Jon Adams

[Jon Adams @JonathonAdamsMD]

@DrJMarine We look to experts from the CDC, etc to provide guidance on all sorts of public health issues. It’s unfortunate there wasn’t full transparency about the effectiveness of all the recommendations, because people now lack trust in them.

[Jon Adams @JonathonAdamsMD]

@cellisvandyep @netta_doc @bogdienache @drjohnm @DrMarthaGulati @ACCinTouch @dranulala @purviparwani @iamritu I’ve been surprised how well DOAC has been tolerated in CHAMPION & CLOSURE

[Jon Adams @JonathonAdamsMD]

@AlbertLinMD1 This is excellent. The most objective & practical summary of these data I’ve read.

[Jon Adams @JonathonAdamsMD]

@drjohnm I had to do a peer to peer once for a patient referred from the CHF service for ICD with EF 30%, NYHA Ii, no ischemia, optimal GDMT > 3 months. Everything plainly stated in the chart. There needs to be some penalty for these kinds of denials. No downside for insurance to deny.

[Jon Adams @JonathonAdamsMD]

@AlbertLinMD1 Clinically, if you have a patient with truly concerning bleeding history & high risk for stroke, the patient may considering OAC or nothing. LAAO seems to be better than no therapy & does have less long term bleeding if the procedural bleeding can be mitigated.

[Jon Adams @JonathonAdamsMD]

@drjohnm The main selling point of LAAO has been to provide stroke risk reduction in patients who can’t tolerate OAC. The trial does show a stroke reduction effect of LAAO, but also shows that these patients can tolerate DOAC. Many referrals are for softer bleeding issues that impact QOL

[Jon Adams @JonathonAdamsMD]

@Mauerback @grantcohn This…and possibly to let teams know that the asking price will be high if they want to trade for Mac

[Jon Adams @JonathonAdamsMD]

@drjohnm @venkmurthy @AndrewFoy82 @Sensible__Med Great discussion. I tend to agree with the comments on zooming out & considering the patient’s overall metabolic health & lifestyle.

[Jon Adams @JonathonAdamsMD]

@grantcohn 💯

[Jon Gruden @BarstoolGruden]

Look at this box we got right here from BROOKINGS!

It's the South Dakota State Jackrabbits and they have a HUGE playoff game this weekend against the Montana Griz!!

I love these colors and I love South Dakota, thank you to Coach Jackson and @GoJacksFB for this great box!!

[Jon Adams @JonathonAdamsMD]

@KurtSupeCPA People also misunderstand primary & secondary beneficiaries on pay on death benefits like life insurance. It’s not like a QTIP. Primary gets the entire benefit & they can then do whatever they choose with the funds.

[Jon Adams @JonathonAdamsMD]

@DrRoderickTung @atulverma_md I’m intrigued by this data @atulverma_md. Provides a lot of insight into a common question we get from patients.

Scenario…patient with CHADSVasc 2-3 w/ no AF at 1 yr post PVI. I stop AC. Patient later develops AF, do they go back to indefinite AC?

[Jon Adams @JonathonAdamsMD]

@PrashSanders @UniofAdelaide Can u explain the unusual choice of medication s? Why not full dose DOAC vs placebo? Why aspirin?

[Jon Adams @JonathonAdamsMD]

@DrMarthaGulati It has potential to influence practice. I’m very interested to see the details of this trial…definition of standard medical care, devices used, medical therapy in device cases, etc.

[Jon Adams @JonathonAdamsMD]

@joselmerino Strange choices for medical therapy. Why not the recommended therapeutic dose of DOAC vs placebo?

[Jon Adams @JonathonAdamsMD]

@DutchRojas Thank you Dutch. Also, in response to the claim that doctors can treat patients but aren’t capable of being administrators, check the CEOs of Mayo Clinic & Cleveland Clinic.

[Jon Adams @JonathonAdamsMD]

@KelleyKga @drjohnm FWIW…I have two Specialized class I E-bikes & love them both. Very useful. You can dial in a target HR, & I can always get in a quick workout if time is short.

[Jon Adams @JonathonAdamsMD]

@DutchRojas Check the billing for a test done at a hospital vs an independent clinic. Same test, equipment, & staff, but huge difference in payment.

[Jon Adams @JonathonAdamsMD]

@ProfDConnelly @ncurzen @mcfinlay AF ablation is not a guaranteed cure. It is the most effective rhythm control therapy available. Patients most likely to benefit from PVI are those early in the disease process with well controlled risk factors (normal BMI, avoid Etoh, nml BP, A1c, treated OSA, etc).

[Jason Andrade @DrJasonAndrade]

AF is a chronic disease characterised by acute exacerbations on the background of a progressive disorder.

To focus on a binary outcome (eg 30s of AF on a continuous monitor) is an oversimplification that inadequately reflects clinically relevant outcomes, …