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Kevin K. Chung, MD Profile
Kevin K. Chung, MD

@chungk1031

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#CritCare doc, chief medical officer devoted to bringing life saving tech to market. @SeaStarMedical #CharlieMike #MedTwitter . Views are my own.

Washington DC
Joined April 2018
Don't wanna be here? Send us removal request.
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@chungk1031
Kevin K. Chung, MD
7 months
Do not place all your worth on success or failure. Instead, focus on the fundamental mindset of continuous growth and bringing your best to every opportunity. Success will come. Sometimes you will still lose, but that is ok because you will have grown. #MedTwitter
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Kevin K. Chung, MD
2 years
My toughest #COVID loss this week was a fully vaccinated+boosted pt my age (with young kids) who was immunosuppressed due to organ transplant. We did CPR for 30 mins. It was hard to stop. #MedTwitter
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Kevin K. Chung, MD
2 years
Pt came in with COVID pneumonia. Got intubated for respiratory distress. On the ventilator for over two weeks. Died today after transitioning to comfort. Some family members: “But did she REALLY die OF COVID?” Me:… #MedTwitter
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Kevin K. Chung, MD
3 years
ICU pt with COVID pneumonia: “I didn’t think COVID could get this bad…” My inside voice: “Where have you been the last 16 months?!?” 😳
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Kevin K. Chung, MD
2 years
My last ICU shift of the long weekend. These are my “time of death” scribbles…just from today. Exhausting. #MedTwitter
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Kevin K. Chung, MD
3 years
Good news: We have some open ICU beds tonight. Bad news: Just pronounced my 5th patient in the last 48 hours. All of them died with no family at bedside. Stay safe out there. #COVID19
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Kevin K. Chung, MD
7 months
I learned today that our hospital has a “No one Dies Alone” program. Volunteers who come in and sit by the bedside as patients pass. 🙏🏼💪🏼 #MedTwitter #NODA
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Kevin K. Chung, MD
2 years
Dear everyone working in large tertiary care hospitals... 👉Please do not assume that just because we work in a small hospital that we do not know what we are doing. We all trained in the same places and have more experience with sick patient than you might think. #MedTwitter
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@chungk1031
Kevin K. Chung, MD
3 years
“Chai tea” is the same as saying “Tea tea”… You’re welcome.
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@chungk1031
Kevin K. Chung, MD
7 months
Problem: Critically ill patient with multiple family members scattered around the US all needing an update. Solution: scheduled a zoom call and gave everyone an update simultaneously from the bedside. This needs to be the new standard. #MedTwitter
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Kevin K. Chung, MD
3 years
Me - asked a terminal elderly female patient in the ICU what her greatest priority was for today. Patient - I miss my son. I want to see him in person. Me - ....ok team let’s make this happen! Son is at the bedside holding her hand. #MedTwitter #PalliativeCare
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@chungk1031
Kevin K. Chung, MD
11 months
We are still asked to “burn CDs” to share CT/MRI images with other hospitals. Surely there is a better way? Any takers? #MedTwitter
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@chungk1031
Kevin K. Chung, MD
2 years
Never in my 20+ years have I had to place a dialysis catheter for emergent dialysis in the ED for an ICU patient boarded there (>72 hours) due to lack of beds…until today. #MedTwitter
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@chungk1031
Kevin K. Chung, MD
4 years
A couple of weeks ago we intubated one of our first #COVID19 patients in our ICU. Today I heard he went home on room air. #InThisTogether #AllHandsOnDeck #COVID19Response
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@chungk1031
Kevin K. Chung, MD
4 years
Immigrant from South Korea. Naturalized citizen. West Point grad. Med school @Georgetown . Now Chair of Medicine @USUhealthsci ‘America’s Medical School’ I assimilated just fine.
@LaurenWitzkeDE
Lauren Witzke
4 years
Most third-world migrants can not assimilate into civil societies. Prove me wrong.
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Kevin K. Chung, MD
3 years
Expectation should be ZERO #COVID deaths in children. One death is too many. i.e. - Stop saying the death rate in children is "low". #DeltaVariant #MedTwitter
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Kevin K. Chung, MD
2 years
Another case of “mild” URI symptoms for three days. +COVID Admitted for altered MS. CT head shows b/l PCA infarcts. Brain edema. Coded this morning and passed away. #MedTwitter
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@chungk1031
Kevin K. Chung, MD
3 years
Real patriots do not storm their own Capitol building. Had to get that off my chest...in my personal capacity. As a citizen and a patriot.
