Nida Qadir, MD @NidaQadirMD Twitter profile | Pikagi

Pikagi

Nida Qadir, MD

@NidaQadirMD

10,837

Followers

1,431

Following

548

Media

4,721

Statuses

Associate prof & MICU co-director at UCLA. #ARDS 🫁 researcher, #Airway master, #ECMO enthusiast, shoe aficionado, difficult woman. Tweets = my personal views.

Los Angeles, CA

https://t.co/jkGsVJBMgH

Joined January 2017

Don't wanna be here? Send us removal request.

Pinned Tweet

@NidaQadirMD

Nida Qadir, MD

9 months

🔥Now in print in @ATSBlueEditor - the new @atscommunity ARDS guidelines Topics addressed: 💊Corticosteroids 🔃 VV-ECMO 💉Neuromuscular blockade 🐥Higher PEEP +/- recruitment maneuvers ⬇️ Read on for the recs + how to apply them to your practice🧵

Tweet media one

6

74

195

Last Seen Profiles

@BNTFHD8888

@ReverendoPetrol

@RedPilledBill

@AlexMartiniuk

@Tapo152

@bokeplokalmalam

@ebiwwsif

@u_tan0919dw

@XiZ881zcZX02g6U

@Hi_GunZ

@HOSSAM_HASSIEB

@coach_stanley9

@marctothec

@vong_salavan

@9173e78bdca0415

@Putamimosaa

@brentcoley

@erislauri

@grdx

@pradabarbi6999

@momoka410377469

@amakekette_

@Lan04930664

@BinorRaja

@viral_pokonya

@ayiz52

@TsiperakosLol

@acidUA

@Jomipitunes

@Leandro_Assis13

@RingotheDingo

@DrakeTheSnake08

@dMcDowell23

@NoshiA100

@stw46

@ebiwwsif

@NidaQadirMD

Nida Qadir, MD

4 years

Yes, patients do recover from #COVID19 #ARDS . And yes, my #ICU team does do an #extubation dance every time we liberate someone from a #Ventilator . #ARDSAvengers #coronavirus #bestteamever @uclaimchiefs @UCLAHealth @atscommunity @GiladJaffe @HungryDes @NoCoughEng

710

6K

27K

@NidaQadirMD

Nida Qadir, MD

2 years

The prayers for #DamarHamlin are beautiful, but @NFL , please also consider spending 2 minutes before tomorrow’s games showing a demo of hands-only #CPR & encouraging viewers to learn. With your audience, this could save lives ❤️🙏🏽 Read on to learn how to do hands-only CPR ⬇️

25

445

3K

@NidaQadirMD

Nida Qadir, MD

4 years

Obligatory #vaccine photo. Celebrating the end of a #COVID #ICU week in with a shot! This is the first thing that’s given me hope in quite a while and there’s a big smile under the mask 😊😷. #VaccinesWork #VaccinesSaveLives #COVID19

Tweet media one

Tweet media two

117

122

2K

@NidaQadirMD

Nida Qadir, MD

2 years

I hate hyponatremia. That’s the tweet.

114

142

2K

@NidaQadirMD

Nida Qadir, MD

4 years

I don’t like posting depressing posts but I think it’s time. When this all began, I would walk into the #COVID unit with the energy of a #hype man at a #hiphop show. I hate COVID19 but I love being an #ICU doctor & getting people better. Today I am mentally & physically exhausted

147

531

2K

@NidaQadirMD

Nida Qadir, MD

4 years

@wmlwarren @CatTrainTrump @uclaimchiefs @UCLAHealth @atscommunity @GiladJaffe @HungryDes @NoCoughEng I haven’t had a day off in over a month. So yes, doctors and other medical professionals are overworked. Impromptu dance to lift the spirits of my team and celebrate wins during dark times.

