Anica Law

American Thoracic Society | Advocacy The American Thoracic Society is the world's leading medical society dedicated to accelerating the advancement of global respiratory health through…

Today, President Trump ordered the firing of federal employees who are still in their probation period. "The firing of federal employees will have immediate and adverse health consequences for the American public," said ATS President Irina Petrache, MD, ATSF. Read more: shorturl.at/nNegx

This thread will be stories of how people hold the line--continue to behave responsibly and ethically.

*sighs*

Percentage change should *always* be expressed on a log scale, because it’s multiplicative.

A doubling and a halving should be given equal space.

I did a whole thread on this at the time x.com/jburnmurdoch...

We asked our ECHO fellows to take a listen after we discussed the BALANCE trial, similarly with a generous inferiority margin but luckily with results that suggest benefit, not harm

If chapters are annoying to track down, the same sentiment by Guyatt can be found in the excellent podcast discussion here: jamaevidence.mhmedical.com/MultimediaPl...

@bupulmonary.bsky.social could be added!

Migrated my old tweets here. Worked ok I think, except they are dated by the date they arrived here (though an archival date is also included). Twitter polls didn’t make it over, and it’s a little weird to not get the subsequent discussion that occurred with the tweets.
H/t @gbosslet.bsky.social

Bluesky Is Turning Into a Strong X Alternative (Gift Article) Bluesky has a hint of the old Twitter magic, but the feeling of freedom it offers might be even better.

"joining Bluesky can be a reset — a chance to start over on a platform that isn’t engineered to maximize engagement, that isn’t owned by a capricious billionaire or an amoral advertising conglomerate, and that doesn’t treat its users as lab rats."

also @ats-bshsr.bsky.social @atscritcare.bsky.social @atscommunity.bsky.social

@terrihough.bsky.social would be great to add!

Hello all! Moving to bluer skies over this way. Excited to continue promoting the great work of ATS Behavioral Science and Health Services Research Assembly. #pccm #healthservices @atscommunity.bsky.social @atscritcare.bsky.social

#PCCMSky Update

Up to 95 members

Repost so those new to this place can populate their following list with good PCCM people

Reply if you are not on this list and should be

go.bsky.app/88wg6oG

"Abstract
In the first prospective clinical trial of artificial intelligence (AI) assistance in stress echocardiography, there was no difference in diagnostic accuracy between AI assistance and standard-of-care assessment."

I love working at @The_BMC. Clever/smart ideas to truly bring help to people who can use it
#bmcproud

https://jamanetwork.com/journals/jama/fullarticle/2820417

@BUMedicine @BUPulmonary @The_BMC

It was way more than "filling out a form" - took 16 months. BUT here we are! Starting in Oct 2023, we can start to document/track/study prone positioning in national databases. Thank you: @AllanWalkey @ScottManaker @NickABosch @atscommunity @accpchest @SCCM @aarc_tweets

So (after the above texts), we:
(a) wrote about how an ICD-10 code would help measure/improve quality of care and
(b) applied for a new ICD-10 code and I testified before @CMSGov in Sept 2022
(got @atscommunity, @accpchest, @SCCM, and @aarc_tweets multi-society endorsement🙏)

https://www-atsjournals-org.ezproxy.bu.edu/doi/10.1164/rccm.201910-2097LE

🧵Prone positioning saves lives in severe #ARDS but it's hard to measure how often it actually happens. In 2019, we had to resort to surveying hospitals just to see if it was even an option (pre-covid, it wasn't, at most MA hospitals)...

HOW IT'S GOING:

August 1, 2023: Our brand new ICD-10 procedure codes for prone positioning in #ARDS are finalized, to be used nationwide starting October 1, 2023. @CMSGov
https://www.cms.gov/medicare/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page

HOW IT STARTED: 🧵

@atscommunity @accpchest @SCCM @aarc_tweets

3/ Our societies should ensure the safety of all attendees, regardless of race, religion, ethnicity, gender, sexual orientation, or any other aspect of their identity. @atscommunity @accpchest @SCCM

Let's show our support: DM or email or find me in DC to get your ribbon!

/end

relationship.

https://pubmed.ncbi.nlm.nih.gov/36812378

2/ As a committed ATS member, I urge leaders to ensure future meetings are held where elected officials acknowledge healthcare as a human right and uphold reproductive freedom, gender-affirming care, and the sanctity of the physician-patient...

1/ I will be at #ATS2023 celebrating all that the strong, vibrant, diverse
@atscommunity
has to offer. I also want #ATSSafe4All in the future! Join me in committing to safety and equity for all. Show your support: DM or email or find me in DC to get your ribbon!

Didn't find difference in secondary outcomes (vasopressor duration, ICU LOS, hospital LOS, mortality) in this retrospective cohort.

So we looked ourselves! After multivariable adjustment, HR was ~4bpm ⬇️ in phenylephrine vs norepinephrine (despite higher HR in phenyl group at vasopressor start). Bigger difference in subgroup in rapid afib: ~6bpm.
Results robust to sensitivity analyses.

🧵https://journals.lww.com/ccmjournal/Fulltext/2021/11000/Surviving_Sepsis_Campaign__International.21.aspx

People use phenylephrine a LOT in this situation, and afib is extremely common in sepsis, but there's limited data. Phenylephrine is not even mentioned in Surviving #Sepsis Guidelines. Don't believe me? ...

https://journal.chestnet.org/article/S0012-3692(22)00891-1/fulltext