Just Raz @justRaz86
Des Moines area practicing Family Medicine physician. University of Kansas 🐦 trained. University of Iowa 🐤 graduate. Open to being wrong. I have opinions. Des Moines, IA Joined August 2009-
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Bill Clinton had 8 exercise stress tests when he was in office and 'passed' each of them with flying colours. He then had a heart test that showed he need coronary artery bypass surgery. Want to know what test he had? 🧵👇 /1
@DGlaucomflecken 4 year old daughter training U of Iowa ophthalmology residency by watching cataract surgeries.
TheracosBio will charge $47.85 plus shipping and handling for a 30-day supply of the SGLT2i bexagliflozin TheracosBio teams with Mark Cuban's Cost Plus to launch Brenzavvy at bargain price fiercepharma.com/pharma/theraco… @kardiologykazi @paheidenreich @boback @mvaduganathan
Many of us love medicine because it is a visual discipline. A short 🧵with snapshots on tongue changes #MedTwitter 1/
1/ This @propublica investigation has it all: Money laundering allegations, Mennonite & evangelical Christians, Obamacare, CPAC, a family “conglomerate” that includes a pot farm, a private airline & a bank in the Ozarks. Strap in as we magically whisk you away to… Canton, Ohio.
“Iowans could no longer use their SNAP benefits to purchase meat, nuts, and seeds; flour, butter, cooking oil, soup, canned fruits, and vegetables; frozen prepared foods, snack foods, herbs, spices—not even salt or pepper." rawstory.com/food-stamps/
The most anticipated nephrology trial of the year has been published! “Empagliflozin in Patients with Chronic Kidney Disease” #Kidneywk @NEJM nejm.org/doi/full/10.10…
Does SGLT1 inhibition add to the benefits of SGLT2 inhibition in the prevention and treatment of heart failure? ow.ly/IZT450Kq8ve # SGLT #heartfaulire #HF #cardiotwitter @ESC_Journals @escardio
You’re an intern called to review a patient with an isolated BP of 170/100. They're admitted with community-acquired pneumonia. Would you prescribe an antihypertensive? Open this thread and I’ll share my approach. #HighValueCare #ChoosingWisely #MedTwitter #MedStudentTwitter
NEW #openaccess in @CircAHA SGLT2i reduces the risk of serious hyperkalemia (K>=6.0) by ~15% in people with diabetes, without increasing the risk of hypokalemia This may facilitate better use of RAS blockade & MRAs to further reduce cardiorenal risk ahajournals.org/doi/abs/10.116…
📌The Updated #HeartFailure #Guidelines: Time for a Refresh ‼️Discordant Recommendations ⬇️ #CardioEd #CardioTwitter
Another Match Week has come and gone. Time to break it down, Winners & Losers™️ style. #MatchDay2022 thesheriffofsodium.com/2022/03/21/mat…
The end of benzos for alcohol withdrawal? A pre-post QI project @ Kaiser used an order set to promote non-benzo options (figure 1) and saw some improved outcomes (LOS, ICU; figure 2) jamanetwork.com/article.aspx?d… @JAMANetworkOpen #livertwitter (>40% chronic liver disease)
This 2021 study showed reduction rates in cervical cancer of 34% for age 16–18 years, 62% for age 14–16 years, and 87% for age 12–13 years, compared with unvaccinated girls. It also reduced up to 97% of pre-cancer. thelancet.com/journals/lance…
Prevalence of #Obesity Canada ~26% UK ~ 28% USA ~ 43% ~ Cost of Semaglutide 1 mg Canada ~ $195/month UK ~ $100/month USA ~ $800/month (not covered by most insurance plans) Anti-obesity medications are underutilized partly due to a lack of insurance coverage and high cost/copay
Huge difference in mortality during Delta/Omicron in US vs. UK seems attributable to our inferior vaxx campaign Cases roughly similar, but we had far more ICU admits & deaths Misinformation is everywhere & doesn't exist in a vacuum. Health system factors = probable driver here
A Heart Team Approach to Contemporary Device Decision in HF 👉 #HeartTeam concept be extended to #ICD decision? 👉 traditional “waiting period” prior to device implantation must be reshaped into an active 💊 optimization time @SunnyVMD @JagSinghMD @mvaduganathan @secardiologia
Camellia Maler @CamelliaMa85621
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505K Followers 515 Following Official X account for The Kobeissi Letter, an industry leading commentary on the global capital markets. Email us: [email protected]BrickWrld @BRICKW0RLD
75K Followers 4K Following Presenting the NBA’s worst/funniest | Featured on @ESPN, @ESPNNBA, @NBATV, @BleacherReport | DM for promo/submissionsThe Viking Age @TheVikingAge
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15K Followers 541 Following I return athletes to sport pain free. || Co-Founder of https://t.co/HS6l8K3R3fRoger Parloff @rparloff
