matt thau 🫁⚕️ @thau_matturgist Twitter profile

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matt thau 🫁⚕️

1 year

So proud to share our paper on Association of Trauma Molecular Endotypes via @JAMASurgery part of @JAMANetwork Thread to come…

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matt thau 🫁⚕️

@thau_matturgist

5 months

Don’t worry Caitlin, it gets better once you finish residency and become an attending basketball player

Spotrac

@spotrac

5 months

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matt thau 🫁⚕️

@thau_matturgist

1 year

On rounds today one of my trainees had a patient’s PEEP set at 11. I would personally like to apologize to the greater critical care community. I promise to learn from my mistakes. I can and will do better

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matt thau 🫁⚕️

@thau_matturgist

2 years

This afternoon’s chat on tachyarrhythmias checks out

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matt thau 🫁⚕️

@thau_matturgist

3 years

As a Pulmonary and Critical care fellow, I’ve learned that PEA arrest is all about the H’s and T’s Hypoxemia Hypoxemia Hypoxemia Hypoxemia Hypoxemia Hypoxemia Hypoxemia Hypoxemia Hypoxemia Tension Pneumothorax

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matt thau 🫁⚕️

@thau_matturgist

4 years

@epi_lola I’ve never accomplished this many things at a single time in my life

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matt thau 🫁⚕️

@thau_matturgist

3 months

This is the exact opposite of what I strive to accomplish in the ICU

Moral Wisdom

@Moral_Wisdom_

3 months

15 Pictures with Deep Meaning: 1.

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matt thau 🫁⚕️

@thau_matturgist

4 years

@msiuba Annual re-up of my favorite case report. Respiratory Acidosis from grain aspiration. PaCO2 of 501 and the patient survived. Learned from the best @robertpdickson .

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matt thau 🫁⚕️

@thau_matturgist

2 years

2023 updated RASS guidelines

Colin

@barco030

2 years

On this scale of 1-3 how delirious is your patient?

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matt thau 🫁⚕️

@thau_matturgist

3 years

When I was a med student, I had a patient with diabetes develop DKA after he had been stable for several days. On examination, a large, empty box of Oreos fell to the ground. On rounds the next morning, I said he should be N.P.Oreo and got silence. I haven’t told a joke since.

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matt thau 🫁⚕️

@thau_matturgist

2 years

@gbosslet It’s a power move by your Father in Law. Do. Not. Back. Down.

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matt thau 🫁⚕️

@thau_matturgist

2 years

@callie_mt 1. Agreed on the first sip of coffee 2. The crunch of footsteps on a snowy sidewalk 3. My dog eating an apple

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matt thau 🫁⚕️

@thau_matturgist

1 year

So proud to begin my new role as Asst Professor at @McGovernPulmCC . Truly an honor and a dream come true to be at such a wonderful place. I look forward for the big things to come here at UT

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matt thau 🫁⚕️

@thau_matturgist

2 years

AFib with RVR is just the heart’s own special version of AKI and no one will convince me otherwise

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matt thau 🫁⚕️

@thau_matturgist

1 year

@DissanaikeMD Real disruptor potential. They are going places

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matt thau 🫁⚕️

@thau_matturgist

3 years

@KerryHowley I feel like “Hey Ben!”, “Hey Ben?”, or even “Hey Ben.” makes all the difference in determining if this is a drama, a comedy, or a mystery thriller.

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matt thau 🫁⚕️

@thau_matturgist

3 years

@JennaLaineESPN Also he is elderly therefore considered high risk to begin with

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matt thau 🫁⚕️

@thau_matturgist

1 year

@EMcardiac Everyone knows 5 is an even Peep number, I just ask those that prefer to be extra be twice so, not one

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matt thau 🫁⚕️

@thau_matturgist

3 years

Excited to share that my proposal to the the @NIH_LRP was funded! Receiving support for federal loans provides such enormous relief as I continue to build towards a career as a physician scientist. special thanks to my mentors and @uwpccm for the support!

