Hopkins Advanced Heart Failure Transplant Faculty. #hopkinsheart. Osler residency alum. #washumed. Notre Dame obsessed. Tweets are my own (if there are tweets)
Baltimore, MD
Joined October 2018
- Tweets286
- Following287
- Followers535
- Likes1.1K
Paul Scheel retweeted
#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
Paul Scheel retweeted
#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
Paul Scheel retweeted
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
Paul Scheel retweeted
#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
Paul Scheel retweeted
#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
Paul Scheel retweeted
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!
Paul Scheel retweeted
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 ! – at Toronto, Ontario
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
Paul Scheel retweeted
@cpasrij and I performed the first DCD heart transplant @HopkinsMedicine, which also happened to be our 25th heart txp of 2024! NRP technology was used to procure the organ from a DCD Donor 1100 miles away! @KSharmaMD @hopkinsheart #dcd #hearttransplant
Paul Scheel retweeted
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 – at Baltimore, MD
Paul Scheel retweeted
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
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…
Paul Scheel retweeted
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…
Paul Scheel retweeted
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…
Paul Scheel retweeted
Happy Heart Month and National Women Physicians Day tomorrow! Proud of our @hopkinsheart HF/Transplant team this week performing 5 heart transplants in 7 days! Kudos to @APolancoMD @ChetanPasrija @AhmetKilicMD and our multiD teams! @ngilotraMD @stevenhsu_md @EdKasper3 @docsabe @HopkinsMedicine @HopkinsCTSurg @GoRedForWomen – at Ellicott City, MD
Paul Scheel retweeted
Exciting new RV #PVloop analysis in #LVAD patients w conductance catheter.
Link: jacc.org/doi/10.1016/j.jchf.…
Congrats to Dr. @BrenerMickey and all involved!
#pvloops #hemodynamics #heartfailure #mcs
This Post is from an account that no longer exists. Learn more
Paul Scheel retweeted
⬆️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
Paul Scheel retweeted
@ThaniyyahAhmad and I capped off the third heart txp of the week @HopkinsCTSurg. Great collaboration with @ParagonixSherpa. Many more transplants to come @HopkinsMedicine! @AhmetKilicMD @KSharmaMD @hopkinsheart
Paul Scheel retweeted
So proud of Dr. Yash Maniar presenting his work at #HFSA2023 on right ventricular imaging phenotype and outcomes in cardiac sarcoidosis🫀with mentorship from Dr. Paul Scheel and Dr. Nisha Gilotra #strongcope 💪❤️
Paul Scheel retweeted
#TipsForNewDocs
Know the reason for every med on your patient's list.
Option 1: necessary, and you learn something
Option 2: unnecessary, and you stop a useless med.
Either way, you learn + patient benefits = win-win!
#kittlesonrules
Paul Scheel retweeted
#TipsForNewDocs
On rounds, it is better to be wrong than to have no plan. Reason through the clinical data --> formulate a plan. If you're right, great! If you're wrong, you will have greater context to understand your faulty reasoning.
#kittlesonrules
Paul Scheel retweeted
#TipsForNewDocs
Some consults are interesting. Some consults are annoying. Some consults seem unnecessary. But that all consults are an opportunity to help a patient and/or educate a colleague, so help, educate, and sign off when you've done so.
#kittlesonrules