Curt Morrison, MD, FACC

1.1K posts

Curt Morrison, MD, FACC

Curt Morrison, MD, FACC

@CMorrisonMDFACC

Board certified cardiologist. Fellow of the American College of Cardiology. CFA charterholder. Booth School of Business MBA. Erstwhile equity analyst.

เข้าร่วม Nisan 2022
397 กำลังติดตาม94 ผู้ติดตาม
Curt Morrison, MD, FACC
Curt Morrison, MD, FACC@CMorrisonMDFACC·
Perhaps, but some of us just want to practice medicine. Owning "the facility, the insurance layer, or the data" may provide greater income, but at least for me, it wouldn't be worth the headaches. I started a solo private practice after fellowship and it was such a success that I burnt out in 3 years. I was overwhelmed with patient care responsibilities, but also had to deal with the billing service, insurance companies, capital expenses, staff calling in sick, staff bickering with each other, staff turnover, etc. No thank you. As an employee I earn significantly less but still make a good living, and I can focus on practicing medicine while leaving the rest of the above to the administration.
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Dutch Rojas
Dutch Rojas@DutchRojas·
Jerry Jones bought the Dallas Cowboys in 1989 for $140 million. The team is now worth roughly $10.3 billion. Jerry did not get there by partnering with the NFL's existing power structure. He got there by owning the franchise outright and refusing to share the upside with anyone who did not write a check. Every physician in America who runs a practice without owning the facility, the insurance layer, or the data is the league office in this analogy. The team is somebody else's.
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Curt Morrison, MD, FACC
Curt Morrison, MD, FACC@CMorrisonMDFACC·
I should add that the sort of people interested enough to watch his series are likely to be the sort of people most likely to adhere to best dietary practices, even ones that Dr. Prasad might think are unreasonable.
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Curt Morrison, MD, FACC
Curt Morrison, MD, FACC@CMorrisonMDFACC·
I'm watching the Vinay Prasad YouTube series where he reviews four books written by physicians on the subject of longevity. In 2 of the first three he discusses nutrition; the effect of ultra-processed foods in one and the effect of fiber in another. I like the series, but in his comments about the potential for real-world adherence to dietary advice he is unnecessarily pessimistic. First, he sometimes implies that people won't stick to some advice because he couldn't imagine sticking to it himself, or he is simply skeptical of the ability or willingness of most people to follow certain healthy eating habits. Some of the skepticism is probably warranted, but plenty of people will follow healthy dietary habits, if there is solid evidence for benefit. I do, and I don't find it difficult at all. Beyond that, there is benefit in letting people know exactly what dietary habits are beneficial, even if Dr. Prasad or others think those habits are unlikely to be sustainable in the real world. That way, sufficiently motivated individuals will reap the benefits. The biggest problem with dietary advice is the paucity and low-quality of the data, and this YouTube series is useful in pointing out the strengths and weaknesses of what data we have. @VPrasadMDMPH
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NFL Deutschland
NFL Deutschland@NFLDeutschland·
Junge, hat das gescheppert! 😅 Zu seiner Verteidigung: Maurice Hurst ist mit 130 kg natürlich auch etwas langsamer als Quarterback Ryan Tannehill, der das Momentum auch noch auf seiner Seite hat.
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Curt Morrison, MD, FACC
Curt Morrison, MD, FACC@CMorrisonMDFACC·
@wil_da_beast630 "The average ~successful post college man watches pornography 1-2x per two weeks ..." What is the source for this, and how is/was "successful post college man" defined? I find this hard to believe. Is this just an anecdote based on you and your friends?
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Wilfred Reilly
Wilfred Reilly@wil_da_beast630·
I love Allie, but it's worth noting that not all media is "porn." Several of my casual female friends just threw an event called "Slutcon." I very much doubt I'm considered gorgeous at my current age, but a few - different - women asked in passing whether I was going, would be at the "Doggystyle Class," or whatever. Seeing women, traditionally the more chaste sex, do this stuff - plus Insta, X, Tinder, Hinge, Bumble, OnlyFans (8% in the youth bracket), TikTok, etc etc is in fact going to make guys wonder whether some women are...well...sluts. The boys don't necessarily behave more traditionally, but the issue is not always or usually "PORN...SICK...MEN!" Many women, especially my casually feminist friends online, think porno is Lucifer - and it isn't. The average ~successful post college man watches pornography 1-2x per two weeks for 9 minutes total (which is very funny). You are using this WORD as a proxy for "male sexuality" or even "all adult media."
Allie ✞@allie__voss

I truly do think that p*rn has conditioned young men to imagine attractive women with other men Normal, healthy men go "She'd be so into me" even if it's not entirely true. But when your brain is THAT steeped in that content, it ruins your confidence and model of the world