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Kevin K. Chung, MD
3 years
Just intubated another #COVID19 pt in the ICU. FaceTime with family right before intubation. On max BIPAP, he says... “I’m proud of you son.” 😢 Hoping he can tell him in person soon.
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Kevin K. Chung, MD
8 months
Patient being interviewed upon ICU admission ICU Nurse - “What matters most to you?” Patient - “None of your business.” #MedTwitter
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@chungk1031
Kevin K. Chung, MD
4 years
Currently working in a #COVID hospital. Caring for 15 sick ICU patients. Someone: “How are you so calm?” Me: “Well, the hospital is not under rocket attack so...” Someone: “...oh.”
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Kevin K. Chung, MD
4 years
That look of fear in the eyes of COVID patients in the ICU on high flow O2 is tough to get used to. #COVID19
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Kevin K. Chung, MD
3 years
Has anyone seen patients with Influenza? Strange. ICU full of patients. Not one #Flu case. #MedTwitter
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@chungk1031
Kevin K. Chung, MD
3 years
I worry that we have become numb to people dying. #COVID19
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Kevin K. Chung, MD
4 years
COL (ret.) and Dr. David Barillo was a mentor, colleague, and friend to many, devoted to the care of combat casualties, and lead burn surgeon who flew hundreds home after catastrophic injury during combat operations. Last night he died from COVID19. #RIP #heartbroken
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Kevin K. Chung, MD
3 years
Sometimes, allowing a family member to die peacefully is one of the most loving things you can do. #lessismore #PalliativeCare #COVID19
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Kevin K. Chung, MD
4 years
Instead of a #MaskMandate ... We should have a “Come work in a COVID hospital if you believe masks don’t work” mandate. 🤔 #COVID19
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Kevin K. Chung, MD
4 months
👉🏼RSV 👉🏼Influenza A and B 👉🏼COVID All represented in our ICU. Be careful out there.
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Kevin K. Chung, MD
3 years
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Kevin K. Chung, MD
3 years
Overflowing ICU patients to non-ICU wards is now routine. Everywhere. This. Is. Not. Normal. Just had to get that off my chest. Back to work. #COVID19
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Kevin K. Chung, MD
3 years
Just got a text. “Critical care team being COVID vaccinated in the next hour. Are you available?” Me:
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Kevin K. Chung, MD
2 years
Some things do not need to be said...But for the love of humanity. Please... 👉Do not lie about your vaccine status. 👉Do not lie about your COVID test result.
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Kevin K. Chung, MD
5 months
Me during ICU rounds: “pt will undergo *terminal* extubation” Another ICU doc: “*compassionate* extubation is a better term” Me: “…wow. You are right…” #ICU #PalliativeCare #CME
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@chungk1031
Kevin K. Chung, MD
3 years
I had a vigorous discussion today about my loyalties as a US military officer. “Don’t you have to obey the orders of your commander and chief no matter what?” I told him to read this. 👇🏼👇🏼👇🏼
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Kevin K. Chung, MD
2 years
This long weekend, I will be covering a sleepy MD hospital ICU that has a usual average census of 8 or so during normal times. I go there because I like being a solo ICU doc sometimes. I just found out that the ICU census is up to 36. 😳 Crazy times. #Omicron #MedTwitter
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Kevin K. Chung, MD
3 years
Nothing more defeating than watching unvaccinated patients die of a disease for which there is an effective vaccine. #MedTwitter
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Kevin K. Chung, MD
3 years
I feel like I have aged five years in the last year. #MedTwitter
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@chungk1031
Kevin K. Chung, MD
1 year
@SaveYourSons Critical thinking.
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Kevin K. Chung, MD
2 years
Shout out to all the Nurses, RTs, PharmDs, SW, and other hospital staff who just keep showing up to work under extreme conditions. I see you. #gratitude #Omicron #MedTwitter
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Kevin K. Chung, MD
3 years
My #DD214 is in hand. On to the next chapter… Grateful I am able to continue to serve ⁦ @USUhealthsci ⁩ and ⁦ @MilitaryHealth ⁩ as a DoD civilian chair. #ArmyRetired #MilMedForLife
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Kevin K. Chung, MD
4 years
I am giving a talk on "SARS-CoV-2 testing and Immunity" this week. Thought it would make a good #Tweetorial . Thread/
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Kevin K. Chung, MD
4 years
Every hospital leader and/or adminstrator should go into a COVID positive room at least once. Preferably during a ‘aerosol producing procedure’. Then decide what the appropriate PPE should be for their employees. #InThisTogether #AllHandsOnDeck #COVID19Response
@jack_turban
Jack Turban MD
4 years
Hospitals are enforcing gags on physicians. Doctors aren’t allowed to talk about what policies are being implemented. Leaves free license for administrators to do what they want (and treat employees as they please), while we stay silent. The public should be asking questions.
