Andrew

[Brad Schoenfeld, PhD @BradSchoenfeld]

Yet another study showing similar whole muscle hypertrophy when training with heavy vs light loads. The evidence is overwhelming. May be a benefit to varying rep ranges for optimal results; for the gen pop likely doesn't make a meaningful difference 💪
https://t.co/j70oznRX6U

[Andrew @ALevDC2]

@DudespostingWs Genetics 🧬

[Dr. Glaucomflecken @DGlaucomflecken]

I’m hearing so many people cite conflict of interest as the reason physicians shouldn’t own hospitals. This also happens to be the main strategy the American Hospital Association used to lobby Congress to ban POHs in the Affordable Care Act, paving the way for the consolidated corporate nightmare we enjoy today.

The conflict of interest argument is absurd in a for profit healthcare system. Hospitals force their employed physicians to refer to other specialists within their own hospital system. Physicians recommend surgery then do the surgery themselves collecting both a clinic fee and a surgery fee. Optum forces patients to see their doctors, use their pharmacies, and be admitted to their own hospitals. If there is profit to be made in patient care, there will be a conflict of interest among the entities/people collecting that profit. The closest thing to a conflict of interest free system is one that is devoid of profit. Call me cynical, but that will not happen in the US.

So we can wring our hands about the potential corruption and malfeasance evil greedy doctors will inflict upon our great country if physicians owned hospitals, while ignoring the actual corruption and malfeasance already displayed by hospital corporations.

We can ignore data that shows POHs as a whole (~250 in the US, holdovers from pre-ACA times) have better outcomes at lower costs.

Or we can introduce some actual competition in the healthcare marketplace to give patients a chance for better care from people who actually got into this business to treat patients, care that is not dictated by a private equity company or insurance company.

Just give physicians a chance to show that we can do a better job. That’s all we’re asking. If we suck at it, we won’t get very far, right? Isn’t that what the free market is for?

Repeal the ban on physician owned hospital.

[British Journal of Sports Medicine (BJSM) @BJSM_BMJ]

⚠️ Femoroacetabular impingement syndrome in middle-aged individuals is strongly associated with the development of hip osteoarthritis within 10-year follow-up 📄 #FAI

See the #TakeHomeMessages ⬇️

@RintjeAgricola, @mmavanbuuren, @JoanneLKemp 👏

#OpenAccess 👉 https://t.co/pXbWDcvH6I

[TheLiverDoc™ @theliverdoc]

Going to say this again.

✨Habitual coffee consumption - black, unsweetened, minimum three cups of 120-150ml a day, last cup 6-8 hours before bedtime, even decaf will do and branded (any, your taste), instant or home ground (will do just fine) have more benefits on health than harm:

🚀Reduces risk of dying from all causes
🚀Reduces cardiovascular disease
🚀Reduces risk of developing diabetes mellitus
🚀Reduces risk of dying from respiratory diseases
🚀Reduces risk of developing degenerative brain disease
🚀Modestly associated with reduced obesity in men
🚀18% lifetime lower risk of any type of cancer
🚀Reduces risk and progression of metabolic-disease related fatty liver
🚀Reduces progression of liver scarring from fatty liver
🚀Reduces risk of liver cancer in chronic liver disease
🚀Improves diabetes and associated complications
🚀Stabilizes blood pressure and heart health

💥Now the busting the myths: Coffee
📌Does not cause "gastritis"
📌Does not worsen (GERD) reflux disease
📌Does not cause stomach ulcers (Helicobacter pylori, the bacteria does that)
📌Does not increase blood pressure
📌Coffee does not cause "anxiety" - caffeine more than 400mg/ day does - enjoy benefits of coffee without caffeine if intolerant
📌Does not affect calcium absorption
📌Does not cause or worsen heart rate and rhythm related abnormalities

Enjoy your cuppa!

Sources:
👉https://t.co/3F9oQuq9qV
👉https://t.co/8lhb1hiW27
👉https://t.co/zQ6he4FWIY
👉https://t.co/qf2Jeq59tI
👉https://t.co/Ln6IFUKvW3
👉https://t.co/R7OZhbPOin
👉https://t.co/gDcOt33Ild
👉https://t.co/wM8nfwzxOX
👉https://t.co/evLMY6cO1b
👉https://t.co/WvO53SSN3x

[TheLiverDoc™ @theliverdoc]

Must read #SUNDAY

I was interviewed by @VikasReports for Sunday Deep Dive in the @EconomicTimes on a seemingly benign medicine and it's common use - both over-the-counter and doctor-prescribed.

