It is not easy to see pts suffer & die in front of your eyes regardless of age!
It is not easy to put my own life in danger & take care of
#COVID19
pts!
It is not easy to wear
#PPE
& take care of sick patients!
#DoNotOpenCalifornia
Currently trending on Instagram.
Who feels seen??!!
I have multiple scenarios in mind for what’s her relationship status with Ken but that’s for later.
Grateful to be awarded 2020-2021 Women of Distinction by California legislature assembly, 40th assembly district. I know I have ways to go, but it feels go to be recognized and to be working tirelessly towards the cause of
#WomenCVHealth
in this underserved community!
My Cardioladder in last decade!
2010 finished internship
2012 finished IM
2013 preventive cards
2016 cardiology fellowship
2017 imaging fellowship & 1stjob
2018 grand rounds outside institute
2019 first few international talk
What a fantastic decade.
Thank u4 making me!
Stuck in echo lab today but loving Dr.
@JaeKOh2
talk on diastology! Thank you
@ASE360
for live stream!
1. E prime is the most important parameter
2. Systolic dysfunction doesn’t always mean diastolic dysfunction
2. Not all the diastolic parameters are required
3. Variability…
“He wasn't an academic scientist; he was a workaday pediatrician. He didn't have a lab at a prestigious institution; he published his groundbreaking science about 1st 50 Kawasaki cases in a lesser-known allergy journal! “
RIP Dr. Tomisaku Kawasaki
Coming to the United states for education , away from family, was probably the hardest thing I have done in life! Here is my once a year bolus on love and happiness!
What can
#COVID19
#SARSCoV2
can do 2the CV system!
Published in the nature reviews!
🦠 myocarditis
🦠 heart failure
🦠 increased biomarkers
🦠 can present as chest tightness or heart palpitations rather than respiratory symptoms
🦠 ACS poor prognosis
Revived
#ESCCongress
Hotline.
💥 Hypothesis— revas with PCI improve survival in patients with ischemic LV dysfunction compared to GDMT
💥 inclusion— LVEF <35% viability in 4 segments
Exclusion- AMI or Acute CHF
WHATS NEW IN LIPID GUIDELINES?
#ESCcongress
@escardio
1. Aggressive LDL target <40 for highest risk.
2. No distinction between primary & 2dary prevention.
3. Apo-B recommended for High TG, DM, Obesity, Metabolic syndrome or very low LDL
4. Use of CAC
#yesCCT
&lp(a) recommended
Interesting
#Echofirst
case on
#SoMe
by
@echo_tips
According to the author- RA myxoma with central necrosis and cystic degeneration by pathology!
Has anyone seen myxoma with cystic degeneration before? I almost thought it was hydatid cyst!
Talked about the
#echofirst
doppler to the fellows today!
Here is a fav:
Difference between AS Vs MR jet:
1. MR generally faster than AS
2. MR wider than AS( Isovolumic Time +ET)
3. MR -> parabolic
Learn more -> CHALK TALKS on DOPPLER
on Saturday 1:30 – 2:00 PM
#ASE2020
So excited to share that I am officially part of
#JACCCaseReports
editorial board as one of the Guest Editors!
This is a tremendous opportunity for me. I am thankful to
@JACCJournals
family but particularly Julia Grapsa for entrusting me with this important task!
#Grateful
On call conversations these days...
“Doc I just got a shock by my ICD. Was working in my yard when I got dizzy and went down to the ground”
“You gotta come in”
“No doc, there is too much corona going on”
Back & forth- 20 minutes.
Finally convinced to come in! 😓
Check out the
#MINOCA
section in updated NSTE-ACS guidelines at
#ESCcongress
Here is a tweetorial on
#MINOCA
🧲Class I Recommendations🧲
-> Use of Diagnostic algorithm
-> Use of
#whyCMR
-> Use of working dx & Rx according to the underlying Dx
From sending women to jail for wearing trousers in 1933 to punishing them for not wearing bikinis in 2021- society loves to control what a woman should wear when and where!!
This is 2021!!!
@DBelardoMD
@DrJenGunter
Consciousness is when we feel suffering of every living being in our own heart~ Bhagwad Gita.
In accordance to my beliefs & the spirit of the Hippocratic Oath, I kneel in solidarity with all who seek justice & fight against racism and brutality
#WhiteCoatsForBlackLives
16 years ago I took the first flight in life- one way from Ahmedabad to Philadelphia via London Heathrow on BritishAirways. I was so excited - chatted with almost everyone around me in that flight about my plan to study medicine and cardiology in the USA- 16 years later- landing…
In 12 hours will Go from wearing sleeveless to 3-4 layers. I hate winters so London I hope to survive you. Excited to see zillion
#WhyCMR
friends around the world though. Here is to magnetism. 🧲
#CMR2024
here I come!!
@SCMRorg
#JourneyofJoy
Going to motherland after 3 yrs. seeing parents after 2 yrs. LOT on my mind but have 3 wishes!
1. Not to get sick( hopefully booster works!)
2. Celebrate Diwali with family firecrackers and rangoli 🎉
3. Watch 🇮🇳 India play in
#T20semifinals
I AM SO EXCITED!