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Kevin K. Chung, MD
3 years
When someone says “masks don’t work” around HCWs who have been directly caring for COVID patients (with appropriate masks) for the last 18 months…without getting COVID…it’s a just a bit silly.
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Kevin K. Chung, MD
3 years
ICU Update - (community hosp) We are now out of #COVID19 ICU beds... Combination of “no more ICU nurses” and “no more negative pressure rooms” We can take more pts, but will sacrifice HCW safety and non-ICU nurses will care for ICU pts. How are you doing in your ICU?
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Kevin K. Chung, MD
4 years
Last night, I admitted a pt from the ED with non-ketotic hyperglycemia. No other complaints, symptoms, only a new O2 requirement. 👇🏼👇🏼👇🏼👇🏼👇🏼 POSITIVE - SARS-CoV-2 Had appropriate PPE on. Some did not. Do not let your guard down #MedTwitter . Assume everyone is a PUI.
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Kevin K. Chung, MD
3 years
There are very few absolutes in medicine. If you can think of any, list them here. 👇🏼👇🏼👇🏼 #MedTwitter
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Kevin K. Chung, MD
1 year
Drugs that we may be overusing…👇🏼 I’ll start. ✅Midodrine #MedTwitter #CritCare
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Kevin K. Chung, MD
2 years
Back in the ICU this week in a small community hospital in MD. Just got sign out. ICU full (mostly COVID), COVID ward full, 7 COVID+ in ED waiting for a bed… It’s going to be a long week.🤦🏻 #MedTwitter
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Kevin K. Chung, MD
2 years
Two COVID pts successfully extubated after days on the vent. These types of wins have been hard to come by lately. I’ll take it. #MedTwitter
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Kevin K. Chung, MD
3 years
Back in the ICU for the next few nights at a small community hospital where I work part time. Partial list of my sign out tonight... This surge is no joke. Numbers much worse than the spring. Be careful out there. #covid19
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Kevin K. Chung, MD
4 years
Studies suggest loss of smell better predicts the disease better than fever and cough. Probably the only question you have to ask if you are screening.
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Kevin K. Chung, MD
3 years
Best quote so far while (finally) reading @Atul_Gawande ’s #BeingMortal . “A family meeting is a procedure, and it requires no less skill than performing an operation.” Yup. #MedTwitter
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Kevin K. Chung, MD
3 years
“I skate to where the puck is going to be, not to where it has been.” - Wayne Gretzky #MedTwitter
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Kevin K. Chung, MD
7 months
I couldn’t get an A-line today. 😓🤦🏻 Aborted after several attempts on two different sites. I’ll be ok… You should be also. #MedTwitter
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Kevin K. Chung, MD
1 year
Been a while since I’ve done one of these. A recent personal health related saga motivated me to put this one together. 👇 A 🧵 1/
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Kevin K. Chung, MD
3 years
Make sure you have a couple of people on your team who are comfortable enough to disagree with you. #MedTwitter #AcademicTwitter
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Kevin K. Chung, MD
2 years
If you have any doubt about the impact of #Omicron on our healthcare system, just talk to anyone in your area who works in urgent care or hospital. It’s bad and it will get worse before it gets better. #DontLookUp #MedTwitter
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Kevin K. Chung, MD
4 years
COVID ICU day #7 Although our sleepy ICU has been busy, things are still manageable here at the moment. I wanted to take this opportunity to share with you some key take-away observations from my first week. May not have time to do this when I return in a few weeks.
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Kevin K. Chung, MD
3 years
It is troubling that so many are willing to risk death than consider they might be wrong and at least take *some* precautions. #disinformationkills
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Kevin K. Chung, MD
3 years
Total fanboy moment... @choo_ek followed me back. Made my day. I feel like I have finally arrived. 🙏 #MedTwitter
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Kevin K. Chung, MD
4 years
Dear Healthcare Leader (at every level), The longer this drags on, the tougher it is going to get and the more people will need you. People have asked, what can I do to maintain morale through this difficult time? 1/
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Kevin K. Chung, MD
4 years
@Millennial__MD Didn’t get into my first choice. Best thing that could have happened... The program I ended up in was awesome. My rejection was fuel for the next 20 years. Still is. Now I am Chair of the Dept affiliated with the program I got rejected from. #charliemike #itwillbeok
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Kevin K. Chung, MD
3 years
If you’ve never had a procedure related complication, you haven’t done enough of those procedures.
