Christopher Nemeh, MD
@cnemehmd.bsky.social
PCCM Fellow UChicago, T32 Researcher, MSCP Student, Interested in Interventional Pulmonology
Former Chief Resident in Quality and Patient Safety - BCM/MEDVAMC
Current Marathon Enthusiast (Abbott ⭐️⭐️⭐️ )
Here for MedEd and Chicago Sports :)
Former Chief Resident in Quality and Patient Safety - BCM/MEDVAMC
Current Marathon Enthusiast (Abbott ⭐️⭐️⭐️ )
Here for MedEd and Chicago Sports :)
lol
The Brewers Are Trying to Troll the Cubs During Batting Practice
www.bleachernation.com/cubs/2025/10...
www.bleachernation.com/cubs/2025/10...
www.bleachernation.com
October 3, 2025 at 11:13 PM
lol
Reposted by Christopher Nemeh, MD
agitation alone is usually not a reason to keep a patient intubated
*extubation* usually improves the agitation a lot (often resolves completely off vent)
if otherwise ready for extubation: extubate, reassess off the vent, treat any residual agitation PRN
#CowboyExtubation #AlwaysBeExtubating
*extubation* usually improves the agitation a lot (often resolves completely off vent)
if otherwise ready for extubation: extubate, reassess off the vent, treat any residual agitation PRN
#CowboyExtubation #AlwaysBeExtubating
a young boy dressed as a cowboy is walking on the ground
ALT: a young boy dressed as a cowboy is walking on the ground
media.tenor.com
August 30, 2025 at 12:55 PM
agitation alone is usually not a reason to keep a patient intubated
*extubation* usually improves the agitation a lot (often resolves completely off vent)
if otherwise ready for extubation: extubate, reassess off the vent, treat any residual agitation PRN
#CowboyExtubation #AlwaysBeExtubating
*extubation* usually improves the agitation a lot (often resolves completely off vent)
if otherwise ready for extubation: extubate, reassess off the vent, treat any residual agitation PRN
#CowboyExtubation #AlwaysBeExtubating
Reposted by Christopher Nemeh, MD
Late breaking: In pts with STEMI with cardiogenic shock, early mechanical support with a microaxial pump reduced the risk of death at 180 days, with the survival benefit persisting up to 10 years despite device-related complications. Full DanGer Shock trial results: nej.md/47JkdDE
#ESCCongress
#ESCCongress
August 31, 2025 at 9:20 AM
Late breaking: In pts with STEMI with cardiogenic shock, early mechanical support with a microaxial pump reduced the risk of death at 180 days, with the survival benefit persisting up to 10 years despite device-related complications. Full DanGer Shock trial results: nej.md/47JkdDE
#ESCCongress
#ESCCongress
We are literally living in the darkest possible timeline
August 30, 2025 at 10:49 AM
We are literally living in the darkest possible timeline
My patient was feeling a bit down about their new COPD diagnosis so I told them to do all the usual things: inhalers, pulm rehab, quit smoking, suggested they see the great clown Pagliacci and YOU ARE NOT GOING TO BELIEVE WHAT HAPPENED NEXT
August 29, 2025 at 10:03 AM
My patient was feeling a bit down about their new COPD diagnosis so I told them to do all the usual things: inhalers, pulm rehab, quit smoking, suggested they see the great clown Pagliacci and YOU ARE NOT GOING TO BELIEVE WHAT HAPPENED NEXT
It just doesn’t sit right with me that some recipes specifically say that you can’t use all purpose flour. Like somebody’s wrong here.
July 29, 2025 at 11:09 PM
It just doesn’t sit right with me that some recipes specifically say that you can’t use all purpose flour. Like somebody’s wrong here.
Submit Interventional Pulmonology Fellowship Application ✅
June 30, 2025 at 6:22 PM
Submit Interventional Pulmonology Fellowship Application ✅
Reposted by Christopher Nemeh, MD
Should APRV remain part of the recommendations in severe ARDS, and should a trial be considered before VV ECMO referral?
Discuss. #emimcc
@pulmcrit.bsky.social @icmtim.bsky.social
Open DOI: our ECMO centre doesn’t recommend APRV…
Discuss. #emimcc
@pulmcrit.bsky.social @icmtim.bsky.social
Open DOI: our ECMO centre doesn’t recommend APRV…
Having spoken to them - it was recognised that cARDS didn't respond to PEEP as non-cARDS. V/Q mismatch was increasingly recognised. One size does not fit all. As with high PEEP, APRV will help some patients, not others.
ARPV regularly recommended as a trial by centres as I say.
