Today I took a Freedom Trail tour in Boston and learned a lot. Read on to brush up on some history! William Blackstone signed up for an expedition to come from England to North America in the mid-1620s. He sets up a farm in what is now Boston.

Here’s something I don’t understand. If I had $10 million invested with a 4% return, I would have $400,000 in interest every year. Even with my mortgage and taxes and a new car every year, I could still buy all the books, take incredible care of my pets, and travel the world. 1/ This amount would also be more than enough to completely retire and open my animal sanctuary which would be self-sustaining (I have it all planned out). And of course this would be without even touching the principal balance. 2/

Travel Tips Thread!

Many of you have reached out, asking me what company I used to plan my trips. I actually plan the vast majority entirely myself. So since so many of you seem curious, here’s how I do it: 1/ Disclaimer 1: For certain polar locations I have booked cruises through Quark Expeditions. These include my trip to Antarctica, as well as upcoming trips to Greenland and Svalbard. I particularly like this company due to their focus on environmental protection and education. 2/

My final #SCCM2023 tweetucation session for today is “Late-Breaking Studies Affecting Patient Outcomes”! First we have “Continued Enteral Nutrition Until Extubation Compared to Fasting Prior to Extubation in the Intensive Care Unit: A Clustered Randomized Trial” with Stephan Ehrmann (@stephanehrmann)! #SCCM2023

Patient enrollment #SCCM2023 Patient characteristics #SCCM2023

My next #SCCM2023 tweetucation session is “Late-Breaking Studies That Will Change Your Practice”! First we have Dr. Ivor Douglas (@com543) with “Restrictive vs Liberal Fluid Management for Sepsis-Induced Hypotension”! #SCCM2023

Next up for tweetucation at #SCCM2023 is “The Intersection of Climate Change and Critical Care” with Dr. Srinivas Murthy (@srinmurthy99) and Dr. Gloria Rodriquez-Vega! We will talk about whether our ICUs are ready and what they can do to help. #SCCM2023

My next session for tweetucation is something I’m VERY passionate about!: “Moral Injury: Don’t Just Stand There, Do Something”! #SCCM2023 First up is “Recognizing the Signs, Symptoms, and Impacts of Moral Injury” with Kimberly Ichrist (@IchristKimberly)! #SCCM2023

My first #SCCM2023 session for tweetucation is “ARDS in the Time of COVID-19”! First up we have “Noninvasive respiratory support: In COVID-19 and otherwise” with Dr. Robert Hyzy (@bhyzy)! #SCCM2023

Who’s ready for another timeline cleanse?!? We went to the Aquarium this morning and as Rosie said when we parked, “It’s ANIMAL TIME!” Froggies! twitter.com/i/web/status/1…

My last tweetucation session for #ATS2022 😢😢😢 will be “Current Controversies in Geriatric Critical Care”! First up we have Dr. Sean Morrison with “Does Advance Care Planning Have Any Effect on Reducing High-Intensity Care?” #ATS2022

Hint: It does not.

My next #ATS2022 tweetucation session for the day is the Sleep Clinical Core Curriculum! First up we have Dr. Kiran Maski with “When Laughing Makes You Weak: Narcolepsy Diagnosis and Management.” #ATS2022

My first session for the last day of #ATS2022 is “Clinical Year in Review 4”! First up we have Dr. Kimberley Haines (@HainesKimberley) with “Long COVID and Post-Intensive Care Syndrome.” #ATS2022

My last session for #ATS2022 day 3 is “Priorities from a Joint-Society ATS Policy Statement on Palliative Care in Serious Respiratory Illness”! First we have Dr. Donald Sullivan with “Fundamental Principles of Palliative Care in Respiratory Disease and Highlights from the Policy Statement.” #ATS2022

I am so excited for this afternoon’s medical education seminar on “Integrating Evidence-Based Medicine Into Clinical Teaching”! #ATS2022 What is EBM? #ATS2022

Unfortunately, “going with your gut” does not perform well in predicting mortality. However, this is associated with more goals of care conversations. #ATS2022 What we really need to takeaway is that we need to shift palliative care conversations and interventions to earlier in the disease. #ATS2022

First up for tweetucation today at #ATS2022 is “Communicating Prognosis to Critically Ill Patients and Their Families: Challenges and Recommended Strategies Which Consider Culture and Preferences.” Im super pumped for this one!
#CommunicationMatters
#MedEd First up is @UABPulmonary’s very own @anandiyermd (who I ADORE) with “Prognosticating in Serious Respiratory Illness: Assessing Risk Amidst the Unknown”!
#ATS2022

This afternoon’s #ATS2022 session starts with “Diagnosis and Management of Patients and Families with Post Intensive Care Unit Syndrome” with Dr. Hugo Carmona (@HcarmonaMD)! Defining PICS - these 3 domains are the most common impairments for people with PICS. #ATS2022

My last live tweet-ucation for #CHEST2021 will be "Acute Respiratory Failure in Obstructive Lung Disease: Ventilation Strategies"! 1/ Dr. Daniel Ouellette will speak on "The role of NIPPV in obstructive lung disease." #CHEST2021 2/

Next up for some tweet-ucation is "Inhaled Medications in COPD: Contemporary Strategies to Manage an Old Disease"! #CHEST2021 1/ Dr. Arzu Ari speaks on "Aerosol Drug Delivery in Patients with COPD." #CHEST2021 2/

I'm excited to jump into the Wellness Zone next with Dahlia El Gazzar (@DahliaElGazzar) speaking on "Practicing Gratitude for the Present: The Power of Gratitude." #CHEST2021 1/ Learning objective and key takeaway #CHEST2021 2/