In our recent Road to Resilience podcast episode,
@dranulala
reflects on what she’s learned about uncertainty, healing, purpose, and what it means to live a good life. Listen to the podcast episode here:
#RoadToResilience
This.
#WordsMatter
👇🏽
🚫Against Medical Advice (AMA) -stigmatizing, depersonalized, antagonistic relationship w/patients
✅ Before Medically Advised (BMA)
-promotes curiosity to understand patient circumstances, set up for better patient-clinician communication
@AnnalsofIM
God I love this woman so much!
#DrNanetteWenger
🤩😍 -
#ACC24
Thank you
@avolgman
for the 📸
Packed session on life lessons learned from “mature cardiologists”🫀
Her advice: invest in time ⏳for yourself, because if you don’t care for yourself constructively no one will 🙏🏽…
#Monday
win:
2019: new Dx NICM EF 10%, shortness of breath walking around her apt
Today: EF 58%, ⬇️20lbs, S/V, BB, spiro, SGLT2i, walking 5 mi/day, sponsoring girls to do stand up! Shoes were a gift❤️
#GDMTworks
#FunctionNotFailure
Posted w/permission
#MothersDay
kindergarten tea ☕️ w/my little man 😭❤️
“I love my mom because she is a role model…she is so competitive & tries to beat me” …AT TENNIS!- crucial info left out😂🤷🏽♀️)
#WorkLifeHarmony
🎶🙏🏽
Happy Mother’s Day to ALL who nurture, protect, & love in various forms❤️
On call. Brought kids to hosp to finish rounding after a dinner escape then 👀 Christmas Chronicles
@ShelleyZieroth
😉
Felt guilt of what I thought was a “mom-fail” Sat.
Instead @ bedtime got hugs & “this was an awesome day!” so maybe not so bad after all. 🤗
Now, notes 🙄
Always 👀 opening & inspiring - Dr Fuster with key pts for success
#AHAFIT
@AHANewYorkCity
:
1) Know who you are- what fulfills you?
2) Recognize how LUCKY you are
3) Be ok w/being wrong
4) Ensure creativity (Rsch, education, QI)
5) NEVER think you are unworthy of opportunity
✨Diwali represents a reminder of the light that is ever present - within us, around us, & common amongst us. May we remember today & everyday - to shine bright✨
Happy Diwali 🪔🙏🏽
Self Reminder:
Spent 5 hrs working on a paper after kids slept only to have computer crash and no way to recover the file.
Luckily had bedtime snuggles & silliness before, in prep for V Day @ my sons school. This is the memory I hold on to this morning - & it’s all OK 😌🙏🏽
Thrilled to announce Dr. Anu Lala (
@dranulala
) as Deputy Editor
@JCardFail
. I first met Anu
@HFSA
in 2012 & she is a true star-brilliant & thoughtful. She brings enthusiasm, creativity & an intense desire to foster inclusivity, diversity, & promotion of young talent
#HeartSuccess
“A candle (simple act of kindness/love) is a small thing. But one candle can light another. And see how its light increases as a candle gives its flame to the other.
You are such a light”
Happy Diwali 🪔❤️🙏🏽
I think we under treat with diuretics. Most clinicians are afraid of affecting renal fcn. Doses used & tested in DOSE & CARRESS are rarely used in clinical practice. ADVOR added more diuretic w/ sequential blockade & patients were more frequently free of congestion.
For those of you like me who question your path at times - hope this made you pause, sigh, and breathe full this morning.
I did.
Happy Friday ☺️🙏🏽💜
@paulocoelho
#fridaymorning
🙏🏽 to 📝 this editorial with the talented & bright ⭐️
@doctor_paz
@JACCJournals
on the 🎗️importance of taking a detailed reproductive history in routine 🫀cardiovascular care!
Do you ❓ your female pts age of menarche, OB hx, menopause?
@CardioOb
Exciting to see our meta-analysis of 🚶🏽♀️🚶♂️ & QOL benefits of SGLT2i across sex, DM, EF in > 22000 pts
@JAMANetworkOpen
!
+13 m can mean diff btwn being confined to one’s 🏡 or being able to 🚶🏽♀️ across the st.
🙌🏽 context 📖 before
#ACC24
- where effects of empagliflozin in setting…
Imposter syndrome is all pervasive- even amongst the most accomplished.
The words “you belong” are incredibly powerful in mitigating these fears.
Tell someone you know is struggling they belong today.
Lessons learned from
@JJheart_doc
🤲🏽
@robmentz
@AndrewJSauer
@NMHheartdoc
Decided to 🧘🏽♀️ meditate outside in my winter coat this morning, opened my eyes to this guy who decided to join me 🙏🏽❤️☀️
#Diastole
#CardiologistsWhoMeditate
(at least try to ☺️)
🤔ATTR 🫀is commonly missed. If only there were a ML tool to screen…
“Simplified machine learning model accurately estimated empirical probability of ATTRwt-CM in the clinical setting”
👀 cutting edge paper by
@HFpEF
& colleagues
@JCardFail
👇🏽
Haven’t posted in a while…
but getting back in to express how grateful I am to be in the company of these 🔥👸 trailblazers who remind us of the success & service that are possible when there is grit, kindness, brilliance & humility.
