"What would he WANT?" is NOT the right Q. Instead, we should ask the followings, - "What are you most worried about?" - "What are you hoping for?" - "What is most important to him?" - "Tell me about him." - "What makes his life meaningful?" 6/

We started a #NewsYouCanUse lecture series for our Division Here are 6 bite-sized evidence based pearls to consider incorporating into your practice & teaching Links in QR code

Whoa. Didn't realize this was in the pipeline Estimating GFR is a big part of my clinical day job If this truly is as accurate as it claims, and affordable, would be a game changer

Looking for a paper on JAMA website Papers on heat deaths (climate change), gender identity nomenclature, long covid, 2 papers on Supreme Court Reminds me of John Mandrola, MD drvinayprasad.com/p/should-docto…

I missed this one I'm with Adam Cifu It's cultish behavior to think anyone with low EF should get 4-5 drug GDMT all at once There are issues with generalizability, indication creep to stage B or NYHA 1, weak evidence for entresto, and safety concerns

neat visual never seen something like this before

after several recent experiences, it's alive and well that peer reviewers truly care about residual confounding if they don't like the conclusion to be fair it's always a concern but the same journals also publish fatally confounded studies that fit accepted narratives

Bizarre study Feels more like pharma marketing study What about LIFE, PARALLEX-HF, PARALLEL-HF, PARADISE-MI?

This use to rile me up too I've learned that the same clinicians who overtest the most tend to be the ones who miss diagnoses the most I've now come to appreciate 'shotgun' workups since the harms of overuse is less than the benefits of stumbling into the diagnosis

This is a TOTAL mess Physicians face an average of 57 unique quality measures across 8 value-based contracts Many, if not most of these measures are worthless Administrative waste Burnout inducers Costly Takes away from real quality improvement

when the highest quality evidence is consistently omitted it makes you wonder if its because of incompetence or deceit. not sure which is worse

why does Pfizer need to pay for ads when JAMA, FDA, CDC, and "experts" do it for you

1st errant* reply all is a warning 2nd is demotion 3rd one you're fired 4th is life in prison *includes congratulatory ones

Good but unfortunate thread of the reality of inpatient medicine It's often very sucky It's not inherent to the field though even if this is the norm Great hospital medicine starts from careful history, compassion & awareness that the illness begins & ends beyond the hospital

Agree These diagnoses are harbingers of a diagnostic error: UTI Pneumonia HFpEF exac B/l cellulitis AMS

wow! science & medicine is truly amazing I know its early days, but I would've led with this "At 1 year post transplant, there was no perception of light in the transplanted eye"

Being homeless is bad. Great use of taxpayer money. Hard hitting research like this. Next up: rich people have advantages poor people don't.