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matt thau 🫁⚕️

@thau_matturgist

3 years

The intensivist urge to turn off the 1L of O2 running on every pulmonary consult

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matt thau 🫁⚕️

@thau_matturgist

2 years

I grew up in Parkland, FL. Since 2/14/18, I’ve seen grief and trauma tear apart my home, and pleas for change fall in deaf ears. How can this keep happening? Our continued inaction is indefensible and a moral failure. #DoctorsForGunSafety

David Hogg 🟧

@davidhogg111

2 years

If you are a doctor or healthcare worker who supports action on gun safety tweet #DoctorsForGunSafety

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matt thau 🫁⚕️

@thau_matturgist

3 years

The last two years have been a wake up call for how easy it is to lose oneself to the grind. This year, I committed to reclaiming some of my interests and ran my first half marathon in 6 years. Proud to say I finished with my best time ever among the cherry blossoms

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matt thau 🫁⚕️

@thau_matturgist

1 year

@Terri_Hough It begs us to ask the question: on what day did God allow for odd numbers on the peep ladder and couldn’t He have rested in that day too?

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matt thau 🫁⚕️

@thau_matturgist

3 years

It’s been a really difficult time for a number of personal reasons, but I greatly appreciated the opportunity to have it all feel small and inconsequential next to my person for a little while.

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matt thau 🫁⚕️

@thau_matturgist

4 years

I’m sorry @laxswamy , I’ve thought about it for days but hands down my favorite procedure in the ICU is washing my hands after gelling in an out of rooms 20x during rounds

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matt thau 🫁⚕️

@thau_matturgist

1 year

@DrSarahAxelrath Always felt silly and unnecessary to hire someone to help keep my home tidy or do yard work. A mentor insisted I give it a try and now I feel I get to spend my free time on things I enjoy and 95% of disagreements with my spouse ended because our house is clean

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matt thau 🫁⚕️

@thau_matturgist

2 years

@jbullockruns Fellowship was much more difficult for me than residency. Finding your people, enjoying time outside, and forgiving yourself were things that helped me over a difficult year. For what it’s worth, you and team were tremendous this week and our MICU team is deeply appreciative

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matt thau 🫁⚕️

@thau_matturgist

3 years

First after work drink with a friend in over a year and I immediately spilled my beer all over that person I’m back, baby

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matt thau 🫁⚕️

@thau_matturgist

2 years

1. The “?” Before the Amio in the narrow complex should indicate hesitation before firing off the stat bolus 2. I appreciate the visceral reaction this stupid joke has incurred on the concerned citizens of Twitter. 3. I assure you I would NEVER teach this to anyone.

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matt thau 🫁⚕️

@thau_matturgist

4 years

A big reason I pursued pulmonology is because I believe the feeling of breathlessness is about as horrible as anything a person can experience. It’s my obligation to advocate and care for those who cannot breathe, not just in the ICU, but everywhere. #BlackLivesMatters

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matt thau 🫁⚕️

@thau_matturgist

4 months

Congrats to my amazing colleagues @McGovernPulmCC who received a teaching award today. It’s crazy that a year has passed since starting here in Houston. I’m grateful to be part of a wonderful team and proud of what I’ve accomplished these last 12 months. Excited for year 2!

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matt thau 🫁⚕️

@thau_matturgist

1 year

Dear new interns and fellows— If ANYONE is ever rude or mean to you for being new in your role please come to me and I will set them straight

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matt thau 🫁⚕️

@thau_matturgist

4 years

For my wellness day, I didn’t exercise or go play in the snow, but I did cook the hell out of this surprise Valentine’s Day dinner for my (significantly) better half, who was stuck in the PICU all day

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matt thau 🫁⚕️

@thau_matturgist

4 years

The theme of this week’s Pulmonary Consult service was complicated pleural effusions and included this delightful bedside pleural ultrasound. Not sure why, but I plan to spend the weekend dusting off some old dance moves. @avengero @MollyBillings2 #allinthehips

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matt thau 🫁⚕️

@thau_matturgist

1 year

Today was my first day as Attending in the MICU. It was a great day! Just one question (I’m sure has been asked a thousand times on Twitter) In the ICU, how do you present A/P?

