Jim Siegler, Dad, Husband, MD @JimSiegler Twitter profile | Pikagi

Pikagi

Jim Siegler, Dad, Husband, MD

@JimSiegler

2,225

Followers

1,025

Following

468

Media

1,415

Statuses

Stroke Dir @UChicago_Neuro | Former @BrainWavesAudio Prod. (RIP) | @GreenJournal Dep. Ed. | @SVINJournal Digital Strat. Team | #FOAM | Jimdominals @onepeloton

Philadelphia, PA

Joined November 2018

Don't wanna be here? Send us removal request.

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@JimSiegler

Jim Siegler, Dad, Husband, MD

7 months

Like Winter in Chicago 🥶 the October CASPR update has arrived! 🎃 ✴️45% to goal!🪅 Top enrolling sites: 🥇Colorado: 211! 🥈Yale: 128! 🥉Grady: 67! Way to go! Special thanks to @SetarehOmranMD @NeeharikaThott1 @DineshJillella @aboulnourh for such success with enrollments!! 👏🏼

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

I'm not much for case reports, but my secret neuromuscular obsession surfaced when I read the case report on wrist drop by @RoyStrowdMD 's team. Bonus points should be awarded to authors for creative ways of simplifying heuristics 👇 @caseyalbin @teachplaygrub @zach_london

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

Apixaban vs rivaroxaban vs aspirin 😳

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@JimSiegler

Jim Siegler, Dad, Husband, MD

10 months

So honored to be featured in my first issue of @ContinuumAAN , this one edited by the AMAZING @CooperNeuroRes residents, nurses, and students. (Not @LyellJ , ps don’t sue for copyright plz) My favorite going away present. 🥹

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@JimSiegler

Jim Siegler, Dad, Husband, MD

6 months

The ARTESIA trial results are out! For paroxysmal and asymptomatic AF… 1️⃣ Stroke risk is low (1%/yr) 2️⃣ Apix lowers risk of stroke (~0.5%) 3️⃣ Risk of major bleeding NEGATES benefit Mean CHADSVasc was 4, but curious if r/o stroke modified effect? 🤔

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Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation | NEJM

Subclinical atrial fibrillation is short-lasting and asymptomatic and can usually be detected only by long-term continuous monitoring with pacemakers or defibrillators. Subclinical atrial fibrillat...

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

Cryptogenic stroke mgmt in the young. A 🧵… A healthy woman in her 40s presents with a distal M2 occlusion. No athero. EKG NSR. CTA neck shows a small cervical ICA “shelf-like” defect. 👇🏼

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

Large core trials show significant and clinically relevant benefit of endovascular thrombectomy over medical management! @AHAMeetings #ISC23 ⏩ Up to 24h ⏩ ASPECTS 3-5 or rCBF >50 (or 70-100) SELECT-2 👇 NNT 5!!

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

I’ve said it on rounds before. TIA is a sock drawer of neuro medical conditions. Benefit of DAPT in POINT is driven by those with acute stroke. Great work by ⁦ @ShadiYaghi2 ⁩ and colleagues.

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Infarct on Brain Imaging, Subsequent Ischemic Stroke, and Clopidogrel-Aspirin Efficacy

This post hoc analysis of a randomized clinical trial investigates whether the association of clopidogrel-aspirin treatment with stroke recurrence in patients with minor stroke or high-risk transient...

jamanetwork.com

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

So grateful and humbled to welcome to the world Lucia Mercedes Siegler. She truly is a new light in our lives @ErikaMejiaMD ! Should have known she was a girl…pushing her way through a week early just so she can say she was born on #InternationalWomensDay !

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@JimSiegler

Jim Siegler, Dad, Husband, MD

4 months

Statins and an LDL target are not enough for ICAD associated stroke. PCSK9 inhibition, the only approved tx shown to lower Lp(a) and can cause plaque regression, may be associated with lower #stroke risk in ICAD!

@AshuPJadhav

AshuJadhav

4 months

PSCK9 inhibitors reduced early recurrent stroke in patients with symptomatic intracranial atherosclerotic stenosis

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@JimSiegler

Jim Siegler, Dad, Husband, MD

3 years

Restarting antiplatelet therapy about a month after #ICH deemed safe in this large, multicenter RCT. 21% reduction in point estimate for recurrent vascular events if restarted, but not significant (p=0.14).

