📍 10 ventilated pts, videos/photos shown to 383 ICU staff 📍 Gold standard = gram stain PMNs @hbgmd.bsky.social @chriscarrollmd.com #MedSky

In the midst of all the turmoil, your annual reminder that DQ (aka Dairy Queen) isn’t real ice cream! www.yahoo.com/lifestyle/da...

one cool thing about Scandinavian countries with comprehensive public health insurance is places like Denmark can do a study on… everybody and conclude that yes COVID vaccines are safe

Tom Lehrer’s humor was very influential to me as a nerdy young teen! www.npr.org/2025/07/27/8...

Hospital chaplains are a vital part of the care we provide to critically ill children in the #pedsICU. Ayman Soliman sounds like a very good man and an excellent chaplain. www.rollingstone.com/politics/pol...

Spending three days supporting our son and seeing five different musicals at Ohio Light Opera, including the rarely performed Bitter Sweet (1929, Noel Coward) and Tip Toes (1926, Gershwin). Plus the 1881 Patience by Gilbert & Sullivan!

Everything I hoped it would be. See it this weekend before the haters tell you why its awful.

On call tomorrow so that means #Superman tonight!

Happy #JulySixthPark to all who celebrate.

This kitten definitely has a quest for you.

For your timeline tonight: here’s 60 seconds of my head-injured (soon-to-be) three-legged rescue kitten playing. She’s made great strides in 10 days.

Have you listened to the latest @accpchest.bsky.social #journalCHEST Humanities postcast with Wed Ely and Abhi Bhardwaj? It’ll refresh your spirit! “Medicine at Its Finest” www.chestnet.org/guidelines-a...

When we’re feeling helpless, helping others can be a path forward. My wife’s piece on “The Zoey Appreciation Club” substack.com/@katemoorehe...

Caturday photo of baby Zoey playing! Doing well after 1 week off the streets!

I heard this thing on Science Friday last week that I felt was particularly relevant to the present moment, looking at how grievance and revenge works at a neurological level, how social media uses that to drive us all crazy, and how the antidote is forgiveness. www.sciencefriday.com/segments/rev...

Straw poll of pediatricians and #pedsICU clinicians this Saturday. How many of you have treated kids with vaccine preventable diseases in the last couple of months?

Today’s doomscrolling has been replaced by me just repeatedly refreshing @elienyc.bsky.social’s feed

I’m sorry to say that we might be raising an ipad baby…. Kids these days & their screen times! 🙄

Looking even better tonight! Socializing with the other pets while watching Independence Day

Truly fantastic pulmonary and critical care educational experience! #CHEST2025

“It’s not as simple as that. It’s not a black and white issue. There are so many shades of grey.” “Nope.” “Pardon?” “There’s no greys, only white that’s got grubby. I’m surprised you don’t know that. And sin, young man, is when you treat people as things. Including yourself. That’s what sin is.

Pupils mostly equal size again! Our pediatric neurosurgeon suggested adding salt to her feeds. (Very on brand!) Didn’t do that but Zoey seems to be a bit better tonight. Pretty sure she’s going to lose her front leg through. (There’s no tone in it)

Little Zoey is stable and coming home! May be some nerve damage to that leg and still may end up needing an amputation, but we’ll see over the next couple of weeks. Here’s to hoping all the animals in the house get along!

My wife found an injured kitten in the middle of a major road near our home this morning. She’s got at least one broken leg, head trauma, and eye and ear infections, and the vet is working on her. We named her Zoey because of all the life in her.

From a volcanic tunnel in Ecuador. Sometimes the light seems very far away. Praying for peace and calmer heads this morning

It makes me 😊 when #journal_CHESTCritCare readers & reviewers engage w us! Just out: ✳️ Jaitovich’s editorial re skeletal musc: Ed: www.chestcc.org/article/S294... Art: www.chestcc.org/article/S294... ✳️ Letters re Tylenol: Ltr: www.chestcc.org/article/S294... Resp: www.chestcc.org/article/

Today on #Juneteenth, we honor the ongoing fight for freedom and equality. Talent is everywhere. Opportunity is not. Surgery must remain a pathway forward for underrepresented voices. We commit to equity, access, and inclusion. #EquityInSurgery #DiversityInSurgery

2) Scientific progress is not made by a few lone geniuses working on a few big questions. It's made by many independent teams each chipping away at the boundaries of knowledge a little, which sometimes leads to world changing discoveries but often just adds a little to the body of knowledge.

Clever Hans was a horse in the early 1900’s who could answer any question asked of him. Along with his owner, Wilhelm von Osten, he drew large crowds in Germany and was even covered in the NY Times. timesmachine.nytimes.com/timesmachine...

The Supreme Court’s decision today does not change the science. Gender-affirming care remains evidence-based, medically necessary care that improves the health and well-being of transgender youth. Learn more: www.aap.org/en/news-room...

Unforgettable trip to the Galapagos with National Geographic. Fulfills a dream I’ve had since childhood. Pictures don’t do it justice, but there may be no better place on earth to photograph animals and the beauty of nature. Gonna post one every day for awhile.

Grieving families will occasionally contest the diagnosis of Brain Death (or Death by Neurologic Criteria). In this qualitative work, we explore themes that may aid as we try to navigate these challenging perioids journals.lww.com/pccmjournal/...

The chest x-ray use pioneered by Alan Hart continues to be extremely important in screening for tuberculosis. Although no one accomplishes anything in isolation, I'd argue that Hart has helped saved MILLIONS of lives because chest x-rays have been so essential in driving down rates of TB globally.

Late to this bandwagon, but finally bought this book! Looking forward to finally reading it and sharing it!

Blue Heron in the bay last night!

More evidence that capillary refill time is a validated finding that we should be following. These authors used *sternal* capillary refill time, which may be a wee bit longer than finger CRT. Either way, if you're over ~3 seconds, that suggests badness. (ANDROMEDA-SHOCK used 3s cutoff) #EMIMCC

Apply for the 2025 Early Career Scholarship. Be one of three graduating fellows to receive select CHEST education offerings for one year, including registration to #CHEST2025 and more. Submit an application today: www.chestnet.org/membership-a... #CHESTTrainees

I’ve decided this is proof that the Goddess Pele hates the new live action lilo and stitch.

Gator in the bay tonight.

Father Guido Sarducci is still alive and as funny as ever! youtu.be/mmRVuB5exLM

everything is so heavy BUT