What amazed me this week was health systems parroting Epic talking points in letter to @SecAzar, esp pleading for @HHSGov to protect #EHR developer innovation by slowing patient access to their own data. Wowzer! Want to see who signed? #StockholmSyndrome
@SecAzar@HHSGov Here was my view of this whole thing with Epic and the health systems: 'An ‘Epic’ pushback as U.S. prepares for new era of empowering patient health data’ statnews.com/2020/01/27/epi…@statnews
@SecAzar@HHSGov@statnews "Epic’s position is akin to banking leaders trying to limit your access to your own financial data or restrict your freedom to transfer your funds and saying they are doing it for your own good.” And now they have gaggle of health systems on supporting pushback on patient access.
@SecAzar@HHSGov@statnews Also, health systems say: 'Health information about family members should not be used/disclosed by non-HIPAA regulated orgs w/o family members’ knowledge and permission.’ Meanwhile can they commit to stop sending out patient data into commercial companies w/o patient permission?
@SecAzar@HHSGov@statnews And we all agree that consumers need to know what is being done w/their data…and that applies to apps and health systems and commercial entities. But let’s not curtail or slow their right to access their digital data because it threatens current economic models. #digitalhealth
@SecAzar@HHSGov@statnews And yes, for disclosure, I started a company that created a platform to enable people to acquire their own data and leverage it as they wish. Permission-based. It’s theirs. All of it. EHR, wearables, pharmacy, etc. We are just providing the way to make that happen. @hugohealth
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1/🧵 @SubodhVermaMD @MkosiborodMD and colleagues have published important findings @JACCJournals on inflammation in obesity-related HFpEF from the STEP-HFpEF Program. Let's break it down! #CardioTwitter #HFpEF #ESCCongress jacc.org/doi/10.1016/j.…
2/ The study analyzed data from 1,145 patients with obesity-related HFpEF, looking at the prevalence of inflammation (measured by CRP levels) and its relationship with patient characteristics and outcomes. #ESCCongress @JACCJournals
@JACCJournals 3/ Key finding #1: Inflammation is highly prevalent in obesity-related HFpEF. 71% of patients had CRP levels ≥2 mg/L, with 19% having very high levels (≥10 mg/L). #Inflammation #ObesityHF #ESCCongress @JACCJournals
What we do now is write a paper...& then preprint @medrxivpreprint ...then we take reviews from the journal & the world & work to make the research better. So, Internal tremors & vibrations in long COVID: a cross-sectional study is open for public comment. https://t.co/xh7dXqPcSGmedrxiv.org/content/10.110…
@medrxivpreprint Our objective: 'We compared demographics, socioeconomic characteristics, pre-pandemic comorbidities, & new-onset conditions between people with internal tremors and vibrations as part of their #LongCovid symptoms & people with long COVID but without these symptoms.' #LISTENstudy
@medrxivpreprint Our finding: Among people with long COVID, those with internal tremors and vibrations have more associated symptoms and worse health status, suggesting it may be associated with a severe phenotype of the condition. @YaleCII @YaleMed @YaleCardiology
We have been doing a series of studies, led by @jeb1426, on sex differences in symptom complexity & phenotypes in acute myocardial infarction (AMI) and their impact on diagnosis & treatment. Some imp findings. #Cardiology#MedTwitter@YaleMed@YaleCardiology@yuan_lu1
One of most important articles I’ve done… showing the noise in clinic BP measurement is large & makes it impossible to track Rx effects; almost useless in evaluating change from 2 clinic visits. Let me explain… ahajournals.org/doi/abs/10.116…@YaleMed@YaleCardiology@CircOutcomes
@yuan_lu1@CircOutcomes@SpatzErica@YaleMed@YaleCardiology@AHAScience@amjmed We wrote that persistent hypertension was a condition of repetitive measures of above-goal elevated blood pressure over a period of time (eg, 6 mos), and drug resistance was just one of many causes. And many causes were related to missed opportunities in the care pathways.
Sleep as medicine... On behalf of hospitalized patients, what is we simply stopped ordering routine lab draws before 7am. What is we wrote an order, do not disturb before 7am except for an urgent need. Or an order for 7 hrs of peace and quiet. @FutureDocsnam12.safelinks.protection.outlook.com/?url=https%3A%…
@FutureDocs I strongly believe that rest and sleep are essential to recovery from acute illness...and yet everything we do in the hospital seems to ignore the role of sleep in treatment. We need to put people in a position to help their bodies heal and recovery... not make it more difficult.
@FutureDocs In our study we found it was normal operating procedures to draw bloods from 4-6am on hospitalized patients...the unintended effect, in my view, is to slow recovery and add stress... and impede healing. Shouldn't the hospital be where people can be treated, healed and recover?