Doctor T

Raghu Tadikamalla, MD - ❤️ doc and hypertension specialist excited about prevention, nutrition, and exercise. Tweets = opinions, not medical advice. #somedocs

[Doctor T @PagingDoctorT]

https://t.co/tG1Ok5u9mB has officially launched!!!

Our goal is to promote health literacy, resulting in improved health, decreased health care costs, and a better world!
The website is designed to be guideline-based and evidence-based - a place where physicians would feel

[Doctor T @PagingDoctorT]

@Umair2017 @DrJuergenSch @HadyLichaaMD @JuneKPickett @wilzawall @BCMHeart @BaylorCardio @ShariqShamimMD @minhaskh @BigMaqMD @JingLiu_MD @hrs_journal @ACCinTouch @Dr_Mike_Fradley @JasneetDevgun @LearningEPeeps @netta_doc @CarinaHardy4 @KTamirisaMD @DrMarkMills @majazayeri @ReddyEPS @sachinjv Disagree. You can see the absence of pacing spikes in the other lead. Also, no reasonable pacing setting would allow for pacing so soon after that previous beat.

[Doctor T @PagingDoctorT]

@anais_dahoumane Interesting that so many here recommend surgery, whereas the ACC/AHA guidelines do not. Class IIb at best if there have been three echoes demonstrating progression of LV dilation. Can certainly do a treadmill stress to document that he is asymptomatic.

[Doctor T @PagingDoctorT]

@JSpitz_MD @DLBHATTMD @JAHA_AHA When a patient comes to you and tells you their co-pay is $100/month, and then you quote them the data that there is a 97.8% chance this medication will not help them over the next 4 years, what do you think they will do?

[Doctor T @PagingDoctorT]

@gcfmd @NMHheartdoc @JavedButler1 @MKIttlesonMD @SJGreene_md @mvaduganathan @texhern @HFSA @BiykemB @jteerlinkmd @AHAScience Is there more recent data suggesting the limited impact in the community. The data posted would not take into account GLP-1s or SGLT2s and does not fully take into account ARNIs.

[Doctor T @PagingDoctorT]

@skathire The survey may have been more helpful if it asked people who have ASCVD. Once people are already seeing their cardiologist twice a year, it is not much of a burden to get a shot at those visits.

[Doctor T @PagingDoctorT]

@gcfmd This makes sense if there is no alternative. But beta-blockers have very strong dose-dependent benefits. Focus should be on titrating these to max first, and then titrating ARNI.

[Doctor T @PagingDoctorT]

@DLBHATTMD @JACCJournals @gabrielsteg @cpcannon @SubodhVermaMD @MkosiborodMD @RenatoDLopes1 @gcfmd @umichmedicine @umichCVC @MountSinaiHeart @RahulAggarwalMD @AmDiabetesAssn So, we have moved beyond the era of evidence-based medicine to the era of extrapolation-based medicine? Shouldn’t the FDA and the academic community hold this drug to a higher standard (instead of a lower standard) when we have two SGLT2 inhibitors already?

[Doctor T @PagingDoctorT]

@brendonneuen @ValleAlfonso @drpatrickholmes @mvaduganathan @CristobMorales @hswapnil @Nephro_Sparks @AmarPut @georgeinstitute So, a decline in GFR is good?

[Doctor T @PagingDoctorT]

@venkmurthy Presumably, most people who died were at one time on oxygen and eventually intubated. This is generally not a sudden death syndrome. Certainly, some patients may have been debilitated to begin with and aggressive care may not have been opted for...

[Doctor T @PagingDoctorT]

@NicolasMead2 @MasriAhmadMD Looks like a mid-ventricular takotsubo variant? Had one a few months ago. Supposedly 14 percent of cases, but less in my experience.

[Doctor T @PagingDoctorT]

@jelevenson CyBorD - but I don’t understand why they couldn’t manipulate it to become CyBorG

[Doctor T @PagingDoctorT]

@eemoin Is nystatin also widely disparaged on the Internet?

[Doctor T @PagingDoctorT]

@VPrasadMDMPH In other locations, health care utilization decreased as a result of fear of Covid. That would not have been the case in China when Covid was unknown.

[Doctor T @PagingDoctorT]

@jelevenson That may be a scaling issue. Do the liver and spleen look big to you?

[Doctor T @PagingDoctorT]

Anyone have any thoughts on this stress nuc? #medtwitter #nuclearcardiology #cardiotwitter

[Doctor T @PagingDoctorT]

@JavedButler1 Does it say “EBL: minimal”?

[Doctor T @PagingDoctorT]

@venkmurthy Have you read Freakonomics?