ARPV regularly recommended as a trial by centres as I say.
June 5, 2025 at 11:53 AM
Should APRV remain part of the recommendations in severe ARDS, and should a trial be considered before VV ECMO referral?
Discuss. #emimcc
@pulmcrit.bsky.social @icmtim.bsky.social
Open DOI: our ECMO centre doesn’t recommend APRV…
Discuss. #emimcc
@pulmcrit.bsky.social @icmtim.bsky.social
Open DOI: our ECMO centre doesn’t recommend APRV…
Reposted by Christopher Nemeh, MD
A study that I have been thinking about a lot is this pilot study/case series
100-200 mg of spiro in diuretic resistant, acute decompensated heart failure looked safe and effective
Any heart failure/diuretic experts know if a larger trial was ever completed?
pubmed.ncbi.nlm.nih.gov/31307058/
100-200 mg of spiro in diuretic resistant, acute decompensated heart failure looked safe and effective
Any heart failure/diuretic experts know if a larger trial was ever completed?
pubmed.ncbi.nlm.nih.gov/31307058/
May 31, 2025 at 1:46 AM
A study that I have been thinking about a lot is this pilot study/case series
100-200 mg of spiro in diuretic resistant, acute decompensated heart failure looked safe and effective
Any heart failure/diuretic experts know if a larger trial was ever completed?
pubmed.ncbi.nlm.nih.gov/31307058/
100-200 mg of spiro in diuretic resistant, acute decompensated heart failure looked safe and effective
Any heart failure/diuretic experts know if a larger trial was ever completed?
pubmed.ncbi.nlm.nih.gov/31307058/
May 29, 2025 at 10:52 PM
Reposted by Christopher Nemeh, MD
under-dosing medications in status epilepticus is insanely common
this study of INSTITUTIONAL PROTOCOLS at ACCREDITED EPILEPSY CENTERS found:
🫣 benzos were under-dosed in 4% of protocols
🫣 2nd-line drugs were under-dosed in 14% of protocols
the problem is far worse in the wild... 🧵 #1/4 #EMIMCC
this study of INSTITUTIONAL PROTOCOLS at ACCREDITED EPILEPSY CENTERS found:
🫣 benzos were under-dosed in 4% of protocols
🫣 2nd-line drugs were under-dosed in 14% of protocols
the problem is far worse in the wild... 🧵 #1/4 #EMIMCC
May 29, 2025 at 10:06 PM
under-dosing medications in status epilepticus is insanely common
this study of INSTITUTIONAL PROTOCOLS at ACCREDITED EPILEPSY CENTERS found:
🫣 benzos were under-dosed in 4% of protocols
🫣 2nd-line drugs were under-dosed in 14% of protocols
the problem is far worse in the wild... 🧵 #1/4 #EMIMCC
this study of INSTITUTIONAL PROTOCOLS at ACCREDITED EPILEPSY CENTERS found:
🫣 benzos were under-dosed in 4% of protocols
🫣 2nd-line drugs were under-dosed in 14% of protocols
the problem is far worse in the wild... 🧵 #1/4 #EMIMCC
Reposted by Christopher Nemeh, MD
The New York Times has found at least two more fake citations in the MAHA report.
www.nytimes.com/2025/05/29/w...
www.nytimes.com/2025/05/29/w...
White House Health Report Included Fake Citations
www.nytimes.com
May 29, 2025 at 9:21 PM
The New York Times has found at least two more fake citations in the MAHA report.
www.nytimes.com/2025/05/29/w...
www.nytimes.com/2025/05/29/w...
I think ChatGPT is useful for a lot of really cool stuff and has plenty of practical applications.
Getting accurate, reliable information on various topics is definitely not included in my cool stuff and practical applications.
But I guess it’s just a core issue with language learning models 🤷🏽♂️
Getting accurate, reliable information on various topics is definitely not included in my cool stuff and practical applications.
But I guess it’s just a core issue with language learning models 🤷🏽♂️
May 29, 2025 at 10:41 PM
I think ChatGPT is useful for a lot of really cool stuff and has plenty of practical applications.
Getting accurate, reliable information on various topics is definitely not included in my cool stuff and practical applications.
But I guess it’s just a core issue with language learning models 🤷🏽♂️
Getting accurate, reliable information on various topics is definitely not included in my cool stuff and practical applications.
