🔥The 9th Round of Easy Loan, Earn $40 Reward is in progress❗️ ⏰ Promotion Period: January 15th - Feburary 15th, 2025 👉 Register now and check more details at gate.io/campaigns/358

nytimes.com/interactive/20… via The New York Times

Top Take Home Messages From The New ACS Guidelines Thread

Medicine will take your patience, your sleepless nights, your gentlest words—again and again, without asking if you have anything left to give. And when you finally come home, the ones who love you most will be left holding the hollowed-out versions of who you used to be.

Vinay Prasad MD MPH Secretary Kennedy Quite misleading-every SSRI has met ICH safety criterion, usually gt the required N=100/1 yr exposure. You ignore numerous RWE studies that look at durability/safety. A 1-year MDD RCT isn’t ethical or feasible. Someone who’s never run trials, or simply biased, would suggest this.

This is correct, just training more doctors won't help with the scarcity of physician labor. So why aren't we discussing ways to keep the active workforce in practice? With increasing administrative burden and decreasing reimbursement, it's no wonder more and more doctors are

Lasix is NOT nephrotoxic 🫘 Please retweet so we can end this myth once and for all 🦄 Rising creatinine is more often an indicator of inadequate Lasix dosing than excessive!! Lasix can only harm the kidneys if it decreases cardiac output by dropping preload to the point of

Talk to any doc who takes care of patients in a clinic and we will all tell you the insurance denials are more than they used to be. Don’t believe any insurance company telling you otherwise. Everything. Needed. Is. DENIED. Every. Time. It’s practicing medicine w/o a license.

One of my favorite early Val Kilmer appearances is in “Real Genius.” Val did something special with a typical 1980s cynical rebel/wisecracker role, giving his character a layer of big brother warmth. It’s actually kind of sweet.

Sorry we’re on downtime tonight.

I am not surprised (but reassured that we won't start getting calls for Thora in all CHF patients!) ahajournals.org/doi/10.1161/CI…

I have treated over 10,000 cancer patients, and I have seen medicine change from a compassion-based profession into a corporate greed-driven business.

Trials That Attempt to Expand Treatment Indications but Do Not Increase Knowledge , by John Mandrola, MD open.substack.com/pub/johnmandro…

Happy Tax Day everyone. Reminder on this day 29 years ago Grandma Gilmore refused to pay her taxes and had her home seized by the IRS. Starting the domino effect that eventually lead to Gilmore joining the tour and me losing another gold jacket. Thanks a lot Grandma.

Our greatest regrets are rarely failures to reach our goals. They're usually failures to uphold our values. Few people wish they'd been more ambitious. Many wish they'd been more courageous and generous. Success lies in building a career. Fulfillment lies in building character.

We just published a critical review of the KETO-CTA study — the first study to examine coronary plaque progression in Lean Mass Hyper-Responders (LMHRs) on a ketogenic diet. Here’s why we believe the study’s results have been seriously misrepresented. 1/14

Brent A. Williams, MD The incentive is to publish as many articles as possible, and the majority of articles don't advance medical practice at all.

This is how you are treated when you spend tens of millions of dollars lobbying Congress. You don't see any private practice physicians in the room! The big announcement about prior authorizations was that the majority of health insurance companies are making a pledge regarding

'Two key elements of this definition are worth highlighting. First is the elevation of profit generation as the primary goal of the health care enterprise' nejm.org/doi/full/10.10…

A must read. Stark differences in bioenergetics, fuel partitioning, and lactic clearance between ‘healthy sedentary’ and ‘moderately active’ individuals. I’m one of the few pulmonary docs that enjoyed reading CPET during fellowship-seems to be a solid noninvasive method to