Anesthesiologist and Pulmonologist, Medical Director, Center for Hyperbaric Medicine & Environmental Physiology, Duke University

Duke University
Why do most deaths during triathlons occur during the swimming portion, despite it being the first and shortest of all three legs? The answer might surprise you. #tweetorial #triathlete #triathlon
25
131
264
Workshop on Gas Embolism: Fundamentals, Diagnosis and Treatment at IEEE Engineering in Medicine and Biology Society International Conference. Sunday afternoon, July 26, 2026 at Metropolitan Toronto Convention Centre, Canada: embc.embs.org/2026/program/
3
35
A good summary of carbon monoxide risks, especially in this cold season: Https://www.msn.com/en-us/he…
4
42
I miss her very much. She was the best: physician, friend, mother, wife, role model, human. She brought her bright light and joy to everyone she encountered. ❤️ 💔 ❤️
With profound sadness, we share the passing of our beloved colleague, Dr. Kelly Machovec, an esteemed pediatriac cardiac anesthesiologist. Duke flags are lowered through today in honor of her life and legacy. tinyurl.com/2p9b7zet, tinyurl.com/47k4kynm
4
5
74
New New England Journal of Medicine review article on treatment of decompression sickness and arterial gas embolism: nejm.org/doi/full/10.1056/NE…. #hyperbaricoxygen #decompression
15
33
Immersion-Induced Mitral Regurgitation: A Novel Risk Factor for Swimming-Induced Pulmonary Edema (SIPE) in @journal_CHEST Mitral valve regurgitation at rest can worsen during immersion and represents a novel and measurable risk factor for SIPE sciencedirect.com/science/ar…
3
7
Immersion Pulmonary Edema, Swimming-Induced Pulmonary Edema: Shortness of breath of cough during swim or dive? Navy funded study at Duke Medical Center to investigate whether SIPE risk can be reduced by sildenafil (Viagra®). For details click here: anesthesiology.duke.edu/?pag…
1
1
More interest in lack of emergency hyperbaric care in the US: wms.org/magazine/1320/hyperb…
2
2
Hyperbaric oxygen therapy for perianal Crohn’s: positive outcomes. Corine Lansdorp and colleagues: Alimentary Pharmacology & Therapeutics, December 16, 2020. pubmed.ncbi.nlm.nih.gov/3332…
1
1
4
Richard Moon retweeted
I am incredibly grateful to the @AASLDFoundation and all its donors during this #WeekofThanks!
This year’s recipient of the AASLD Foundation Advanced/Transplant Hepatology Award, Andrew Moon, MD, MPH, thanks our donors for supporting valuable research. #WeekofThanks @AndrewMMoon #LiverTwitter #InvestInHep
14
4
70
I found a USAT Official Club using the @usatriathlon Find a Club tool. Check it out at usatriathlon.org/findaclub! nitter.net/share?&text=I%20found%…!
Richard Moon retweeted
So to recap: (1) SIPE is relatively common (~2% in triathletes) (2) SIPE is due to increases in PA pressure after patients become submerged in (particularly cold) water (3) Sildenafil may⬇️risk of SIPE. RCT ongoing. Thanks for joining in on my inaugural Tweetorial!
6
6
81
Why do most deaths during triathlons occur during the swimming portion, despite it being the first and shortest of all three legs? The answer might surprise you. #tweetorial #triathlete #triathlon
25
131
264
Yes, sildenafil seems to work. Sildenafil is a venodilator that may work by increasing venous capacitance, thus reducing blood volume in pulmonary vessels. This is currently under study as part of a clinical trial. Click here to learn more: researchoutreach.org/article…
2
4
17
So to recap: (1) SIPE is relatively common (~2% in triathletes) (2) SIPE is due to increases in PA pressure after patients become submerged in (particularly cold) water (3) Sildenafil may⬇️risk of SIPE. RCT ongoing. Thanks for joining in on my inaugural Tweetorial!
6
6
81