Ritwick Agrawal

Everything sleep medicine +my personal musings

[Ritwick Agrawal @md_ritwick]

@VK_Ulaganathan …yet!

[Ritwick Agrawal @md_ritwick]

Source unknown -

[Ritwick Agrawal @md_ritwick]

@JAMA_current @atscommunity I’m trying to wrap my head around this study. What will I do with results of study?
Honestly, it seems pointless!

[Ritwick Agrawal @md_ritwick]

@Mykalt45 Good point though I feel cars have a lot more buffer. It doesn’t feel anything even after massive supercharging for Tesla

[Ritwick Agrawal @md_ritwick]

@oncology_bg @pash22 Sleep medicine-

Circadian rhythm experts are like what!!

[Ritwick Agrawal @md_ritwick]

💨 Less is more! The OXY-SAFE trial confirms that pushing \bm{O_2} over 94% in a COPD flare is dangerous. Stick to the 88-92% sweet spot to save lungs and lives. #COPD #FOAMcc #MedEd

[Ritwick Agrawal @md_ritwick]

A ⭐️

[Ritwick Agrawal @md_ritwick]

This is wrong by so many levels

[JAMA @JAMA_current]

US nonprofit hospitals spent $7.8 billion on management consultants from 2009 to 2023, but contracts were not associated with meaningful changes in finance, operations, or quality of care. 🧵

https://t.co/QQswMYxrG8

[Ritwick Agrawal @md_ritwick]

@GoogleDeepMind Good but the history could have been more comprehensive. Didn’t ask about any red flags

[Ritwick Agrawal @md_ritwick]

Can anyone share their experience with ChatGPT for clinicians? Where does it stand in the spectrum of @EvidenceOpen and @doximity DoxGPT?

[Ritwick Agrawal @md_ritwick]

Head or tail?

[Ritwick Agrawal @md_ritwick]

ICU life:

Med school: ‘Master the vent settings, titrate pressors like a symphony conductor, save the crashing patient!’

Reality: 80% of my day is discussing with the family about why grandma with a MAP of 45 on 4 pressors + CRRT isn’t a candidate for another central line.

[Ritwick Agrawal @md_ritwick]

Patient drops 60 lbs on Zepbound, A1c normalizes, CV risk plummets.

Insurance: ‘Denied. BMI not quite 40, and did you try the prior auth dance again?’

Me: ‘Congratulations on your miracle drug. Now for the real challenge—shedding the administrative burden.’

[Ritwick Agrawal @md_ritwick]

Indeed

[Michael Albert, MD @MichaelAlbertMD]

Healthcare administration costs should never exceed patient care costs.

[Michael Albert, MD @MichaelAlbertMD]

Healthcare administration costs should never exceed patient care costs.

[Ritwick Agrawal @md_ritwick]

Life is simply a rebellion against entropy

[Ritwick Agrawal @md_ritwick]

I knew that!!!

[Eric Topol @EricTopol]

Surprisingly, daylight savings time transitions had no net impact on physical activity
https://t.co/G7bTfSw5vQ

[Ritwick Agrawal @md_ritwick]

lol

[Dan Rysk @DanDeFiEd]

Italian efficiency when it comes to coffee should be studied.

In Italy:
- Walk into a bar and look at the guy
- Un caffe
- 30 seconds later it’s ready
- Shoot it
- Leave €1
- Walk out

In the US:
- Join a line
- Wait
- Order coffee
- Answer 12 questions: Size? Milk? Roast? Sugar? Temperature? Colombia beans? Name? How do you spell it?
- $12.34
- Ask for a 20% tip. Click 5 times on a ipad to have a custom tip
- Tap phone
- ask where to send the invoice
- Wait again on a different line
- Someone call a name that sounds similar to mine
- get the coffee
- too hot, can't drink it
- finally at temperature

taste like shit

[Ritwick Agrawal @md_ritwick]

@sohn522 Scary

[Ritwick Agrawal @md_ritwick]

Doctors day. Some students created coffee cup sleeves for us! Thanks guys!