Rahul Nanchal

@PaulBerglMD I think what you meant to say is the worst are those who actually have no credentials but still blatantly misguide people by flaunting something stupid and also have zero credibility. Case in point Scott Atlas

@PaulBerglMD You mean spend time talking to patients, examining them and making accurate diagnoses. Imagine the foolishness in that!

You'd think that during a pandemic, clinicians would get a break from tedious coding queries, BPA alerts, Medicare justifications for > 20 day inpatient stay... Cmon, we are swamped Why do I need to waste my time commenting on whether admission Na is "hypoNa" or "insignificant"

@cspramesh Why does this surprise you? This has nothing to do with statistics or science but has everything to do with the utter corruption of @SteveFDA. I am actually shocked that @SteveFDA has not authorized the emergency use of PO bleach

I hope that #ConvalescentPlasma turns out to be beneficial in randomized trials. The benefit is however likely to be marginal, if at all, and not the 35% improved survival homerun that is being claimed. Yes, a pandemic is still not reason enough to abandon good science. The End

I can't believe the @US_FDA Commissioner @SteveFDA announced that 35 out of 100 patients treated with #ConvalescentPlasma will benefit from it. This demonstrates either a lack of understanding of basic statistics (relative risk vs absolute risk) or external pressures. (1/n)

@PaulBerglMD @SteveFDA I am hardly surprised by this What actually surprises me is that @SteveFDA did not authorize emergency use of PO bleach. Absolute disgrace to everything medicine stands for

@PaulBerglMD @CDCgov What is more suprising is there are no safeguards in place to prevent this from happening or if there are, there is blatant disregard and none have the spine to stand up to it.

@PaulBerglMD @realDonaldTrump Paul Bergl this pales in comparison to the CDC changing guidelines based on the tweets of a narcissistic sociopath and his enablers in the White House. The CDC is supposed to be the bastion of science in this country. Seems politics is TRUMPS integrity of scientists

@PaulBerglMD Just a vile creature who has the audacity to identify himself as human.

@PaulBerglMD May have to change heading on your account and place art of medicine before EBM

@PaulBerglMD You may have to change heading of your account and place art of medicine first

Additional analyses from #CITRIS trial of #VitaminC in #ARDS to account for mortality difference shows difference in SOFA at 96 hours, from Berry Fowler @mkashiouris in response to @davidnhager @jlvincen @drPaulElbers in @JAMA_current jamanetwork.com/journals/jama/…

@AlhazzaniW Could not agree more, in fact majority of times there are other mechanisms of lactate production or under clearance rather than oxygen debt

Guidelines for the Management of Adult Acute and Acute-on-Chronic Liver Failure released in @CritCareMed: bit.ly/3bHUvQJ #SCCMSoMe #CritCareMed

@PaulBerglMD Or perhaps what matters is an accurate diagnosis and then appropriate treatment of the underlying condition rather than correcting a surrogate marker of illness

This has been my argument of other negative studies of bicarb as well... Maybe it just means that the "disease" we are trying to prevent doesn't exist at all

@AlhazzaniW et al. have developed the guidelines for clinicians caring for adults with acute or acute on chronic liver failure in the #ICU. They report 29 recommendations related to five groups (cv, hematology, pulmonary, renal, and endocrine)📰Full paper:bit.ly/2VhcTKw

Adult acute liver failure and acute om chronic liver failure. #CCC49 Pulmonary considerations @AlhazzaniW @drdangayach @iamyourgasman @ChrisCarrollMD @criticalbeansmd @crit_caring_MD @PittCCM @PACCM_fellows @SapnaKmd @JBradyScott