Brigham and Women's Pulmonary and Critical Care Fellowship Program @BrighamWomens @BrighamResearch @HarvardMed

Boston, MA
Joined February 2019
#pulmpearl Hypoxic pulmonary vasoconstriction (HPV) is clinically relevant if: 1) thoracic surgery w single lung ventilation (un-ventilated lung bleeds less) 2) atelectasis/PNA/COPD/PNA (minimized V/Q mismatch) 3) high altitude pulmonary edema (may be an exaggerated form of HPV)
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We are very excited to welcome our new fellows next year! Thank you to everyone who participated in the MATCH. Congratulations to all! #fellowshipmatch #pccm @BrighamWomens @BrighamBEI
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We are so thankful for all our fellows and their hard work and dedication. Happy Holidays from the Harvard-BWH PCCM Fellowship.
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#pulmpearl & #BoardFact Lemierre's syndrome = suppurative thrombophlebitis of jugular vein due to pharyngeal infection, classic organism = fusobacterium necrophorum, causes septic emboli to lungs with necrosis that can then cavitate
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#pulmpearl Caplan syndrome = RA + pneumoconiosis related to occupational exposure (first described with coal but also recognized with silica, asbestos), Characterized by nodules on imaging +/- background of reticular changes +/- micronodules that are 2/2 pneumoconiosis
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#pulmpearl PPFE on imaging: apical pleural thickening +/- traction bronchiectasis, thickened interlobular septa, +/- honeycombing, on histology: upper lobe subpleural fibrosis and + elastin stains #meded
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#pulmpearl Pleural plaques reflect exposure to asbestos but are NOT asbestosis, need to have parenchymal changes (i.e. fibrosis) to call it asbestosis. #meded
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#FellowFacts Our fellows get to work @BWH by driving (46%), biking (23%), walking (15%) and public bus /train (14%). How do you get to work?
0%Car
25%Bike
50%Walking
25%Public bus/train
4 votes • Final results
#pulmpearl Pulmonary AVMs:most commonly a/w HHT, most are asymptomatic(some reports suggest only 40% have symptoms), potential downstream complications:paradoxical cerebral embolism (CVA+/-septic embolism+brain abscess),high output heart failure, pulmonary hypertension, hypoxemia
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#FellowFacts: #BWHPCCM fellows come to Boston from all over the world! Before moving to Boston our current fellows lived in: New York City, NY; London, UK; Hanover, NH; Sacramento, CA, Philadelphia, PA; New Haven, CT; Salt Lake City, UT; New Orleans, LA; Miami, FL!
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#pulmpearl Swyer-James-MacLeod syndrome = unilat hyperlucent lung; form of bronchiolitis obliterans syndrome; usually post-infectious; affected lung hyperlucent + decreased vascularity +/- bronchiectasis; can be lobe or segment; first r/o obstructing lesion causing air trapping!
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#FunFacts about our fellowship: we have 10 dogs and 3 cats (the last time we counted) as part of our fellowship family!
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#FellowFacts Our fellows do not agree on their favorite noon conference food... 25% for CAVA (Mediterranean) 25% for Laughing Monk (Thai and sushi) 8% for Pizza 8% for fancy mac and cheese 8% for Vietnamese #yum #FoodForThought What's your favorite?
#ThingsFellowsSay Best thing about our fellowship: "the people!" "my co-fellows" "people are very friendly, approachable, smart, + invest in your growth" "supportive faculty" "research opportunities" "getting to be in the ICU as much as I want (yay!!)" What else, BWHPCCM alumni?
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It's recruitment season!! With it we're turning over a new leaf to make this a space to share who we are & what we find interesting, inspiring, and exciting!! #meded #lungsrock #respisbest @BrighamWomens @MassGenBrigham @BrighamBEI @APCCMPD @atscommunity @accpchest @EuroRespSoc
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Brigham & Women's Pulmonary and Critical Care retweeted
Replying to @BWHPulmCCM
. @julieclng and the Perrella and Lederer labs at @BrighamResearch and @harvardmed have found that mesenchymal stromal cells secrete paracrine factors that can augment emergency granulopoiesis. bit.ly/2Hwnkp7
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