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2K Followers 0 Following The Legislative Services Agency provides nonpartisan staff services to all members of the General Assembly including committee staffing, legal drafting, budgetAi Physician @AiPhysician
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832 Followers 411 Following NOT affiliated with University of Iowa sports teams. Covering all things Hawkeyes. #GoHawksFelix J. King @__CoachFee
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7.0M Followers 2K Following The #StanleyCup Playoffs live here. 🔄: @NHLGIFs 🏆: @StanleyCup 🗣️: @PR_NHL 📈: @NHLFantasy 📺: @espn, @NHL_On_TNT, @Sportsnet, @NHLNetworkSpittin' Chiclets @spittinchiclets
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204K Followers 295 Following Dividend Growth Investor Long term buy and hold investor focusing on Dividend Growth StocksJust putting this here since apparently there’s an entire cohort of people in medicine who know nothing about UTIs and honestly it’s kind of alarming
propublica.org/article/cigna-… ProPublica has done it again. These terrifying glimpses inside health insurance corporations are so important. People need to understand what we're up against. These corporations don't care about you. @Cigna
Population-adjusted Deaths by year by leading causes, with 2023 data. Technically, 2023 is still incomplete, but it's over 99.9% at this time.
I don’t care what anyone says, “I feel fine but my wife made me come in” has a positive predictive value for something being really fucking wrong that approaches 100%
Or….hear me out on this one:
Justice Alito suggests that, if former presidents are subject to prosecution after leaving office, they'll be more likely to seek to unlawfully remain in office after they were defeated for re-election/their term has ended. JFC.
BREAKING: The FTC just banned non-compete agreements. The Federal Trade Commission has issued a final rule making it illegal for bosses to make workers sign noncompetes in any scenario, and voiding nearly all existing noncompetes. This is a game changer for American workers.
BREAKING: Airlines will now have to pay you when they mess up. The Department of Transportation has issued a new rule requiring airlines to give you an automatic refund if your flight is canceled or delayed or if they lose your bags. It’s a game changer for U.S. travel.
@RealEmirHan Manchester by the Sea makes you feel like you have a lump in you stomach . . . Probably the greatest most depressing movie I’ve ever seen.
wILl sHe tAkE a PaYcuT? @darrenrovell
Breaking: Indiana Fever's Caitlin Clark – the No. 1 pick in the WNBA draft – is nearing a lucrative, eight-figure endorsement deal with Nike, per industry sources. Clark is set to receive her own signature Nike shoe. Story with @MikeVorkunov, @benpickman: theathletic.com/5424729/2024/0…
Greatest opening scene in a movie? I’ll start:
@RealEmirHan The Lion King (1994)
@RealEmirHan Robert Rodriguez’s Desperado opening credits scene with Antonio Banderas passionate guitar playing and singing while disarming someone . . . equally BADASS as it is cheesy, but very cool for this Mexican Spaghetti Western.
The Pale Blue Dot is an iconic photograph of Earth taken by NASA's Voyager 1 Spacecraft on February 14, 1990. When Voyager 1 was 3.7 billion miles (6 billion kilometers) miles from the sun, far beyond Neptune, mission managers commanded it to look back toward home for a…
Every #GameOfThrones spinoff series in development ⚔️
@EM_RESUS Medical care is being run by flow charts and algorithms
Phil Lord and Chris Miller’s ‘PROJECT HAIL MARY’, starring Ryan Gosling, will release in 2026 in theaters. The film follows a man who wakes up from a coma afflicted with amnesia & soon remembers he was sent 12 light-years away from Earth to save humanity.
Peter Claffey & Dexter Sol Ansell have been cast as Dunk & Egg in the #GameOfThrones prequel show 'Knight of the Seven Kingdoms: The Hedge Knight' ⚔️
You can't make this up: In 2016, Amazon, $AMZN, launched "Just Walk Out" at their Amazon Fresh grocery stores. The technology allows customers to literally walk out without seeing a cashier and they are charged "automatically." For years, it seemed like Amazon had created an…
@WahajAmanMD When it comes to HTN monoRx (which is already a very restricted approach) Losartan is the least potent and needs a B.I.D. intake. Olmesartan and Candesartan have been considered the most potent for once daily use and yet, Losartan ranks 1st place in prescriptions...