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Rishi Kumar, MD | RK.MD @rishikumarmd

Cardiac Anesthesiologist · CVICU Intensivist · EchoTools iOS App Programmer · #POCUS/TEE · #FOAMed · Techie · https://t.co/4qJFGfsOA8 RK.MD Houston, TX Joined August 2008
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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

Pulm. velocity accel time (PVAT) estimates the severity of PA pressure elevation when TR jets are difficult to analyze. PVAT = time from flow onset to peak velocity. PWD at the PV in this PSAX #TTE shows a PVAT ~ 150 ms (normal is > 130 ms). #echofirst #medtwitter

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

Happy New Year to all! #MedTwitter, what things do you all do at the beginning of every year? Here are a few things I do: - Subscription renewals - Backdoor Roth IRA contribution - Look for competitive rates on utilities

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

One last update for my free EchoTools iOS app before 2024! As always, I appreciate your continued support for this project! echotools.app #pocus #ultrasound #medtwitter

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

The transhepatic (TH) IVC view (phased array in RUQUS, tilt beam cranio-posteriorly, pan around). Poor agreement in measurements b/w TH and SC IVC views, and outside of extremes, IVC measurements don't guide my clinical practice in the CVICU. #echofirst #medtwitter #pocus

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

Cause we're spreading holiday cheer with... mortality benefits! #MedTwitter

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

Academic attendings who constantly complain about their trainees' weaknesses should spend less time ridiculing and more time actually teaching/mentoring. We were ALL in their shoes at one point. Take pride in nurturing your trainees' success! #medtwitter

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

Love GE Healthcare's Auto-VTI tool! Applying it here to an apical 3-chamber ("long-axis") TTE view to assess volume responsiveness. Hoping to see more tools like this expand across manufacturers. #echofirst #pocus #ICU #medtwitter

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

Identify tasks that you regularly perform and learn how to automate them.

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

ME-LAX TEE view showing pre-and-post surgical IVS myectomy for HOCM. Note DIASTOLIC flow across the IVS - an expected finding caused by unroofed septal perforators (systolic flow would be concerning for VSD). #medtwitter #echofirst #cvsurgery #anesthesiology

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

Lung #POCUS with air bronchograms (yellow arrows) - patent airways amid consolidated lung tissue signaling atelectasis, PNA, etc. Dynamic bronchograms move with respiration while static suggest trapped air (RLL atelectasis seen here caused by a pleural effusion) #medtwitter #ICU

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

Where are my fellow cardiac anesthesiologists taking the first #ABA cardiac anesthesia board exam tomorrow? #anesthesia #medtwitter

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

Thanks for sharing my post!

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Classify Rx 📱 @simplify_drugs

2 years ago

Thanks for sharing my post!

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

Or the famed MAC with 100% immobility… AKA general anesthesia without an airway. I really think every proceduralist should have to provide a (supervised) anesthetic for every procedure they’re going to do as part of their training.

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Leslie Matthews, MD, PharmD @LeslieMDPharmD

2 years ago

Or the famed MAC with 100% immobility… AKA general anesthesia without an airway. I really think every proceduralist should have to provide a (supervised) anesthetic for every procedure they’re going to do as part of their training.

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

I’ve had several direct discussions with attending cardiologists about issues writing “recommend CV anesthesia” or “recommend MAC” in the chart without actually talking to an anesthesiologist beforehand. 😬

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Jordan Holloway, MD (she/her) @jholloway_MD

2 years ago

I’ve had several direct discussions with attending cardiologists about issues writing “recommend CV anesthesia” or “recommend MAC” in the chart without actually talking to an anesthesiologist beforehand. 😬

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

What single app helps you the MOST with organizing tasks? Things? Tick Tick? Notion? Notes/Reminders? Bear? Fantastical? Something else? #apple #appstore #macos #ios

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

An overview of axis deviation on the blog: rk.md/2017/ekg-axis-… #medtwitter #foamed

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

RV-PA coupling utilizes the effective PA elastance (Ea) and the RV end-systolic elastance (Ees). Learn more on the blog! #meded #medtwitter rk.md/2023/right-ven…

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

What's the a.) imaging modality, b.) view, c.) pathology, d.) likely causes? #POCUS #EchoFirst #MedEd #MedTwitter

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

3D TEE imaging of the tricuspid valve (TV) is beautiful! 🤩 Important spatial relationships to understand are the SLTV-PLTV commissure for the coronary sinus, ALTV-SLTV commissure for the RCC-NCC of the AoV, and RCA coursing along the lateral aspect. #pocus #tee #echofirst

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Rishi Kumar, MD | RK.MD @rishikumarmd

2 years ago

That means so much! I really do appreciate the kind words! 🙏

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Elle R. Kaplan, M.D. @elle_kaplan

2 years ago

That means so much! I really do appreciate the kind words! 🙏

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