34

35

1K

@NidaQadirMD

Nida Qadir, MD

3 years

Most young women I’ve admitted to the #ICU for #COVID19 have been #pregnant . Pregnancy is indeed a risk factor for more severe COVID illness, but the messaging about #pregnancy , COVID & #vaccines has led to a lot of confusion and preventable illness. Let’s break it down. 🤰🏽🧵

27

520

1K

@NidaQadirMD

Nida Qadir, MD

2 years

While interviewing fellowship applicants, I learned that there’s a residency program that provides all of their incoming residents w/ therapists. You can opt out of therapy, but the default is that you’ll opt in. #MedTwitter , is this common? If not, it seems like it should be.

65

55

1K

@NidaQadirMD

Nida Qadir, MD

4 years

More deaths in the ICU in the last 24 hours than I can ever remember happening in a single day and I am really angry.

@latimes

Los Angeles Times

4 years

Breaking: L.A. County reported more than 300 new COVID-19 deaths Friday, its highest single-day tally to date.

9

52

75

55

263

952

@NidaQadirMD

Nida Qadir, MD

3 years

Whenever I have an older #desi (South Asian) patient, I have to stop and remind myself to not call them “auntie” or “uncle.” Tell me I’m not the only one. #medtwitter

71

28

892

@NidaQadirMD

Nida Qadir, MD

2 years

“Aspirational pneumonia”🤞🏽🫁might be my favorite medical linguistic mishap so far. #MedTwitter , what are some good ones you’ve seen?

212

48

802

@NidaQadirMD

Nida Qadir, MD

4 years

Well...that was an exhausting week. But my team got 9 #COVID19 patients off vents in 7 days so I am going to let myself feel good about that. Yes, people recover. But trust me, you still don’t want to experience critical illness.

25

44

657

@NidaQadirMD

Nida Qadir, MD

4 years

I can probably tough out the unsustainable level of work & the persistent #N95 -induced facial pain, but the suffering of my patients - many young & previously healthy - and their families is getting harder to watch. Even those who survive will have their lives rocked to the core.

41

114

645

@NidaQadirMD

Nida Qadir, MD

4 years

But the beach crowds and protests and bar openings? It just seems like we are setting ourselves up to drag this all out for even longer. I haven’t been scared yet...I’m an #intensivist so not much phases me...but the thought of this continuing for months on end is horrifying.

7

114

616

@NidaQadirMD

Nida Qadir, MD

5 years

Deployed our MICU #COVID -only team today. All #ARDS , all the time. Don’t worry, we wear way more #PPE in patient rooms. @UCLAHealth @uclaimchiefs #COVID19Pandemic #covid19 #coronavirus #ICU

Tweet media one

32

40

619

@NidaQadirMD

Nida Qadir, MD

2 years

My brother Rehmat died 4 years ago today & I never know what to do on the anniversary other than think a lot. When a young person dies, their death usually becomes a central part of their life story, but I’ve been trying to focus more on how he lived.

Tweet media one

48

12

636

@NidaQadirMD

Nida Qadir, MD

4 years

Some more #COVIDDeepThoughts after post-ICU clinic this week. All of the patients we saw were #COVID19 survivors in their 40s-60s, previously relatively healthy, had been intubated in the #ICU , some for quite a while. 1st, the good news. All of them were home & many back at work.

19

134

575

@NidaQadirMD

Nida Qadir, MD

4 years

I don’t know who needs to hear this, but it’s a really bad idea to try to “stave off” intubation by keeping a patient on continuous BIPAP for so long that you feel compelled to start TPN. Whatever your thoughts on NIV for ARDS, BIPAP is not meant to be used for weeks at a time.

42

42

515

@NidaQadirMD

Nida Qadir, MD

3 years

The #ICU will give you both the highest of heights and the depths of despair in the same day. Sometimes in the same hour. #medtwitter

10

41

468

@NidaQadirMD

Nida Qadir, MD

2 years

🧵 on NIV in #ARDS 🫁 I’ve seen A LOT of inappropriate use of NIV in #COVID19 & have often ranted about it on Twitter. There’s also lot of new data on NIV that’s been inconsistent & confusing. Let’s break some of it down. I’ll also add in some highlights from #LIVES2022

12

169

440

@NidaQadirMD

Nida Qadir, MD

4 years

I thought things were getting better, but our ICU census jumped considerably this week. I don’t have anything wise to say other than none of this is over.

