Rishi Kumar, MD | RK.MD @rishikumarmd X Profile

Rishi Kumar, MD | RK.MD

@rishikumarmd

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6K

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4K

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Cardiac Anesthesiologist · CVICU Intensivist · EchoTools iOS App Programmer · #POCUS/TEE · #FOAMed · Techie · https://t.co/4qJFGfsOA8

https://t.co/VwNiOfthTF

Houston, TX

Joined August 2008

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Rishi Kumar, MD | RK.MD

@rishikumarmd

5 years

Made this free perioperative/ICU reference sheet a while ago. Click the link to download/share! Hopefully many of you all find it helpful! https://t.co/VjNW1LyezQ #foamed #criticalcare #anesthesia #icu

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

Pulm. velocity accel time (PVAT) estimates the severity of PA pressure elevation when TR jets are difficult to analyze. PVAT = time from flow onset to peak velocity. PWD at the PV in this PSAX #TTE shows a PVAT ~ 150 ms (normal is > 130 ms). #echofirst #medtwitter

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

Happy New Year to all! #MedTwitter, what things do you all do at the beginning of every year? Here are a few things I do: - Subscription renewals - Backdoor Roth IRA contribution - Look for competitive rates on utilities

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

One last update for my free EchoTools iOS app before 2024! As always, I appreciate your continued support for this project! https://t.co/P8EkFzisAG #pocus #ultrasound #medtwitter

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

The transhepatic (TH) IVC view (phased array in RUQUS, tilt beam cranio-posteriorly, pan around). Poor agreement in measurements b/w TH and SC IVC views, and outside of extremes, IVC measurements don't guide my clinical practice in the CVICU. #echofirst #medtwitter #pocus

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

Cause we're spreading holiday cheer with... mortality benefits! #MedTwitter

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

Academic attendings who constantly complain about their trainees' weaknesses should spend less time ridiculing and more time actually teaching/mentoring. We were ALL in their shoes at one point. Take pride in nurturing your trainees' success! #medtwitter

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

Love GE Healthcare's Auto-VTI tool! Applying it here to an apical 3-chamber ("long-axis") TTE view to assess volume responsiveness. Hoping to see more tools like this expand across manufacturers. #echofirst #pocus #ICU #medtwitter

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

Identify tasks that you regularly perform and learn how to automate them.

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

ME-LAX TEE view showing pre-and-post surgical IVS myectomy for HOCM. Note DIASTOLIC flow across the IVS - an expected finding caused by unroofed septal perforators (systolic flow would be concerning for VSD). #medtwitter #echofirst #cvsurgery #anesthesiology

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

Lung #POCUS with air bronchograms (yellow arrows) - patent airways amid consolidated lung tissue signaling atelectasis, PNA, etc. Dynamic bronchograms move with respiration while static suggest trapped air (RLL atelectasis seen here caused by a pleural effusion) #medtwitter #ICU

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

Where are my fellow cardiac anesthesiologists taking the first #ABA cardiac anesthesia board exam tomorrow? #anesthesia #medtwitter

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

Thanks for sharing my post!

Classify Rx 📱

@simplify_drugs

2 years

What’s the procedure ? And where it is used 🤔

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

Or the famed MAC with 100% immobility… AKA general anesthesia without an airway. I really think every proceduralist should have to provide a (supervised) anesthetic for every procedure they’re going to do as part of their training.

Leslie Matthews, MD, PharmD

@LeslieMDPharmD

2 years

@jholloway_MD @APSForg EXACTLY. yet things like this, “don’t intubate, we want MAC,” “we don’t want a CSE, do a spinal” and “why are you placing another IV, she only needs 1” are real things i’m told as an ATTENDING all the time. safety shouldn’t be sacrificed for someone else’s convenience. ever.

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

I’ve had several direct discussions with attending cardiologists about issues writing “recommend CV anesthesia” or “recommend MAC” in the chart without actually talking to an anesthesiologist beforehand. 😬

Jordan Holloway, MD (she/her)

@jholloway_MD

2 years

@LeslieMDPharmD @APSForg “Consider rapid sequence intubation” I cannot fathom trying to tell an interventional cardiologist how they should dictate their heart cath plans. Or an endoscopist how they should perform endoscopy. Let alone *publishing guidelines* to that effect. Wild.

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

What single app helps you the MOST with organizing tasks? Things? Tick Tick? Notion? Notes/Reminders? Bear? Fantastical? Something else? #apple #appstore #macos #ios

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

An overview of axis deviation on the blog: https://t.co/n97fBVVz1V #medtwitter #foamed

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

RV-PA coupling utilizes the effective PA elastance (Ea) and the RV end-systolic elastance (Ees). Learn more on the blog! #meded #medtwitter https://t.co/uWMm3w7yBx

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

What's the a.) imaging modality, b.) view, c.) pathology, d.) likely causes? #POCUS #EchoFirst #MedEd #MedTwitter

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

3D TEE imaging of the tricuspid valve (TV) is beautiful! 🤩 Important spatial relationships to understand are the SLTV-PLTV commissure for the coronary sinus, ALTV-SLTV commissure for the RCC-NCC of the AoV, and RCA coursing along the lateral aspect. #pocus #tee #echofirst

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Rishi Kumar, MD | RK.MD

@rishikumarmd

2 years

That means so much! I really do appreciate the kind words! 🙏

Elle R. Kaplan, M.D.

@elle_kaplan

2 years

@rishikumarmd Incredibly helpful app that I recommend to all training levels and specialties 🤓My POCUS use has skyrocketed thanks to @rishikumarmd and EchoTools. Whether periop or in the ICU, I use it more than any other medical app 💯🔥

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