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Less-Is-More Cardiologist
27.7K posts
Less-Is-More Cardiologist
@DavidLBrownMD
Cardiologist, professor at Keck-USC; believer in science, evidence-based medicine, health care as a right, a single payer system, democracy, and tennis.
Los Angeles, CA
Joined March 2017
- An attorney will pay me $500/hour for my time and expertise to review a potential malpractice case. Why should I spend 2-4 hours reviewing a manuscript for a profitable journal for free?
- Framed first pages of papers first authored by trainees recently. Hope they like the mementos of their hard work!
- Replying to @JReinerMDThat concept is a little too sophisticated for him to grasp.
- Resident: can I discuss a new heart failure patient with you? Me: Sure. Why do you say they have heart failure? Resident: The BNP is elevated. Me: Let's start over
- New Patient: my last cardiologist got stress tests every year. Me:That's not necessary. Patient: But that's how he found a blockage that was stented and prevented me from having a heart attack. He was such a caring cardiologist Me (to myself): Ugh
- Me: You stopped taking your blood pressure medications? Patient: Yes, I feel great Me: But your BP is 170/100. You could have a stroke. You really should take your medicine. Patient: But on Twitter you said "you can't make an asymptomatic patient feel better."
- Do not try to control the rate in a hypotensive patient (sepsis, bleeding, etc) with atrial fibrillation and rapid ventricular response. It's physiologic. Slowing the rate can kill the patient.
- Please don't tell me how great the new heart failure drugs are until they are available to everyone.
- When Covid 19 cases start getting admitted to hospitals in the US, please don't draw troponins without a strong suspicion for ACS.
- Day 11 of cardiology inpatient service. Lesson for the day: there are only two reasons to do a procedure on a patient-to improve quantity of life or quality of life. If you can't make that argument with high quality rather than anecdotal data, don't do it. First, do no harm.
- Why do so many people feel sea salt is a healthy form of salt?
- My baby was accepted to medical school today as part of the @Tulane creative scholars program. Seems like just yesterday...
- Replying to @realDonaldTrumpSo why do these companies that are doing so well need a tax cut?