@CMHC_CME
Just returning from
@GrandCanyonNPS
where the vastness of landscapes put the thoughts, fears, & doubts of the mind into humbling perspective.
#Holi
represents 🔥 that burns those impurities that do not serve us or the greater good.
#HappyHoli_2024
🌈🙏🏽
She was one of us, & we continue to learn from her.
🙏🏽
#LaurenGilstrap
. Analysis
@jcardfail
from
#GWTG
showing how benefit of RASi & BB does not ⬇️ w/increasing age after 🏥- a ❓we contemplate often in clinical practice 👇🏽
'In memoriam' follows below 🙏🏽
In ICU on svc this week - For ACS pts LVEF<40%, are you starting sacubitril/valsartan or ACEi/ARB in the acute setting?
👇🏽no incremental benefit of S/V
Look 👀 what popped ⬆️up in my email feed today! We met as a group after a CCU month- He was our attg. I was an intern😲 Here we are today 15 yrs later on his bday! 🎂 To our next in 2037…
Happy Birthday Dr. Fuster!! (Masks off for 📸)
🙏🏽 for your boundless zeal & brilliance!
👉🏽
#CPET
may be useful 🛠 to understand dyspnea post
#COVID19
👇🏽
@JACCJournals
🔷 circulatory (⬇️ peakVO2), & ventilatory impairments (dysfcn breathing, ⬆️ Ve/VCO2, or hypocapnia PetCO2<35) common!
🔷46% met criteria for chronic fatigue syndrome
Editor's Page to Kick-off Pharmacotherapy Focus Issue. JCF's "We've Been Thinking...": Understanding Barriers to Medication Adherence to Better Tailor HF Care - what if the narrative was reframed to relay an individual's specific barriers to adherence?
One of my favorite holidays! Honoring the unique ❤️ between brother & sister.🙏🏽
“On this day let us promise: I will protect you & you will protect me, and together when we stand for Good, the Universe will protect us”
Happy Rakhi Bandhan!
Thank you to
@ACCinTouch
& to friends/colleagues old & new for providing a renewed sense of joy for learning 🙏🏽🫀❤️
#EmergingFaculty2
May we be the change we wish to see
I spend ⏰ every
#HeartFailure
clinic visit reviewing
#COVID19
hx/
#vaccination
status.
Some report continued reluctance due to fear of adverse 🫀effects!! We 👀 at >7000 pts w/HF 👉🏽vaccination assoc. w/⬆️ survival, ⬇️ hosp in graded fashion!
Simple. Important. 💉🦠.
@JCardFail
Sending 🎄❄️❤️ from our
@MountSinaiHeart
#FunctionNotFailure
team!🫀(😷off for pic only)
During these uncertain times it feels good to be able to connect however possible. (Thanks for stopping by
@SantosGallegoMD
!)
Be safe. Take inventory of the good. Dwell on the positive. 🙏🏽
I know I am not alone in expressing what a moving experience it was to get the
#CovidVaccine
today! To those who have lost, who have fought & who are fighting right now, may 2021 bring health & peace to all. 🙏🏽❤️💪🏽
#WIC
#igottheshot
#cardiotwitter
So proud of
@DrNasrien
! What a light!!!! May we all shine as bright ☀️ & remember life is bigger than promotions,publications, & talks. It’s about love, authenticity & fullness of spirit!❤️
Buy her book
#SPARKPLUG
👇🏽
💭Been thinking…we need to rethink pushing “
#WorkLifeBalance
” which implies inherent opposition , & think
#WorkLifeHarmony
No battles, just different kinds of music 🎶.
#wordsmatter
(2nd pic by my daughter this past weekend 🌅)
That’s a wrap
#ACC24
! What a meeting!!!!
@DougDrachmanMD
&
@KBerlacher
thank you &
@ACCinTouch
staff & prgrm committee for all your hard work!! Wonderful sharing science, being inspired, & connecting w/friends, colleagues & mentors! ☀️🙏🏽🫀
Now, ✈️time to hug my fam!
After putting kids to 😴 & catch up on work for wk ahead - I am so moved by
@jacindaardern
decision/speech & surrounding 🗣️ about whether one can “have it all” -
We can.
We do.
Just not at the same time.
Most important lesson-may we remember to fill our tanks/🪣
#WIC
🙏🏽
🧵
😊Surreal
#ACC2024
encounter:
I come out of deep dive discussion on
#DANGERShock
& randomly run into my ❤️ mentor & PI of the OG 🫀 shock trial
#JudithHochman
!
She hugs me as we 🗣️ about how far we’ve come, hands me a pair of 😎& I caught the tail end of the☀️ eclipse! 🙏🏽🤯