Ritwick Agrawal MD
5,413 followers
New Thinking 
sma_04 
Youvia Women Football Club 
How to MOVE your Mendeley library to Zotero:
A step-by-step guide with visuals 🧵
Why move, you ask?
Elsevier is SHUTTING DOWN Mendeley Desktop app on Sept. 1, 2022 😱
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Long live Mother Earth twitter.com/MikeHudema/sta…
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In 1974, this 3,000 year old mummy was issued a valid Egyptian passport so it could be flown to Paris, France for repair.
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I think that prone positioning has a significant role in treating early hypoxia. The research studies are not easy to prove but if adherence is optimized the patients may not need supplemental oxygen
Think of a patient on vent who is on NM blockade— proning for 16 hours can be done, but those awake alert patients do not like to lie on the belly for the long term.
In awake patients, adherence to the prone position is a considerable challenge, and perhaps it is one of the reasons most of the trials did not show any survival advantage of #awake prone therapy.
It turned out that smartphone-guided proning did not impact treatment adherence! Bummer! But gave valuable lessons.
The patients were put in categories whether prone or not and how long! All of them were highly motivated and consented to the study.
We recruited a large number of patients— randomized them — gave instructions
Most mammals spend their lives in prone positions. #Proning therapy was frequently used for #COVID19, but can smartphones be used to remind patients to be prone? ncbi.nlm.nih.gov/pmc/articles/P… a thread 🧵4
A full circle! Hopefully vaping induced lung diseases would be lower. I have seen several ILD cases in young people likely due to vaping. @accpchest bbc.com/news/business-…
@thisisinsider: Dr. Ritwick Agrawal (@md_ritwick), a sleep medicine specialist and assistant professor at @bcmhouston, said "not much research" has been done on the long-term side effects of excessive melatonin supplementation. ow.ly/Rqpa50Jwb48
Retweeted by Ritwick Agrawal MD Interesting perspective on #DST controversy. Maps Show Where Daylight Saving Leaves Cities Dark - Bloomberg bloomberg.com/news/articles/…
About 26,000 tonnes of plastic Covid waste pollutes world’s oceans – study theguardian.com/environment/20… via @sandralaville
Retweeted by Ritwick Agrawal MD "The rise in melatonin supplement use is likely due to growing rates of insomnia, particularly during the pandemic."
- Dr. Ritwick Agrawal (@md_ritwick), assistant professor, Pulmonary, Critical Care (@BCM_Lung), was featured in @thisisinsider: ow.ly/AgZl50Jqs6O
Retweeted by Ritwick Agrawal MD REM related sleep apnea is an important #phenotype, with associate with hypertension (possibly nocturnal and diastolic @accpchest twitter.com/SleepyNeuroDoc…
Number is not everything! Extreme #REM dominant #OSA. AHI=6.1 suggest mild OSA, but actual apnea burden is much higher, with O2 nadir=67%! V-shaped desat + event clustering suggest REM dominance. Deep desat suggest long apnea durations and possible high arousal threshold. BMI=19
Retweeted by Ritwick Agrawal MD Thank you for the interview on this important topic. twitter.com/BCMHouston_New…
Do you remember when you joined Twitter? I do! #MyTwitterAnniversary
The longest running study on happiness:
Harvard's 84 year old Study of Adult Development.
Here are 7 lessons from the study to help you live a happier life:
Retweeted by Ritwick Agrawal MD What is your true passion? qhhtofficial.com/self-discovery… via @opinionstage
Wow distances and magnitude of size could be so deceiving… until you see a video like this. Io is my favorite 🌙twitter.com/stem_feed/stat…V
Wastewater data versus detected cases
This was a terrible time to pull back on public masking in crowded spaces that people cannot avoid
Retweeted by Ritwick Agrawal MD Oil prices are down about 20% from a multiyear peak in March but the prices Americans are paying for gas still hover near record levels. Here's a look at what shapes gas prices. wsj.com/articles/why-i…
Vaccines and myocarditis/pericarditis: a new systematic review of >400 million doses of various vaccines, from 1947 -> 2021
—Overall incidence: Covid (18/M) vs non-Covid (56/M)
—Smallpox highest; Covid similar to flu shots
—mRNA risk: male, < age 30, 2nd💉thelancet.com/journals/lanre…ni
Retweeted by Ritwick Agrawal MD Nature has no boundaries! Wildflowers just appeared out of nowhere. What a #wonderfulday
Did the #BA2 wave just came and pass the Houston metro— thanks to high prior infection rates and vaccinations?
Cautiously optimistic @PrathitKulkarni @PeterHotez
The wastewater data support my theory, cases are slowly rising.
Why there is no uptick in #covid19 in USA despite high proportion of #BA2 in new infections? I think the wave is a few weeks behind Europe. Interesting article via @nytimes nytimes.com/2022/04/06/bri…
The front of my son’s handmade birthday card to me ❤️. “Terrible ideas” is right 😂 but I am a bit skeptical of the anatomy & physiology🧐. Need Neuro help. @aartisarwala@nikhilpatelmdm@ChristaSwishere@WesElyMDM@jcjackson686@JER_CCNSN@drdangayachc@virenkaulutZ
Retweeted by Ritwick Agrawal MD Ivermectin: the largest randomized, double-blind trial yet conducted, with early treatment, indicates there is no difference compared with placebo. It doesn't work. Period.
nejm.org/doi/full/10.10…
just published @NEJM
Retweeted by Ritwick Agrawal MD This is a fantastic feature to have here in the Greater Houston area. They'll ping you when a bayou gage of your choosing hits a threshold of concern. twitter.com/hcfcd/status/1…
Retweeted by Ritwick Agrawal MD “Too sick to exercise” is the wrong choice both in critical care boards and in real life.
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