Dr. Stephen Ellis

99 posts

Dr. Stephen Ellis

Dr. Stephen Ellis

@stephenellis511

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Katılım Kasım 2018
32 Takip Edilen176 Takipçiler
Dr. Stephen Ellis retweetledi
David J. Cohen, MD, MSc
David J. Cohen, MD, MSc@djc795·
This seems like a practice-changing trial that is likely to be highly disruptive to care paradigms for OOH cardiac arrest. Curious to hear thoughts of #ICU peeps. @ShashankSinhaMD @agtruesdell @Babar_Basir @thiele_holger
Paul Young@DogICUma

The #TTM2trial was published today in the @NEJM nejm.org/doi/full/10.10… Here’s a summary of what we did, what I think the trial means, and what next. @ttm2trial @nielsen_niklas @CritCareReviews @NEJM

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C. Michael Gibson MD
C. Michael Gibson MD@CMichaelGibson·
3 of 4 Americans overconfident in distinguishing fake from real news "The individuals who are least equipped to identify false news content are also the least aware of their own limitations and, therefore, more susceptible to believing it & spreading it." pnas.org/content/118/23…
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Dr. Stephen Ellis
Dr. Stephen Ellis@stephenellis511·
@SenWarren Agree but disagree. Filibuster exists for a reason- so laws don’t radically change based upon often changeable public opinion. But we need the Senate to be able to get things done. Used to require 2/3rds vote for cloture- why not reduce it to 52 or 55 votes? Might Manchin agree?
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Elizabeth Warren
Elizabeth Warren@SenWarren·
Until we get rid of the filibuster, the NRA will have a veto in the Senate. So will Big Oil. And Big Pharma. And rich donors. And apparently insurrectionists too. We must get rid of the filibuster to protect our democracy and do the things the American people expect us to do.
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Dr. Stephen Ellis
Dr. Stephen Ellis@stephenellis511·
Uncertainty about down time before/during CPR can to family agony and wasted resources, trying to keep some SCD “survivors” alive. Does anyone know if any wearables or health monitors break down activity into 5 min intervals and could be helpful in this circumstance?
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Dr. Stephen Ellis retweetledi
Adam Grant
Adam Grant@AdamMGrant·
The higher you climb, the more your success depends on making other people successful. Leaders are judged by what their followers achieve. Leadership is elevating individuals to do more than they thought possible and groups to do more than their members could independently.
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Giuseppe Biondi-Zoccai
Giuseppe Biondi-Zoccai@gbiondizoccai·
"One should be wary of adjusting for colliders. Mediators should not be adjusted for when examining the total effect of an exposure on an outcome. Automated statistical programs should not be used to decide which variables to include in causal models" sciencedirect.com/science/articl…
Giuseppe Biondi-Zoccai tweet mediaGiuseppe Biondi-Zoccai tweet mediaGiuseppe Biondi-Zoccai tweet media
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Dr. Stephen Ellis retweetledi
Mark Lewis, MD, FASCO
Mark Lewis, MD, FASCO@marklewismd·
Docs: these EMRs are going to evolve to the point we aren’t even needed anymore! Epic: I wouldn’t worry about that
Mark Lewis, MD, FASCO tweet media
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Andrew J Sauer MD
Andrew J Sauer MD@AndrewJSauer·
Being told by insurance company I cannot prescribe SGLT2I for my patient with heart failure (reduced EF) until we have “tried metformin for 30 days” is today’s example of #moralinjury - watching patients suffer and even die needlessly due to lack of access to #GDMTWorks
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Dr. Stephen Ellis
Dr. Stephen Ellis@stephenellis511·
@GreggWStone What’s the risk that highest risk patients don’t get randomized and benefits are mitigated? Is there a parallel registry to track this?
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Gregg W. Stone MD
Gregg W. Stone MD@GreggWStone·
This is an important historical event. PROTECT IV is the most rigorous trial to date of MCS in high-risk low LVEF pts with complex CAD. 1252-2500 pts (adaptive), 3-yr FU. Hypothesis is improved early and late outcomes. Major viability, RHC and renal substudies, and more.
Gregg W. Stone MD tweet media
Amir Kaki, MD@DrAmirKaki