4

95

376

@NidaQadirMD

Nida Qadir, MD

10 months

🔥🔥🔥Hot off the press in @ATSBlueEditor - new ARDS guidelines🔥🔥🔥 What we addressed: 💊 Corticosteroids 🔃 VV-ECMO 💉 Neuromuscular blockade 🐥 PEEP +/- recruitment maneuvers 👀 Read on for the recs & how to best apply them to your patients 🧵

17

166

402

@NidaQadirMD

Nida Qadir, MD

2 years

I admit I do a lot of micromanaging in the #ICU . However, the intern always has full autonomy over the bowel regimen. #MedTwitter

22

9

390

@NidaQadirMD

Nida Qadir, MD

2 years

Just cancel the game, @NFL . The @BuffaloBills players just watched their teammate have a cardiac arrest. I hope Damar Hamlin is ok. You can’t just go back to work after that.

9

35

374

@NidaQadirMD

Nida Qadir, MD

4 years

I am incredibly touched by the responses to our #extubation dance video. The kind words are so appreciated. While I never in a million years expected this to get so much attention, I do want to explain why I posted it in the first place.

22

27

370

@NidaQadirMD

Nida Qadir, MD

2 years

Does anyone else feel like they need a day of complete bed rest after an ICU stretch? Just finished up one of the most exhausting weeks I’ve had in a while.

46

10

362

@NidaQadirMD

Nida Qadir, MD

3 years

Today is my last day at the assistant professor level - I was promoted to associate clinical professor effective 7/1/2021. I’m really happy - I was never sure I’d actually get here - but it’s probably fair to say at this point that I’m not one of the young attendings anymore 👵🏽

@NidaQadirMD

Nida Qadir, MD

3 years

My fellow just told me that I’m “not one of the young attendings.” I don’t know how I feel about this. #MedTwitter #identitycrisis

18

1

103

61

12

355

@NidaQadirMD

Nida Qadir, MD

4 years

@MS_Martinez_MD Critical care

11

7

357

@NidaQadirMD

Nida Qadir, MD

4 years

I realize that I am very lucky. I have a job that provides me with purpose, gratification, human interaction, and an income, something #COVID19 has taken from a lot of people. I also get the desire to return to “normalcy,” whatever that was, because I crave the same thing.

2

35

334

@NidaQadirMD

Nida Qadir, MD

3 years

I hate maintenance fluids in the #ICU . That’s the tweet.

25

19

341

@NidaQadirMD

Nida Qadir, MD

2 years

Text exchange b/w me and my fellow a while back after a very challenging pheresis catheter placement in a patient w/ acute leukemia & WBC of 350K. ➡️ Where’s the tip? ➡️ Do you use the catheter? Comment below - I’ll post the answer tomorrow! #MedEd #MedTwitter

Tweet media one

65

43

322

@NidaQadirMD

Nida Qadir, MD

4 years

I got called about yet another complex #COVID admission by my even more hard-working #PCCM fellows. The amount of face-to-face time required to take good care of these patients cannot be truly appreciated unless you’ve worked in an #ICU . The days are long & the work is relentless

2

34

289

@NidaQadirMD

Nida Qadir, MD

4 years

This might be my greatest accomplishment of the past 5 years

Tweet media one

29

5

316

@NidaQadirMD

Nida Qadir, MD

2 years

@EM_RESUS Yes. It’s been well-established that this is evidence-based practice.

5

0

300

@NidaQadirMD

Nida Qadir, MD

4 years

@laxswamy Also still reusing N95s. Didn’t used to bother me because it’s managed to get me through the year w/o getting COVID, but lately that’s changed & I’ve been getting really angry every time I see the brown paper bags. Access to fresh, clean N95s shouldn’t be a luxury at this point.

12

76

287

@NidaQadirMD

Nida Qadir, MD

2 years

@LizzieCosmos Health insurance - you pay into it every month just to have them deny you coverage any time you actually need healthcare.

5

6

279

@NidaQadirMD

Nida Qadir, MD

1 year

Year 5. This day never gets easier.

