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Each day ask if you are really “free” or if Your worth = your h-index Your value = your grant dollars Your career = your titles Sacrifice is glorified Exhaustion is normalized Obedience is excellence Leaving is considered failure & you are told you will not survive

Private practice is under siege. Hospital consolidation, CMS cuts, and insurance lobbyists are squeezing independent physicians harder than ever. But if you run your practice like a business, not a legacy, you can survive and potentially thrive! Here’s how👇

Siri voice to text is accurate 10% of the time, while ChatGPT voice to text is accurate 100% of the time.

𝗝𝟭 𝗩𝗶𝘀𝗮 𝗔𝗽𝗽𝗼𝗶𝗻𝘁𝗺𝗲𝗻𝘁 𝗣𝗔𝗨𝗦𝗘𝗗: On May 27, the U.S. Department of State issued an order to temporarily pause all student visa processing to allow for enhanced vetting of applicants’ social media activity. Initially, many—including myself—assumed this would not

Congrats, you’re a brand-new attending. You just finished residency, and now someone hands you a contract that says: “$39 per RVU” Cool, cool… What the heck is an RVU? And how much money is that? 👇

You’re a high-earning physician. You max out your 401(k), 457(b) and backdoor Roth IRA. You think you’re crushing it. And to be clear, you ARE! But if you want freedom before 59½, you’re playing the wrong game. Here’s how a taxable brokerage account changes the game:

Are interest rates falling? Any current buyer or any post-2021 home purchaser asks this question REGULARLY. For current owners, it could make ownership much more affordable (via refinance). For prospective buyers in HCOL areas, it could mean they could actually buy a home.

Echo techs flawlessly executing a full subcostal study never fails to amaze me. Heart_SCCT Society for Cardiovascular Magnetic Resonance American Society of Echocardiography

Today we lost a great leader in cardiology. He touched many of us as a colleague, friend and mentor. The NBE lost its president. Everybody loved him. He will be sorely missed Cleveland Clinic Heart, Vascular & Thoracic American Society of Echocardiography National Board of Echocardiography

CMR tech text message. What’s the diagnosis? Society for Cardiovascular Magnetic Resonance Heart_SCCT American Society of Echocardiography

Let me push this a little further, as this part is often left out of most academic conversations. If we’re going to wring our hands over doctors leaving the system, I think we have to ask something uncomfortable: Where are the hospital administrators in this sacrifice economy?

Omg! We’re winning a chip next season! 🚀 🚀

The Tesla AI robotaxi launch begins in Austin this afternoon with customers paying a $4.20 flat fee!

63W presented w/ angina. Myocardial perfusion imaging was positive for anterior ischemia. #CCTA showed no coronary #atherosclerosis & a PFE within the left coronary cusp, causing LMCA occlusion during systole & early diastole. jacc.org/doi/10.1016/j.… #JACCCaseReports

We’ll see about that 🧐🧐

Diastology guideline update from American Society of Echocardiography: clear flow charts, new subgroup algorithms, HFpEF dx Recommendations for the Evaluation of LV Diastolic Function by Echocardiography and for Heart Failure With Preserved Ejection Fraction: An Update From American Society of Echocardiography onlinejase.com/article/S0894-…

As a Latino this is not easy to say, but facts are facts: Indian food is the premier food in the world 🥘

Plaque quantification MYTHS vs REALITY as laid out by Ron Blankstein ✅ available / accessible ✅ prognostic ✅ changes management! Steve Cochran-heart.bsky.social Heart_SCCT #YesCCT #SCCT2025

IV adenosine may be ineffective in polycythemia due to increased metabolism. Consider IC adenosine, nonhyperemic indexes, or other vasodilators. Patient was later Dx with JAK2V617F-positive polycythemia vera and started on imatinib. jacc.org/doi/10.1016/j.… #JACCINT #STEMI

NOTIFY-EXTEND trial results: notifying patients/providers of incidental CAC on prior nongated chest CT ➡️ more statin prescriptions, with 91% remaining on therapy at 18 months. jacc.org/doi/10.1016/j.… #JACCIMG #cvImaging Fatima Rodriguez Alex Sandhu