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Effects of Antiplatelet Therapy After Stroke Caused by Intracerebral Hemorrhage

A follow-up of the Restart or Stop Antithrombotics Randomized Trial, this study further examines the long-term effects of antiplatelet therapy after stroke caused by intracerebral hemorrhage.

jamanetwork.com

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@JimSiegler

Jim Siegler, Dad, Husband, MD

4 years

Sofia is helping me with edits to a paper on podcasting by @ShreyaTrivediMD and me. Sofia: "Is 'queryable' a word, Dad?" Dad: It is now. Also, please don't vomit on my laptop.

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

Sources of cryptogenic cerebral emboli are HIGHLY age dependent. Proud mentor of this student-authored work published in @StrokeAHA_ASA #AHAjournals ! With @NguyenThanhMD and others @CooperNeuroRes @PennNeurology .

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Age Alters Prevalence of Left Atrial Enlargement and Nonstenotic Carotid Plaque in Embolic Stroke...

Background: Nonstenotic carotid plaque and undetected atrial fibrillation are potential mechanisms of embolic stroke of undetermined source (ESUS), but it is unclear which is more likely to be the co

www.ahajournals.org

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

Is there a benefit of thrombectomy in venous sinus thrombosis? So lucky to be able to quartback this incredible collaboration led by @ShadiYaghi2 & @ShuLiqi wit HH so many others! 👇🏼

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

Celebrity sighting at #ISC23 ! Met @teachplaygrub in person. 😊 What superhero were YOU surprised to meet at the @AHAMeetings in Dallas? 🦸

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

TNK vs tPA in a regional network… ⏬ door to needle times ⏬ transfer delays ⏬ hospital costs = better care 👏👏 Well done Warach et al!

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Prospective Observational Cohort Study of Tenecteplase Versus Alteplase in Routine Clinical Practice

Background: A 10-hospital regional network transitioned to tenecteplase as the standard of care stroke thrombolytic in September 2019 because of potential workflow advantages and reported noninferior

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@JimSiegler

Jim Siegler, Dad, Husband, MD

6 months

Absolutely PSYCHED about the 2023 @svinsociety annual meeting in Miami! Can’t wait to catch up with old friends and make some new ones. Tune in to my debate w/ the @NINDStrials legend Pat Lyden on EVT with versus without IVT. (I promise to take it easy on you, old man! 😉)

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@JimSiegler

Jim Siegler, Dad, Husband, MD

3 months

Head of bed FLAT for LVO! Early improvement HIGHER for pts laid flat versus 30 degrees with NO signal of harm in ZODIAC trial @AHAMeetings #ISC24 No benefit in functional outcome at 90d although there was a trend for improvement. Sample NOT powered for long term analysis!

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

1/ Limitations of sICH definition: A tweetorial and poll(s). Let us begin.

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

Moderate pre-stroke disability should NOT preclude endovascular treatment of anterior LVO in the late window. Outcomes BETTER with recanalization!! 👇🏼

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Endovascular vs Medical Management for Late Anterior Large Vessel Occlusion With Prestroke Disabi...

Background and ObjectivesCurrent guidelines do not address recommendations for mechanical thrombectomy (MT) in the extended time window (>6 hours after time last seen well [TLSW]) for large vessel...

www.neurology.org

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@JimSiegler

Jim Siegler, Dad, Husband, MD

3 months

Could not be prouder of @ShadiYaghi2 for leading this extraordinary analysis of 4000 patients with cervical artery dissection (STOP-CAD) tx’d in routine practice. AP no different from AC for preventing recurrent stroke. But comes with a cost of bleeding. @AHAMeetings #ISC25

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@JimSiegler

Jim Siegler, Dad, Husband, MD

10 months

🔥 Hot off the press! (And almost as hot as the weather ☀️) Aspiration vs SR for MeVO: the MAD-MT consortium. Published in @SVINJournal TODAY!👇🏾

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@JimSiegler

Jim Siegler, Dad, Husband, MD

4 months

ICAD review in @StrokeAHA_ASA 👇🏾 🔺Hemodynamic failure 🔺Plaque rupture 🔺Branch atheromatous disease ✅statin ✅BP control ✅Diet & exercise GWTG data indicate 1 out of 3 pts nonadherent w these recs at 1 yr. Counseling is invaluable!