@NidaQadirMD

Nida Qadir, MD

2 years

My brother Rehmat died 4 years ago today & I never know what to do on the anniversary other than think a lot. When a young person dies, their death usually becomes a central part of their life story, but I’ve been trying to focus more on how he lived.

Tweet media one

48

12

636

42

8

289

@NidaQadirMD

Nida Qadir, MD

3 years

@SarahJaneguru Two potential explanations: A. This tweet was written in 1955 B. You’re not an actual nurse Somehow option B seems more likely.

6

6

266

@NidaQadirMD

Nida Qadir, MD

2 years

➡️ Push hard & fast in the center of the chest 100-120x per minute ➡️ Aim to compress the chest a depth of 2 inches w/ each push ➡️ Allow complete chest recoil before the next compression ➡️ No mouth-to-mouth needed Video demo from @American_Heart :

Tweet card media

Hands-Only CPR Woman

Hands-Only CPR Can Save Lives. Most people who experience cardiac arrest at home, work or in a public location die because they don't receive immediate CPR f...

www.youtube.com

8

104

284

@NidaQadirMD

Nida Qadir, MD

3 years

Please stop giving your non-hypoxic outpatients steroids for #COVID19 . That’s the tweet.

9

28

259

@NidaQadirMD

Nida Qadir, MD

4 years

@wmlwarren @CatTrainTrump @uclaimchiefs @UCLAHealth @atscommunity @GiladJaffe @HungryDes @NoCoughEng I disagree. I am taking a moment to celebrate the fact that my team was able to save a patient from death. I still wish that patient never had to have that near-death experience, and that my team didn’t have to arm themselves for the battle to save that patient’s life. Stay safe.

9

3

244

@NidaQadirMD

Nida Qadir, MD

2 years

Sunday hike

Tweet media one

9

3

248

@NidaQadirMD

Nida Qadir, MD

4 years

Other than my AM commute, I’ve seen daylight only once this week - today when I had a few minutes for a #coffee break. Today was also the first time I got home before 10 pm, but before I even had a chance to take my #decontamination shower...

Tweet media one

7

31

233

@NidaQadirMD

Nida Qadir, MD

2 years

Finally finished my presentations for @accpchest . Here’s a preview. I’m very proud of my crude rendition of a BIPAP mask.

Tweet media one

12

18

250

@NidaQadirMD

Nida Qadir, MD

3 years

@nursekelsey Aaron Rodgers: “We don’t have long-term studies about the safety of the vaccine.” Also Aaron Rodgers: “I’m taking monoclonal antibodies.”

11

32

252

@NidaQadirMD

Nida Qadir, MD

4 years

Your #joy is our joy. Your #sadness is our sadness. Your #doctors , #nurses , and #respiratorytherapists are rooting for you. It is an honor and privilege to care for you. ❤️

7

14

235

@NidaQadirMD

Nida Qadir, MD

4 years

@Marty_Shrkeli @DrChowdharyMD Dude. That happens. All. The. Time.

4

3

223

@NidaQadirMD

Nida Qadir, MD

3 years

Thanks @CNN for sharing this story on @UCLAHealth 's collaboration with @LAOpera ! In this program, opera performers lead #COVID19 survivors through breathing and singing workshops - it's an innovative (and fun!) adjunct to pulmonary rehab.

Tweet card media

Opera singers are teaching long-term Covid-19 patients to breathe again | CNN

Covid-19 shoved Jeff Sweat into a medical coma for three weeks last winter, face down on a ventilator, on death’s trap door.

10

59

228

@NidaQadirMD

Nida Qadir, MD

2 years

Why I teach #POCUS - texts like these from former residents ❤️ #MedEd #MedTwitter

Tweet media one

3

13

231

@NidaQadirMD

Nida Qadir, MD

5 years

I’ve never missed #NYC as much as I do now...I want so badly to head east to help but know that I am needed here. I know times are rough but let’s also remember that lives are still being saved. #covid19 #coronavirus #EverydayHeroes #RN #MD #RT @tchen383 @MichelleNgGong

Tweet media one

Tweet media two

7

22

211

@NidaQadirMD

Nida Qadir, MD

4 years

@drtishawang I was definitely most proud of that slide

Tweet media one

21

39

221

@NidaQadirMD

Nida Qadir, MD

4 years

Oh & words matter - “you were experiencing delirium” NOT “you were delirious.” Some patients will benefit from referral to mental health but are hesitant to pursue it. NORMALIZE referral to psych the same way you would normalize a referral to cardiology. It’s just as crucial.

