
Brigham and Women's Pulmonary and Critical Care Fellowship Program @BrighamWomens @BrighamResearch @HarvardMed
Boston, MA
Joined February 2019
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#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)
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
We are so thankful for all our fellows and their hard work and dedication. Happy Holidays from the Harvard-BWH PCCM Fellowship.
#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
#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
#pulmpearl PPFE on imaging: apical pleural thickening +/- traction bronchiectasis, thickened interlobular septa, +/- honeycombing, on histology: upper lobe subpleural fibrosis and + elastin stains #meded
#pulmpearl Pleural plaques reflect exposure to asbestos but are NOT asbestosis, need to have parenchymal changes (i.e. fibrosis) to call it asbestosis. #meded
#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
#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!
#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!
#FunFacts about our fellowship: we have 10 dogs and 3 cats (the last time we counted) as part of our fellowship family!
#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?
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
Brigham & Women's Pulmonary and Critical Care retweeted
Our paper on airway complications in lung transplant recipients with telomere-related interstitial lung disease is published in @CliniTransplant . Thank you to my mentors and collaborators, including @RaphaelBorie and many others! 1/n onlinelibrary.wiley.com/doi/…
So excited to welcome this amazing group to join us next year! #fellowshipmatch #pccm @BrighamWomens @BrighamBEI
Who else loves interview season!?! Can't wait to meet all the amazing applicants! @claireshappell @MattMollpulmccm @RebeccaSmd @BDLevyLab @craig_hersh @BradWertheim @JackVaron @wbfeldman @aravindamenon @
Interview season has started!! Welcome to all our applicants we can't wait to get to know you all!! @RebeccaSmd @BDLevyLab @MattMollpulmccm @claireshappell @stef_mason @JackVaron @BradWertheim @craig_hersh @wbfeldman @rachelkputman @aravindamenon @APCCMPD @accpchest @ATSMedEd
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






