Jose A. Meade, MD

This a dream come true! Excited to join the @MayoPCCM team! 😍💙

#POCUS point of the day🔻 #NephMadness #Nephpearls #VExUS Radiology report says “patent portal vein with normal flow direction.” But congestion isn’t in the report, it’s in the context. They’re not looking for it unless you ask. It’s on us as clinicians to actually open the images, think physiology, and connect the dots instead of just reading the report.

Amazing recognition for an amazing work lead by @DrGabrielFP and @AliDuarteMD pubmed.ncbi.nlm.nih.gov/38766897/

Enjoyed discussing fluid responsiveness and tolerance through the lens of a #POCUS-focused nephrologist with the critical care team at the University of Missouri @mumedicine One of the best parts of POCUS is how naturally it brings disciplines together and drives meaningful exchange of ideas. #NephMadness Appreciate the kind invitation and thoughtful discussion.

#NephMadness #POCUS point of the day: You can estimate LVEDP on #echofirst using the aortic regurgitation jet. Measure the end-diastolic AR velocity on CW Doppler (right before QRS), then apply the modified Bernoulli: End-diastolic gradient = 4 × (AR velocity)² LVEDP = DBP - gradient As always with Doppler, this only works if the signal is clean and the Doppler cursor is well-aligned with the jet (sometimes apical 3-chamber view works better).

1er Congreso Latinoamericano de Cuidados Intensivos 🌎 OnLine 🇦🇷 🇨🇴 🇨🇷 🇲🇽 🇻🇪 🇧🇴🇧🇪 🇺🇸 🇪🇨

🧵 Why can oxygen worsen respiratory failure in COPD? Many clinicians still fear giving oxygen to COPD patients. The reason they’re taught? "Loss of hypoxic drive" But this is mostly a myth. Here’s what really causes oxygen-induced hypercapnia 👇

#Nephmadness #Nephpearls #POCUS is indeed an essential component of modern day nephrology. It’s now time to move past the POCUS vs no POCUS debate in #Nephrology. There’s already plenty of evidence showing it outperforms many of the conventional tools we rely on and reduces cognitive burden at the bedside. The next step is standardizing training and improving how it’s taught across fellowship programs, helping prevent overestimation of skills and fostering a culture of collaborative learning for the greater good of our patients. 🔗 academic.oup.com/ckj/article/17…

¿Es el miedo al medio de contraste más peligroso que el contraste mismo? 💉 El "renalismo" —evitar imágenes necesarias por temor a la lesión renal— causa retrasos diagnósticos y peores resultados clínicos. Articulo de lectura obligada. (2026). DOI: 10.34067/KID.0000001019

#Nephmadness Summary Infographic for Distinguishing Acute Pulmonary Embolism and Chronic Pulmonary Hypertension. (*overlaps exist, use multiple parameters in the appropriate clinical context) #POCUS #CriticalCare #Nephpearls 🔗 Alerhand S, Adrian RJ. Am J Emerg Med. 2023 Oct;72:72-84.

It’s out - March 26 grabs of the latest goodies in critical care papers, guidelines and more… There’s so many, as @CritCareReviews says (featured in this edition).👇👇 criticalcarenorthampton.com/episode-3-marc… #FOAMed #POCUS #FOAMcc #CriticalCare #ICU #IntensiveCare #Anaesthesia #Anesthesia #Anesthesiology #CritCare #ICUnurse #ICUMedicine #Medicine #Medical #MedEd #EmergencyMedicine #Resuscitation

Understanding Lung Physiology Through the Ventilator Screen 💡 The ventilator screen is continuous physiological monitoring. Interpreting pressure and flow curves allows: 🛡 Protective ventilation 🎯 Individualized PEEP 📉 Lower mechanical power 🫁 Reduced risk of VILI

New @ACPIMPhysicians #RSV practice points emphasize protecting the adults most vulnerable to severe infection. ACP recommends adults 75 and older receive a protein subunit RSV #vaccine, and those aged 60 to 74 with conditions like heart disease, diabetes, kidney or lung disease, or other comorbidities should consider RSV vaccination. Read the full guideline here: bit.ly/4l1n67q

RCT: Among patients with #sepsis, a precision immunotherapy strategy targeting macrophage activation-like syndrome and sepsis-induced immunoparalysis improved organ dysfunction by day 9 compared to placebo. ja.ma/4aME863

GRAN DEBATE : Pros y Contras de la Definición Universal de Infarto Pros: ✅ Tiene aceptación clínica global ✅ El tipo 1 encaja perfectamente en el tratamiento actual ✅ Tipo 2 ayuda a identificar problemas de oferta y demanda o2 ✅ Distinguir Tipo 1 y Tipo 2 es vital ✅ Tiene aplicaciones prácticas Contras: ❌ La clasificación es confusa clínicamente (especialmente Tipo 2) ❌No diferencia entre lesion miocardica e infarto ❌ Los valores de tropos para tipo 4 y tipo 5 son arbitrarios ❌No distingue entre lesión isquemica y lesión no isquemica

Critical closing pressure in the circulation: Understanding the vascular waterfall phenomenon CCR Journal Watch  criticalcarereviews.com/latest-evidenc…

I’m pleased to share that for the 8th consecutive year, Mayo Clinic is ranked the No. 1 hospital in the world by @Newsweek thanks to the extraordinary expertise, compassion, and commitment of our staff. rankings.newsweek.com/worlds-best-ho…

Check out this weeks trial bites. Time to smell the Rose trial! pulmonarypocus.com/trial-bites-bl… @NephroP

Proud of our 2025-2026 transplant nephrology fellows. 2/5 young innovator awardees at CEOT. ⁦@MayoClinicNeph⁩ ⁦@MayoTransplant⁩

NEW: A study of more than 46,000 patients with #AtrialFibrillation taking the blood thinners apixaban or rivaroxaban found that those who were also prescribed diltiazem had a higher risk of serious bleeding than those prescribed metoprolol. bit.ly/40zVay1 @DawwasGhadeer @VUMCDiscoveries

Right Ventricular Hemodynamics in Acute Respiratory Distress Syndrome: Monitoring and Implications for Clinical Management @atscommunity 🔗 tinyurl.com/4ea9hua2