Prof Darrel Francis ☺ Mk CardioFellows Great Again @ProfDFrancis
Cardiologist, Scientist. I separate taking my work seriously (I do) vs myself seriously (I don't) Ideas my own (best ones stolen from my amazing PhD students) inspirion.org/sa/aca~-MDQ9cX… London, England Joined November 2017-
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I am so proud of these tremendous people with whom I have been blessed, but especially @rallamee.
Thank you to @GabashaMD for sponsoring this Prize Quiz. Click through to the poll for free CME points.
Thank you to @GabashaMD for sponsoring this Prize Quiz. Click through to the poll for free CME points.
ORBITA-2 nejm.org/doi/full/10.10…
UK Cardiology SpR starting today? Amongst today's fascinating Trust inductions on: - how many times per week to change your password - what to do if a patient catches fire Why not spend 5 mins on our free BHF-funded course? Echo for Absolute Beginners tweetorials.inspirion.org/h2/a1ca8dd6e3f…
Just starting training in Cardiology? Or just curious about echocardiography? Free online echo course for absolute beginners - all welcome! tweetorials.inspirion.org/h2/a1ca8dd6e3f…
So insulting to be led by such an unscrupulous liar. @Vish_Sharm, rather than us just getting angry -- since he has repeatedly lied, BMA could demand the lie be made true? That would fix it. Offer an alternative - apologise for the lie in all the same venues (and then resign).
So insulting to be led by such an unscrupulous liar. @Vish_Sharm, rather than us just getting angry -- since he has repeatedly lied, BMA could demand the lie be made true? That would fix it. Offer an alternative - apologise for the lie in all the same venues (and then resign).
A fascinating thread. Read it if you want to ruin you day and weekend.
A fascinating thread. Read it if you want to ruin you day and weekend.
I am happy to pay my GMC fee, but am surprised that it is being spent on opposing @drmattuk. During revalidation GMC seems to care A LOT what medical lectures we listened to. But does not care AT ALL if we use our medical credentials to spread harmful health messages. Thread:
I am happy to pay my GMC fee, but am surprised that it is being spent on opposing @drmattuk. During revalidation GMC seems to care A LOT what medical lectures we listened to. But does not care AT ALL if we use our medical credentials to spread harmful health messages. Thread:
@ihenriksen @skdh Actually it IS how science works. It IS a popularity contest. The difference between this and general popularity contests is that it is popularity of an idea *amongst people with a track record for good analytical skills*.
Every time peer reviewers annoy us, remember what happens WITHOUT peer review, and everyone just says yes, to avoid getting beheaded or dissolved in acid. We do stupid things. The more resources we have, the stupider we get. On the plus side, we do get to ski uphill, though.
Every time peer reviewers annoy us, remember what happens WITHOUT peer review, and everyone just says yes, to avoid getting beheaded or dissolved in acid. We do stupid things. The more resources we have, the stupider we get. On the plus side, we do get to ski uphill, though.
Actually this is fair. After all, you never know, there MAY be something wrong with the tooth. Could just have a root canal just to be on the safe side. And have your lenses replaced in case you develop cataracts. And aortic root replacement just in case...
Actually this is fair. After all, you never know, there MAY be something wrong with the tooth. Could just have a root canal just to be on the safe side. And have your lenses replaced in case you develop cataracts. And aortic root replacement just in case...
A group of doctors working with Good Law Practice, the not-for-profit law firm set up by @GoodLawProject, ask the GMC to investigate doctors who deliberately share anti-vax misinformation on social media. Please support this case if you can: actions.goodlawproject.org/gmc
John Mandrola, MD @drjohnm
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@ProfDFrancis @pash22 Not yet, but now you've got me thinking Abt it
@mandeep_mayo @bujaj49 It would be better off it were an echo 🤷🏻♂️
@ProfDFrancis @MohammedAlo @MaryanneDemasi @JAMAInternalMed @pbyrne82 Now that statins are generic and essentially free, there need to be new attack vectors for the anti-statin crowd. Money grubbing pharma and the docs in their pockets no longer holds water as an argument.
@MohammedAlo @ProfDFrancis @MaryanneDemasi @JAMAInternalMed @pbyrne82 Unfortunately the followers of the statin deniers are kinda dumb, so having those letters & numbers together may be confusing to them.
@ProfDFrancis this felt like one you’d approve of (can’t find the tweet Irish you did on something similar offhand to reply to but it was memorable and useful!)
Congratulations @Z_Ashkir and @BR_CMR !!! #CMR2024 #whyCMR @SCMRorg #whycardiology @ProfDFrancis
Many congrats @Z_Ashkir for winning the CMR 2024 ECA translational award. This is a really proud primary supervisor moment. Thank you to the @TheBHF @SCMR and special thanks to @RinaAriga and Liz Tunnicliffe for the original ground work in this space.
@Beelzebumblebe @JrAbbate Because that is true. Shorts are made to put the bad news out there. This stock will recover because shorts have to cover. They are banking on news that won’t come out.
@JrAbbate It’s almost as though no one except a few tiny short hedge funds think this is going down. 🙄
@f2harrell @djc795 @ProfDFrancis @kaulcsmc @DrToddLee @mshunshin @NEJM I was also shocked at this. They certainly would never ask you to change the primary endpoint “to help the reader”, and to me changing the primary analysis methodology is no less egregious. Requesting/requiring post hoc stats for sensitivity analysis is acceptable.
@GreggWStone @djc795 @ProfDFrancis @kaulcsmc @DrToddLee @mshunshin @NEJM @NEJM essentially demands to be the first author on a paper. I'm surprised they don't demand that NEJM be actually listed as an author. And for NEJM, pre-specification be damned.
@DavidLBrownMD @ProfDFrancis @JMannisi @SyedYNaqvi1 @drjohnm @rallamee @VPrasadMDMPH Medicare and most private health insurance also doesn’t cover glasses (although you may be able to purchase eye care insurance separately through your employer).
@ProfDFrancis @JMannisi @SyedYNaqvi1 @drjohnm @rallamee @VPrasadMDMPH In the US, refractive surgery is not covered by private or government insurance because of the cheap, effective alternative. Patients pay out of pocket. Is that what you're suggesting for PCI?
@DavidLBrownMD @JMannisi @SyedYNaqvi1 @drjohnm @rallamee @ProfDFrancis @VPrasadMDMPH I think it's a proof-of-concept, but in anyway the aim was to demonstrate that PCI is an alternative to b-blocks! En castellano, es insólito que cambien la indicación!
@ProfDFrancis @venkmurthy @DavidLBrownMD @JMannisi @SyedYNaqvi1 @drjohnm @rallamee @VPrasadMDMPH When you have already made up your mind, the data is just a mirror
@ProfDFrancis @JMannisi @SyedYNaqvi1 @drjohnm @rallamee @VPrasadMDMPH Usually they can find a subgroup of a subgroup that seems to benefit but in this case they misrepresent the topline results.
@drjohnm @gbiondizoccai @rallamee @ProfDFrancis @DavidLBrownMD @VPrasadMDMPH The trial should change guidelines…. Patients should be offered a choice of (a) pci + disease-modifying drugs + 1 anti anginal OR (b) 2-3 anti anginals + disease-m drugs with bail out pci In the UK these options are quite different….
@djc795 @rblument1 @drjohnm @rallamee @ProfDFrancis @VPrasadMDMPH And of course, PCI, even PTCA, was considered a less morbid version of CABG.