Author | Lightnews

Christopher Nemeh, MD

@cnemehmd.bsky.social

850 followers 620 following 150 posts

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 :)

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Christopher Nemeh, MD @cnemehmd.bsky.social · 15d

Science #CHEST2025

Christopher Nemeh, MD @cnemehmd.bsky.social · Oct 3

lol

Bleacher Nation @bleachernation.bsky.social · Oct 3

The Brewers Are Trying to Troll the Cubs During Batting Practice

www.bleachernation.com/cubs/2025/10...

www.bleachernation.com

Christopher Nemeh, MD @cnemehmd.bsky.social · Sep 7

Reposted by Christopher Nemeh, MD

josh farkas 💊 @pulmcrit.bsky.social · Aug 30

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

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

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Reposted by Christopher Nemeh, MD

NEJM.org @nejm.org · Aug 31

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

Time-to-event curves for death from any cause during 10 years of follow-up

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Christopher Nemeh, MD @cnemehmd.bsky.social · Aug 30

We are literally living in the darkest possible timeline

Christopher Nemeh, MD @cnemehmd.bsky.social · Aug 29

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

Christopher Nemeh, MD @cnemehmd.bsky.social · Jul 29

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.

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Christopher Nemeh, MD @cnemehmd.bsky.social · Jun 30

Submit Interventional Pulmonology Fellowship Application ✅

Reposted by Christopher Nemeh, MD

Segun Olusanya @drfreeze.bsky.social · Jun 5

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…

GH @b-g-d-t.bsky.social · Jun 5

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.

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Reposted by Christopher Nemeh, MD

Joel Topf @kidneyboy.bsky.social · May 31

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/

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Christopher Nemeh, MD @cnemehmd.bsky.social · May 31

I’ve used it all the time as a prn for anxiety, haven’t really used it much in this context though. Guess I unfairly lumped all anticholinergics together as a class effect when I would get nervous about it worsening delirium.

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Christopher Nemeh, MD @cnemehmd.bsky.social · May 31

😂😂😂

Christopher Nemeh, MD @cnemehmd.bsky.social · May 31

Interventional pulmonology! I realized I want the pulm half of my career to include more advanced dx/tx bronchoscopy.

Christopher Nemeh, MD @cnemehmd.bsky.social · May 29

And just like that, it’s almost time to apply to fellowship. Again :)

#Medsky #PulmSky

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Reposted by Christopher Nemeh, MD

josh farkas 💊 @pulmcrit.bsky.social · May 29

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

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Reposted by Christopher Nemeh, MD

Justin Baragona @justinbaragona.bsky.social · May 29

The New York Times has found at least two more fake citations in the MAHA report.

www.nytimes.com/2025/05/29/w...

White House Health Report Included Fake Citations

www.nytimes.com

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Christopher Nemeh, MD @cnemehmd.bsky.social · May 29

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 🤷🏽‍♂️

Reposted by Christopher Nemeh, MD

😱🩸Spooky SpectreKILLoquy 🎃🔪 @caulimovirus.bsky.social · May 26

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

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Reposted by Christopher Nemeh, MD

Emily Moin @emilymoin.com · May 26

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

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Reposted by Christopher Nemeh, MD

Health Nerd @gidmk.bsky.social · May 26

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.

The study "The effect of culinary interventions (cooking classes) on dietary intake and behavioral change: a systematic review and evidence map"

Key finding was "Culinary interventions were not associated with a significant change in cardiometabolic risk factors"

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Christopher Nemeh, MD @cnemehmd.bsky.social · May 21

This was honestly one of the better and more important books I’ve read in a while

Reposted by Christopher Nemeh, MD

Cathy Gao-Howard MD MS @catgaohow.bsky.social · May 18

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

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Reposted by Christopher Nemeh, MD

Tedros Adhanom Ghebreyesus @drtedros.who.int · May 19

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

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Christopher Nemeh, MD @cnemehmd.bsky.social · May 18

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