Everyone calm down. This Suburban comes with negative pressure (obviously) Image
Also WTF is going on?
When I was a junior attending, I had a young patient with bad pulmonary hypertension who was on IV Flolan. She was getting super agitated about wanting to smoke a cigarette and was threatening to pull out her IV and leave AMA, so I wheeled her down to the smoking shelter myself
And I sat with her while she smoked 2 cigarettes. I didn’t know it at the time but I was practicing harm reduction....
Also yes we used to have a smoking shelter
But still this COVID joyride is something else. I wonder if the secret service officers in the suburban had to sign consent. Maybe they are in the vaccine trials? Maybe they got antibodies?
Must have been a mad game of Rock Paper Scissors before that little trip
Someone should have seen the dex-induced mania coming...
Also tomorrow's press conference will be one not to miss

Reporter: Dr. Conley, can you explain what happened yesterday in the COVID-mobile?
There’s no way this is not an acid trip right now. Nothing anyone says or does will dissuade me
OK I promise this is the last question I will ask (not), but can someone please tell me if Kayleigh was in the Suburban?

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More from @ethanjweiss

3 Oct
I've done a number of interviews this week about TREAT jamanetwork.com/journals/jamai….

One of the most frequent questions I get asked is:

"How do you explain that time-restricted eating worked for all those celebrities?"

I'm dead serious that I've been asked this (several times)
I usually remind the interviewer that TRE worked for me. I lost weight. But then I also remind that people tend to lose weight (in the short-term) doing a lot of things. It is one of the reasons we do randomized trials
But I have also taken to asking interviewers to imagine a scenario where we are testing a new weight loss strategy. It is called consistent meal timing (CMT). Here is a summary (taken directly from our paper):
Read 13 tweets
28 Sep
1/ Today is Yom Kippur. Many Jewish people are fasting. I am not

But I still want to talk about fasting…
2/ Today we are finally publishing the results of a study on Time Restricted Eating (TRE), which is a form of intermittent fasting. The study is called the TREAT Study. More on that later…
3/ It is the culmination of 7+ years of interest in this topic that started with the publication of some fascinating papers from @SatchinPanda describing the benefits of time restricted feeding (TRF) in mice
Read 32 tweets
23 Sep
I don't think there is a way I can watch this too many times
Here's the thing about preexisting immunity. Does it magically just avoid prisons? ~2100 inmates were infected at San Quentin (~ 2/3 the population). I guess they just let the people with prior immunity to COVID go early?
Read 4 tweets
21 Sep
I'm going to start this thread by saying that I have the self-awareness that this is a very first-world problem. That said, @amazon is the biggest company in the world (or close) and they can do better - cc: @JeffBezos
Here's the story. This morning I ordered groceries from Whole Foods for dinner tonight and for food for the family for the week. I even paid $5 for a 1 hour slot from 4-5PM. I started getting messages from the shopper at 2:47. I responded to all of them Image
I had asked @RuthieSWeiss to listen out for the delivery as I took the dog out for a walk. She called me at 5 to day that they were not there. So I decided to look into it. Here is a chat exchange between me and the @amazon customer service agents. It speaks for itself... Image
Read 24 tweets
15 Sep
I was diagnosed with high blood pressure and hypertension?
Ok hold on. I have normal blood pressure. I should have put quotes around this statement. I am listening to the Apple presentation while working and swear that is what one of their patients said. No big deal but this event is not live and I'm surprised nobody caught it
And I am not criticizing the patient. Actually I am not criticizing anyone. I just found it amusing... kind of like how I used to find HIV virus amusing
Read 7 tweets
14 Sep
Are there situations where one would want to prescribe PCSK9i in a patient on max tolerated statin and with LDLc < 70 mg/dl
If yes, what are some examples?
Also if yes, were you aware of this from @ExpressScripts express-scripts.com/art/medicare16… Image
Read 4 tweets

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