Cardiologist working for an academic university program; Helping to correct the myths of academic medicine and cardiology
East Coast, USA
Joined July 2023
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It's even worse when the treatment plan involves something which has little or no evidence to suggest benefit.
In my world, for example, the use of LifeVest for newly diagnosed nonischemic cardiomyopathy.
I just want you to know that I live about 1500 miles away from Austin and two co-workers at my hospital who are Indian American were commenting on your loss today.
So your reputation far exceeds TX borders and you are known nationally for being a racist asshole.
Congrats!
Tonight wasn’t the night our campaign had hoped for.
To everyone who stood alongside us, gave your time, and believed in what we set out to accomplish, thank you. I will never forget your dedication, your friendship, and, above all, your love for the great state of Texas.
As Thomas Jefferson once wrote, “I like the dreams of the future better than the history of the past.”
My dreams for Texas and America remain undiminished, as does my faith in the indomitable spirit of the people of the Lone Star State.
I’m not going anywhere — because we have work to do.
Onward.
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Academic Cardiologist retweeted
LVAD recovery is one of the overrated concepts in HF. How many patients truly recover to get their VAD explanted? Few than you think but thought leaders want you to think it's common.
Still remember years ago did a VAD explant for "recovery" - he died of MSOF in 72 hours.
Where does myocardial recovery fit in #LVAD care?
Join our upcoming webinar in collaboration with @Womenintxp_mcs to explore evaluation and optimization strategies for patients supported with our #HeartMate3 LVAD.
Register: bit.ly/4icAIvL
U.S. Safety Info: bit.ly/4icrQpI
#CardioEd
LVAD recovery is one of the overrated concepts in HF. How many patients truly recover to get their VAD explanted? Few than you think but thought leaders want you to think it's common.
Still remember years ago did a VAD explant for "recovery" - he died of MSOF in 72 hours.
Where does myocardial recovery fit in #LVAD care?
Join our upcoming webinar in collaboration with @Womenintxp_mcs to explore evaluation and optimization strategies for patients supported with our #HeartMate3 LVAD.
Register: bit.ly/4icAIvL
U.S. Safety Info: bit.ly/4icrQpI
#CardioEd
A colleague of mine complained about seeing an Arabic speaking patient in clinic.
"Can't he be scheduled with one of the doctors who speaks Arabic instead?" he said out loud to clinic staff.
There are plenty of racist shitty physicians out there who think what Vance thinks.
Academic Cardiologist retweeted
The profits are "reinvested" into increasing the number of senior administrators and their salaries.
And guess what? Medical care does not improve.
The profits are "reinvested" into increasing the number of senior administrators and their salaries.
And guess what? Medical care does not improve.
Patients don't like taking medications.
Cardiologists are too busy to see patients in clinic (and rather make $$ doing procedures).
Hospitalists stop medications they shouldn't stop.
HF specialists are focused on LVAD and transplant.
💰 The broader annual cost burden of Heart Failure (HF) is projected to reach $858 billion by 2050. Yet, we hold an extraordinarily cost-effective solution in our hands today. See below for more + click here for more insights from our HF STATS 2026 report bit.ly/3ULm2vS
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One thing I have noticed in academic medicine -
Any leader who is concerned about the size of their office is not somebody you want as your leader.
Did I miss something in medical school?
Are patients with newly diagnosed DVT/PE told not to sleep? Is this correct?
#Eagles QB Jalen Hurts, who is out for the season after several blood clots were revealed in his lungs, has been undergoing tests for days.
Before the London game, Hurts was in the hospital until 4 am and did not sleep because sleep was a risk. He played without having slept.
At your institution, within what time frame are you expected to finalize all outpatient clinic encounters?
55%1-4 days
18%5 - 7 days
9%8-14 days
18%Nobody cares
77 votes • Final results 996
I have seen academic cardiologists who:
--refuse to write Epic clinic notes (make NP do it)
--refuse patient transfers when on service (so they do less work)
--refuse to answer questions on outpatients when rounding b/c "too busy"
--go out of town on admin days for errands
Have you heard of elective ECMO cannulation?
Transplant programs across USA are cannulating patients who meet hemodynamic criteria to give them the highest status for transplant.
They are not crashing. Don't even have elevated lactate.
"If you build it, they will game it"
Grapes of Wrath should be read when on a trip out West.
Great Gatsby should be read when you are in your 40s.
Catch-22 should be read when you are fed up with the ignorance of hospital administrators.
Half the books you were "forced" to read in high school are actually spectacular, you just didn't have the emotional maturity to understand them yet.
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Would it surprise you to know that Dr. Uriel received $50K from Abbott (the company making the only FDA approved LVAD on the market) in 2024/2025?
openpaymentsdata.cms.gov/phy…
I wonder how much that's going to be in 2026?
At my previous institution the 2 highest h-index amongst cardiology faculty were:
--an "interventional" cardiology thought leader who hadn't done a left heart cath in 10 years
--A HF physician who showed up to work 2-3 days a week and couldn't write a note or formulate a plan.
Academic Cardiologist retweeted
Interesting how many times I ask a patient who referred them to see me for HF and the answer is a nurse practitioner
Sad fact is many NPs are better at referring patients and identifying advanced HF than cardiologists
This is how bad many general cardiologists are with HF.