But I guess it’s just a core issue with language learning models 🤷🏽♂️
Reposted by Christopher Nemeh, MD
im pretty good at communicating with the ignorant when they just don’t know or understand. i work with an organ that is not intuitive at all but if someone is trying, i can usually modify my language to help get them there. what im not good at is confronting straight up misinformation. no luck there
May 26, 2025 at 4:11 AM
im pretty good at communicating with the ignorant when they just don’t know or understand. i work with an organ that is not intuitive at all but if someone is trying, i can usually modify my language to help get them there. what im not good at is confronting straight up misinformation. no luck there
Reposted by Christopher Nemeh, MD
Not that this kind of thing has ever mattered to these people but the highest quality evidence we have is that you can provide intensive lifestyle interventions and follow patients for almost a DECADE and still fail to detect a mortality benefit. www.nejm.org/doi/full/10....
Cardiovascular Effects of Intensive Lifestyle Intervention in Type 2 Diabetes | NEJM
Weight loss is recommended for overweight or obese patients with type 2 diabetes on
the basis of short-term studies, but long-term effects on cardiovascular disease remain
unknown. We examined whet...
www.nejm.org
May 26, 2025 at 4:19 AM
Not that this kind of thing has ever mattered to these people but the highest quality evidence we have is that you can provide intensive lifestyle interventions and follow patients for almost a DECADE and still fail to detect a mortality benefit. www.nejm.org/doi/full/10....
Reposted by Christopher Nemeh, MD
Also, decades of gold-standard research have shown no benefit for piecemeal interventions like cooking classes for obesity or any other biological parameter.
It's always telling which data the "evidence-based medicine" people ignore.
It's always telling which data the "evidence-based medicine" people ignore.
May 26, 2025 at 4:44 AM
Also, decades of gold-standard research have shown no benefit for piecemeal interventions like cooking classes for obesity or any other biological parameter.
It's always telling which data the "evidence-based medicine" people ignore.
It's always telling which data the "evidence-based medicine" people ignore.
This was honestly one of the better and more important books I’ve read in a while
May 21, 2025 at 11:31 PM
This was honestly one of the better and more important books I’ve read in a while
Reposted by Christopher Nemeh, MD
Northwestern has not received any NIH funds since March. No written communication about why or what can be done. Thank you Ben Singer for raising awareness at #ATS2025
May 18, 2025 at 10:44 PM
Northwestern has not received any NIH funds since March. No written communication about why or what can be done. Thank you Ben Singer for raising awareness at #ATS2025
Reposted by Christopher Nemeh, MD
We are here to serve not our own interests, but the eight billion people of our world;
To leave a heritage for those who come after us;
And to work together for a healthier, more peaceful and more equitable world.
#WHA78
To leave a heritage for those who come after us;
And to work together for a healthier, more peaceful and more equitable world.
#WHA78
May 19, 2025 at 5:37 PM
We are here to serve not our own interests, but the eight billion people of our world;
To leave a heritage for those who come after us;
And to work together for a healthier, more peaceful and more equitable world.
#WHA78
To leave a heritage for those who come after us;
And to work together for a healthier, more peaceful and more equitable world.
#WHA78
So grateful for the opportunity to present our case series today on the use of dynamic cell imaging in peripheral lung cancer diagnosis @atscommunity.bsky.social #LungCancer #Bronchoscopy #InterventionalPulmonology
May 18, 2025 at 7:30 PM
So grateful for the opportunity to present our case series today on the use of dynamic cell imaging in peripheral lung cancer diagnosis @atscommunity.bsky.social #LungCancer #Bronchoscopy #InterventionalPulmonology
Reposted by Christopher Nemeh, MD
At #ATS2025, President Irina Petrache used an empty chair on stage to make visible the absence of peers who can’t be in attendance at the meeting - caused by ongoing cuts to research and healthcare. #budgetcuts @amjreviews.bsky.social @atscommunity.bsky.social
May 18, 2025 at 12:29 AM
At #ATS2025, President Irina Petrache used an empty chair on stage to make visible the absence of peers who can’t be in attendance at the meeting - caused by ongoing cuts to research and healthcare. #budgetcuts @amjreviews.bsky.social @atscommunity.bsky.social
Reposted by Christopher Nemeh, MD
typical corrupt science
May 17, 2025 at 10:20 PM
typical corrupt science
Also, now that new faculty bootcamp is done, couldn’t think of a better way to kickoff the official start of @atscommunity.bsky.social than with a lovely 8.5 mi out and back from the conference center to the Golden Gate Bridge :)
May 18, 2025 at 1:33 AM
Also, now that new faculty bootcamp is done, couldn’t think of a better way to kickoff the official start of @atscommunity.bsky.social than with a lovely 8.5 mi out and back from the conference center to the Golden Gate Bridge :)