Paul Scheel

289 posts

Paul Scheel

Paul Scheel

@Js08Paul

Hopkins Advanced Heart Failure Transplant Faculty. #hopkinsheart. Osler residency alum. #washumed. Notre Dame obsessed. Tweets are my own (if there are tweets)

Baltimore, MD Beigetreten Ekim 2018
290 Folgt545 Follower
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Michelle Kittleson MD PhD
Michelle Kittleson MD PhD@MKIttlesonMD·
#TipsForNewAttendings Trainees often ask questions like “Do you want increase Lasix today?” My favorite response: “What do YOU want to do?” Encourage them to make the decisions- prepare them for when you’re no longer their safety net! #kittlesonrules
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Michelle Kittleson MD PhD
Michelle Kittleson MD PhD@MKIttlesonMD·
#TipsForNewDocs Before ordering a test, have a plan for a normal, abnormal, or indeterminate result. If this thought experiment demonstrates the test won’t change management, or if you don’t know how to interpret/act upon all possible results, don’t order it. #kittlesonrules
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Ahmet Kilic
Ahmet Kilic@AhmetKilicMD·
Kicking off the first wet lab of the academic year with a combined plastic surgery / cardiac surgery discussion on sternal / wound closure. Big shout out to Dr. Lily Mundy of plastics and Dr. Hamza Aziz of cardiac for lending their expertise. @HopkinsCTSurg
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Michelle Kittleson MD PhD
Michelle Kittleson MD PhD@MKIttlesonMD·
#TipsForNewDocs You’re never too important to pre-round. Almost 20 years from training, I still review labs & notes from RNs & consultants before team rounds. If you have an idea of the plan, rounding is more efficient and you can spend more time teaching. #kittlesonrules
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Paul Scheel
Paul Scheel@Js08Paul·
Excellent study (congrats @BrenerMickey et al) with and eloquent editorial summarizing such an important study. Much to be learned based on our prior results along with these and looking forward to more work in this field. @stevenhsu_md
Ryan J Tedford MD@RyanTedfordMD

And important editorial by @Brian_Houston12 & @JamesCFangMD A lot of factors to consider. @stevenhsu_md @Js08Paul Optimizing Hemodynamic Interventricular Interactions in LVAD Recipients: Is Speed Everything? | JACC: Heart Failure jacc.org/doi/10.1016/j.…

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Michelle Kittleson MD PhD
Michelle Kittleson MD PhD@MKIttlesonMD·
#TipsForNewDocs Phrases to avoid on rounds: Gentle diuresis (be specific!) Soft blood pressure (can it be hard?) Making good urine (what's bad urine?) Specific assessments and goals/targets = better care. #kittlesonrules
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Amy G. Fiedler, MD
Amy G. Fiedler, MD@FiedlerAmy·
Fantastic experience being a faculty member with the incredible @NirUrielMD and @AlbertHicksMD at the @AbbottCardio Advanced MCS Topics course in NYC 🫀👩‍⚕️🌆 I always learn so much and am so inspired by my colleagues across the country!
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Ahmet Kilic
Ahmet Kilic@AhmetKilicMD·
Amazing work that will increase the donor pool for patients waiting on scarce organs ! Huge shoutout to @APolancoMD @cpasrij - absolute studs in the heart failure program for their dedication and tireless efforts !
Kavita Sharma@KSharmaMD

First DCD heart transplant performed last night @HopkinsMedicine by @cpasrij @APolancoMD! Milestone moment for @hopkinsheart and @HopkinsCTSurg ! Incredible dedication and efforts by all team members. @AhmetKilicMD @stevenhsu_md @ngilotraMD @jvaishnavmd @Js08Paul @VirginiaSHahnMD @luigiadamomdphd @priyaumapathi @docsabe @EdKasper3

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Steven Hsu
Steven Hsu@stevenhsu_md·
Why does late RHF occur post LVAD? LVAD unloading diminishes septal contraction, which weakens RV contractility. Coupled with persistent RV afterload, it leads to RV-PA uncoupling in the LVAD. @RyanTedfordMD @Brian_Houston12 @NavinKapur4 @JonGrinsteinMD @MarkBelkinMD
JHLT@TheJHLT

Pressure-volume loops uncover occult RV dysfunction & ↓ reserve in LVAD, w/ PAPi as potential surrogate; ↓septal contraction 2/2 LV unloading a possible mechanism based on echo septal strain @Js08Paul, @stevenhsu_md, @hopkinsheart 🔗 jhltonline.org/article/S1053-…

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Paul Scheel@Js08Paul·
Check it out! We loved doing this work and continue to do so. Many insights to be gained from PVL and correlation with clinical variables to try and bring to the broader LVAD patient community
JHLT@TheJHLT

Pressure-volume loops uncover occult RV dysfunction & ↓ reserve in LVAD, w/ PAPi as potential surrogate; ↓septal contraction 2/2 LV unloading a possible mechanism based on echo septal strain @Js08Paul, @stevenhsu_md, @hopkinsheart 🔗 jhltonline.org/article/S1053-…

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Carlos Ortiz Bautista
Carlos Ortiz Bautista@Carlos_Ortiz85·
Novel insights into the prevalence of intrinsic RVD and the importance of IVS and summed RV afterload in the RV-PA coupling during LVAD support. jhltonline.org/article/S1053-…
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Paul Scheel@Js08Paul·
@EnduringHearts celebrating and giving back to organizations that make amazing things happen in pediatric heart transplant!
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Patrick Sullivan
Patrick Sullivan@PSullivan000·
Exciting new RV #PVloop analysis in #LVAD patients w conductance catheter. Link: jacc.org/doi/10.1016/j.… Congrats to Dr. @BrenerMickey and all involved! #pvloops #hemodynamics #heartfailure #mcs
Mickey Brener MD MS@BrenerMickey

Excited to see our work using RV #PVloops to better understand interventricular interactions! Now out in @JACCJournals #JACCHF Thanks to our collaborators from @NYPCUCVI @AHN_CVI @MattLanderMD @NirUrielMD @gtsayer @HamidNadira @MathewMaurer @BurkhoffMd

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Jeff Teuteberg
Jeff Teuteberg@JeffTeuteberg·
⬆️LVAD speed may impact RV function via septum ⬇️LVAD speed may impact RV function via afterload 🚨Excellent study of RV physiology using PV loops by @stevenhsu_md. PAPi as the best surrogate for RV-PA coupling? @RyanTedfordMD @ISHLT @TheJHLT @MKIttlesonMD
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