Jonathan J Suarez

Second this excellent review of lung ultrasound across diverse domains of practice for nephrologists Written by critical care nephrologist @ICUnephroSuarez and leading nephrology #pocus researcher @vandyniyyar @EmoryNephrology sciencedirect.com/science/articl…

@AJKDonline @Khairallah_P @ssfarouk @anna_burgner @Maximal_Change @kidney_boy @Nephro_Sparks It’s time to lobby for #POCUS again! Conventional #physicalexam vs #pocus enhanced exam in #nephrology Cc @nephrothaniel @NephroGuy @ansakhuja @ArgaizR @ICUnephroSuarez @danielwross4 @vandyniyyar @DrAnil001

@sjoshimd @kidney_boy @JasonCobbMD and Janice Lea likely have the most patients. In the inpatient setting it depends on the hospital.

@kidney_boy @ICUnephroSuarez

Anyone know who runs (or does) PD at Emory?

Nice work @ICUnephroSuarez !! pubmed.ncbi.nlm.nih.gov/33044238/ ping @WBeaubien @NephroP @curromir makes lighting the sparks so worthwhile!!!

Proud of this team. #HeatCulture

Apply to our Nephrology Fellowship now via ERAS! students-residents.aamc.org/training-resid…

@ThinkingCC @WBeaubien @shapatel13 Yep. Pretty much used on a daily basis.

Awesome! Breaching the nephrology ramparts!!! Ping @WBeaubien @shapatel13 @ICUnephroSuarez

@salim1612 @EmoryNephrology @JasonCobbMD @exiliadoprocaz @HaroldFranch @criticalbeansmd @bhoov4 @vandyniyyar @JeanieParkMDMS @lea_janice Congrats again! Glad you won’t be too far. Remember to come and visit.

#thankful for all the great mentors @EmoryNephrology Including but not limited to @JasonCobbMD @exiliadoprocaz @HaroldFranch @criticalbeansmd @PAmarapurka @bhoov4 @vandyniyyar @ICUnephroSuarez @JeanieParkMDMS @lea_janice

Great job! Hopefully some of the new interns will join the @EmoryNephrology team!

@Euvolemia @EmoryNephrology @JasonCobbMD @exiliadoprocaz @lea_janice @HaroldFranch @JeanieParkMDMS @criticalbeansmd @bhoov4 @PAmarapurkar Congrats! See you on the other side!

Checked out @EmoryNephrology last day of renal fellowship with @JasonCobbMD great learning experience that will take with me for life.❤️Thanks @exiliadoprocaz @lea_janice @HaroldFranch @ICUnephroSuarez @JeanieParkMDMS @criticalbeansmd @bhoov4 @PAmarapurkar and all the faculty🙏🏽😀

@msiuba POCUS echo before doing anything. Too risky to give diuretics or AC before that

Unlike most MC questions, you also get to choose a therapeutic maneuver while dx is happening. What's your first choice? More case details to follow tomorrow!

🚨 Multi-part case #Tweetorial 24y man no PMH. 3-4 days myalgias, freq diarrhea. 2L saline given on med floor -> hypox/tachypnea. COVID pend. A 👍 B RR30-34, SpO2 92% 5L NC ❤️ MAP 90, HR 110s ->150s over 12 hrs D Avpu E Anxious L CRP 58 (ULN 0.9), Cr 1.4 (no baseline), Lact 4.8

@VelezNephHepato @ThinkingCC @khaycock2 @NephroP @shapatel13 @Thind888 @load_dependent @msiuba @PulmCrit @kidney_boy Yes. All these other factors will obviously play into my decision. POCUS is just another tool that helps give me more information for both diagnosis and guiding therapy. Since doing POCUS I’ve noticed many things can be missed by just relying on imaging and exam.

@ICUnephroSuarez @ThinkingCC @khaycock2 @NephroP @shapatel13 @Thind888 @load_dependent @msiuba @PulmCrit @kidney_boy Very nice technical note. But in a pt in which a Lasix drip (or boluses) is being recommended, I’d be interested in UOP, fluid balance, CXR, oxygenation and resp distress/vented status not just the US parameters triggering the decision. #lovenewtoysbutimoldschool

Bedside Physiology in Septic AKI with Korbin Haycock. #FOAMed, #FOAMcc thinkingcriticalcare.com/2020/06/25/bed…

@ThinkingCC @khaycock2 @NephroP @shapatel13 @Thind888 @load_dependent @msiuba @PulmCrit @kidney_boy Ultimate goal is for renal notes to look like below....Next time I will include RRI to guide my MAP. Would love to get some cases together. Great job again @ThinkingCC @khaycock2

@ThinkingCC @khaycock2 @NephroP @shapatel13 @Thind888 @load_dependent @msiuba @PulmCrit @kidney_boy This patient was victim to the “30 ml/kg sepsis protocol”

@MSharifpourMD @Euvolemia No uremic frost......then no dialysis 😂

@Euvolemia Renal team won’t write the orders @ICUnephroSuarez 😂

Which of these patients has a more severe degree of venous congestion? #VExUS Thread 🧵 about the Portal Vein (1/17)

@ArgaizR @ThinkingCC @Thind888 @msiuba @khaycock2 @VelezNephHepato @NephroGuy @NephroP @load_dependent @iceman_ex @harrishealth While talking about PLR. @criticalbeansmd introduced me to this cool study of using PLR to assess tolerance of fluid removal with RRT ncbi.nlm.nih.gov/pmc/articles/P…

@ArgaizR @ThinkingCC @Thind888 @msiuba @khaycock2 @VelezNephHepato @NephroGuy @NephroP @load_dependent @iceman_ex @harrishealth If the BP "improves" with IVF-many will think-patient is "fluid responsive." Leading to another fluid bolus later on..... This needs to change and I hope more studies like this lead to changes in management of these patients

Passive Leg Raise-Guided Fluid Resuscitation lead to LESS fluid administration Impressive results: 3 times less RRT in intervention group despite a small difference in fluid balance (only 1.37 L)! journal.chestnet.org/article/S0012-… 4 possible (non–mutually exclusive) explanations: 👇