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Curt Morrison, MD, FACC
Curt Morrison, MD, FACC@CMorrisonMDFACC·
@countdraghula "It's even more incredible that nobody really is interested in how unhealthy that is..." Michael Pettis writes about this essentially every day.
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Count Draghula
Count Draghula@countdraghula·
China has a world record trade surplus - producing far more than it consumes - and still runs up debt at the fastest rate in the world (even faster than the US despite their smaller economy) It's even more incredible that nobody really is interested in how unhealthy that is
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Curt Morrison, MD, FACC
Curt Morrison, MD, FACC@CMorrisonMDFACC·
I asked if he works elsewhere thinking that OpenEvidence and UpToDate Expert AI (AI products developed specifically for physicians) might not be used overseas. Grok tells me your father is a very accomplished surgeon who works in India, and that these services are not available there. (UpToDate is available with subscription, but not Expert AI, according to Grok.)
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Curt Morrison, MD, FACC รีทวีตแล้ว
Anthony DiGiorgio, DO, MHA
Anthony DiGiorgio, DO, MHA@DrDiGiorgio·
Tragic stories from other countries who consider healthcare a right. A lot of good that right does you when you’re dying of cancer.
Casol Games@CasolGames

@DrDiGiorgio My dad died of Pancreatic Cancer in the UK. He was booked for a scan that was cancelled because he "wasn't a priority" 5 months before they told him he had Stage 4 Cancer. He lasted just over a month after they told us. Died on April 1st. He'd had found that funny at least.

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Curt Morrison, MD, FACC รีทวีตแล้ว
Kristine MD
Kristine MD@Astorshuman·
I work as a hospitalist in a quartenary center in Canada and am witnessing firsthand the decay of our healthcare system. Just last week I had a patient wait 5 days for an inpatient MRCP (special MRI to look at the bile ducts). The patient was stable enough to have the test done as an outpatient, but they told me it would take possibly more than a year to get the test done in the ambulatory setting. Meanwhile, I have geriatric patients with confusion lying on a gurney in the hallway ED for 3 days because there aren’t enough beds on the unit. We also had to permanently convert one of our storage rooms into a patient room due to lack of rooms in the hospital. This is the level of scarcity under which the Canadian healthcare system operates.
Anthony DiGiorgio, DO, MHA@DrDiGiorgio

Another midwit healthcare take. Other countries have better life expectancy than the US. That is not the same as better healthcare outcomes. Life expectancy is primarily affected by things that kill the young. In the US, that is violent crime, car accients, overdose, and suicide. You can argue that healthcare might be able to influence the last two, but only minimally. Those things are driven by lifestyle choices. Add in our obesity rate, which is also only marginally mitigated by proper healthcare, and you see why our life expectancy is lower than the rest of the OECD. We are fat, violent, depressed, and like driving on freeways. Now, if you acutally get sick, there's nowhere else you'd rather be. We have some of the best outcomes in cancer, stroke, heart attack, and trauma. The wealthy from around the globe travel to our hospitals for care. There are entire wings at some prominent hospitals for ultra rich international patients. They aren't going to the NHS for their care. We excel at coverage for actue care. 98% of Americans are within 90 mintues of a cardiologist who can open up the arteries in your heart in the middle of a heart attack. Meanwhile, in canada, that number is around 80%. They have 10x worse access to acute coronary care than the US. If you're going to have a heart attack, you want to have it in the US. If you're going to have any health issue requiring high specialty care, you want to be in the US.

