Joined December 2008
coolbreeze09 retweeted
Should the left atrial appendage be closed (LAAC) with an implantable device to prevent stroke with atrial fibrillation and need for long-term blood thinners (DOACs)? This @JAMANeuro editorial argues against the procedure jamanetwork.com/journals/jam…
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coolbreeze09 retweeted
In its pivotal clinical trial, the GRAIL test to detect early cancer failed its primary endpoint. It detected only 3 early cases per 1,000 people assessed. There were more false negative results (N=196) than true positives (N=133). Reviewed here erictopol.substack.com/p/the… But you wouldn't know any of that if you read today's WSJ editorial! gift link wsj.com/opinion/a-grail-canc…
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coolbreeze09 retweeted
I wished I shared such enthusiasm More negative than positive trials Super advanced HF, nope HFpEF, nope Charas etiology, nope Maybe goldilocks population Maybe paradigm not replicable due to run in and more so, potentially inadequate control I frankly don't know
Sacubitril/Valsartan PARADIGM-HF: 8,442 patients, 27 months follow-up, stopped early for benefit 🧵👇 📉 HR 0.80 — CV death or HF hospitalization (p<0.001) 📉 -20% relative ↓ in cardiovascular death 📉 -16% relative ↓ in all-cause mortality 📉 -21% relative ↓ in HFH
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Here is what grok said when asked a hypothetical patient with. Chads vasc of 3 who doesn’t want to be on a doac. 🙈
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#GDMTworks, but we still aren't using it. New in #JACCHF: in 40K pts w newly dx #HFrEF, slow uptake on GDMT initiation w disparity btwn rural & urban use. 16% excess mortality risk for rural pts. *We can do better* 👀:jacc.org/doi/10.1016/j.jchf.… @JACCJournals @gcfmd @ambarish4786
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coolbreeze09 retweeted
Warren Buffett on how to calculate intrinsic value; a masterclass on investing
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coolbreeze09 retweeted
You can go to school and spend years trying to learn about great marketing. Or you can spend a few minutes watching Steve Jobs - a marketing masterclass:
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I will start another debate on left atrial appendage occlusion. This one in Hyde Park format at #HRS2024 I have 9 reasons why I am not convinced this procedure benefits patients. This is percutaneous closure. Surgical closure was shown effective (along with AC) in LAAOS3 1/
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coolbreeze09 retweeted
Carl Jung once said: "Thinking is difficult, that’s why most people judge." Here are 11 things I learned from him:
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Biden is in Lake Tahoe as another offshore balloon comes by to say hello?
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Wow incredibly stunning and brave. Ryan Webb is a powerful black woman who deserves our full support and respect.
Ryan Webb, a white councilman in Indiana, now identifies as a woman of color The best part? The media being forced to take him seriously:
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coolbreeze09 retweeted
I have to share something hilarious with you guys. I’m in Iowa with hundreds of voters tonight for a rally. There was an open bar that RAN OUT of beer… Except for one brand… @budlight Go woke, go BROKE. Sad!
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George Soros admits to helping Nazis during the Holocaust (1998): Steve Kroft: “Was it difficult?” Soros: “Not at all. Not at all.” Kroft: “No feeling of guilt?” Soros: “No.”
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coolbreeze09 retweeted
Update: The City of Springfield, Ohio has released surveillance footage of the elementary school incident from Feb. 10 where white students were held hostage & assaulted on the playground by black students who wanted to force them to pledge allegiance to #BLM.
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Martha Stewart spent 5 months in prison for insider trading that helped her avoid $45k in stock losses. Nancy and Paul Pelosi sold $3 million in Google stock just weeks before the DOJ announced an antitrust lawsuit against the company. How much time will Nancy and Paul get?
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coolbreeze09 retweeted
Just left dystopian San Francisco. Here’s a little parting gift for lizard person Gavin Newsom…
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Wow.
The single greatest moment of live television history
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