PK

Interventional Cardiologist. hopeless healthcare for all advocate. average dude. opinions mine. RT not endorsement.

[PK @PKCath]

@MeasureTwiceMNY Sample

[Praneeth Katrapati @DrKatrapati]

Excited, scared, anxious, humbled, and beyond grateful to begin EP fellowship at @uazmedphx. Thanks to everyone who’s helped me to this point. But we didn’t come this far to only get this far. Time to get to work. Let’s go! @MikeZawanehMD @Peteweissmd @DrRoderickTung @su_wilber

[Scott Galloway @profgalloway]

How is an 18yo allowed to buy 2 AR rifles & 375 rounds of ammunition when we wouldn’t let him buy a beer?

[Tom Brady @TomBrady]

These past two months I’ve realized my place is still on the field and not in the stands. That time will come. But it’s not now. I love my teammates, and I love my supportive family. They make it all possible. I’m coming back for my 23rd season in Tampa. Unfinished business LFG

[Bhanu Gupta #FailureIsAnOption @guptabhanu]

Starting July 22, second spot available for ACGME Acredited advanced heart failure & Tx fellowship.
2 fellows will have the finest balance of LVAD & Tx volume with 45 heart Tx & 40 LVADs annually. Contact me directly.
@KUMedCenter @KUHospital @KUMedicine @KUIMchiefs @KUMC_GME

[PK @PKCath]

@SVRaoMD @DrChuckSimonton @GreggWStone @JWMoses @MartyMleon @mmamas1973 @jason_wollmuth @rajivxgulati @DrMauricioCohen @KaulP @nolanjimradial Sunil - Thats the problem. Not a lot of trials but a good ultrasound/fluoro guided 4Fr femoral diagnostic cath probably has minimal risks comparable to radial if done correctly. Radial First doesn't have to be Femoral never. Would love any ref u have about 4Fr Fem vs 6f radial.

[Dr. Glaucomflecken @DGlaucomflecken]

The anesthesiology residency interview

[Chet Rihal @ChetRihal]

@mandeep_mayo Let’s remember indications for SIHD PCI (or perhaps ANY procedure in medicine). 1) Make the patient feel better 2) Improve the likelihood of living longer 3) prevent nonfatal events like MI, HF or VT. PCI can do 1, CAB 1+2, and GDMT all of the above.

[𝗿𝘃𝗮ѕтєм𝗶𝗻𝗶𝘀𝘁 🏳️‍🌈👩🏻‍🦽 @rvasteminist]

If anyone knows of an ICU bed for a C19+ patient who is in central Texas & in desperate need of dialysis please reply or DM contact info for the bed location & I'll pass along to pt's dr. Has tried 60+ hospitals already. Please amplify thx

[PK @PKCath]

@drjkahn @NIH @NIHDirector @Covid19Critical @PierreKory @stkirsch @BretWeinstein Joel - why are u peddling false info. The website states that there is insufficient evidence. NIH is not recommending anything. Please stop looking for twitter followers. Questioning the status quo is fine, but not at the cost of spreading misinformation.

[PK @PKCath]

@Dr_Bitar @SFeitell I am sure this was a tough decision for all-not sure I agree with taking pt who is not in shock/angina free for high risk CTO and put in double LM stents for the belief that prog is improved - especially in this clinical setting. Good job though! Glad pt did well! Take care

[PK @PKCath]

@Dr_Bitar @SFeitell Abdallah - Great job on the CTO. I am a bit confused though- Why take an extubated patient that came off of IABP support to this high risk CTO w/ that medical history? Where they really having intractable angina sitting in their hospital bed or requiring ionotropes?

[PK @PKCath]

@AndrewJSauer You can stop giving credit for ACE/ARB when 2/4 drugs you call pillars are as cheap as ACE-inh/ARB. Although we try to help patients thru prior auth, assistance programs and other measures, its definitely not cheap as $4 drugs for many. @JJheart_doc @AHajduczok

[PK @PKCath]

@AndrewJSauer @DavidLBrownMD @venkmurthy - thoughts?

[PK @PKCath]

@AndrewJSauer @DavidLBrownMD Also with increased risk of CABG upfront, why put someone who may not benefit from CABG, most of the benefit was not death but HF/CV hospitalization. May be with better drugs now, the trial would be null. So overall small # of pts ~100 and non-random viability testing. Thoughts?

[PK @PKCath]

@AndrewJSauer Not against new drugs or innovations but only 19% on ARNI, if trial had 75% on ARNI vs 19%, would we have seen the same benefit? I recognize that SGLTinh provide an alternative to pts who may be can't tolerate ARNI etc but so many drugs, so many co-pays. Trying to keep it simple.

[Kathryn Ivey @kathryniveyy]

Until the joint commission has as much to say about safe staffing as they do about ice packs and writing on the doors of covid rooms and nurses drinking water, they should just stop wasting everyone's time and stay out of the hospital

[PK @PKCath]

@AndrewJSauer @JHMontfort10 @NavinKapur4 Andrew - I think you guys do great work but we need to stop wasting money on randomized trials of PA cath. Its a tool to obtain more information like a CXR, echo or any other test. Sometimes its obvious why a pt is in shock, other times I need more info. Use it prn.

[DocSchmidt @schmidt_doc]

After a week of arguing on social media with Anti-vaxxers and learning their arguments, this is how I think they’d run a hospital #covidvaccine #GetVaccinated #medtwitter