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Curt Morrison, MD, FACC
Curt Morrison, MD, FACC@CMorrisonMDFACC·
@Papa_Heme My employer pays for Uptodate, but I still use OpenEvidence more often because I don’t have to login every time I want to use it.
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Papa Heme
Papa Heme@Papa_Heme·
My prediction is UpToDate is out of business in 2 years unless they completely change their model and make it for free.
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Curt Morrison, MD, FACC
Curt Morrison, MD, FACC@CMorrisonMDFACC·
OpenEvidence liked one of my tweets alluding to its product, so I'll leave this here for the benefit of UpToDate Expert AI in the hope UpToDate is similarly attentive. I use OpenEvidence much more often than UpToDate Expert AI because I don't have to log in again every time that I use it. I work very rapidly all day and that delay is meaningful, and annoying. This is a huge advantage for OpenEvidence. UpToDate recommendations are sometimes better, but OpenEvidence provides extensive support for its recommendations in the body of the answer, and this is very helpful. UpToDate Expert AI seems to be limited to what its authors have written, so it draws a blank on some questions (those not specifically addressed elsewhere by the authors), and it does not typically include the supporting evidence for its answers, at least not to the extent provided by OpenEvidence. Prior to the advent of AI, UpToDate represented a major advance with continuously updated, searchable text, but it is now falling behind the best technology.
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Patrick Bet-David
Patrick Bet-David@patrickbetdavid·
What's the best concert you've ever been to?
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Curt Morrison, MD, FACC
Curt Morrison, MD, FACC@CMorrisonMDFACC·
I was born in 1959, oldest of 6 sibs within 10 years. Every family in the neighborhood had 4 or more children, and we ran all over town with no adult supervision. We climbed trees in the woods, climbed over fences into the neighbor's property to catch turtles and frogs in his pond, rode our bikes miles away to the municipal pool and then sneaked into the pool at age 7 even though we weren't supposed to be there without an adult until age 12. We searched through home construction sites for soda bottles discarded by workers and then walked along 2-lane roads with no sidewalks and 40-45 mph traffic taking the bottles to King Kwik to cash them in for the two cents per bottle deposit to buy soft drinks and Snickers. We played tackle football with no pads and occasionally got in fights. I walked to school by myself (but along with a neighborhood of kids all doing the same) starting in kindergarten (about 1/2 mile) and then walked to the bus stop by myself in the pitch-black darkness of early winter mornings, starting at age 7. Occasionally (rarely), there was a problem with the bus service, and I'd walk 2 miles home, by myself, starting in the second grade. All of this was unremarkable in those days. When I was a 17-year-old high school senior I drove 4-5 hours to Oberlin for a college interview without parents, because in my mind I was an adult and it would be ridiculous to bring parents along. I stayed overnight in the dorm and drove home the next day. This sort of childhood independence was the norm forever prior to recent decades. My parents and their parents grew up the same way. I don't know why the culture changed, but in my opinion, kids are weaker and less independent because of it.
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🦋 Amy 🦋
🦋 Amy 🦋@Amy_90_x·
Those born in that era do you agree?
🦋 Amy 🦋 tweet media
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Curt Morrison, MD, FACC
Curt Morrison, MD, FACC@CMorrisonMDFACC·
I have not noticed that deficiency. However, I have seen recommendations that were imprudent, and when I push back and explain my reasoning, invariably open evidence agrees, and then explains why I am correct and why its previous answer was incorrect or less correct. In my experience, this happens much more often with open evidence than with Uptodate expert AI. Posted with dictation please excuse typos.
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Allen Li MD
Allen Li MD@LiAllenMD·
Great point, that mirrors our experience in oncology clinic too. They are all very useful but the friction of logging in each time definitely builds up! One thing that I found is that OpenEvidence says it has “full-text” access with partner journals, but many times it actually doesn’t have access to protocols or supplements of cancer trials. That means its response to granular questions may look complete, but actually lack the level of nuance that we need. The citation may just be partially retrieved or laundered. I wonder do you see that in OE with cardiology publications also? youtube.com/shorts/P3lYXnZ…
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Melissa Chen
Melissa Chen@MsMelChen·
First time at the Kentucky Derby 🐎 What a beautiful American tradition born from English roots. It’s the best of both worlds - the pageantry and elegance from across the ocean, blended with the warmth and whimsy of the Southern soul 💙🇺🇸
Melissa Chen tweet media
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Curt Morrison, MD, FACC
Curt Morrison, MD, FACC@CMorrisonMDFACC·
Were respondents asked to rate themselves on a numerical scale between happiness and depression, or was the question more related to mental stability? When I was young, life was exciting and unpredictable. I had great times, but I also suffered bouts of depression. I have fewer adventures and much less excitement now, but I'm never depressed. I wonder if this is at least partly due to declining testosterone. One might think my mental health is better with a generally good and stable mood, but I'd trade it for my youth without a second thought.
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Curt Morrison, MD, FACC
Curt Morrison, MD, FACC@CMorrisonMDFACC·
@podoffame He would have won one if he made that catch down the left sideline, a catch he made 99/100.
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Jim Miloch
Jim Miloch@podoffame·
Wes Welker never won a Super Bowl in his career, which seems impossible, but true. Despite playing with Tom Brady in New England and Peyton Manning in Denver, he lost in all three Super Bowls (XLII, XLVI, XLVIII) he appeared in. He joined the Patriots three years too late and left two years too early. Then left Denver a year too early.
Jim Miloch@podoffame

Wes Welker became the 1st player in NFL history to record five 100+ catch seasons after catching 118 balls in 2012. Today, he is still just one of just eight players in NFL history to have five or more 100+ catch seasons on their resume.

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@VPrasadMDMPH @NFLDeutschland @wil_da_beast630 @countdraghula @SarahTheHaider @Papa_Heme @HemSandoval @suzannem