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Epidemiology, Pathophysiology, and Imaging of Atherosclerotic Intracranial Disease

Intracranial atherosclerotic disease (ICAD) is one of the most common causes of stroke worldwide. Among people with stroke, those of East Asia descent and non-White populations in the United States h

www.ahajournals.org

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

So proud to author our recent work by the @svinsociety members highlighting disparities in timely treatment among Black and Hispanic patients with LVO #stroke , published in @SVINJournal today!👇🏽

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 month

How can we personalize paroxysmal AF treatment? Burden of #Afib is becoming more important… 👇🏾 Special thanks to @ShadiYaghi2 & @SposatoL for their help writing this viewpoint in @JAMANeuro

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Personalized Management of Device-Detected Atrial Fibrillation

This Viewpoint discusses the need to individualize the management of subclinical atrial fibrillation according to burden (among other factors) by modeling stroke risk.

jamanetwork.com

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

It is bittersweet but these last four years at Cooper have been instrumental in my development as a clinician, educator, researcher, and leader. I wouldn’t have changed it for the world, but I look forward to what lies ahead!

@CooperNeuroRes

Cooper Neurology Residency

@CooperNeuroRes

1 year

Caught him between rounds at Inspira and Cooper! 👀 Celebrating @JimSiegler ’s last days at @CooperHealthNJ before leaving for @UChicago_Neuro . 🥹 “How are your spirits?”

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@JimSiegler

Jim Siegler, Dad, Husband, MD

6 months

🔥HOT OFF THE PRESS @svinsociety #SVINAM23 Size does NOT matter! 🫨 Chris Favilla @PennNeurology shows infarct DENSITY outperforms infarct SIZE in predicting outcome after recanalization success with LVO! @almuftifawaz @AHAMeetings @StrokeAHA_ASA

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

🗣️CASPR Study Update🧠 🏥Sites pending onboarding: 11 👏🏽 🏥Sites completed onboarding: 33 👏🏽👏🏽 🏥Sites with IRB approval: 4 👏🏽👏🏽👏🏽👏🏽👏🏽 Thanks to everyone for their support!🫂 @ShadiYaghi2 @NguyenThanhMD @AnjailIbrahim @MahanShahrivari @AaronRothstein @PracMeh @ChaturvediNeuro

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@JimSiegler

Jim Siegler, Dad, Husband, MD

6 months

Happening NOW @svinsociety #SVIN2023 @ShadiYaghi2 discussing mechanisms and management of recurrent stroke in ICAD. High risk with: 🚨Hypoperfusion on advanced imaging 🚨 Birderzone pattern 🚨Single antiplatelet 🚨Lack of exercise!! (quickly escapes to hotel gym 🏃)

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@JimSiegler

Jim Siegler, Dad, Husband, MD

6 months

No difference with aspects 0-2 vs 3-5!! #SVIN23 #NoLVOleftbehind @almuftifawaz @SVINJournal @MThrombectomy

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@SVINJournal

Stroke: Vascular and Interventional Neurology

6 months

Check it out! Legend @TudorGJovin presenting the results of the UNLIMITEDLY large core EVT trial, LASTE, at #SVIN23 . Tx of ASPECTS 0-5 within 7hrs IMPROVES survival and reduces disability! NNT 4!!!

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@JimSiegler

Jim Siegler, Dad, Husband, MD

10 months

📢Check out our latest REVIEW on #COVID19 and #stroke published here 👇🏾 #mdpiviruses via @VirusesMDPI 👏🏾👏🏾SO grateful to the other content experts on our team @NguyenThanhMD @ShadiYaghi2 @AbdalkaderMD @Marypenckofer & @CooperNeuroRes Savanna Dasgupta. 🔥

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@JimSiegler

Jim Siegler, Dad, Husband, MD

3 months

Excellent arguments by @ArKatsanos for the retirement of ESUS at #ISC23 . Loved the leveraging of @hoomankamel ’s work & conclusions in the arguments! I think we ALL agree ESUS is heterogenous, and nested or tiered analyses are critical to the personalization of tx! @AHAMeetings

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@JimSiegler

Jim Siegler, Dad, Husband, MD

3 months

Will be live tweeting at #ISC24 from the @SVINJournal and my personal account. But first, coffee!

