David Chu

New Faculty Boot Camp underway in a big way! 💋 #Reunited #ats2024 #nfbc @jhorowitzMD

Here is an observational study w non random comparisons that 💯 comports w what I believe. But. But. Now I am not sure we should jump to the causal conclusions that nearly everyone is making. Is this one of the trial emulations that would align w an RCT? (I’m asking)

Thanks to @sarahdudamd for an excellent talk reviewing what we can do to improve family communication in the ICU

Calling all #MedStudents, #Residents, & #Fellows! @AcadMedJournal is seeking Letters to the Editor from learners on why mentorship has mattered in your professional journey. More information is available here: ow.ly/Zta750O5tKw. #CallForPapers #MedEd.

everyone with acute, severe hypoxemia & bilateral lung infiltrates now has ARDS 🙄 we’re converting a trashcan diagnosis into a gigantic dumpster bin. studies on this increasingly heterogenious group of patients will struggle to find any useful therapies.

Join us for the Networking Exchange for Early Career Professionals on Saturday, May 20 5:30 - 6:30 p.m. ow.ly/49t950NGtzH

Thanks to everyone for all the support over the last 6 years, in particular to @RachelCasas14, @sakshisummer, @Jed_Gonzalo15 and @SGandotraMD for convincing me to go through with this last year.

Doctors at a major US insurance company deny tens of thousands of claims a month without even looking at patients’ files. “We literally click & submit,” a former Cigna doctor told @ProPublica & @Capitol_Forum. “It takes all of 10 seconds to do 50 at a time.” The inside story 🧵

#STELLAR #LBCT #acc23 #WCCardio 🫀Sotatercept: reverse remodeling agent 🫀On background tx: RCT placebo 🆚 S 💥⬆️ 6MW by 40m, ⬇️☠️/clinical worsening by 84%, fnal class & well tolerated (⬆️ bleed/BP) 🚨The Game (of #PH)Has Changed🚨

@Ryan_WilsonMD @CZackMD @Mike_P_Pfeiffer @JohnBoehmer3 Provocative, but not practice changing. SCAI class D/E in 50% of context arm vs 20% in FlowTriever arm, almost certainly people chose to give tPA in patients who were more unstable on average, hard to capture in the data but already suggested by the above

@CZackMD @Mike_P_Pfeiffer @JohnBoehmer3 @chu020

To drain or not? how much? notice the LA colapse. Patient has 110mmHg of PSAP. #echofirst @CyntiaMachain @SONECOM_AC @NMerke @fazalabul @wikimagen @cardio_sonora @ecolabincich @Cardiotweets83

@mdlizs @CuitlhuacArroy1 @CyntiaMachain @SONECOM_AC @NMerke @fazalabul @wikimagen @cardio_sonora @ecolabincich @Cardiotweets83 @rjbernardoMD Would agree with @rjbernardoMD here about PA catheter guided drainage if tamponade is confirmed. Agree with caution and not just draining all at once, but it can be safely done and would need to be if they have tamponade physiology. atsjournals.org/doi/10.1513/An…

@CuitlhuacArroy1 @CyntiaMachain @SONECOM_AC @NMerke @fazalabul @wikimagen @cardio_sonora @ecolabincich @Cardiotweets83 NO! No no no no no!!!!! We don’t have vitals but in PH you should NOT take the *spanx* off the RV. (You’re welcome for the visual.) 1. Diurese 2. Diurese 3. Diurese 4. NE + Vaso 5. PA vasodilation 6. Agree with @rjbernardoMD this is end stage PH

@drmoneymatters @sethmhardy @ScottTruhlar This is my biggest concern. Talking to trainees over the years it's shocking how many get pushed into WL who aren't saving in their tax-adv accts. From an ed standpoint for beginners you get better learning/retention with a clear rather than ambiguous message.

@sethmhardy @chu020 @ScottTruhlar I think a good rule of thumb particularly for young physicians is to avoid it. And then if you have enough other insurance coverage and investment $$ allocated, then explore it. But it’s usually pitched to young residents by friends/family who are not looking out for them.

Per request, all of the talks I've done for the Personal Finance Series at #PennStHershey for our residents and fellows have been recorded and are now available on YouTube for easy access. youtube.com/playlist?list=…

@sethmhardy Have to hold for 3+ decades to have an overall positive return, and you'd still be far behind compared to investing in a tax-efficient manner in index funds in a taxable brokerage account. Need a very specific thing that whole life can provide to justify the lower return.

@sethmhardy There are a lot of boxes you need to check that physicians won't come close to hitting, maxing out tax-advantaged space, having an estate tax issue ($12.06 mil for 2022, x2 if married, so probably not), needing asset protection for very specific reasons, etc.

Updated 2022 ERS/ESC PH guidelines, 2 is the new 3, among a few other changes. academic.oup.com/eurheartj/adva…

First concert since, well, college

@maahmed1218 @PennStHershey I'm just glad to have had the privilege of being your coach during your time here. Getting to work with you all is easily one of the best things about my job.

One of the best relationships I’ve had during residency has been with my coach @chu020. Also available and always allows us to have honest, open conversation. @PennStHershey has a great new pulm crit program director.