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Harlan Krumholz Profile picture
@hmkyale
Jun 7, 2020 • 5 tweets • 5 min read • Read on X
Been reading pieces about the @NFL statement. How can we take them seriously until they make things right w/#ColinKaepernick. Strong piece @hbryant42. How will we hold @NFL accountable? They exiled a player for speaking out against racism.

espn.com/nfl/story/_/id… @hbryant42 Image
@NFL @hbryant42 From @hbryant42: 'next step toward real truth is opening door to signing Kaepernick -- a move closed for ~4yrs. If remains closed, this flashpoint will be remembered as moment the NFL admitted it handed out a life sentence, admitted it was wrong -- & still did nothing about it.'
@NFL @hbryant42 And fans are complicit… we all are. It is not just that one person was wronged; his career destroyed in plain sight of the world; but the message was clear; stay in your place… and fans, what did we do? We let it happen. And the kneeling was mischaracterized… what did we do?
@NFL @hbryant42 And blowback from wealthy owners (and complicit fans, us) punishing a Black man for speaking truth about racism was to intimidate others from questioning the status quo; a status quo that harms so many. Maybe we can do now what we should have done then. Let these voices be heard.
@NFL @hbryant42 The influence of @NFL must be focused on addressing what they have done.. & be part of the solution for the future. And the fans must hold the league accountable… in words and actions. Their treatment of #ColinKaepernick was a racist action. Condoned by the nation. Time to fix.

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More from @hmkyale

Harlan Krumholz Profile picture
Aug 30
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
Read 11 tweets
Harlan Krumholz Profile picture
Jun 20, 2023
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
Read 5 tweets
Harlan Krumholz Profile picture
Apr 27, 2023
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 Image
@jeb1426 @YaleMed @YaleCardiology @yuan_lu1 In one study, we found 'Women had more variation in unique symptom phenotypes than men' greater symptom complexity & longer door-to-balloon times. Non-chest pain symptoms are more frequent in women, potentially delaying STEMI recognition. @CircOutcomes ahajournals.org/doi/full/10.11… Image
@jeb1426 @YaleMed @YaleCardiology @yuan_lu1 @CircOutcomes In another study, that focused on older patients... ' Women reported more symptoms and had significantly more symptom phenotypes than men.' @amjmed sciencedirect.com/science/articl… @YaleCardiology @YaleMed Image
Read 7 tweets
Harlan Krumholz Profile picture
Mar 9, 2023
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 Image
@YaleMed @YaleCardiology @CircOutcomes But first, kudos to the team @yuan_lu1 @shiwani_mahajan @rohan_khera @SpatzErica @GCLinderman #yuntianliu @jbmortazavi #chenxihuang - great team that persisted on this challenging project. And thanks @CircOutcomes @bnallamo for your support and reviews.
@YaleMed @YaleCardiology @CircOutcomes @yuan_lu1 @shiwani_mahajan @rohan_khera @SpatzErica @GCLinderman @jbmortazavi @bnallamo Now, we often see a patient with hypertension & change the meds and have them return to evaluate Rx effect. If everything goes right, drugs and changing doses may affect BP by ~5 mm Hg. Maybe a little less. We wondered how much natural variability there is between visits.
Read 9 tweets
Harlan Krumholz Profile picture
Feb 3, 2023
Why do people have persistent hypertension? Turns out there are many reasons; we developed a taxonomy to classify them so they can be addressed, based on #EHR data. @yuan_lu1 @CircOutcomes @SpatzErica @YaleMed @YaleCardiology #bloodpressure @AHAScience ahajournals.org/doi/abs/10.116…
@yuan_lu1 @CircOutcomes @SpatzErica @YaleMed @YaleCardiology @AHAScience Several years ago @yuan_lu1 and I introduced the concept of persistent hypertension to describe people with many measures of elevated #bloodpressure; a more encompassing term than resistant hypertension, which was about not responding to drugs. @amjmed sciencedirect.com/science/articl…
@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.
Read 6 tweets
Harlan Krumholz Profile picture
Jan 22, 2023
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. @FutureDocs nam12.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?
Read 6 tweets

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