Systems Based

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matt thau 🫁⚕️

@thau_matturgist

5 years

My incredible HMC MICU team both admiring the views of Mt. Rainier and recognizing that they haven’t seen the sunlight in a couple of weeks. I’ll miss them dearly. @CarlbomMD

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matt thau 🫁⚕️

@thau_matturgist

3 years

Happy anniversary eve to the night KFC graciously donated a fried chicken buffet to veterans and staff at the CLC in the VA while on call and I had to admit 20+ patients for decompensated heart failure the following day #holidays

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matt thau 🫁⚕️

@thau_matturgist

4 years

Critical Care demands so much range. The confidence to act decisively and intervene at crucial moments. The humility to recognize we are powerless to stop the dying process. The empathy to meet people on their terms to confront life-altering moments in an hour of need

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matt thau 🫁⚕️

@thau_matturgist

5 years

I’ve touched on this before but it bears repeating. The patients dying from #COVID2019 are vulnerable and alone in isolation, unable to be seen by family. We need to keep people safe. We need to preserve PPE. But this is a tragedy and we have not figured out an elegant solution

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matt thau 🫁⚕️

@thau_matturgist

2 years

Me trying to get into the pleural space for a surgical chest tube

Massimo

@Rainmaker1973

2 years

An inflatable, portable, thrown objects proof garage [📹 WhistlinDiesel: ]

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matt thau 🫁⚕️

@thau_matturgist

2 years

Being asked to consult on a non medical ICU patient but only comment on the ventilator strategy

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matt thau 🫁⚕️

@thau_matturgist

4 years

@rodger We at ND have a recent precedent of super spreader events

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matt thau 🫁⚕️

@thau_matturgist

2 years

@AdamHBeasley ICU doc here. Video and CPR and AED all point to a sudden cardiac arrest. Intubation is very common and necessary in this situation. This update suggests he is alive. He will be in ICU in all likelihood and it’s impossible to provide any update regarding “news” for several hours

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matt thau 🫁⚕️

@thau_matturgist

2 years

The true benefit of training at multiple institutions imo is that you come to see how few of our daily medical decisions actually matter. It may seem nihilistic, but realizing something you were taught as canon in residency is unheard of in fellowship is quite liberating

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matt thau 🫁⚕️

@thau_matturgist

2 years

@dakaufman123 @ogi_gajic @NidaQadirMD @phlegmfighter @GoodishIntent @critconcepts The Sundowner Also Rises: the classic tale of every patient in the ICU after 8pm Thoracic Park: a surgeons plan for a robotic theme park goes horribly awry In Cold Blood: please get the warmer

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matt thau 🫁⚕️

@thau_matturgist

3 months

My worst nightmare would be hearing the residents or fellows were afraid to call me

Elliot Servais, MD, FACS

@ElliotServaisMD

3 months

Dear new residents, “I didn’t want to bother my senior” “I didn’t want to bother the attending” These are dangerous sentiments. Yes, try to figure issues out, but as a junior, **never be the only one with a critical piece of information**. More often than not, we don’t mind

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matt thau 🫁⚕️

@thau_matturgist

4 years

What is your favorite non-medical movie/tv/book that has impacted your practice in medicine? Mine is one of my favorite movies: Jiro Dreams of Sushi. Easily the most influential “medical” movie I have ever seen

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matt thau 🫁⚕️

@thau_matturgist

1 year

When I get the results of my % body fat test after living in Houston the last six months

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matt thau 🫁⚕️

@thau_matturgist

2 years

@thanh_neville 4th year of med school, I spurned my (now) wife’s recommendation to fix my hair on the day our class got photos and she’s roasted me ever since. I often wonder what life could have been like if I had a more glamorous shot

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matt thau 🫁⚕️

@thau_matturgist

1 year

@meg6684 That equals an even number so I’ll give that a pass

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matt thau 🫁⚕️

@thau_matturgist

3 years

I have a few weekends to cover, but this is my last full clinical week of fellowship 😬

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matt thau 🫁⚕️

@thau_matturgist

4 years

Tired of hearing the institutions that have a profound influence in our practice attempt to explain away the imbedded racism and offer cover for issues that are unacceptable. We are all racist. Our progress was built on racism. The devices we use to assess patients are racist.

