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Graphic on the right just about sums up 2020 research wouldn’t you say? @venkmurthy @VPrasadMDMPH
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Michael Cunningham, MD, FACC, FSCAI
2.2K posts
Michael Cunningham, MD, FACC, FSCAI
@OSHeartDoc
Dad, husband, interventional cardiologist. Director of Cardiology at SRHS. Tweets my own.
Ocean Springs, MS Katılım Kasım 2019
1.3K Takip Edilen960 Takipçiler
@DeanTTraining Neutral vs pronated grip? Does it matter?
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Please help spread the word:
Single Arm Lat Pull-Downs are GOATED
If you have access to a purpose-built machine…you should DEFINITELY be doing them
If you don’t have access to a purpose-built machine…you should be moving a bunch over to the Cables like Zach did
DON’T SLEEP
Zachary@zachary135791
Pretty nice movement for the lower lats
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Michael Cunningham, MD, FACC, FSCAI retweetledi
You have your choice of any Pitcher, in his prime, to fill out this staff. Who gets the call?
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What’s the greatest opening riff in rock history?
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My three point plan:
1) Ban all phones in schools
2) Lessons on chalkboards instead of iPads
3) Writing assignments in class with paper and pencil
IMO we have become overly accommodative of screen-based tech and it's actively weakening our kids' development.
Jean Twenge (author of 10 RULES, GENERATIONS)@jean_twenge
Reading scores, 3rd graders to 8th graders, 2015 to 2025. This is a national tragedy.
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@YounisJoseph I have no idea what to think of him, but it says a lot about someone when you call legitimate criticism “silly rebuttals.” Either show the data or say you don’t have it, either is fine.
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Apparently I’m an idiot for expecting transparent data availability and I should’ve just trusted the bro. Now Dave Feldman and ApoDudz have been summoned to shame me for questioning what the effective lipid burden was over that period of time. Besides motives, we can’t infer from 2 measurements what the actual lipid exposure was. Yes it’s very possible 705 is materially anomalous. Just share the data and it’ll make it all the more valid, why deflect on this simple point. I’m also reading closely to see if I missed anything but I only see references to the averages but no data
Nick Norwitz MD PhD@nicknorwitz
Well... well... looks like I'll have to add a 7th row to the pyramid of silly rebuttals. Apparently my results are now now invalid because I didn't get my lipids every single day for 7 years and theoretically could have - in a malicious and precise manner - spiked my LDL specifically on the days I had it measured. cc @realDaveFeldman @ApoDudz for a laugh 😂 mdpi.com/2079-9721/14/5…
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Michael Cunningham, MD, FACC, FSCAI retweetledi
Uuuuuuuuhhhhh…
I just went to the grocery store and saw a LOT of people wearing face masks for the first time in a really long time.
…are we really doing this crap again????
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@JayCampbell333 🤣🤣🤣, uhhhh, no. Thanks for the laughs though.
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Most guys on TRT are donating blood for no reason.
High hematocrit isn’t a disease.
It’s oxygen delivery.
Unless you have polycythemia vera with elevated platelets, you don’t need “therapeutic phlebotomy.”
Testosterone increases red blood cells thru improved oxygenation.
That’s the point.
Do cardio.
Stop panicking.
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@AltstreetBet sharing without the ticker. Ur actually goated for that. it’s probably the coolest thing i’ve seen in my life, u posted a chart on twitter but cropped out the name. heroic. i love solving riddles thats fire bro
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Michael Cunningham, MD, FACC, FSCAI retweetledi
Beautiful description😍😍
The mitral valve (anterior leaflet) is designed to direct blood flow towards a smooth sliding path which begins at the basal posterior wall and ends at the LVOT, thereby minimizing LV energy expenditure during ejection.
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@CoffeeBlackMD @psypharmacopeia Can confirm🤣
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@psypharmacopeia MDs often have a trouble not going too hard.
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X’s fitness space constantly saying that “no one really trains hard enough to be overtrained.” Okay, chat.
Meanwhile, I’m 55, hitting CrossFit 2-3x/ week, BJJ 4x/week, lifting (oly lifts, big compounds) 2-3x/week, and Peloton 3x/week.