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Kevin K. Chung, MD
2 years
People doing all the right things seldom get thanked. This ICU doctor appreciates you. 🙏🏼 Stay vigilant and protect the vulnerable. We will get through this. #omicron #InThisTogether
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Kevin K. Chung, MD
2 years
Having to keep pts on BIPAP at 100% FiO2 and this CXR on the wards because there are no ICU beds is not optimal… #MedTwitter #Omicron
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Kevin K. Chung, MD
4 years
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Kevin K. Chung, MD
4 years
I wonder if “anti-mask” will bleed into “anti-vaccine” when one becomes available. Need to ensure public health messaging is coordinated and consistent to benefit the greatest number of people. #InThisTogether
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Kevin K. Chung, MD
4 years
Spread the word: 👇🏼👇🏼👇🏼👇🏼👇🏼👇🏼👇🏼👇🏼👇🏼👇🏼👇🏼 At this point anyone at high risk for COVID should have a Pulse Ox at home.
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Kevin K. Chung, MD
3 years
My first hate mail...
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Kevin K. Chung, MD
3 years
I am starting to wonder how many deaths per day it will take for everyone in the US to wake up and get on the same page. #COVID19
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Kevin K. Chung, MD
4 years
I just saw this thread by @MarkHoofnagle and feel compelled to respond to clarify some things. Disclaimers: I am not an ID expert. I am a Medical Intensivist in the Military. These are not the official views of the DoD. Just my personal opinions. No financial COIs. 1/
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Kevin K. Chung, MD
2 years
I don’t see how in-person school happens responsibly starting Monday. @fcpsnews
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Kevin K. Chung, MD
4 years
I feel like I’ve won some sort of prize... Thank you @Twitter !
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Kevin K. Chung, MD
4 years
I don’t know who needs to hear this... I was wrong about masks. (For the general population) #InThisTogether #AllHandsOnDeck #COVID19Response
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Kevin K. Chung, MD
3 years
Thank you @DrEricDing for amplifying! We are systematically evaluating this technology as well as others under the #PURIFY program @USUhealthsci . Thanks to all involved. @HJFMilMed @extheramedical @BOABiomedical @DARPA Read all about it here. 👇🏻
@DrEricDing
Eric Feigl-Ding
3 years
US Pentagon has funded a blood filter for a dialysis machine that removes the #SARSCoV2 coronavirus from the blood - FDA has approved it for emergency use. It has been used to treat nearly 300 patients. #COVID19
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Kevin K. Chung, MD
4 years
One week away from our next #USUWalterReedMedicine Grand Rounds! ⁦ @WRBethesda ⁩ ⁦ @USUhealthsci
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Kevin K. Chung, MD
4 years
Seems we should take the next couple of weeks to brush everyone up on routine Vent, ARDS and Shock management... I mean #EVERYONE . #GetReady #CoViD19Response #CriticalCare #Briefs I know we have some fantastic Tweetorial experts out there. #MedTwitter Any takers?
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Kevin K. Chung, MD
3 years
Many are playing #DeltaVariant roulette with our children. 😬 This is not going to go well. #MedTwitter
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Kevin K. Chung, MD
4 months
Going full court press on a sick pt in his 90’s. Why? 🤔 Because although that’s his chronological age, his physiologic age is more like 60. Treat the patient, not the age. #CriticalCare #MedTwitter
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Kevin K. Chung, MD
4 years
@SerpentAU @BNODesk As one of my patients said... “Don’t live in fear, live in awareness”
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Kevin K. Chung, MD
4 years
Elderly patient this morning on non-COVID ward rounds, discussing taking precautions during this pandemic: “I don’t live in fear, I live in awareness.” Me: Good for you ma’am. #COVID19
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Kevin K. Chung, MD
2 years
Pt with “mild” cold-like symptoms two weeks ago. +COVID Got prescribed Paxlovid but not able to fill. Today woke up with acute shortness of breath. CT chest shows Saddle Pulmonary Embolus. #Omicron #MedTwitter
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Kevin K. Chung, MD
3 years
I had close to 30 ICU admissions over 5 night shifts. 👉🏼80% #COVID . And this was BEFORE Thanksgiving. We are in trouble. Hang in there #MedTwitter . #StayStrong
@VenkBellamkonda
Venk Bellamkonda, MD
3 years
Worked last night - trach bleed - DKA - COPD - iatrogenic hemothorax - sbo - suicide attempt - overdose - methamphetamine addiction - covid, Covid, Covid, Covid, Covid, Covid, Covid, Covid, Covid, Covid, Covid, Covid - elbow fracture #medtwitter #nursetwitter #medstudenttwitter