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matt thau 🫁⚕️

@thau_matturgist

1 year

@TaisonBell Is there a worse feeling than being the point person on an active service and realizing you haven’t gotten a page in several hours?

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matt thau 🫁⚕️

@thau_matturgist

2 years

@Caulimovirus I think there’s a “does this patient have good vibes” threshold somewhere in the algorithm as well

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matt thau 🫁⚕️

@thau_matturgist

2 years

🧠 Mentally prepares to start new role as an attending physician 👀 Sees this picture on IG 💀 retires immediately

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matt thau 🫁⚕️

@thau_matturgist

3 years

Won’t anybody be going to @atscommunity this year? I’d like to have just one semi-normal happy experience during Fellowship

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matt thau 🫁⚕️

@thau_matturgist

3 years

Real Roman Catholic Upbringing Energy

dani

@dch1309

3 years

“I’ve made so many mistakes in the past and deserve to be punished” 🥲 @iceman_ex @thau_matturgist @crzydoc @wroqueMD

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matt thau 🫁⚕️

@thau_matturgist

3 years

I am merely “credible” next to my cofellows but teaching in the ICU is the reason I chose PCCM.

Başak Çoruh

@basakcoruhUW

3 years

The incredible @thau_matturgist breaks down bugs and drugs for the MICU team! @uwpccm @ATSMedEd @APCCMPD

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matt thau 🫁⚕️

@thau_matturgist

3 years

@Caulimovirus Gen: intubated HEENT: ET tube in mouth Cardio: mechanized heart sounds Pulm: mechanized breath sounds GI: insufflated following intubation GU: intubated with foley MSK: intubated on NMB Skin: intubated with bair hugger Neuro: intubated and sedated Psych: intubated and delirious

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matt thau 🫁⚕️

@thau_matturgist

3 years

One week before everything became COVID. Not even two years and feels like a lifetime ago

matt thau 🫁⚕️

@thau_matturgist

5 years

My incredible HMC MICU team both admiring the views of Mt. Rainier and recognizing that they haven’t seen the sunlight in a couple of weeks. I’ll miss them dearly. @CarlbomMD

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matt thau 🫁⚕️

@thau_matturgist

3 years

There are so many more important things, but I yearn for a future in which it is safe to go to a karaoke bar with @basakcoruhUW and my @uwpccm cofellows to speak our respective truth before we graduate. #onecandream #KaraoCreed

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matt thau 🫁⚕️

@thau_matturgist

3 years

Having terrible reflux so I just washed down a PPI with my favorite mug of piping hot black coffee at 1pm tune in for more healthy lifestyle tips

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matt thau 🫁⚕️

@thau_matturgist

3 years

HMC is why I came to @uwpccm . An amazing place

HistoryLink.org

@HistoryLink

3 years

#NewAtNoon Harborview Medical Center in Seattle.

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matt thau 🫁⚕️

@thau_matturgist

2 years

@eemoin @danleisman 80% of critical care is buying time to figure it out

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matt thau 🫁⚕️

@thau_matturgist

2 years

A real privilege to make such close friends and mentors @uwpccm . Thank you for helping me become a better researcher, clinician, and person

Başak Çoruh

@basakcoruhUW

2 years

Six amazing humans graduated from @uwpccm last night! Congrats to Drs. @barnhill_serena , Supaksh Gupta, @Trockenlungs , @LinzeeMabrey , @cliffsung1 , and @thau_matturgist ! What an honor it is to have witnessed your personal and professional growth over the last 3 years!

