vjyden sam

@EgioVictor Calm down

Trump se acaba de cargar las relaciones diplomáticas con Japón y ha metido en un grandísimo lío a la primera ministra Sanae Takaichi. Para los japoneses Pearl Harbor está naturalmente conectado con Hiroshima y Nagasaki. No se hacen chistes sobre un horror que dejó 200.000 muertos. Sería como bromear con el presidente de Israel sobre el Holocausto o con el presidente de Alemania sobre los nazis. La decadencia del imperio yanki es esto. Un absoluto imbécil al frente que lleva al mundo al abismo y que hace sentir vergüenza hasta a sus propios aliados

@GaryinCHSv2 @grok @ItsSeeks @NEJM It’s cheaper than medications

@grok @ItsSeeks @NEJM A very expensive device and procedure that makes Boston Scientific a lot of money. So they spend a lot of money to get cardiologists trained and then they advertise it so patients ask for the procedure. Medical management would be less expensive

Among patients with atrial fibrillation at high risk for stroke and bleeding, left atrial appendage closure was not noninferior to medical therapy in reducing the risk of stroke, embolism, major bleeding, or death at 3 years. Full CLOSURE-AF trial results: nejm.org/doi/full/10.10… Editorial: Left Atrial Appendage Closure — Another Overused Method in Cardiology? nejm.org/doi/full/10.10…

@doctorshamy Wrong attitude

Unpaid “research positions” in medicine need to end. Asking IMGs to work 1–2 years for free just to stay competitive isn’t opportunity—it’s exploitation. No US grad would accept this, and neither should we. Our work has value. #EndUnpaidLabor #IMGs

the best part is that physicians are expressly excluded from the various tax benefits that hospitals enjoy - we get -- no bad debt tax write off no QBI deduction and - most importantly - we actually PAY TAXES!

@EthanLevins2 I hope u kno Jerusalem is the capital

Why would Netanyahu drive 50 minutes to an unprotected Cafe in the Jerusalem mountains during WAR to prove he’s alive? Why won’t he have a press conference?

@Ibn_Ahmad_01 My opinion is that you are stupid

🚨According to my reliable sources, Benjamin Netanyahu actually died 7 days ago. The two subsequent public appearances on camera appear to be fabricated, likely using advanced deepfake technology. Israeli authorities are expected to attribute his death to natural causes and make an official announcement in the coming days to maintain stability. What is your opinion?

@SrihariNaiduMD @SCAI Only thing is re the shortage… visa is not the issue… we have way more training spots than applicants

@SCAI presence on the hill is growing. At the table or on the menu. We will need to build alliances increasingly too. Please come annually to this!

@SrihariNaiduMD @SCAI Thank u

@nickmmark Just curious …. Have u used fsd 14?

Can we make FSD more dangerous? Cool cool

@BakhshiHooman @rblument1 @MichaelJBlaha @khurramn1 More often than not, CAC score triggers further work up and pts ends up with stents/cabg despite symptoms.

@BakhshiHooman @rblument1 @MichaelJBlaha @khurramn1 These are real world scenarios . The 5000 score was of another cardiologist at my hospital. He got cath and went for bypass. He is totally asymptomatic.

As an international cardiologist, I won’t do coronary angiogram in an asymptomatic patient with elevated CAC. To me high CAC score means intensification of the GDMT for CAD. #cardiox @rblument1 @MichaelJBlaha @khurramn1

@JAMA_current Thanks for stating the obvious

South Asian adults in the US develop cardiovascular disease risk factors earlier than other groups, according to new research from the MASALA cohort study. Here’s what that means for prevention. ja.ma/3NCyudL

@SrihariNaiduMD @JoeBiden @CRT_meeting Agree he was out president l; he deserves respect. But if crt invites anyone from trump world there will be a big blowback

Haven’t had a chance to post this. @JoeBiden interviewed during @CRT_meeting. We’re too polarized but he’s a decent, thoughtful man and it’s obvious in person. Most upset about relationships abroad; most proud of the violence against women act. Ron did a great job.