Got my 2nd dose of
#COVID19
vaccine today! Looking forward to the freedom from feeling anxious & fearful about contracting
#COVID19
all the time at work and outside! I will be wearing mask and PPE still to protect myself and others even after vaccine !
@DBelardoMD
75% of the millennials would buy an experience than buying a product or materialistic things. Pandemic has definitely shifted experience industry into prime focus! Here is another day of experiencing sunshine and breathing in all that air at 2000 feet elevation!
This last weekend I attended a (sindhi) wedding literally after 2.5 years. My dear friend & groom to be and his sister tore up the stage with this Bhangra performance. Sharing it for the desi community here.
Don’t forget to comment if you like it( I will share those with him)
Just finished submitting my 30th
#peerreview
. When I started reviewing papers a few years ago-didn't have any prior training/experience.⬇️article &the advice from academic friends helped
#Medtwitter
#cardiotwitter
whats ur advice for the early-career reviewers?
Delighted to share this review of
#MINOCA
published recently.
Presenting a practical approach to the diagnosis depending on availability of the diagnostic tools in the Hospital.
As I see more of these patients in clinic- Heterogeneity of the diagnosis-…
Thank you Dr.
@DrMarthaGulati
for inviting me to co-author this editorial! Truly honored
#JACCIMG
🎯 Coronary anatomy alone does not provide the full picture of the coronary vasculature & the potential underlying cause of ischemia -> Hence CFR is IMPORTANT
3 am sunrise hike to Mt Batur, Bali. First time for me summiting a volcano 1,717 meters/5,633 feet, above sea level. Was amazing to see wide lava fields created by the eruption with the 1st ray of sun! Stunning sunrise above the clouds. Tried volcano surfing a bit coming down 😂
Channeling my inner Bollywood 🌟 this Diwali, 😂 Happy Diwali all. Like always Homesick today but so thankful and blessed to have the wealth of knowing all of you, sharing ideas and learning from each and every one of you!
#Diwalioween
#monthofgratitude
#thankful
#happy
I am finally going Home!
No, not literally but super psyched to be giving the first-ever virtual talk for the Cardiological Society of India! Literally, dream come true tobe amongst the Esteemed International Faculty- speaking to cardiologists in India!
#CSI2020
For the first time in 231 years, next Vice President of the 🇺🇸 will be a Black and South Asian American woman who is the daughter of immigrants. This is such a historic moment especially for women and girls! Anything is possible!
#shatteringglassceilings
#Election2020results
“When my mother came here from India at the age of 19, she maybe didn't quite imagine this moment, But she believed so deeply in an America where a moment like this is possible, & so I am thinking about her and about the generations of women, who paved the way to tonight”!
😭 😭
#ESCCongress
cardiomyopathy guidelines.
🧲 Class i indication for
#whyCMR
at initial evaluation
🧲 serial follow up for risk assessment / therapeutic response.
How many centers in the USA currently do that?
Forget about initial eval- Sadly it’s not even the afterthought!…
Today my 94 yo patient asked me- if he can say a little prayer for me( as I told him he was ready for discharge) .we hold hands, closed eyes & he recited most kind blessings. Tears tricked down as I listened to him. How fortunate I am to be physician!
#Gratitude
#MedTwitter
Just landed in
#NOLA
! Entire flight from LAX full of
#ACC23
attendees.
Too many people reviewing slides.
Too many poster tubes.
1 mile long taxi line at the airport & Uber prices 3x for 20 min ride to city.
Let it begin!If U see my fellows tomorrow- wish them luck 4 jeopardy
Made it to motherland after 1.5 years - in one piece- fighting the cyclone! Speaking in India for the first time in person in desi clothes! Thank you
@CsiChennai
for your kind invitation and amazing hospitality. Jet lagged. No sleep but I am bursting with joy!
@kamalcardiodoc1
Love this. It’s 6:30 pm and I am still working with our enthusiastic trainees on
@ACCinTouch
abstracts.
2 cardiology fellows, 1 IM intern interested in cardiology - all and all - present and future
#WIC
! 🤩
@asmashah1
@AdebaMohammadDO
Early am hike today to watch
#California
#SuperBloom
! What a phantasmagoric flush of flowers! Generally superbloom occur every 10 year however this year rain has done the magic! As the hike went on- it steered emotions, created moments of wonder, brought so much joy to my ❤️
Thank you for all the concern messages! I have been hiding for a week in a Wi-Fi free world full of wild life, nature,amazing convos & lot of self reflection. Almost back now! Reenergized. Refocused. Realigned. Saw 22 new birds species, 15 mammals, can identify 14 new plants!
This was such an emotional moment for me!
I was asked to give the 1st talk4
#CVImaging
session,
#CSI2020
, Ahmedabad India! and my med school mentor
@kamalcardiodoc1
popped up on the screen to introduce me! THANK YOU
This is Life completing full circle!
#BlessedAndGrateful
Thank u so much for all the birthday love
#Cardiotwitter
! Each & every wish brought a big smile on my face!
During quarantine, human relations matter more than ever! So make sure to reach out 2friends/family/collagues/staff & ask em how they are doing!
