Z Singsank

Dad and hubby. Wanna be golfer. Interventional cardiologist by trade. Bourbon collector and cook. Most notably, the former face of the Corn Dog.

[Z Singsank @slingsnack]

@dividendology Does the gov pay capital gains??

[Ron DeSantis @RonDeSantis]

Brutal.

Courtesy in large part by the federal government.

[Eric Topol @EricTopol]

@drjohnm I have been outspoken on the massive misuse of CAC testing for a long time (excerpt from my book in 2011) and have never ordered one.

[Z Singsank @slingsnack]

@drjohnm This could not possibly backfire

[Z Singsank @slingsnack]

@BCBSAssociation stopped coverage of Entresto in a patient with established cardiomyopathy and chronic systolic HF. Incredible.

[Z Singsank @slingsnack]

@frahman480 @RyanTedfordMD I’m sorry but anyone in cardiology who thinks any number is “hard and fast” is probably wrong and probably hasn’t dealt with patients long term.

[Z Singsank @slingsnack]

@ahakeem143 @CraigBasman @JACCJournals @MBalghith @DrIHHashmi1 @Abdul_alkindy @TCTMD @SCAI @drmomani @MarwanSaadMD @crfheart Why not just use a balloon expandable valve? Give they’re a BAV I also presume they are young, making Medtronic complicated for the future.

[Z Singsank @slingsnack]

How do we disassociate the diagnosis of CAD and the finding of “elevated coronary artery calcium score?” @drjohnm

[Z Singsank @slingsnack]

@BradHensonPro Why do they still let this guy on TV/radio/etc. Wouldn’t be shocked if his next take is that the Earth doesn’t need the sun.

[Z Singsank @slingsnack]

Stress test denial. Unreal. I should have diagnosed her with “odd” heart vessels.

[medmalreviewer @medmalreviewer]

Patient gets lumbar epidural steroid injection, goes to ED with severe pain.

Gets diagnosed with cauda equina syndrome the next day due to a large hematoma.

Read the case and see why they only sued the ER doctor:

https://t.co/ge4SICvf8s

[Z Singsank @slingsnack]

Acute chest pain. Normotensive. What does @smithECGBlog feel this would represent. Pictures to follow. @jl35wilsonMD @TWilsonMD

[Z Singsank @slingsnack]

The RCA was huge and had faint collaterals to dLAD, which is why he was alive.

[Z Singsank @slingsnack]

@sklute2 @smithECGBlog @jl35wilsonMD @TWilsonMD No.

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

You’re covering a hospital and get called for a consult.

You’re not the primary doctor.

You open the chart to review imaging. All you need to do is look at one CT, Xray, or lab result—but the EHR won’t let you proceed without clicking through a series of unrelated alerts:

✔️ Sepsis screen (acknowledged)
✔️ Allergies (acknowledged)
✔️ Contact precautions (acknowledged)

You’re forced to “confirm” things you don’t know. You’re not at bedside. You don’t need to be at bedside.

You weren’t consulted for any of that. The primary team handles those issues.

But the system makes you lie to move forward—all to boost compliance metrics and legal cover.

The admin wins.
The lawyers win.
Doctors? We just click.

[Z Singsank @slingsnack]

@smithECGBlog Is there an X account anyone knows that shames ER providers the way this one shames cardiology (with the mask of education)? @jl35wilsonMD @TWilsonMD

[Adam Bruggeman, MD @DrBruggeman]

Physician conversion factors:
2000: $36.6173
2003: $36.7856
2006: $37.8975
2009: $36.0666
2012: $34.0376
2015: $35.7547
2018: $35.9996
2021: $34.8931
2024: $32.7442

UHC stock up 8,556%
Insurance premiums up 342%
Inflation up 86%
Physician pay down 10%

We should keep cutting physician pay so families have more money in their pockets through reduced costs and reduced premiums based on the last 25 years of experience.

[Z Singsank @slingsnack]

@drjohnm @ftrae Those hemorrhagic veins need suture mediated devices!!

[Rabbi Shmuel Reichman @ShmuelReichman]

Another Masterclass by Douglas Murrray! 🇮🇱

I have literally never seen a more eloquent, calm, and decisive presentation on live TV.

Douglas Murray just fit 100 books and 300 podcast episodes into this 3-minute soliloquy.

He completely shut down Pierce Morgan’s argument, clarifying that Hamas, not Netanyahu, is the true obstacle for peace.

He criticized Hamas for using foreign aid to build tunnels and enrich its leaders, rather than improving Gaza.

But most importantly, he explained that peace with Hamas is fundamentally impossible, as they value conflict and death, not peace and life; thus, unless Israel is allowed to decisively win, the cycle of violence will continue ad infinitum.

Thank you Douglas Murray for being the absolute most important voice in the world right now to defend Israel and the Jewish People!