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Kevin K. Chung, MD
4 years
MICU Day 3 observation: Intubated another #COVID19 patient. As we (fellow, RT, and I) are donning PAPR, which take a while... Me: “What would happen if he coded right now” RT: (doesn’t skip a beat) “I’d go in there without any of this stuff.” #sacrifice #InThisTogether
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Kevin K. Chung, MD
2 years
Starting the new year with most of the hospitals in the area with overrun EDs and full ICUs in contingency or crisis standards…while we are still on an exponential upward trajectory in cases is not good. We are in for a very rough few weeks. #StaySafe #MedTwitter
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Kevin K. Chung, MD
1 year
A couple of lessons for #MedTwitter ✅Don’t be a hero (or do what I did). ✅US and CT scan can MISS gallstones! How common this is?? #GITwitter #Surgery /End
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Kevin K. Chung, MD
2 years
I am shocked at how many pts in the ICU with multiple (I mean MULTIPLE) co-morbidities are unvaccinated. Having targeted these high risk groups alone would have made a difference. #VaccineHesitancy #MedTwitter
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Kevin K. Chung, MD
3 years
Back in the community ICU for a long stretch. Just got sign out. We are overfull. Boarding pts in the PACU. And we haven’t begun the post-Christmas surge. Winter is definitely here. #COVID19
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Kevin K. Chung, MD
6 months
Love #ICU nurse led multi-D rounds. Presentations are comprehensive yet efficient and consistent. #MedTwitter
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Kevin K. Chung, MD
3 years
I have a #CriticalCare #MedTwitter confession to make. The femoral vein is my preferred central line site. *Especially when it’s emergent. Don’t hate me #IDtwitter . 🤷🏻
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Kevin K. Chung, MD
4 years
We need to do a better job sharing what we are seeing in the COVID wards and ICUs with the general public. Just reporting positive cases and hospitalizations does not appear to be enough to get everyone on the same page. How do we do this responsibly? #COVID19
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Kevin K. Chung, MD
2 years
Among the most tragic moments I have experienced recently is consoling a family member who was responsible for spreading COVID-19 in their family, ultimately resulting in the death of their eldest. #MedTwitter
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Kevin K. Chung, MD
3 years
We need a #vaccine against HATE.
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Kevin K. Chung, MD
1 year
✅ UNMET NEED #1 – Need a reliable way to detect REAL pain. It was clear that I was automatically labeled as a drug seeker. I don’t blame anyone for this, but we need to be able to differentiate real from “fake” pain. Anyone in #MedTech or #MedTwitter looking at this? 7/
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Kevin K. Chung, MD
3 years
How many of you have had success with methylene blue as a rescue tx for catecholamine resistant shock? #CCC50 @SCCM
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Kevin K. Chung, MD
2 years
Starting the day with a #COVID death certificate. 4th one for me this week. Vulnerable are still vulnerable. Especially the unvaxxed. #MedTwitter
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Kevin K. Chung, MD
2 years
Getting the flu once will not provide lifetime natural immunity. Neither will getting #COVID19 . #GetVaccinated #MedTwitter
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Kevin K. Chung, MD
2 years
The opposite of a narcissist leader. Need more of this.👇🏼
@BenjaminRamm
Benjamin Ramm
2 years
During his inaugural address in 2019, Zelensky told lawmakers: “I do not want my picture in your offices: the President is not an icon, an idol or a portrait. Hang your kids' photos instead, and look at them each time you are making a decision.”
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Kevin K. Chung, MD
4 years
“We have enough surge capacity to handle more COVID patients”...should not be comforting. Many are not fully comprehending what happens to mortality when we tap into that “reserve surge capacity” (or when we exceed it) Have we not learned from Italy or NYC? #COVID19
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@chungk1031
Kevin K. Chung, MD
4 years
How to get #verified . A thread/
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Kevin K. Chung, MD
3 years
Abstract presentations at national conferences are great....but a project is not complete until it has a #PMID . #MedTwitter
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@chungk1031
Kevin K. Chung, MD
3 years
Regarding finding motivation for doing research, a mentor once told me. "Find something that pisses you off...and work on solving that." You know what pisses me off? 👉 Preventable #COVID19 deaths in the ICU.😡 Guess that is what I will work on...
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