Alexander Chaitoff Profile picture
Doctoring + Researching @MassGenBrigham + @harvardmed | Midwesterner | Came for #MedTwitter but stay for #Epitwitter hot takes | Opinions My Own
Dec 21, 2021 21 tweets 11 min read
In Oct, the #USPSTF released draft guidelines addressing aspirin (ASA) use for the primary prevention of cardiovascular disease (CVD).

Why is ASA falling more out of favor? Join me for a #MedTwitter #Tweetorial about the hx of ASA use in *primary* prevention of CVD 1/20 We'll answer a few questions on this journey:

1) What is new in the USPSTF draft update?

2) What trials informed the old practice patterns and guidelines?

3) What new trials have caused such a shift in how we think about ASA for the primary prevention of CVD?
2/20
Feb 9, 2021 26 tweets 13 min read
Just finished a month on inpatient medicine. We often overlook all that we're learning because a service is busy, but our fearless leader, @hcricketfisher, compiled a list of the topics we covered and I'm inspired!

So, some #MedTwitter #MedEd from our team @BrighamMedRes to you: Why basal-bolus insulin in the hospital? RABBITs, that’s why:

i.e. in an RCT basal-bolus insulin provides better glycemic control than sliding scale alone in non-critically ill, hospitalized patients with type 2 diabetes (and is safe).

pubmed.ncbi.nlm.nih.gov/17513708/