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matt thau 🫁⚕️

@thau_matturgist

2 years

Just saw proofs for a manuscript I worked on for the entirety of my fellowship and 🥲

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matt thau 🫁⚕️

@thau_matturgist

5 years

PODs all packed. Seattle-bound! See you in 10 days @uwpccm !

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matt thau 🫁⚕️

@thau_matturgist

4 years

That look your Program Director gives when you suggest the pathophysiology of COVID might be something other than ARDS

David Ryder

@davidmryder

4 years

Basak Coruh, a pulmonary and critical care physician that serves COVID-19 patients in the ICU. "It’s a privilege to care for the sickest patients in our community with COVID-19 and I couldn’t be prouder of our team," she says.

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matt thau 🫁⚕️

@thau_matturgist

4 years

Time to enjoy! Thanks for following along!

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matt thau 🫁⚕️

@thau_matturgist

2 years

@CameronWolfe @nflnetwork Was there any comment of him moving or responding to simple commands?

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matt thau 🫁⚕️

@thau_matturgist

8 months

First “noon conference” with the residents today. Wish me luck!

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matt thau 🫁⚕️

@thau_matturgist

2 years

Few things bring me as much joy as the crunch my dog Sadie makes when I give her a slice of apple

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matt thau 🫁⚕️

@thau_matturgist

1 year

I thought it was universally understood 5 is an even number of peep and goes straight to 8 peeps followed by 10 it’s just science

matt thau 🫁⚕️

@thau_matturgist

1 year

On rounds today one of my trainees had a patient’s PEEP set at 11. I would personally like to apologize to the greater critical care community. I promise to learn from my mistakes. I can and will do better

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matt thau 🫁⚕️

@thau_matturgist

2 years

Every ICU I’ve ever worked in has had state of the art technologies that help us provide amazing care to our patients … and a 30 year old stapler in the work room on its dying breath with no staples. Loose papers everywhere. Total mayhem

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matt thau 🫁⚕️

@thau_matturgist

3 years

When working as a waiter, I never anticipated how much it would inform in my career as an intensivist 🥩 triaging customers to ensure all tables are “stable” ✔️see table, review menu, place orders, treat, ensure timely discharge 💧90% of the job is giving fluids or removing them

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matt thau 🫁⚕️

@thau_matturgist

3 years

My wife is a PICU fellow, and the interchange of ideas is just amazing. She’s taught me about low dose NMB, endotracheal epinephrine in a code and insights into end of life discussions that I use regular basis.

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matt thau 🫁⚕️

@thau_matturgist

3 years

NRSA submitted 🤞

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matt thau 🫁⚕️

@thau_matturgist

1 year

A strict NO from HR to intubate members of the team, but our RT was gracious enough to allow our fellow and residents a chance to try out different ventilator settings. For some reason nobody was a fan of VC/AC 🫢 @McGovernPulmCC

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matt thau 🫁⚕️

@thau_matturgist

3 years

Our unit’s portable translator looks how I feel

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matt thau 🫁⚕️

@thau_matturgist

2 years

A critically important paper and the biggest fundamental lesson I learned in Fellowship. Your good death may not be my good death. And irrespective of how I feel, it is my responsibility to care for and guide you in the manner that you request

Ann L. Jennerich, MD MS ATSF

@aclong111

2 years

Please take a moment to read this study by @KatieHauschildt . I’ve said it before: I support routine family meetings. I do not, however, support the act of repeatedly meeting with family to hammer them about “goals of care”. You build rapport in one, destroy it in the other.

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matt thau 🫁⚕️

@thau_matturgist

3 years

Wash my hands with hot water after my 50th gel in on rounds

Ashley Winter MD || Urologist

@AshleyGWinter

3 years

If you could only do one procedure for the rest of your career what would it be?