@SVINJournal

Stroke: Vascular and Interventional Neurology

3 months

HAPPENING NOW at #ISC24 in Main Event Halls 1-3, debates regarding INDIVIDUALIZATION of thrombectomy decision making feat. @CynthiaKenmuir @mayank_G0 @johanna_ospel @JeremyHeitMDPHD @draravindganesh Yes or no for... - Mevo - Disability - EVT without CTP @AHAMeetings

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@JimSiegler

Jim Siegler, Dad, Husband, MD

3 years

Another fantastic collab with @svinsociety , thx to leadership by @DineshJillella ! Delays in thrombolysis during COVID-19 are associated with worse neurological outcomes

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@JimSiegler

Jim Siegler, Dad, Husband, MD

4 years

Had SUCH an incredible talk with Dr. @Tracey1milligan on the interictal #EEG in #epilepsy diagnosis. You can SEE how excited she is about this, and how much she loves her work! Can't wait for the episode to come out soon!! :-)

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 months

SO SO SO SO PROUD of all the neuro-bound @coopermedschool students who matched today!! For some of you, it has been a privilege to mentor you and watch your skills & knowledge grow these last four years! Best of luck @nickvigilante3 @linndazhang @oaksol97 @wolfej23 Karan Patel!

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@JimSiegler

Jim Siegler, Dad, Husband, MD

3 months

Want to see the feeling of your first rejection letter from Lancet? Publishing is palindromic: Writing ➡️ submitting ➡️ learning ➡️ revising ➡️ revising ➡️ learning ➡️ resubmitting ➡️ writing again! On to the next one!

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@JimSiegler

Jim Siegler, Dad, Husband, MD

10 months

Twitter engagement in an academic journal has a modest impact in scholarly citation indices. 👇🏾 ⬆️Twitter mentions = ⬆️Citations! @AshuPJadhav @caseyalbin @EricaJones_MD Impact of a Digital Strategy Team in an Academic Stroke Journal | @SVINJournal

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

The @svinsociety annual meeting agenda is ONLINE! Looking good! 🧐 Can't wait to see everyone in two weeks in LA! @TudorGJovin @johannatfifi @STateshimaMD @italolinfante @eva_mistry @mudassirf267 @oozaidat @AlexandraCzap @eytanraz @AliciaCastongu2 👇🏿

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@JimSiegler

Jim Siegler, Dad, Husband, MD

6 months

STOKED about @NguyenThanhMD and @DiogoHaussen ’s newest trial, CLASS, evaluating cangrelor in ICAD. Count @UChicago_Neuro in! 👏👏 @svinsociety #SVIN23 @AHAMeetings @MThrombectomy @StrokeAHA_ASA

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@JimSiegler

Jim Siegler, Dad, Husband, MD

6 months

My goals for #SVIN2023 : 1️⃣ Make new friends ☺️ 2️⃣ Defeat Pat Lyden in tPA debate 😬 3️⃣ Reach >2k followers! You can help me do all these things!! @svinsociety @SVINJournal @AHAMeetings @MThrombectomy

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

You know both parents are doctors when your wife puts this on the grocery list.

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@JimSiegler

Jim Siegler, Dad, Husband, MD

5 months

2023 has been such a wonderful year. The move to Chicago was smooth (minus stolen bikes 😡) and rewarding, our girls are thriving in “school”, family is healthy, and we’ve made some great new friends along the way. 😊 Happy holidays to you & yours. Warmly, The Siegler family

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

A view of weekend stroke call… 6 telestroke sites 4 residents 2 babies And the most supportive wife you could ever ask for @ErikaMejiaMD 🥰

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@JimSiegler

Jim Siegler, Dad, Husband, MD

11 months

Keep pushing the boundaries! #NoLVOleftbehind Check out our meta-analysis published yesterday in the @GreenJournal re: safety + efficacy of EVT for LARGE ISCHEMIC INFARCTION w/ @AbdalkaderMD @amrsarrajMD @RaulNogueiraMD @NguyenThanhMD 👇

@NguyenThanhMD

Thanh Nguyen 🇺🇦

11 months

Mechanical Thrombectomy for Large Ischemic Stroke: A Systematic Review and Meta-Analysis

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

An increasingly important question, with an unsurprising answer. Perfusion imaging identifies pts MOST LIKELY TO BENEFIT from EVT. Next question: If there were a novel test that predicted MOST CASES OF SEPSIS d/t appendicitis, would you use that to select pts for appendectomy?

@StrokeAHA_ASA

Stroke AHA/ASA

2 years

ICYMI: In this study of EVT treated patients, perfusion imaging selection was associated with better outcomes compared to no perfusion imaging selection among patients within 0-6 and 6-24 hour window, although comparison to no EVT was not available.

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@JimSiegler

Jim Siegler, Dad, Husband, MD

4 years

Today she learned how to sit on the stairs. A simple task for us. But for someone who has NEVER done it before, you can tell why she's excited!

