Must Read commencement speech UCLA from Atul Gawande in The New Yorker Curiosity and What Equality Really Means newyorker.com/news/news-desk… ; AAST and Emergency Physicians see patients at their worst - No matter what happens, Must treat patients w/ Curiosity, Empathy and Respect

had to be done

The performance of non-invasive tests to rule-in and rule-out significant coronary artery stenosis in patients with stable angina: a meta-analysis focused on post-test disease probability bit.ly/2LD1H2G European Society of Cardiology #ESCCoT #freeaccess #coronaryarterydisease

ATTR-ACT: This phase 3 RCT of tafamidis to treat transthyretin amyloid cardiomyopathy reduced, in combination, all-cause mortality and CV-related hospitalizations. It also reduced declines in functional capacity and quality of life. nej.md/2uZrjRq #ESCCongress

If you are an opioid-naive patient and receive an initial 10 day supply of opioids, there is a 20% chance you still be taking them at 1 year and a 10% chance you'll be taking them at 3 years. These drugs clearly start affecting your brain chemistry right away!!!! CDC study

In Rwanda, untreated strep throat can evolve into a life-threatening heart condition. A team of doctors travels there each year to try and save a handful of young patients. These are their stories. nyti.ms/2OqN1p7

The most imp stat for me in 2018… for why medicine has to change: 4in10 adults couldn’t produce $400 in emergency w/o going into debt or selling something. Means any health emergency w/financial toxicity is catastrophic for so many. 1in4 skip needed care. federalreserve.gov/publications/f…

cc Meg Rowley Ben Lindbergh

Struggling with composing a letter of condolence to patient’s family this past week and just so happened to find this when cleaning out our storage - thank you Gregory Kane, MD Gretchen Diemer Emily Stewart @JeffIMchiefs

Since hypertension is the #1 chronic disease of man, it's about time we learn what time is best to take the medications to treat it. #chronobiology-> outcomes academic.oup.com/eurheartj/adva… European Society of Cardiology Journals by Ramon Hermida and colleagues

Depending on specificity of serology test being used, false positive rates can range from 25-50%; meaning tests that return positive result saying you have antibodies to covid may be wrong as much as half the time. Many tests have 95% specificity which leaves false positives high

The coronavirus is far deadlier than official numbers show. A New York Times analysis of 11 countries found that at least 28,000 more people have died in the last month than is reflected in official Covid-19 death counts for those nations. nyti.ms/3eHn0iM

“Between 2013-2014 & 2018-2019, estimated #flu deaths ranged from 23k- 61k. Over that same time, the number of counted #flu deaths was between 3448 & 15 620 yearly... #COVID19 fatalities are at present being counted & reported directly, not estimated” jamanetwork.com/journals/jamai…

81 yo F admitted with cough, dyspnea. Covid testing pending. Echo performed for past “CHF”.

Periprocedural TEE for catheter thrombectomy of RA clot in transit for patient with submassive PE. Large clot across PFO into LA sure complicates things

What’s going on here? loops American Society of Echocardiography #MedTwitter

1/ Why can furosemide improve dyspnea/pulmonary edema from acute congestive heart failure within minutes of administration? The answer does not involve diuresis. #medtwitter #tweetorial

Thank you Gretchen Diemer

Congrats Coach Lackner on an amazing run! Thank you for the impact you have had on my life and countless others Carnegie Mellon Football Carnegie Mellon Athletics

Billions spent on Vitamin D testing and supplementation each year Yet another large scale, well powered RCT shows 🚫 health gains The D-Health Trial: a randomised controlled trial of the effect of vitamin D on mortality thelancet.com/journals/landi… Boback Ziaeian 🤦🏻‍♂️ Karol Watson Erin D. Michos, M.D.