3

44

218

@NidaQadirMD

Nida Qadir, MD

5 years

Yes, this is an #EconomicMeltdown . You know what makes that worse? Dead people and critical illness. 31% of 5 yr #ARDS survivors never return to work. 77% incur lost earnings. Also 100% OF DEAD PEOPLE NEVER RETURN TO WORK!!! I. Just. Can't. So frustrated 😖 #COVID19 #coronavirus

5

59

209

@NidaQadirMD

Nida Qadir, MD

4 years

We need a better term for supportive care in the ICU. It’s the cornerstone of good critical care yet doesn’t get the respect it deserves, maybe b/c “supportive care” sounds more like chicken soup & naps than the laborious, highly specialized work that it is. Alternative terms?

27

19

212

@NidaQadirMD

Nida Qadir, MD

3 years

@jemelehill

Tweet media one

1

14

198

@NidaQadirMD

Nida Qadir, MD

3 years

The #SAGEStudy is now online @accpchest ! This is the largest US cohort study of patients w/ mod-severe #ARDS reported to date - 2,466 mechanically ventilated adults w/ #ARDS & P/F < 150 at 29 US centers. Primary outcome was 28-day hospital mortality.

19

76

196

@NidaQadirMD

Nida Qadir, MD

4 years

1/ Just published in @BMJ_latest , our @WHO living guideline on drugs for #COVID19 . It was an honor working on this (& having a lot of spirited discussion 🤓) w/ so many people I respect & admire from around the world, including

Tweet media one

Tweet media two

Tweet media three

Tweet media four

3

61

194

@NidaQadirMD

Nida Qadir, MD

5 years

Launched our 1st #ICUrecovery clinic today with this amazing multidisciplinary team!! Our goal: Help survivors of #criticalillness navigate life after the #ICU and #thrive ! #posticusyndrome #ards #icurehab @ardsfoundation @sccm @atscommunity @cairorg @UCLAHealth @innovateshealth

Tweet media one

7

26

175

@NidaQadirMD

Nida Qadir, MD

4 years

This👇🏽👇🏽👇🏽. There is no medication or other intervention that will save the lives of critically ill patients in the absence of high-quality supportive care. This is resource-intensive and can’t be delivered without a large, highly skilled & experienced team.

@danielalamasmd

danielalamasmd

@danielalamasmd

4 years

High quality critical care, and the resources to deliver it, is a life saving therapy in covid-19 that is not available to all.

3

50

109

7

54

171

@NidaQadirMD

Nida Qadir, MD

4 years

Supportive care is much less exciting than the idea of a single magic bullet to “cure” covid-19, but such a panacea has never existed in critical illness. #COVID19 will not be different. Steroids & #Remdesivir may be helpful, but they’ll be useless w/o meticulous supportive care.

@bmj_latest

The BMJ

4 years

"The meticulous supportive care that intensivists have mastered over decades was not being discussed. The focus was on finding a single magic bullet to 'cure' covid-19." @tara_vijayan @NidaQadirMD @drtishawang on clinical decision making during covid-19

2

67

162

8

55

174

@NidaQadirMD

Nida Qadir, MD

4 years

Some #COVIDDeepThoughts / reflections on clinical care in the #COVID #ICU now that I’ve had a chance to slow down a bit. It seems like a lot of folks are reaching for explanations for why #COVID19 -related respiratory failure is something different & exotic & somehow not #ARDS .

