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Sometimes the little extras make the difference in getting the line or not getting the line. This not a how to. These are some tips and tricks that people have taught me over the last 2-3 years, and that I teach to residents. All additions, corrections, and comments welcome!

Hi, ER Doc here. RT if you’ve ever done CPR on someone and they survived. Trying to prove something.

Good critical care is 10% performing dramatic interventions, 90% being aggressively persistent with the seemingly mundane details. - Fluid balance - Weaning sedation - Weaning the vent - BMs - Deescalation of lines and tubes - Deescalation of abx/other meds

1/In lieu of Meet Up Monday, this week due to the holiday, we are doing...Tisha Tuesday! So without further fanfare, though she deserves it all, why don't we meet the indomitable, Tisha Wang our APD.

A non-medical friend recently asked me to describe clinic. I told her to imagine you have 20 meetings in a day, half of them new clients with urgent needs. Each requires your best self. You are late for at least 10 of them. You must prepare a report and deliverables for each one.

Dr. Cherian leading a session CHEST Airways Disorders Network on Benign Tracheal Stenosis at #CHEST2022 Multi-disciplinary session with #ENT #CVSurgery with case presentation by Christiana Hayward, MD BCM IM Residency UCLA PCCM

Have been working tirelessly to advocate for this group of very sick and vulnerable patients with completely preventable and terminal lung disease. Take a read and listen to the embedded radio link. publichealthwatch.org/2022/12/02/lun… UCLA PCCM

me in the icu with absolute chaos: calm, collected, focused on the task at hand me running 15 minutes behind in my primary care clinic: shaking, crying, throwing up

First official faculty job interview today - academic PCCM here I come. Wish me luck as I attempt to dazzle over zoom and send prayers I don’t completely screw up my Grand Rounds presentation!

In a bittersweet moment I just walked out of my last scheduled ICU shift for fellowship. What a strange feeling.

Appreciate any chance to teach, even if it’s quickly before clinic. Thanks for the opportunity UCLA Internal Medicine Chief Residents!

Check out another awesome #WEAR blog from February by Christiana Hayward, MD interviewing Juliana Ferreira ! thoracic.org/members/assemb…

When the doc you only see occasionally walks into the room and asks what pair of rothys you’re wearing today, you might have a very specific shoe problem. Can’t stop, won’t stop!

You can table round. You can bedside round. You can do systems based, you can do problem based. Gravity rounds, bottom of the list up rounds, new patients first, old patients first, whatever you want. All I want is organized/succinct and don’t skip FASTHUGSBID.

Officially starting my first attending job in Pulmonary Critical Care Harbor-UCLA Medical Center next week. Seeking any and all advice for a first time faculty member #MedTwitter - send it my way!

I often teach the a few core principles of what makes ICU decision making different from treating what appears to be similar problems on the med-surg floors. Here are a few principles I emphasize, in no particular order...🧵

Proud to be a contributor to this hefty text book with a chapter on “Drug Induced Pleural Diseases” with the one and only @IPScottO. Now in print!

Ten cognitive check points (general rules or heuristics to help guide my practice) I use in the ICU to help make sure I don't get too far off track. A thread🧵👇 1/10: Shock with a narrow pulse pressure (<30mmHg) needs an urgent #POCUS (or echo) to identify occult RV/LV

When I’m supervising, I expect people to - be reliable - be considerate - be truthful - be organized - take ownership - be self motivated - have plans

Cassie Huynh MD FACP CMD lol the color of your Pocket Medicine book is like a tree rings for discerning the professional age of an internist.