1st patient in the world randomized in PROTECT 4 RCT at St John’s in Detroit City! 87 y/o, EF 33%, 3VD, Cr 2.7. Congrats to the steering committees, investigators, and ABIOMED for committing to a rigorous RCT. Lets all enroll and advance the evidence for this group of patients!

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Dr. Stephen Ellis
Dr. Stephen Ellis@stephenellis511·
@djc795 @MGtberg Totally agree. Physiology is important but in a trial of super high patients (maybe high risk shock) might it save lives like this. Otherwise foolin yourself
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David J. Cohen, MD, MSc
David J. Cohen, MD, MSc@djc795·
@MGtberg I'm a big fan of coronary physiology, but I would consider mortality to be a falsification endpoint in this observational study, indicating significant residual confounding.
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Dr. Stephen Ellis retweetledi
Robert Reich
Robert Reich@RBReich·
Let me get this straight: In the 1950s, corporate taxes accounted for 35 percent of all federal revenue. Now, they account for 7 percent. Yet Republicans still think corporations pay too much in taxes?
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Dr. Stephen Ellis
Dr. Stephen Ellis@stephenellis511·
@agtruesdell @SVRaoMD Would favor true turn around time (sheath out -> next pt ready to stick) for staff and diagnostic (non-CABG) time for physicians as starters
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Alex Truesdell
Alex Truesdell@agtruesdell·
@SVRaoMD Addressing Cath Lab start time is “easy” and single-variable (first operator): hence always a key (and often only [sigh] area of focus). Overall efficiency is multifactorial and “hard”: and thus not uniformly (sigh again) pursued IMO...
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Sunil V. Rao
Sunil V. Rao@SVRaoMD·
Final results - the majority think cath lab start time is a good metric. I am not convinced. This is a translation of OR metrics to the cath lab when the cath lab gets fewer resources and has a totally different workflow than an OR (1/2)
Sunil V. Rao@SVRaoMD

Is cath lab first case start time a good quality or efficiency metric for cath labs? Would love to hear from people why or why not. @KaulP @rajivxgulati @DrMarthaGulati @CMichaelGibson @duanepinto @ajaykirtane @rwyeh @Pooh_Velagapudi @jason_wollmuth @agtruesdell @MSampleMD

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Dr. Stephen Ellis
Dr. Stephen Ellis@stephenellis511·
@ajaykirtane Is there a good series reporting cath findings for pts with scores >1K? We tend to cath them and find “surgical disease” in ~1/3.
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C. Michael Gibson MD
C. Michael Gibson MD@CMichaelGibson·
The greatest generation was asked to go to War & risk their lives to defend the world from tyranny YOU were asked to wear a mask Socially distance & wash your hands .... How will YOU be remembered?
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Jonas Attilus, MD MPH
Jonas Attilus, MD MPH@jonasattilus·
Guys, today I was mistaken for an environmental service worker. a caucasian woman leaving the bathroom approaches me to say: - I know you're on your break right now, but I want to tell you there is no soap in the womens bathroom. How's your Monday going? #BlackMenInMedicine
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Josh Beckman
Josh Beckman@JoshuaBeckmanMD·
I am pretty sure I have grumbled about this before, but can we eliminate the word endorse from medical history, please? Endorse has a POSITIVE connotation, as in a product or politician. No one in history has endorse diarrhea. #grumpyoldman @urogeek @DrJohnMcP
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Keşfet

@ShashankSinhaMD @agtruesdell @Babar_Basir @thiele_holger @SenWarren @rotamonster @SripalBangalore @SrihariNaiduMD