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 month

GLP1 agonists have been shown to help people: - Improve glycemic control - Reduce carotid plaque thickness - Lower risk of heart attack/stroke - Limit compulsive behaviors - Lose weight …and now slow motor progression in Parkinson Disease?? 🫨 @NEJM 👇🏾

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Trial of Lixisenatide in Early Parkinson’s Disease | NEJM

Lixisenatide, a glucagon-like peptide-1 receptor agonist used for the treatment of diabetes, has shown neuroprotective properties in a mouse model of Parkinson’s disease. In this phase 2, double-bl...

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@JimSiegler

Jim Siegler, Dad, Husband, MD

3 months

Sad to leave #ISC24 . Despite all I’ve learned along the way, the best part of these @AHAMeetings is always catching up with old friends, mentors and mentees!

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

Curious about real-world outcomes in cryptogenic stroke? Wondering how people are treating carotid webs or rare atrial fibrillation events? CASPR is an ongoing multi-center registry-based study looking into these (and other) questions! 👇🏻

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@JimSiegler

Jim Siegler, Dad, Husband, MD

7 months

Strong work by Karan Patel of @coopermedschool & @wolfej23 @PratitDPatel et al showing the growth of EVT after pivotal trials! Most growth in the souther stroke belt & teaching hospitals. Data highlight opportunities in other regions and systems 👇🏽 @svinsociety @SNISinfo

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@ManishaKoneru

Manisha

7 months

Differential thrombectomy utilization across hospital classifications in the United States #neurointervention @JSCVD2 @JimSiegler

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@JimSiegler

Jim Siegler, Dad, Husband, MD

11 months

🔥 So proud of rock star @coopermedschool student Karan Patel @CooperNeuroRes for quarterbacking this game-changing analysis of BASILAR ARTERY #stroke thrombectomy with low NIHSS (<10), published TODAY in @StrokeAHA_ASA 🔥 👇🏾

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

📣 2X the risk of recurrent cerebrovascular events with ICAD and borderzone infarcts vs non-BZ infarcts. A meta analysis by @sauravmed @ShuLiqi @ShadiYaghi2 @NguyenThanhMD @brianmacgrory @PoojaKhatriMD @eva_mistry @dliebesk and others 👇🏾 Amazing work! 👏

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

Dear Editor @SVINJournal , We humbly submit the following pastel dot marker rendering titled, “‘Arterial tree’ with ‘berry’ aneurysms” for exclusive publication as a cover image in your journal. Sincerely, Sofia Siegler Age: “Two and a half!”

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@JimSiegler

Jim Siegler, Dad, Husband, MD

6 months

Tonight, in hospitals across the country, neurointerventionalists are shaving an hour off their door-to-puncture times.

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

So proud to be part of this important collaboration evaluating #stroke outcomes in #COVID19 led by @AdamDmytriw with support by @svinsociety leaders!

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

Long-awaited CASSISS results are in! But are the findings widely applica-POLL?? 🤷🏽‍♂️ Why do YOU think there was NO difference in recurrent stroke and secondary outcomes among stented and non-stented patients with symptomatic 70-99% intracranial stenosis?

No advantage of stenting

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Low-risk population

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Underpowered trial

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Other (specify response)

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

Free-coffee-question-of-the-week from inpatient rounds: What is this 👇and what does it mean? 🤔

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

Thrombectomy for #LVO stroke in the late window. Guidelines from the @svinsociety GAPS committee just published in @SVINJournal today! ALL: ✅Clinical-imaging mismatch ✅HCT without perfusion! Consider individualized tx by: ☑️Prestroke disability ☑️Mild symptoms ☑️Large core

@NguyenThanhMD

Thanh Nguyen 🇺🇦

1 year

Mechanical Thrombectomy in Late Presentation of LVO: SVIN Guideline @AliciaCastongu2 @oozaidat @JimSiegler @NagelSimon @TudorGJovin @AbdalkaderMD R. Nogueira et al. This Late Window Guideline opens the door to treat LVO patients with good NCCT to MT ....

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@JimSiegler

Jim Siegler, Dad, Husband, MD

11 months

👋 Sieglers are wearing orange this weekend (or as much orange as we can!) for #GunViolenceAwarenessMonth . #WearOrangeWeekend #EndtheViolence #WearOrange

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

Great to speak alongside some of the greats at #ISC23 like @ShadiYaghi2 on #covid19 and #stroke .

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

Examining the functional patient with medical students be like… “Did you see what I did there?”

