Dr. Rizz

Interventional Cardiologist

[Dr. Rizz @Balenciaga_papi]

@KVN_03 Cardiologist here. CPAP is just treating the downstream effects of a problem. Figure out the cause of the Sleep Apnea: enlarged tonsils, enlarged adenoids, large tongue, small jaw etc?? Have your Dr. treat the underlying cause

[Dr. Rizz @Balenciaga_papi]

@jasonryanmd Absence of an RCT isn’t evidence of no benefit. Ppl have a right to understand their own anatomy, and a normal lipid panel doesn’t rule out subclinical disease. Our job is to interpret findings, not gatekeep access to them.

[Dr. Rizz @Balenciaga_papi]

@markkaplan20 lol you weren’t primary prevention…

[Dr. Rizz @Balenciaga_papi]

@sweatystartup lol Just get a coronary CTA with Cleerly. There really is 0 reason to get a *coronary angiogram* for an asymptomatic person

[Dr. Rizz @Balenciaga_papi]

@DrKamleshDarji1 Actually quite the opposite. Residents rarely produce anything meaningful, no one actually cares, and all they remember is your work ethic.

There should be less focus on meaningless publications and moreso on a FEW meaningful contributions to the medical society.

[Dr. Rizz @Balenciaga_papi]

@SamaHoole Every cell eats sugar. PET scans don’t show “cancer eating”..they show cancer eating FASTER than the tissue next to it.

And if you cut carbs, your liver builds glucose from protein. You can’t starve a tumor by skipping toast. Your body is the bakery

[Dr. Rizz @Balenciaga_papi]

@SalaryDr Even better..interventional cardiology fellow in CA: 88k, 80 hrs/week. $21.15/hr

After CA taxes 15.91$ net….less per/hr than minimum wage

[Dr. Rizz @Balenciaga_papi]

@AmmousMD This is why absolute vs relative risk matters.
Yes, small increase in diabetes…mostly in people already on that trajectory.

But the reduction in MI/stroke risk is substantially larger.

Leaving that out is misleading.

[Dr. Rizz @Balenciaga_papi]

@SamaHoole 1. No doctor is quoting “10-year risk” to a 31yo. ASCVD risk calculators start at age 40..

2.LDL is causal in atherosclerosis, not just a “transport vehicle.”

3. “Looking at the wrong number”. LDL-C is literally the most validated biomarker in cardiovascular medicine

[Dr. Rizz @Balenciaga_papi]

@yuripridemd <55 is aggressive without knowing if the calcium is intramural. CAC tells you about burden, not composition. Why not <70 per guideline-directed targets and escalate based on plaque characterization if available?

[Dr. Rizz @Balenciaga_papi]

@BeardyBrandon How is the quality of your sleep? Do you snore or wake up gasping for air? If so, sleep apnea testing

[Dr. Rizz @Balenciaga_papi]

@sweatystartup Cardiologist here. Most physicians absolutely recommend annual labs. The doc you’re described is an outlier, not the standard. You’re right that people should know their numbers. You’re wrong to frame it like the medical community is against that.

[Dr. Rizz @Balenciaga_papi]

@CaryKelly11 @DrSiyabMD agree that overprescribing is a real problem. But the post-MI guy walking out of cath lab alive isn’t overmedicated, he’s alive

[Dr. Rizz @Balenciaga_papi]

@CaryKelly11 @DrSiyabMD You get one life with zero control group. You have no idea what your life looks like without modern medicine…you just know you’re alive to tweet about it

[Dr. Rizz @Balenciaga_papi]

@CaryKelly11 @DrSiyabMD And you think Modern medicine has nothing to do with life expectancy being at an ATH??

[Jawwwn @jawwwn_]

Palantir CTO @ssankar in 2024:

“For $10 billion, @elonmusk put 300 rockets in orbit.”

“For $11 billion the state of California has built 1600ft of elevated rail, with no rail.”

[Dr. Rizz @Balenciaga_papi]

@CaryKelly11 This is perfect…if your cardiologist is ChatGPT.

[Dr. Rizz @Balenciaga_papi]

@NTFabiano As a physician, aren’t you embarrassed posting articles like this??

[Dr. Rizz @Balenciaga_papi]

@robertlufkinmd Insulin is a downstream marker of metabolic risk.

LDL/ApoB is a causal driver of atherosclerosis.

We measure what causes the disease and what lowering it has done to prevent events.

[Dr. Rizz @Balenciaga_papi]

@RobGoodall6 @confusingbits @CaryKelly11 @grok I hear you. The main caution is NNT isn’t a fixed property of a drug; it changes dramatically based on baseline risk + trial duration.

That’s why clinicians focus on risk stratification (ASCVD + CAC) to target therapy where absolute benefit is meaningful.