11

61

169

@NidaQadirMD

Nida Qadir, MD

4 years

@Dr_al_assadi @uclaimchiefs @UCLAHealth @atscommunity @GiladJaffe @HungryDes @NoCoughEng Haha I barely want to see myself dancing! But the occasion warranted it. Strong work! 💪🏽💪🏽

2

2

161

@NidaQadirMD

Nida Qadir, MD

4 years

Perhaps a controversial viewpoint, but I struggle w/ some aspects of the #COVID19 narrative. The vast majority of news so far has been about death & overwhelmed ICUs. While this is important & necessary to report, the fact that people survive the #ICU doesn’t get enough attention

16

17

169

@NidaQadirMD

Nida Qadir, MD

2 years

Some days I navigate multi-organ failure and manage to save lives. Other days, washing my hair feels like an accomplishment. Today is one of the latter days 🤷🏽‍♀️

8

6

169

@NidaQadirMD

Nida Qadir, MD

4 years

The past few days have included a lot of thoughtful debate/discussion about #COVID19 and #ARDS , some snark (of which I too am guilty), and a hefty dose of HOW DARE YOU CHALLENGE A MASTER, YOUR RIGIDITY IS KILLING PEOPLE. I have a few things to say. Bear with me as I ramble a bit.

10

42

160

@NidaQadirMD

Nida Qadir, MD

2 years

Several #MedTwitter peeps have asked me to share my #ICU “wellness” routine. I’ve been a lot more vigilant about my health over the last few months, but I’m still figuring a lot of things out. I’ll tell you about my strategies so far & share how it all goes this week.

9

19

161

@NidaQadirMD

Nida Qadir, MD

4 years

#COVIDDeepThought : Nurses who boldly (but carefully) get patients off sedation are THE BEST. It takes a lot of #TLC to do this well and may be one of the most under-appreciated skills in the #ICU .

5

15

160

@NidaQadirMD

Nida Qadir, MD

3 years

But forgoing vaccination exposes mom & baby to a much bigger risk - the known, real, significant risk of getting a severe #COVID19 infection. Both @acog & @MySMFM recommend that pregnant people get the #CovidVaccine in order to reduce that risk.

2

43

155

@NidaQadirMD

Nida Qadir, MD

3 years

Caring for pregnant women on life support due to #COVID19 has been one of the most challenging parts of the pandemic. One mother shared her story & stated that she doesn't want any other pregnant woman to wait like she did to get vaccinated. #GetVaccinated #VaccinesWork

@thanh_neville

Thanh Neville, MD, MSHS

3 years

#Pregnancy is a really scary time to get #COVID19 . "I was ok until I wasn't...I thought I was going to die". #GetVaccinated #UCLAHealth #ECMO @NidaQadirMD @ChrisHanMFM Expectant mother, on life support at #UCLAMedicalCenter .

0

22

40

4

46

152

@NidaQadirMD

Nida Qadir, MD

4 years

2020 has been incredibly challenging but also a year of tremendous growth for me. I’m proud of the way @UCLAHealth ’s ICU team has stepped up during the #COVID19 crisis & - I’ll say it - I’m proud of myself for being a leader in that effort. #UCLAHealth100

Tweet media one

17

5

151

@NidaQadirMD

Nida Qadir, MD

4 years

The shirt was a Christmas present from a fellow intensivist!

11

2

151

@NidaQadirMD

Nida Qadir, MD

4 years

In attempt to not think about #COVIDwinter , I’m attempting to make #biryani for the first time. No #instantpot involved, going full aunty-style. Wish me luck.

15

0

146

@NidaQadirMD

Nida Qadir, MD

4 years

Serious question that came up this week in the unit: what do you call the plastic sleeve that comes w/ a PA catheter? I’ve always called it a “Swandom.” In NY, it seemed to be a widely used term, but in LA everyone seems to think it’s a semi-dirty joke. What say you, #MedTwitter ?

83

4

139

@NidaQadirMD

Nida Qadir, MD

3 years

Bottom line - pregnant people should absolutely be getting the #CovidVaccine to keep both mom and baby safe. If you’re pregnant or planning to get pregnant, talk to your doctor and protect yourself by getting the vaccine.

10

38

137

@NidaQadirMD

Nida Qadir, MD

4 years

It also boosts staff morale to know the folks they took care of are doing well (more on that soon), so following #ICUrecovery is basically awesome for everyone - discharged patients, current patients, and clinicians.