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@JimSiegler

Jim Siegler, Dad, Husband, MD

3 years

Endovascular thrombectomy time metrics in the era of COVID-19: another impressive collab thanks to @svinsociety @TudorGJovin @AlexandraCzap @dliebesk @NguyenThanhMD @AmeerEHassan @DineshJillella @AshuPJadhav and many others!

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@JimSiegler

Jim Siegler, Dad, Husband, MD

4 years

We are LIVE! A study on the impact of digital #MedEd #SoMe #FOAMed on education during #COVID19 . Looking for ALL medical bloggers/podcasters to participate in this multinational study! Huge thanks to @TChanMD & @PBoreskie for building this project!

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

Happiness is a simple equation. {Happiness = Reality - Expectations} As long as your expectations << your reality, you will always be happy. The question is, is job dissatisfaction for neurologists due to high expectations or unanticipated reality? (My guess, the former…)

@Inside_TheMatch

Inside The Match

@Inside_TheMatch

1 year

Check out which physicians as a group are the happiest outside of work source @Medscape #Match2023 #MedTwitter #MedStudents #InsideTheMatch

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

So true, @MicieliA_MD ! Minus the differentiation of “vertigo” from “dizziness”. Many patients with posterior circulation strokes feel… ⚠️ “My balance is off” ⚠️ “I’m lightheaded” ⚠️ “I’m going to pass out” And many pts w heart failure say 💔 “The world is spinning”

@MicieliA_MD

Andrew Micieli

2 years

When should you do CTA head and neck in the ED for patients presenting with vertigo? Below is a "vertigo +" approach to help risk-stratify who can be safely discharged to rapid clinic where further neuroimaging with MRI brain can be considered. #neurotwitter #stroke #neurology

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@JimSiegler

Jim Siegler, Dad, Husband, MD

3 months

Latest from @CooperNeuroRes by Umika Paul and @ManishaKoneru showing that a cortical ASPECTS is as predictive of outcomes as total ASPECTS! Greater reliability too? @Marypenckofer @NguyenThanhMD @JaneKhalife @PiersKlein @scottk224 @nickvigilante3 👇🏾

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

Symptomatic nonstenotic carotid plaque (SyNC): An increasingly recognized and unclearly treated unique mechanism of embolic #stroke 👇

@AshuPJadhav

AshuJadhav

1 year

The Attributable Risk of Nonstenotic Cervical Carotid Plaque in Cryptogenic Embolic Stroke @SVINJournal @StrokeAHA_ASA @svinsociety

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

Detection of Atrial Fibrillation in a Large Population Using Wearable Devices: The Fitbit Heart Study Next step: Fitbit —> Amazon pharmaceuticals —> apixaban prescription sent to locker —> automated cardiology referral 10yrs down the road, or 2? 🤔

Detection of Atrial Fibrillation in a Large Population Using Wearable Devices: The Fitbit Heart...

Background: Morbidity from undiagnosed atrial fibrillation (AF) may be preventable with early detection. Many consumer wearables contain optical photoplethysmography (PPG) sensors to measure pulse ra

www.ahajournals.org

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

Sad to be missing #ISC22 in person this year. So many great memories from years before! But I'll be there in spirit, and live-tweeting from @SVINJournal along with the incredible @EricaJones_MD . Talk soon!! @StrokeAHA_ASA @AHAMeetings @asamai21 @ashabanmd @smartinschild

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@JimSiegler

Jim Siegler, Dad, Husband, MD

4 years

Honored to have been (and still be) a part of such an impressive collaboration w/ the @svinsociety and terrific mentors like @TudorGJovin and colleagues @NguyenThanhMD , @jthon1265 , @DiogoHaussen , @AmeerEHassan , @PratitDPatel , @tele_Zha , and many others!

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

**CASPR January 2023 update** Lots of progress over the past month! 👏🏼 👏🏼Thank you to all the site PIs and the coordinators who do so much heavy lifting!! 💪

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

Why I always start by looking at the eyes when reviewing a HCT in a #stroke patient. Gaze deviation —> stroke or seizure Number Needing Review: A Novel Metric to Assess Triage Efficiency of LVO Detection Systems in ⁦ @SVINJournal ⁩ 👇

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Number Needing Review: A Novel Metric to Assess Triage Efficiency of Large Vessel Occlusion...

www.ahajournals.org

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Jim Siegler, Dad, Husband, MD

1 year

What I’m pretty sure happens when the M2 says they completed the neuro exam on day 1 of the rotation.

