Abu Shoyeb, MD

A physician exploring the collective cognitive sphere in an evolving digital public sqaure

[Owen Lewis @is_OwenLewis]

I did not see this one coming. BREAKING NEWS folks!
Midjourney, yes the AI image company, just launched a real medical device that feels like it's straight out of Star Trek.
https://t.co/LSs2zbYViM

They’ve unveiled the Midjourney Scanner, the first working prototype of Full Body Ultrasonic Computational Tomography. It uses a ring of thousands of tiny transducers to fire ultra-precise sound waves through the body. The returning echoes are captured at a staggering 17 gigabytes per second, and the 806 terabytes of gathered data are then reconstructed by a 2 petaflop compute system into a highly detailed 3D map of your entire internal anatomy — organs, tissues, blood vessels, etc., in 60 seconds.

The resolution is extreme: each sensor can resolves motion smaller than the width of an atom, detecting internal tissue details down to half a millimeter. And unlike MRI or CT scans, it uses no radiation, just sound. Think of it like getting an ultrasound from the 22nd century.

The ambition is breathtaking. Midjourney wants to build a fleet of 50,000 of these scanners, capable of delivering a billion full body scans per month. That's enough to make comprehensive full body imaging available to every person on Earth.

They’re not hiding it in cold, clinical hospitals either. The vision includes placing these scanners inside what look like Midjourney spas, turning what’s usually an annoying medical procedure into something genuinely pleasant.

This is Star Trek level healthcare infrastructure: fast, safe, non-invasive full body imaging at planetary scale. If they pull it off, it could fundamentally shift medicine from reactive treatment to proactive, early detection on a global level.

Progress (and Midjourney going full medical) marches on. 🩺🚀

[Keith Siau @drkeithsiau]

PPIs: When to start and how to stop 💡

[Eric Topol @EricTopol]

What if we could predict cancer 5+ years ahead and prevent it? A new landmark study shows the way

[Dr Paddy Barrett @Paddy_Barrett]

In office, blood pressure measurements are as close to useless as makes no difference.

A doctor checking your blood pressure is mostly just theatre.

You need multiple measurements in the community.

[Jeff Davis, MD @jeffdavismd]

@bigfatsurprise The warning should read: following a ketogenic diet may lead to reduced doctors visits, may require deprescribing of medication, and could lead to the removal of diagnosis of diabetes in the long term.

[Abu Shoyeb, MD @abushoyeb]

@bigfatsurprise Key is understanding natural history of DM ( for majority of the population), and avoiding overstimulation of Beta cells leading to eventual failure in old age

[Abu Shoyeb, MD @abushoyeb]

@bigfatsurprise Pescatarian Keto diet, especially gluten free is probably the best diet for 70% of the population.
Grains are slow poisons!

[Abu Shoyeb, MD @abushoyeb]

@nickstirkster @MarkKaplanHQ @JAMACardio @CardioSSoon Just like COVID-19 vaccines there is a highly enthusiastic group denying the role of cholesterol in progression of atherosclerosis. They are simply failing to appreciate the more nuanced (necessary but not sufficient) aspect of etiology of atherosclerosis.

[Abu Shoyeb, MD @abushoyeb]

@ManualOMedicine This is critically important in the era of obesity, DM, and GLP1 agonists

[DoctorTro @DoctorTro]

🚨 NEW STUDY 🚨

Diet Coke is officially NOT healthy

•Aspartame raises insulin in mice and monkeys
•Aspartame causes plaques to form in mice by increasing insulin-induced inflammation
•The vagus nerve likely from the SWEET TASTE is the conduit for insulin release

Remember which health guru falsely told you Diet Coke was healthy because they focused on CALORIES and not science @BioLayne @DrNadolsky

https://t.co/EmdWLtDd6m

Here’s also a great summary from @nicknorwitz

[Ahmed Mohsen @drahmedmohsen85]

The target BP values in hypertensive patients have been changed in the new ESC Guidelines

[James Steidle @JamesSteidle]

@Nature Five years later huh.

[Ross Prager @ross_prager]

Here are 10 things that expert clinicians do everyday, often without realizing it🩺

(and how we can all start to implement these in our own practice)

A 🧵

#foamed #MedTwitter

[Lee Altenberg, Ph.D. 🇺🇸 @AltenbergLee]

When you hear anyone in the news or social media say "during the pandemic" or "post-pandemic", this is what they are talking about:
(2024-11 update)

[Abu Shoyeb, MD @abushoyeb]

From #Claude
DD (Differential Diagnosis):
1. Ecthyma Gangrenosum (Most likely)
2. Pyoderma gangrenosum
3. Sweet's syndrome

The most likely diagnosis is Ecthyma Gangrenosum (EG), which is typically associated with Pseudomonas aeruginosa bacteremia, though other organisms can cause it.

Summary of the condition:
- Ecthyma gangrenosum is a cutaneous manifestation of systemic infection, most commonly seen with Pseudomonas aeruginosa bacteremia
- It typically occurs in immunocompromised patients
- Characteristic features include:
- Round, painless, erythematous lesions that rapidly evolve into hemorrhagic bullae/pustules
- Lesions then develop into necrotic ulcers with surrounding erythema
- Can occur at multiple sites on the body
- Associated with high fever and leukocytosis
- Often follows a primary infection (in this case, gastrointestinal)

Treatment involves:
- Immediate broad-spectrum antibiotics (with coverage for Pseudomonas)
- Surgical debridement if necessary
- Treatment of underlying condition
- Supportive care

This is a medical emergency requiring prompt recognition and treatment due to the high mortality rate if left untreated.

[Abu Shoyeb, MD @abushoyeb]

@IhabFathiSulima ecthyma gangrenosum

[Dr Ihab Suliman @IhabFathiSulima]

What is the diagnosis?

[Sama Hoole @SamaHoole]

Sugar in your brain = Dementia & Alzheimer's
Sugar in your eyes = Glaucoma
Sugar in your blood = Diabetes
Sugar in your teeth = Cavities
Sugar in your skin = Ageing
Sugar in your sleep = Insomnia
Sugar in your body = Cancer
Sugar in your gut = Dysbiosis

Strange that something that we apparently need in our diet can cause the body so much damage.

[Dr Paddy Barrett @Paddy_Barrett]

"What is a normal cholesterol?"

As a cardiologist, I get this question all the time.

Most people are getting this all wrong.

📕Make Sure To Bookmark✅

🧵👇

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[Dr Paddy Barrett @Paddy_Barrett]

Now, work out where you are on a percentile basis

Lower is better.

If you have your ApoB (Even better) - You can calculate this here too.

Now you know where you stand.

If you are at the 75th percentile

~25% of people will have a higher Non-HDL-C than you.

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