8

6

136

@NidaQadirMD

Nida Qadir, MD

4 years

More under the radar observations: arterial lines are not always so benign. We’ve seen hand pain, tingling, and weakness post-discharge. Referral to occupational therapy helps a lot. Also consider placing these on the patient’s non-dominant side whenever possible.

5

13

139

@NidaQadirMD

Nida Qadir, MD

4 years

Per @LACHealthSrvs , there are currently only 86 available adult ICU beds in #LosAngeles County 😳. >10 million people live here. 7.8 million of them are adults. It's going to be a long December. #COVID19 #MaskUp

Tweet media one

13

65

130

@NidaQadirMD

Nida Qadir, MD

4 years

There are multiple potential mechanisms of death here besides asphyxia, including what @WesElyMD mentions. Analogy: if you are shot in the chest, does it matter if the mechanism of death is tension pneumothorax or aortic rupture? No because it’s still the bullet that killed you.

@WesElyMD

WesElyMD

4 years

CAUSE OF DEATH: @iwashyna & friends, #Citizens 🌎, the autopsy report makes no sense because #georgesfloyd was a walking talking healthy person until the moment a man put his knee on this priceless person’s neck & occluded carotid flow to his brain until he died. Period. Standup.

Tweet media one

Tweet media two

Tweet media three

7

31

109

7

23

131

@NidaQadirMD

Nida Qadir, MD

2 years

@WesElyMD Wes, my response to this is always “all my patients are VIPs”

3

2

133

@NidaQadirMD

Nida Qadir, MD

3 years

Going back to the concern about not wanting to expose the fetus to unnecessary medications - if mom gets sick, there is much less pregnancy data about the drugs used to treat #COVID19 than there is about the vaccines. This includes remdesivir, monoclonal antibodies, & tocilizumab

2

31

124

@NidaQadirMD

Nida Qadir, MD

4 years

OMG I JUST SCHEDULED MY VACCINE APPOINTMENT AND I AM SO HAPPY!

3

2

124

@NidaQadirMD

Nida Qadir, MD

2 years

Recipients of the bivalent booster were: ➡️ 84% less likely to be hospitalized than unvaccinated patients ➡️ 73% less likely to be hospitalized than those who only got the monovalent series

Tweet media one

11

56

121

@NidaQadirMD

Nida Qadir, MD

3 years

Pregnant people are particularly vulnerable when it comes to respiratory viruses. We saw this w/ H1N1 influenza (swine flu) in 2009, & we’re seeing this now w/ #COVID19 - pregnancy is associated w/ ⬆️ risk for developing severe illness, needing the #ICU , ventilators, & even #ECMO

1

31

122

@NidaQadirMD

Nida Qadir, MD

4 years

#Tocilizumab , #COVID19 and results from RECOVERY. Once again, outstanding work by the investigators, but where I still struggle is the high mortality overall, especially in the group NOT getting invasive ventilation - 27% in toci/no vent vs 31% in no toci/no vent

Tweet media one

9

36

125

@NidaQadirMD

Nida Qadir, MD

4 years

Survival ≠ Recovery. We don’t talk enough about the financial consequences of critical illness. One year after their hospitalizations: ➡️ 40% of previously employed #ICU survivors are jobless ➡️ >70% experience loss of income. Read more here: #COVID19

@WesElyMD

WesElyMD

4 years

#Ethics : I just met another #COVID19 pt D/Ced from ICU to home, fired from job, no $ for meds, gas, electricity, missed MD appt, unable to apply online for disability. Cycle continues. It’s unethical. We didn’t take responsibility for person in bed. #medtwitter #meded #Hope

Tweet media one

9

43

176

3

47

118

@NidaQadirMD

Nida Qadir, MD

2 years

If you have an #AED , use it ➡️ Open their shirt & attach AED pads ➡️ AED will analyze rhythm & tell you if shock is needed (not all rhythms are shockable) ➡️ If shock is needed, ensure no one is touching the person & press “shock” ➡️ Resume CPR afterward Helpful infographic:

Tweet media one

2

44

119

@NidaQadirMD

Nida Qadir, MD

3 years

We now have a lot of safety data on #COVIDVaccines & pregnancy. Based on data from both VAERS & the v-safe vaccine registry, no pregnancy-associated safety issues have been identified, & rates of miscarriage mirror those seen in the general population

8

41

121

@NidaQadirMD

Nida Qadir, MD

3 years

@SolNataMD It’s so disturbing, right? The average age of ECMO patients during this wave has been younger than me.

