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Twitter thread coming on what @adamcifu @VPrasadMDMPH @AndrewFoy82 and I think is the BEST approach to pt care. This is ...
The Case for Being a Medical Conservative.
amjmed.com/article/S0002-…
Thanks to the @amjmed for publishing this.
John Mandrola, MD
31.6K posts
John Mandrola, MD
@drjohnm
Heart rhythm doc, writer for @Medscape, host of This Week in Cardiology podcast, editor of Sensible Medicine. The more you see, the harder medicine gets.
- To everyone on Twitter -- stop saying myocarditis is mild From... ...someone who deals w the (sometimes late) complications of inflammation-induced scar in the heart
- Before I ReTweeted the former dean of Harvard medical school, I read every sentence of this paper. It is persuasive. Silence of the medical profession regarding the coercion of young people to take a potentially net harmful medical intervention is shockingWow. New paper makes strong case that COVID booster mandates in young adults (as in many US universities), caused net harm, and must be judged unethical. This should not have happened, and we should insist on accountability. @KevinBardosh @TracyBethHoeg @VPrasadMDMPH 👇
- As a cardiologist, I liken calling myocarditis 'mild' to the saying about 'minor' surgery. Minor surgery is surgery on someone else. Mild myocarditis only occurs in other folks' kids. I love the COVID vaccine for at-risk adults, but for kids, we need more caution.To put this into perspective, if we vaccinate 1 million 12-17 year olds, we could see 30-40 MILD cases of myocarditis. In this same 1 million, through vaccination we AVOID: 8,000 cases of COVID-19, 200 hospitalizations, 50 ICU stays & 1 death. The benefits far outweigh the risks.
- I used to think Medicine could be separated from politics. Gosh. That was super dumb.
- Wait Is this graph wrong? Cases skyrocketing Deaths flat—for 4-5 months. Not poking anyone, just asking. #covid19
- The more that people ride bikes, the more hip fractures and cranial bleeds we will see. The pandemic is essentially done. Human life has to be more than avoiding one pathogen. With respect...sir, please, stop.The more people who gather indoors, the greater chance that someone could spread Covid and that someone else, perhaps with an underlying condition they're not aware of, could be infected and get seriously ill.
- There’s plenty to be worried about but the 💯 partisan vote on @DrJBhattacharya for NIH ranks high on the list. If you want to heal science, how can 47 thinking humans vote against a proven academic and a Stanford professor? Science should be apolitical. Come on, you all.
- It’s going to be difficult in the coming weeks but I think clinicians should try hard to stay apolitical in the public sphere. We owe it to our patients.
- Another paper chronicling myocarditis after mRNA #covid19 vaccine in 8 young people. 👇🏻 Some were admitted to ICU. Also … FTR: troponin release = cardiac injury. ahajournals.org/doi/pdf/10.116…
- I seem to remember a time when the observations of doctors seeing patients in the hospital were widely accepted
- Private message from a #COVID19 hot spot. To mainstream media, @nytimes @WSJ @washingtonpost @propublica @charlesornstein This is a huge problem. Healthcare workers need PPE. Note .. many docs not allowed to speak candidly. Hence the private message. @califf001 @EricTopol
- We did not have an efficient healthcare system before ACA, but I believe it is far worse now. Far worse—if you care about actual health care. I don’t have a sol’n but ACA is terrible. Every line below is reasonable.The ACA was the greatest piece of legislation ever passed? Spare me. Such a claim is not merely hyperbolic, it is historically illiterate. The Affordable Care Act passed in 2010, was not a triumph of reform but a masterpiece of political theatre and economic distortion. It did
- Direct Messages like this feel like a tailwind on the bike. Cc @VPrasadMDMPH @sdbaral #MedicalConservative
