Sunil Narayan, MD

7/ 6 things to do after reading the 2026 guidelines: 1. Measure Lp(a) — once, in every adult (Class I) 2. ASCVD + LDL ≥55 on statin → add something, now 3. High-risk diabetic, primary prevention → VESALIUS-CV changed your calculus 4. CAC score reluctant patients 5. ACS admission → start or intensify before discharge 6. Start early. Biology compounds. Every year untreated is one you can't undo.

Props to those who have said that big hospitals are the problem. In this case you are definitely right. Props to Cynthia Fischer at @PtRightsAdvoc You are making a difference! wsj.com/health/healthc…

@AmericanAir I have reached the highest loyalty tier, however when my flight was delayed over 2 hours today I was given a fake boarding pass to take a connection with a different airline, then denied boarding. The Executive platinum hotline told me to buy another ticket.

@heis_fede Incidental haymaker

@tekkersfoot Oh my

🚨🇪🇺 EBERECHI EZE OPENS THE SCORING FOR ARSENAL! WHAT A FANTASTIC GOAL! 🤯 Arsenal 1-0 Bayer Leverkusen.

@BuiltInBuffalo_ Can’t pay a full back 4 million with our cap issues. This position typically goes undrafted, should be able to find and develop someone.

An absolutely massive loss for the #Bills. They will look for a new fullback. #BuiltInBuffalo | #GoBills | #BillsMafia

@AjayCybulski Nah we’re good

There is no debate.

Goal of the year. Howay the lads!

@beyoncegarden The first amendment protects you from the government, it doesn’t protect you from private citizens or businesses

she actually ate him up so bad i'm in tears😭

We are now at 1136 new measles cases - in just the first 8 weeks of this year alone. A preventable disease resurging. This is an abject policy failure.

The cover of the Lancet. It says it all.

@sandeep_jalli @AustinBourgeois This wire is specifically marketed as being shapeable

@AustinBourgeois You can’t shape a glidewire. This is what angled microcatheters are for.

Has anyone figured out how to shape this wire? I find it impossible

@AustinBourgeois It comes with its own special shaper but admittedly still difficult. I find the .016 GT more useful than this.

😱

@TheOtakuMonarch @emmapowell68 @Truthistruth369 @nickdagreek @SpencerHakimian “Illegal”

@emmapowell68 @Truthistruth369 @nickdagreek @SpencerHakimian More like deporting ilegal immigrants. It just so happens those are not white.

🚨BREAKING: ABSOLUTE CHAO IN MINNESOTA

@Censored4sure @texaslawgirl @NBCNews @maof4boysplus1 There’s overwhelming evidence that vaccines save lives and prevent significant morbidity. Where are you getting your information?

@texaslawgirl @NBCNews @maof4boysplus1 Children die for multiple reasons. Children get sick for multiple reasons. Stop with the emotional manipulation. There is no empirical evidence that a child will die without a medical intervention like a vaccine. If so, what method should we use to test that repeatable theory?

BREAKING: CDC announces an unprecedented overhaul of the childhood vaccine schedule, a significant shift that recommends fewer shots for all kids. nbcnews.com/health/health-…

@NBCNews A significant overhaul that recommends the most ignorant least evidence backed plan for everyone.

@TheTNHoller “Do you think you know better than the woman carrying the child?”

“Miss, do you agree with the sign?” “Absolutely not. My great niece was 4 months pregnant and her fetus had no skull. And because of men involving themselves in women’s bodies she was forced to deliver the fetus… there’s a reason God created medicine.”🔥 #ForcedBirthNation

Soon after Chelsea pulled one back at St James’ Park, Newcastle felt they should have had a penalty after Trevoh Chalobah’s challenge on Anthony Gordon. Despite vehement protests, both the referee and VAR decided not to give a spot kick. Was it the right call?

Agreed. Clueless