@MeggsMuldoon @marcbarros Florida and Texas says Hi

@marcbarros I understand how it works...I live here. My point being is there is an offset of no income tax...which makes comparing it to other states without mentioning that not quite an apples to apples comparison.

After 40 years (born and raised) I left WA. Moment is leaving this month as well. I'm not even a millionaire affected by this tax. But when you add up all the costs to run a business in WA we can't afford it. You can build a remote team and re-open in Wyoming, removing all of these costs. WA is incredibly beautiful (especially the summers) and the people are great. Unfortunately the numbers don't lie and unless you run a super high margin software business, WA is just too expensive. Personally...you'd never pick WA to start a company. - Gas taxes (now some of the highest in the state) - Sales tax (up to 10.5% in Seattle) - Property tax (1% of your home value with a path they can take this to 3%. In total $ this tax they have increased nearly 100% over the last decade) - Capital gains tax (new in the last three years went form 0 -> 9%. it targets business owners and not real-estate). - Estate tax (they recently changed it to a progressive system that is up to 35% just to the state of WA) - Housing prices are some of the highest in the country. - Food costs are unreal, just visit a Seattle restaurant or grocery store. Business... - Very little capital. Great angels but almost no VC or larger funding sources. - Super high salaries for tech talent (this has changed but amazon, microsoft, etc paid very high rates for a very long time). - B&O Tax: paid as a % of your sales. - Sales & Use Tax (this is the real killer) What pushed us out was the recent change to Sales & Use Tax. It used to be you paid this tax on physical things you bought for your business, similar to sales tax. Now you pay it on 100% of the items you buy, think shopify, aws, google, etc. Even if your team is remote you pay 10% sales tax on 100% of these purchases no matter where peole are located. But the real kicker, was they expanced this law to be a tax that applies to all digital advertising. Run FB ads in Germany? You pay WA state a 10% tax. Overnight that is a+$200K a year tax that did not exist last year. Again not even based in where your ads run or where your team is. Incorporated in WA state? You will pay this tax. What makes this sad is all political diversity disappeared years ago. It's that debate that keeps government from taking everything. One political team has run the state for +30 years and Seattle for more than 50 years. This train has been coming for years and is now accelerating. WA government can never have enough $. I hope there is a new generation of company builders who see this is an opportunity and can run into the burning building.

@georgetolisjr Oh u need to see interventional meetings. It’s even worse there

Cardiac surgical societies should require all “experts” to turn in a case list before they can sit on a national meeting panel and lecture the audience about “how I do it” or “how I teach it”.

@pati_marins64 Are we all following the same war?

Supercavitation torpedoes Here the IRGC commander is referring to what appear to be their supercavitating torpedoes, which can reach 360 km/h. He claims that only Iran and Russia possess this weapon, but I would say the Germans already have a version of it and the Chinese probably have another one. There is a whole range of Iranian weapons that have not yet been deployed, which only strengthens the idea that Iran is planning for a long war. (Megatron)

@Greg_1691 @VerminusM We are better than them

@rational_doc @VerminusM How about this, if the women footballers die, she dies. If they are tortured, she is tortured. Agreed?

Ali Larijani is the de facto ruler of Iran. He has a daughter called Fatemeh Larijani. Until six weeks ago, Fatemeh was an assistant professor at Emory University School of Medicine. She currently lives in the US and is licensed to practice medicine. Surreal.

@molsjames Actually it’s the other way round; they don’t want to see these pts as they don’t make money to see pts in office. If not for screening colonoscopies, gi fellowship will have same applicants like nephrology or ID.

The bottom of medicine keeps getting lower. My patient with cirrhosis had a GI doc that was completely disrespectful. She asked to meet with someone else--NOT ONE GI CLINIC in ST LOUIS will see our patient until May. They deprioritize "second opinions". Disgusting behavior, and tells you how much money they are making when they are turning away business.