🧠🫀 When cardiology forgets to ask “why”: a timely wake-up call This 2025 Open Heart viewpoint by Francesco Tona is not an attack on modern cardiology—but a deeply reasoned warning about what we risk losing amid unprecedented technological power  . ⚙️ The paradox Cardiology

Separately, public health & IPAC in Canada are not fit for purpose. As they currently stand, they undermine our already unraveling healthcare system. IPAC Canada

My son texted me the letter "X" at 11 PM. That is our agreement. It means: "Things are getting weird. Get me out. But make it look like you are the bad guy." I called him immediately. I used my "angry dad" voice. "I told you to clean the garage before you left! Get home right now

"The term [provider] should not be used to describe physicians, nor should physicians use it to describe themselves, their team members, or their trainees." acpjournals.org/doi/10.7326/AN… Annals of Int Med ACP

A fit 32 year-old walked into OP smiling. “Doctor, my BP is high again.” 180/110. Already on medicines. “Headaches?” Yes, episodic. “Palpitations?” Yes. “Sweating?” He laughed. “Like I ran a marathon while sitting.” “Stress?” everyone had told him. He leaned forward and

Study: SARS-CoV-2 RNA found in 39% of hospital air samples during outbreaks, despite good ventilation cidrap.umn.edu/covid-19/study…

An example of inadequate history taking…

In 1980, DeBakey operated on the Shah of Iran. He declares success. Soon, the patient is dead. Reoperation is psychologically brutal: how bias delay truth & what might save us from the same trap. leezhaomd.org/post/the-secon… #MedTwitter #Surgery #MedEd

I'm 58. If you're in your 20s, please listen to me before it's too late:

4/ Think about this: We filter our water and only drink 2L a day. We inhale 11,000L of air every day. Unfiltered. Loaded with things that make us sick.

I just gave a closed-book, pen-and-paper midterm exam in my 300-level course at UBC with 100 students. All exams were graded by an experienced graduate-level TA according to a rubric. *** The average was 64/100.*** My class averages at UBC are usually 80-85. Context: • This

What happens to the heart when people stop GLP-1 drugs? The short answer: nothing good. New from our team: a study of 330,000+ people in BMJMedicine 🧵

A good read. Note that we are still in a pandemic. IMHO for public health to adopt the new paradigm will require new leadership. Only then will the toxic culture of «I know best, I’m the expert» be forced to change. lnkd.in/gvBq4D8h

I hear this every week in my office: "Doc, my heart rate hits 150 during squats — that's cardio, right?" No. And if your cardiologist hasn't explained why, keep reading. 🧵

Always work back to baseline gradually and listen to your own body’s signals…

Why I Train This Way at 62 1/ I’ve been an orthopedic surgeon for nearly 30 years, and over that time, I’ve watched something happen to many of my patients that isn’t dramatic or sudden, but ends up being far more consequential than any single injury or diagnosis.

Don't Let Your Lives "Narrow"!! I've been an orthopedic surgeon for 30 years. The thing I watch happen to people, more than any injury or surgery, is refer to as the narrowing. Most of my patients have no idea it's happening to them. They think it's just aging. It's not. 🧵

And that’s before you try to ascertain whether it was simply underpowered to begin with. Difficult when the in-hospital prevalence at any given moment and the R0 of a particular strain are constantly changing.

One catastrophic unforeseen complication that can happen during any PCI and how to handle it 👉 WITHOUT MESSING UP #cardiotwitter #PCI #cathlab_nightmare 50 y 👨 AWMI LV 35 CAG Ostial LM mild , patio prod alas 50-60 , mid LAD total block Looks straightforward right?! (1/n)

Imagine your surgeon preparing for your operation. They see you in pre-op, answer your questions, calm your fears, examine you, confirm the plan, and go get ready for the case. They review the imaging and think through the critical parts of the operation. Then a nurse