David Homan, MD

Interventional Cardiologist at @CardioInstitute; Ochsner/Scripps trained; Pearl Jam enthusiast. Views expressed are my own. #RadialFirst

[Neil Stone @DrNeilStone]

I can't figure out if vaccines work or not.

Tough one.

Need Sherlock Holmes on this one.

[David Homan, MD @heartdoc45]

@PoojaMishraMD @UCNSCards @SCAI @Montreal @JDawnAbbott1 @SrihariNaiduMD @SandeepNathanMD @viali86 Congratulations!!

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

Imagine your surgeon preparing for your operation.

They see you in pre-op, answer your questions, calm your fears, examine you, confirm the plan, and go get ready for the case. They review the imaging and think through the critical parts of the operation.

Then a nurse interrupts them:

“Doctor, your pre-op documentation isn’t good enough. You can’t just say you discussed the risks and benefits. You need a full H&P.”

The surgeon points out that the H&P was already done in clinic. The note is right there in the chart.

“No. That note is 31 days old. It has to be within 30 days. But it’s fine if you just copy and paste that old note.”

Think about how insane that is.

There is no new clinical information. There is no patient benefit. There is no improvement in safety or quality. The only thing being demanded is duplication. A pointless bureaucratic ritual to satisfy the machine.

So now you have a frustrated surgeon, a delayed case, a bloated chart, and one more example of modern medicine confusing clerical box-checking with patient care.

This is exactly what is wrong with the system. Endless note bloat. Pointless duplication. Administrative nonsense dressed up as professionalism. If there are no changes, there are no changes. Forcing a doctor to re-paste an unchanged H&P adds absolutely nothing for the patient.

And the most insulting part is the tone. That smug, condescending “of course you have to do it this way” attitude, as if this is self-evidently necessary instead of obviously stupid.

At this point, a lot of doctors would probably take a substantial pay cut to never touch a computer again. Cut the salary and use the savings to hire people to do the computer garbage. Epic. CDI queries. Coding queries. H&P updates. Order entry. Case booking. Inbox nonsense. All of it.

Never touch Epic again. Never answer another coding query. Never update another unchanged H&P. Never place another order that a clerk or protocolized team could enter. Never do another ounce of hospital data-entry cosplay.

Just let us be goddamn doctors instead of highly trained documentation technicians.

[The Field of 68 @TheFieldOf68]

Michigan State honors 102-year-old Chuck Kohler, one of 12 remaining Pearl Harbor survivors -- who is also Jaxon Kohler's great grandfather 🥹

[Louisiana Ragin’ Cajuns® Men's Basketball @RaginCajunsMBB]

GOT IT DONE ✅

📊 https://t.co/vGZi22PdUw

#GeauxCajuns

[Dr. Catharine Young @DrCatharineY]

The cover of the Lancet. It says it all.

[Jonathan Reiner @JReinerMD]

The Surgeon General of the United States should be a practicing, licensed physician, who completed a residency program.

[Michael Oxford - AKA The Santa Cruz Mountain Goat @SCMountainGoat]

There’s a lot of big news going on right now, but one story stands out above them all.

Punch finally got a hug.

The world is healing.

[Augustana University Men's Basketball @AugieMBB]

Our city. Still.

#BuildingChampions⚔️

[David Homan, MD @heartdoc45]

@TWilsonMD @cingolani_oscar @cardiojaydoc02 @CMichaelGibson @JayMathewsMD @AntoniousAttall @SrihariNaiduMD Calcium scores are so grossly misunderstood. 🤦‍♂️ It’s sad how many STAT consults I see with panicked patients for evaluation of non-zero calcium scores.

[Ounka @OunkaOnX]

Dave Chappelle visits Alex Pretti memorial

[Ben Verlander @BenVerlander]

This is awesome.

Clemson baseball has a tradition of players going up in the stands during the 4th inning to shake hands with Veterans.

Today, on opening day, the Army baseball team joined in with them

@ClemsonBaseball 🤝 @ArmyWP_Baseball

[Eric Topol @EricTopol]

"The term [provider] should not be used to describe physicians, nor should physicians use it to describe themselves, their team members, or their trainees."
https://t.co/C1hEu3mUr2 @AnnalsofIM @ACPIMPhysicians

[Viking Nation #MinnesotaStrong #Resist @VikingNation28]

🤣😭💜💛

[Jonathan Reiner @JReinerMD]

“The Party told you to reject the evidence of your eyes and ears. It was their final, most essential command.”
George Orwell, 1984

[Andrew Zimmern @andrewzimmern]

Stand with Minnesota.

[Democrats @TheDemocrats]

ICE agents shot and killed another person in Minneapolis this morning.

Get ICE out of Minnesota NOW.

[ᗰᗩƳᖇᗩ @LePapillonBlu2]

This is Alan Page protesting in Minneapolis today. Alan was a Minnesota Viking, is in the NFL Hall of Fame and is a retired Justice of the Minnesota Supreme Court. RESPECT!

[Dr. Catharine Young @DrCatharineY]

Australia just recorded zero cervical cancer cases in women under 25 - for the first time since records began in 1982.

This is what happens when a country commits to HPV vaccination and screening. We protect our girls and save lives.

[Goose Gossage 4 MLB commish @NoAlgae69]

@KalshiSports It’s the Cubs winning the 2016 pennant. @Buck is *screaming* at the top of his lungs & you can barely hear him