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

I don’t practice medicine so I can come home and spend time with my family. I do it so my patients can spend time with theirs. 1/

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@JimSiegler

Jim Siegler, Dad, Husband, MD

3 years

TNK cuts endovascular treatment time in HALF vs alteplase! Even so, recanalization at time of angio with TNK still significantly better than alteplase. Want to improve metrics? Switch to TNK. @ThonJesse @DenaLittle15 @TMYeager4 @ainsley_smith @TudorGJovin

@AshuPJadhav

AshuJadhav

3 years

Tenecteplase Versus Alteplase Before Endovascular Therapy in Basilar Artery Occlusion

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

Amazing work led by @NagelSimon @NguyenThanhMD and so many others on this multicenter analysis of thrombectomy without recovery. 1. Imaging modality NOT predictive 2. Poorer aspects, delays d/t transfer & older age predicted RFI (unsurprising, but nice to validate) 👇🏼

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@NagelSimon

Simon Nagel

2 years

Reperfusion without Functional Independence👩‍🦼in Late ⏱️Presentation of Stroke with LVO. F. Seker @RaulNogueiraMD @AbdalkaderMD @RaymondJeanMD1 @marcriboj @Mahmoudneuro @StefaniaNannoni @oozaidat @TudorGJovin @JimSiegler @FishingNeurons @NguyenThanhMD

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Jim Siegler, Dad, Husband, MD

6 months

So grateful for the opportunity from @SVINJournal to write this review in atherosclerotic risk in stroke of historically unclear mechanisms. 🙏🏽

@SVINJournal

Stroke: Vascular and Interventional Neurology

6 months

1/ Nonstenotic cervical carotid plaque (NSP) is an increasingly recognized (but still an underappreciated) contributor of cerebral infarction, possibly accounting for HALF A MILLION strokes worldwide per year. 🤯

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@JimSiegler

Jim Siegler, Dad, Husband, MD

3 years

So proud & honored to take part in this outstanding collab w ⁦ @svinsociety ⁩. Thanks ⁦ @TudorGJovin ⁩ ⁦ @NguyenThanhMD ⁩ ⁦ @DiogoHaussen ⁩ ⁦ @ossama_mansour ⁩ ⁦ @AmeerEHassan ⁩ ⁦ @dliebesk ⁩ and all our colleagues overseas!

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Stroke etiologies in patients with COVID-19: the SVIN COVID-19 multinational registry - BMC...

Background and purpose Coronavirus disease 2019 (COVID-19) is associated with a small but clinically significant risk of stroke, the cause of which is frequently cryptogenic. In a large multinational...

bmcneurol.biomedcentral.com

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

At long last! The @CooperNeuroRes outpatient neurology lumbar puncture clinic is LIVE! Would not have been possible without the tireless effort of @OlgaThon and many others @CooperHealthNJ over the past year. So excited to offer this to our patients!!

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

So much fun to make this happen. What a great team!!

@CooperNeuroRes

Cooper Neurology Residency

@CooperNeuroRes

2 years

Challenge accepted! @NoMercyOnStroke @svinsociety Push-up for #stroke awareness 💪🏿💪🏿 👇🏽 feat. @JimSiegler @DanTonettiMD @Oliveira_RAC @AjayRajshekar @RichaThakkar9 @NeuronsDancing We challenge @rwregen et al! Whatchu got??

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

Looking forward to #SVIN2022 , but excited to debate the safety and efficacy of intravenous thrombolysis 💉>4.5h window 🧠 with Martin Gizzi at the #NECC Dec 9! ...how nice of Martin to take the EASIER side advocating FOR extended window lysis. 😉 Should be an exciting exchange!

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

📣ATTENTION COMRADES!!📣 Time ⏳ is running out ⌛️for abstract submissions to the @AHAMeetings 2023 International #Stroke conference. **BUT** The abstract deadline has been extended for RESIDENTS and FELLOWS to OCTOBER 3!! 🥳 👇

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

📡 MAY 2023 CASPR Updates 🚨 We are continuing to grow the network and complete more records. Thanks to EVERYONE who has worked so hard over these past few months to build this registry of cryptogenic #stroke patients! May the Fourth be with you.

