Deep Ramachandran MD

PulmCC &Sleep doc. Former #SoMe Editor @accpchest. Chair, Chest Non-Resp CC Network. Tele-Sleep Director: Blog:

[Deep Ramachandran MD @LungSleepDeep]

Take the difference between the list price and price paid for anything you bought and try listing that as charity to the govt. Sounds crazy, right? Its what hospitals do.
📷https://t.co/Sd0jrqh4uO

[Deep Ramachandran MD @LungSleepDeep]

One#nonprofit health system sued patients more than 36,000 times chasing 106 million dollars, while running the most restrictive financial-assistance policy of any major system in the state.
This is what "regardless of ability to pay" looks like. https://t.co/WhgLn101Pv

[Deep Ramachandran MD @LungSleepDeep]

Bet you didnt know that when a pt is seen at a major med center; Medicare spent $1,327 more per patient each year. The most expensive place to be a patient is inside the building everyone calls a nonprofit.

[Deep Ramachandran MD @LungSleepDeep]

@snorerx hey is anyone there? Been trying to get in touch with y'all about potentially offering your product to my pts.

[Deep Ramachandran MD @LungSleepDeep]

Every. Darn. Time. With @DoorDash. Didn't feel like cooking tonight. Paid $60. Waited an hour , they sent 1 combo meal of 3. Now family is hungry. They refund the food but not the 20% tip or service charge.
@DoorDash_Help

[Deep Ramachandran MD @LungSleepDeep]

@BarackObama @JoeBiden #thanksjoe

[Deep Ramachandran MD @LungSleepDeep]

@stripesupport I applied for a stripe account 5 months ago for my business and am still waiting. Whenever I email someone I get meaningless form emails. Please 🙏 help!!

[Deep Ramachandran MD @LungSleepDeep]

Wow, this was unexpected! 85% of my colleagues at #chest2024 will consider ordering GLP-1 to treat obesity in OSA pts.

[Deep Ramachandran MD @LungSleepDeep]

Question for my sleep colleagues.
Will you consider ordering tirzepatide (or other GLP-1) to treat your obese pts with OSA?
#CHEST2024

[Deep Ramachandran MD @LungSleepDeep]

Question for my sleep colleagues.
Will you consider ordering tirzepatide (or other GLP-1) to treat your obese pts with OSA?
#CHEST2024

[Deep Ramachandran MD @LungSleepDeep]

@ChrisCarrollMD @RAmirahmadi @vanholdenmd I've been testing a variety of them. . .and lets just say there's alot to be skeptical about! Will be posting a video about my experience with them soon! #CHEST2024

[Deep Ramachandran MD @LungSleepDeep]

@DrHooksDO @accpchest It's scary now when I wonder about all the procedures we did pre-ultrasound. I guess sometimes ignorance is bliss!

[Deep Ramachandran MD @LungSleepDeep]

Up to 10 mm improvement in systolic BP with tirzepatide.
#CHEST2024

[Deep Ramachandran MD @LungSleepDeep]

Dr. Malhotra: in SURMOUNT about 30% of people with severe #sleep apnea were "cured" with tirzepatide.
#CHEST2024

[Deep Ramachandran MD @LungSleepDeep]

OSA affects over 1 billion people worldwide.
#CHEST2024 #sleepapnea.

[Deep Ramachandran MD @LungSleepDeep]

There is a strong link between sleep apnea and impaired glucose metabolism that goes beyond obesity.
#CHEST2024

[Deep Ramachandran MD @LungSleepDeep]

10% percent reduction in weight can result in 26% reduction in AHI
#CHEST2024

[Deep Ramachandran MD @LungSleepDeep]

20% to 40% of OSA is thought to related predominantly to obesity.
#chest2024

[Deep Ramachandran MD @LungSleepDeep]

Use of a ketogenic diet in pts with OHS showed reduced CO2 level of about 6mm in a small study.
#CHEST2024 sleep year in review

[Deep Ramachandran MD @LungSleepDeep]

Retrospective study showed that cpap use improved mortality and reduced CV events.
#CHEST2024 sleep year in review

[Deep Ramachandran MD @LungSleepDeep]

Reduction in AHI was due to wt loss.
#CHEST2024 sleep year in review

[Deep Ramachandran MD @LungSleepDeep]

Tirzepatide in pts with mod/severe OSA. excluded DM.
Mean BMI 38;
#CHEST2024 sleep year in review.