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matt thau 🫁⚕️

@thau_matturgist

4 years

As with all procedures, careful planning and PPE is a must

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matt thau 🫁⚕️

@thau_matturgist

5 years

Find yourself a group of cofellows that will oblige your axe-throwing request and surprise you with a birthday cake to boot. Definitely one of my better 22nd birthdays. For our education, all axes were placed with US-guidance. @uwpccm #fellowship #friendship

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matt thau 🫁⚕️

@thau_matturgist

1 year

Yes it’s been a challenging week on MICU but hopefully I showed the new residents that it can also be really enjoyable. PCCM really is the best!

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matt thau 🫁⚕️

@thau_matturgist

4 years

I’m lucky to have Thanksgiving off for the first time in years. Unfortunately, it’s my wife’s turn to work in the unit. She’ll be back for dinner, and I’m going to try to blow it out

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matt thau 🫁⚕️

@thau_matturgist

1 year

Being a new attending is hard and there are many things I wish I could do better. For the moment, I’ve settled on teaching the fellows and residents to be skeptical of making medical decisions based on “vibes” and to clearly communicate my rationale for the choices we make

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matt thau 🫁⚕️

@thau_matturgist

3 years

Finally did it. Finally distinguished myself in the Peloton rankings. #record #nowherebutup

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matt thau 🫁⚕️

@thau_matturgist

2 months

@sineadtaylor I bring it up and say that it stands for hypoxia x7 and tension pneumothorax x1

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matt thau 🫁⚕️

@thau_matturgist

3 years

Find yourself work place that brings Little Sebastian (or Streaker I guess) around for general merriment. #honorarydegreefromnotredame

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matt thau 🫁⚕️

@thau_matturgist

3 years

@dch1309 It’s Oaxaca for me

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matt thau 🫁⚕️

@thau_matturgist

2 years

Me at the start of residency vs me after fellowship thinking I’ll still be able to relate to all the med students as an attending

1

0

16

matt thau 🫁⚕️

@thau_matturgist

4 years

The great and terrible thing about critical care medicine is that it humbles you every single day

0

15

matt thau 🫁⚕️

@thau_matturgist

1 year

First week as an attending @McGovernPulmCC in the books. I’m so grateful for the amazing staff and resident teams who helped make my transition as easy as possible

1

0

14

matt thau 🫁⚕️

@thau_matturgist

3 months

To me, the most valuable thing about training at a number of different places is learning how little of what we do actually matters. Meaning there are lots of ways we can manage something to achieve a positive outcome

Emily Fridenmaker

@emily_fri

3 months

I encourage residents and fellows to question everything their attendings (including me) do and I love watching the realize that almost everything is just style based 🙃

4

3

38

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matt thau 🫁⚕️

@thau_matturgist

4 years

@nickmmark Hard Agree. Deliriogenic AF is the least responsive to amiodarone.

0

15

matt thau 🫁⚕️

@thau_matturgist

5 years

I know I gained a little weight this month (a LOT of takeout because of the move), but having to buy all new shirts in HUSKY is a tough look. @uwpccm #Seattle

0

1

13

matt thau 🫁⚕️

@thau_matturgist

3 years

Congratulations!! Come to @uwpccm for the world-class training and education provided by leaders like @basakcoruhUW . So very well deserved

UW PulmCritCareSleep

@uwpccm

3 years

Wow!!! We are SO proud of @basakcoruhUW who has been designated as a 2021 Distinguished CHEST Educator!!! 👏👏👏👏👏👏👏👏👏👏👏👏 She will be honored during Sunday's Opening Session at the CHEST 2021 Annual Meeting on 10/17. Join us in giving her a huge round of applause!

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140

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matt thau 🫁⚕️

@thau_matturgist

2 years

My favorite book of the past year was The Right Stuff. I was shaking with joy and adrenaline at the end of Top Gun. I’m finally ready so embrace the role of Dad come September

2

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matt thau 🫁⚕️

@thau_matturgist

2 years

Friend at a dinner party: Not sure why, but occasionally fingers in both of my hands go numb Everyone else: Me:

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14

matt thau 🫁⚕️

@thau_matturgist

2 years

@SeanFennessey Cant wait for this to drop on Disney+

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14