I veer into overtraining occasionally. Not a brag—I’m an idiot, but it’s laughable to hear all the keyboard experts telling me (and others) we don’t train hard enough.
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Michael Cunningham, MD, FACC, FSCAI retweetledi
Kudo’s to @finebaum getting the SCRIBE 📜 that penned the @VanityFair piece on @Lane_Kiffin and unbelievably @chrissmithnymag said Lane had trepidation after speaking to the issue of “race”and asked to speak to it again to clear the air realizing it could hurt @OleMiss and then as he addressed it again he said essentially the same thing. We’ve spent a lot of time discussing dangerous rhetoric politically in🇺🇸and you’d think Lane would have gotten the memo. I’m on record that I’ve always liked Lane. This? However has ZERO defense and absolutely demands a public apology from him and the sooner the better. A leader of men has to know his words matter.🤦♂️
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Which of the following antiarrhythmic drugs is most commonly associated with drug-induced lupus?
A. Amiodarone
B. Procainamide
C. Flecainide
D. Sotalol
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Everywhere. All specialties. “bUt I dOn’T tAkE mOnEy FrOm PhArMa” is their proof they aren’t grifters they’ll say. But their website says “I discovered seven studies” which will be some hodge podge of observational dog 💩. It’s incredible what people will do and what others will believe.
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@tylerblack32 I’ve only been intentionally active on X recently (less than 2 months), and I am actually disillusioned by the number of grifting doctors on here. It’s actually absurdly prevalent
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"I was on the inside but now I'm on the outside here to give you the truth."
This is one of the most commonest angles in grifting.
Dr. Josef charges $30 to (Ive heard) $60k/year per patient for deprescribing counselling.
I really hope more people notice the patterns emerging.
Dr. Josef@DrJosefWD
I'm a psychiatrist. Most of what I'll say next was never taught to me in training. If you've been on antidepressants over a year and feel more tired, foggy, anxious, and unmotivated than you used to, you may not be "treatment resistant." You may be having problems with the medication itself. The FDA's own chief scientific and medical officer pointed this out last year. Clinical trials average 8 weeks. Real world use averages 5 years. Past one year, no one really knows. Tolerance is real. Doses creep up. Medications stack on. People feel worse, not better. You deserve honest informed consent. Not another add on.
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I just 174 pushups in a row without stopping… can anyone do more than me on this app?
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@WallStreetMav STOP
PUTTING
MAYO
ON
ANYTHING
FIFY😬
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Every time they post the mortality benefit curves and I ask questions, I get nothing but crickets. The comparator arms are nothing but matched controls, but they act like it’s some RCT with thousands of patients in each arm. They compare different cohorts of surgical vs medical intervention which is hard to reconcile when you want to analyze hard end points. Different cohorts, different outcomes… imagine that🙄. Add in what you have outlined, and it’s hard to ever recommend surgery.
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What about quality of life? Well… no significant change by year 5. Yikes
7/8
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Hello actual obesity expert. Since you suggested that I shouldn’t talk about bariatric surgery since I’m not the expert, I thought I’d cite some actual experts to help educate you and what you presumably already know but didn’t want to concede.
1/8
Michael Albert, MD@MichaelAlbertMD
Hi 👋🏻, actual obesity expert here. Also, I'm not a surgeon. Procedural and surgical obesity treatments will never be eliminated. They work via unique anatomic-gut related mechanisms. These are distinct from the hormone-based pharmacotherapies. The only reason to eliminate them would be if we wanted to limit the ways we treat obesity, which is dumb.
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@CoffeeBlackMD That post is up there for dumbest of the week. Clueless about what it takes to become what we are, and do the job we do. But they said some big words, so it must be correct.🙄
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It’s one of those tings you probably can’t understand unless you’ve done the work.
The expertise, judgment, coordination, problem solving, nights, holidays, weekends, responsibility and liability are worth the bare minimum of what we are paid. And is definitely worth more.
WWE Pyrotechnics At Charlie Kirk's Funeral Groyper@HollowPoint_USA
If Americans ever want good healthcare, there is going to have to be a generation of doctors that takes a massive pay cut as part of the money being sucked out of the system. They can have their loans forgiven too, but they need to earn less.
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