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@JimSiegler

Jim Siegler, Dad, Husband, MD

3 years

Risk of thrombocytopenia and thromboembolism after covid-19 vaccination and SARS-CoV-2 positive testing: self-controlled case series study

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@JimSiegler

Jim Siegler, Dad, Husband, MD

4 years

So many amazing gifts for father's day. When asked what my favorite gift was, the answer was clear. And she's in this photo. 🥰

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@JimSiegler

Jim Siegler, Dad, Husband, MD

3 years

Our prospective ischemic #stroke registry @CooperNeuroRes just broke 1200 patients today! And 13 papers to show for it! Kudos to everyone who made this possible!! @ainsley_smith @Mark_Heslin @laurent1224 @ThonJesse @TudorGJovin @TMYeager4 And so many others!

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@JimSiegler

Jim Siegler, Dad, Husband, MD

3 months

So excited to announce our FIRST ANNUAL Stroke Symposium at @UChicago ! Cutting edge topics include… 💉Is lysis dead? 💈Stent ICAD? 😷CEA vs stenting? 🩸Personalized antithrombotics DETAILS 🗓️ June 7, 2024 🙇‍♀️ CME: YES! 💻 In-person + Virtual options 👇🏾

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

So so so so proud of my @coopermedschool student mentees for presenting their original research at #ISC23 @AHAMeetings ! Well done Mary and Karan!

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@JimSiegler

Jim Siegler, Dad, Husband, MD

9 months

In order to expedite transfer times for acute #stroke in Chicago, @UChicago_Neuro has partnered with the Blue Angels. ACTUAL footage from a 58yoF transfer for M1 occlusion below.

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@JimSiegler

Jim Siegler, Dad, Husband, MD

2 years

When the PGY1 can’t get the LP after 5 attempts, and they ask the attending for help.

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 month

Such a pleasure to talk with @NeurophiliaPod producers @mdgoels & @BlakeBuletko ! Was terrifying to be on the other side of the mic but they made the interview easy! 😊🧠 Looking forward to hearing the show!

@NeurophiliaPod

The Neurophilia Podcast

@NeurophiliaPod

1 month

The wait is almost over... we just finished recording our Vascular Neurology episode with the podcast icon himself, @JimSiegler . The episode will be released on 4/8/24 (we promise you this isn't a joke!). @mdgoels @BlakeBuletko @SVINJournal @UChicago_Brains #Neurology #stroke …

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@JimSiegler

Jim Siegler, Dad, Husband, MD

9 months

Despite neutral trials for basilar artery thrombectomy, there was NO decline in tx with this life-changing intervention in the US through 2020! 👇🏾 Our findings just published in @SVINJournal

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@JimSiegler

Jim Siegler, Dad, Husband, MD

24 days

So long #AANAM 2024! See you all in San Diego next year!

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

Heads up #ISC23 ! Will be livetweeting the latest in #stroke . Follow me to remain up-to-speed about the latest advances in stroke and cerebrovascular disease. 💪🧠👏👇 See y’all in Dallas.

@AshuPJadhav

AshuJadhav

1 year

International Stroke Conference 2023 @StrokeAHA_ASA @SVINJournal @svinsociety @eva_mistry @JimSiegler @rwregen @TudorJovin @LD_McCullough @vdelbrutto #ISC23

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@JimSiegler

Jim Siegler, Dad, Husband, MD

7 months

So proud of @savannadasgupta and @nedjaf @CooperNeuroRes for pushing the limits with thrombectomy decision making in this review. 24 is an arbitrary number. And while there is definite benefit of EVT within 24h, there is evidence of benefit beyond 24h for select patients!

@nedjaf

Neda Jafri

7 months

so proud and excited to have published a mini review on the ultra extended window for thrombectomy @Jneuromed with @JimSiegler and @savannadasgupta ! We should consider tailoring treatment to a patient’s brain tissue window rather than time window.

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

For all the former fans of @BrainWavesAudio , the episodes remain available for FREE at YouTube. And now, many of your favorite episodes are available on Medlink!

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Thousands of medical professionals trust MedLink for current, authoritative information spanning the full spectrum of neurology.

www.medlink.com

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@JimSiegler

Jim Siegler, Dad, Husband, MD

6 months

HAPPENING NOW At #SVIN23 some peace of mind at a mental wellness break. 🌞

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@JimSiegler

Jim Siegler, Dad, Husband, MD

1 year

🎄Merry CASPR-mas!!🎄 Our multi-center cryptogenic registry is coming along right on schedule. 😁 Shout out to all the investigators for getting their site up and running! 👏🏼👏🏼 Goal population: 5,000 Anticipated registry completion: Dec 2023

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@JimSiegler

Jim Siegler, Dad, Husband, MD

4 years

Greetings from the #covid19 unit @CooperHospital !!

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