Medical Management

I just took over as the Program Director of the advanced cardiac imaging fellowship program at the Cleveland Clinic. I’m going to be at ACC 2026 and I will be happy to chat with you about our program! We are currently interviewing for July 2027! Please message me! #ACC26

@CVRx_Barostim Pretty sad to see a place like Duke @DukeHeartCenter embrace an intervention with such a low quality evidence. Money talks.

We were honored to support Dr. Karen Flores Rosario, Dr. Benjamin Trichon, Mary Kowal, NP-C, Dr. Christopher R. Longo, Dr. Heather Waldrop, and the team at Duke Raleigh Hospital in launching their #Barostim program. Thank you for your dedication to improving the quality of life for patients with #heartfailure.

Here’s the other part. WTF does being the president of Maryland’s ACC and chair elect the BOG have to do with anything? If you’re throwing out titles, you need a better argument.

@DrCasteelEM Half of takes from @DrJMarine are political hot takes about Covid. Blasphemous Surprised @ACCinTouch supports him in leadership positions.

Realized I’ve been way too charitable to this moron. He’s full on the MAGA grifting uncle at Thanksgiving who thinks the government is turning the frogs gay. Doesn’t even pretend to act or sound like a physician anymore bc the IQ of his social media is so low he doesn’t have to.

Limiting who can comment on your posts is the exact same mentality. You lock yourself in your echo chamber and he locks himself in his #irony @LeivaOrly

This match list is very much engineered to specifically try and match an all female class particularly when the applicant classes is 50% male and female. Hate to break it to you @CaseySeidemanMD

@houmanhemmati It’s an overcorrection. Many programs are over compensating and stacking their wrinkles with females in order to have rosters that look like this. The real question is if the quality of physician is diminishing an effort to prioritize diversity over meritocracy.

@savannahnoodlez @ennuival It’s getting out of hand

@ennuival wanna stop posting here bc of this!

ngl if bad bitches stop posting themselves on here bc of an incel ai pervert machine we gotta start killing people

@AcademicTruther @JavedButler1 When teams like Kestra chase down “KOLs” to advocate for interventions that have never been proven beneficial in RCTs. Then their sales people share the one off case of someone who was saved by a wearable defibrillator as a reason to use across the HF spectrum. All marketing.

Is this a joke? Wearable ICDs have shown ZERO benefit in primary prevention. Why is Javed Butler advocating such nonsense? @JavedButler1 Anything to do with the fact he makes $300K in consulting fees yearly? openpaymentsdata.cms.gov/physician/73926 When did academics turn into car salesmen?

@savannahnoodlez Looking great!

no makeup day

@letsgetquinnt27 Amazing

if ur seeing this it's a sign………….

@SpencerHakimian 😆

Nick Fuentes reacts to JD Vance telling him to "eat shit”: "It's honestly so flattering that the vice-president would invite me to join his family in a traditional Indian dinner.”

@Acyn She looks great

Tomi Lahren on Candace Owens: You need content… and you need to use other people for content because you are a vulture

@TheChiefNerd @RealCandaceO @piersmorgan @RealCandaceO is trash. Her grift is “just asking questions” and “investigating” from her basement

PIERS: “It may be that the person in the media spewing bullsh*t to the public is you.” CANDACE: “The difference between me and you is that I have the courage to take the risks and ask the questions … You wait until it becomes popular, and then you change your mind.”

@pritish_iyer I’m not against it but I want an RCT to show it improves outcomes

I don't think I've ever seen as much disconnect between doctors and the public as with the excitement (or lack thereof) with whole-body screening MRI. Not a single doctor I know would get (or recommend) a whole-body screening MRI. Everyone speaks of false-positives, but other major issues with WB-MRI 1. Some cancers grow aggressively and some slowly. These are not false-positives, but overdiagnosis. Taking all lumps out means you're undergoing surgery and thinking "wow thankfully this MRI found this cancer or I could've died!" when in reality the thing could've sat there for decades without problems. 2. WB-MRI is limited by the technology. An MRI to evaluate liver tumors, for example, is a specialized triple-phase MRI. A WB-MRI, on the other hand, tries to save time and so is a "crude" scan which will miss many tumors including colon/GI luminal cancers and lung cancers. 3. AI might catch lesions that human radiologists miss, but it cannot characterize tumors beyond what the imaging limitations allow. Many lesions seen on MRI, no matter how much AI you throw at it, will remain ambiguous. The only way to diagnose these lesions is to cut them out, which again leads to unnecessary procedures. And then all the usual issues with cancer screenings (lead-time bias. etc). Vinay Prasad speaks on this at length.

It took humans 100,000s of years to invent randomisation because it’s unnatural. We trust lived experience, compelling stories & biological plausibility—but physiology has too many moving parts. Plausibility isn’t proof.

Andexanet alfa pulled from the US market. This drug, that cost at ~$20k a dose, never showed real benefit, and caused stroke. The story is a fascinating example of misguided ethical thinking, and the human weakness for the power of narrative. This is a wild ride, get ready. 🧵

@savannahnoodlez #3!

bebe <3

@savannahnoodlez Happy to help with any cardiology needs

working heart station today 💗🫀

sunset sail