Proton Pump Inhibitors or PPIs, commonly called "gas medicine" by patients are not what they seem.

Considered benign, and used in the long term by many, without actual prescription and prescribed by many doctors for long term, PPI drugs, most commonly Pantoprazole are not without major adverse events.

I specifically discuss PPI use in patients with chronic liver disease (cirrhosis) and provide evidence-based recommendations for rational use in this group of patients who may suffer from rare, but major life-threatening disease-related complications with injudicious use.

Please note that "a gas trouble" may not always be benign and that popping a "gas medicine" may not always be the answer to it.

Find the cause, treat the cause, instead of suppressing the symptom. This is basics of clinical medicine.

Please read: https://t.co/8YF7NABM24

[Thomas Dekkers | Spinal Specialist Physiotherapist @TDekkersPhysio]

"Bulging Disc"..."Ruptured Disc"..."Slipped Disc"....."Prolapsed Disc"...."Burst Disc"...

The correct term for all of these is a "Disc Herniation" & should be the term used to avoid confusion (and adding stress to the patient).

Here are the different types in the lumbar spine🧵

[Layne Norton, PhD @BioLayne]

Is coffee healthy? ☕️

There has been a lot of debate recently regarding whether or not coffee is healthy

Many people have recommended avoiding coffee all together for various reasons including cortisol release, acidity, heart health, and various other factors

Most of these reasons are speculative & mechanistic in nature... so what does the HUMAN outcome data say?

[Andrew @ALevDC2]

@theliverdoc Isn’t Intermittent fasting basically just another form of calorie restriction? Which we know can be beneficial in improving health markers? This seems a bit silly. Perhaps there is more to it but for now I’m leaning towards silly.

[Andrew @ALevDC2]

@aestheticprimal The chances of this making any adult grown taller are close to zero. Other than maybe standing up taller if you’re slouching.

[The Sp⚽️rts Physio @AdamMeakins]

Have you ever had random multiple recurrent episodes of pain, numbness, pins and needles, or weakness in your hands and feet?

Then it could be Hereditary Neuropathy with Pressure Palsies or HNPP!

Heres some more info about it!

[JT | Jerry Teixeira @jerryteixeira]

If you're a man or woman over 40

You're at increased risk of osteoporosis AND a potential life-altering, catastrophic injury

Here are 5 things you can do to protect yourself:

[Dr. Deepak L. Bhatt @DLBHATTMD]

Do patients benefit from omega-3 fatty acids? https://t.co/mhWAyMnPMC #cardiology #cardiotwitter #prevention @gabrielsteg

[Samuel Spinelli @DrSamSpinelli]

Let's talk about disc herniations.

[Andy Galpin, PhD @DrAndyGalpin]

Strength training for life; >85 y!

Training study published last week found that 85+ yr old adults responded to 12 wk of training (3x/wk) to a similar extent as 65-75 y olds.

Both groups gain muscle size, strength, and functional performance.

https://t.co/jDB7rjO9Sr

[The Sp⚽️rts Physio @AdamMeakins]

Bursas release essential inflammatory products and cells for happy healthy tendons to thrive!

Injecting bursas to reduce the secretion of these things could be the worst thing to do for your tendon health! https://t.co/IuuPwHfLWi

[Prof Omid Khaiyat M.D., PhD @Omid_HopeUni]

Exercise for Frozen Shoulder

▶️Pendulum exercises
▶️Passive anterior elevation
▶️Horizontal adduction
▶️Passive Ext rotation
▶️Passive abduction
▶️Passive Int rotation
▶️Active anterior elevation
▶️Active lateral elevation
▶️Ext rotation strengthening

https://t.co/TKAV0eHyOE

[The Sp⚽️rts Physio @AdamMeakins]

Can lifting heavy weights regularly increase the thickness of your cartilage?

Lets find out… 👇

[Stuart Phillips (he/him) @mackinprof]

Nothing to see here, but just a casual reminder that lifting with machines or free weights matters not! Just lift!! https://t.co/qDYZ8JQq4Q