6

12

107

@NidaQadirMD

Nida Qadir, MD

3 years

@jenheemstra I am a difficult woman, and I’m ok with that.

5

5

118

@NidaQadirMD

Nida Qadir, MD

3 years

The reason I pretty much always hear from pregnant women for not getting vaccinated is, understandably, not wanting to put their pregnancy & their baby at any potential risk from taking a new & seemingly unfamiliar vaccine.

2

20

111

@NidaQadirMD

Nida Qadir, MD

3 years

When🤰🏽mom is sick, baby is more likely to get sick. Pregnant women with #COVID19 are more likely to go into pre-term labor, and their babies are more likely to need neonatal intensive care.

2

29

111

@NidaQadirMD

Nida Qadir, MD

1 year

ICU #MedTwitter & #NurseTwitter - a while back, I asked how many of you see ICU patients AFTER they leave the hospital - 87% said rarely/never 🫠 🙋🏽‍♀️ Do you wonder what happens to them? ⭐️ Check out our latest on post-ICU syndrome in @CHESTCritCare ! 🧵

6

39

115

@NidaQadirMD

Nida Qadir, MD

2 years

So this has been making the rounds. I realize it’s probably meant to be a thought experiment & deliberately provocative, but still, philosophical arguments should be rooted in at least some amount of reality. I will now rage tweet about everything wrong w/ this concept. Enjoy🧵

Tweet media one

8

45

114

@NidaQadirMD

Nida Qadir, MD

4 years

Recalling delirium can be disturbing for people. Knowing that you were hallucinating or even just not acting like yourself can be very jarring & depersonalizing...our minds & personalities constitute such a huge part of our identities.

2

15

110

@NidaQadirMD

Nida Qadir, MD

4 years

This is profoundly irresponsible. Evidence >>>> anecdote + conjecture. #EndCovidiocy now. Please. Articles like this are contributing to bad vent management. @ATSCritCare @SCCM @accpchest

16

33

114

@NidaQadirMD

Nida Qadir, MD

3 years

This is not surprising. If mom is critically ill w/ respiratory failure (whether from covid or not), her lungs 🫁 are not getting enough oxygen to her organs, including her womb. Not enough oxygen to🤰🏽mom ➡️ not enough oxygen to baby. This increases risk of fetal injury & death.

1

27

105

@NidaQadirMD

Nida Qadir, MD

4 years

Our new recommendations on #Remdesivir in @bmj_latest 1. Weak recommendation for its use in severe #COVID19 . 2. Evidence not yet conclusive —> we strongly support continued enrollment in clinical trials 3. Still lots of caveats to sort out, including access & cost-effectiveness

Tweet media one

@bmj_latest

The BMJ

4 years

NEW BMJ Rapid Recommendation makes a weak recommendation for the use of remdesivir for patients with severe #COVID19 . The authors strongly support continued enrolment of patients into ongoing clinical trials #RapidRecs

1

57

80

3

53

103

@NidaQadirMD

Nida Qadir, MD

3 years

Very excited to share our most recent publication about #CovidVaccine effectiveness, just published today by the IVY network. Especially relevant in light of today’s news about #boosters (spoiler - I’m skeptical about the need for boosters for all). 🧵

Tweet card media

Sustained Effectiveness of Pfizer-BioNTech and...

COVID-19 vaccine effectiveness against hospitalizations was stable for people who received 2 doses, and vaccines remained effective among people with risk for severe COVID-19.

15

38

105

@NidaQadirMD

Nida Qadir, MD

3 years

I probably would have said the same thing as a teenager. Whatever your reason, #GetVaxxed #VaccinesWork #VaccinesSaveLives

Tweet media one

4

15

110