& yes it’s a 🥕cake 😜
This looks like dynamic LVOT obstruction due to LVH +SAM on
#Echofirst
post TAVR ”suicide LV”
Severe AS ▶️LVH & chronic 🔼in LVEDP. Once the fixed obstruction is relieved with
#TAVR
, the ⬆️ contractility of the LV is unmasked➡️ HCM physiology ➡️ shock ➡️”suicide LV”
Long day at work with 4 TEEs, 2 CMR and 22 outpatient TTEs but Instagram is determined to take care of my homesickness on Holi! Love the Holi filter!
Happy Holi!
#Holi
#Holi2022
First year of cardiology fellowship was rather rough for me- many negative life events had impacted my transition from residency to fellowship! Found solace in a mediation program offered at the local monastery twice a week late in the evening! I did that for three years of…
मैं गयी जहाँ भी
बस तेरी याद थी
जो मेरे साथ थी
मुझको तड़पाती रुलाती
सबसे प्यारी तेरी सूरत प्यार है
बस तेरा प्यार ही
माँ तुझे सलाम माँ तुझे सलाम ओ माँ तुझे सलाम
वन्दे मातरम!!
Happy 75th Independence Day India!!
#IndiaAt75
#indiaIndependenceday
#India75
#IndianFlag
.
@purviparwani
shares her experience with sexual harassment and her thoughts on what an institution can do in the future in this powerful blog.
#MetToo
#WomeninMedicine
ॐ असतो मा सद्गमय
तमसो मा ज्योतिर्गमय
मृत्योर्मा अमृतं गमय ।
ॐ शान्तिः शान्तिः शान्तिः
Lead me from the unreal to the real, from darkness to light, from death to immortality.
May the light of clarity, joy and aliveness shine bright in your life!
🪔 🪔 Happy Diwali!! 🪔 🪔
Saw patient in clinic. initially referred for PCI- low EF detected on TTE done for PreOp. Severe triple vessel dz. Not a CABG candidate. NOT amenable to PCI
On GDMT.
Doing well. Every time they ask if we can fix the blockages.
Told them now we have data.
Thank you
#REVIVED
This is why I love
#cardiotwitter
.. bringing all of us together. So awesome to finally meet
@TheVeggieMD
.& yes our first meet was over yoga 🧘♀️ followed by some delicious vegan breakfast discussing food science. You are shining bright star 🌟 Danielle- so happy to have you here!
My blood is the Ganga, my heart at Kuruskshetra, my laughter at pune, my silence at Amritsar, my joy at Porbandar, my mind at Mumbai, my soul at Allalabad, or any of the four jewel drops of the Kumbh Mela sites. Bless thee Mother India!! Happy Independence day!
94 year old Bhau( grandpa- mom’s dad) on the phone. He cannot hear me( doesn’t like to wear hearing aid) but he said many things- take care of yourself- pray everyday- work hard- exercise. take care of your parents. Ended the call with Jai Hind! 😭 😭 😭- I am so damn lucky!…
If you are a physician out of India and want to help with
#Covid19IndiaHelp
#COVIDIndia
relief efforts- reply to this tweet. May require significant daily time commitment so don’t reply if you are extremely busy. Thank you so much!
#United4India
Diwali is a time to turn inward and light the lamps of knowledge and truth in our hearts and minds so that we can dispel the forces of darkness and ignorance within us and allow our innate brilliance and goodness to shine forth.
May the the light in me honors the light in you…
Indexed apical wall thickness thresholds are highly accurate for detecting apical hypertrophy, than current criteria of 1.5 cm in the patients with classic ekg findings but not meeting the cutoff!
The upper limit of normal (the largest of the 4 apical segments measured)…
Rounding on ccu today.
Patient- “happy Mother’s Day doc. Too bad you are working”.
Me- “thank you. I don’t have any children and my mom is in India!”
I leave. Lump in my throat.
For all those women who are awaiting motherhood- I know how you feel today.
You aren’t alone.
I am completely shaken up by unexpected death of my friend Dr.
@santosh_padala
. He was a compassionate cardiologist, a brilliant researcher, & was loved very much by everyone around him. Here is a fund set up in his memory. Pls consider donating.
Nice review on Phenotyping heart failure by
#Echofirst
in
@ESC_Journals
#EHJIMG
Here are the main points to remember:
Myocardial strain imaging is complementary to EF and can be used with low EF.
GLS is more sensitive than EF to diagnose mild systolic dysfunction.
In small,…
My surfing instructor - 21 years old and wants to pursue medicine! In between waves we talked about medicine, training in medicine and life as a cardiologist!
#Yay
#whatyouseekisseekingyou
Sharing this for everyone in India. Simple infographic on what you can do:
1. Monitor for symptoms
2. Monitor for oxygenation
3. Remdesivir and tocilizumab are not for EVERYONE!
4. Utilize pronation effectively!
#COVIDindia
#unite4india
Today marks the completion of 3 years as an attending!
What a journey!
Was touched by this testimonial by one of the ( 👩)medical students- I still cannot believe I can be mentor to a 👩 and show them the path to cardiology but I guess it’s happening & is extremely fulfilling!