Michael Cunningham, MD, FACC, FSCAI
@OSHeartDoc
Dad, husband, interventional cardiologist. Director of Cardiology at SRHS. Tweets my own.
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Graphic on the right just about sums up 2020 research wouldn’t you say? @venkmurthy @VPrasadMDMPH
Many people are smarter than doctors. But it's hard to find people with the intelligence, determination, and ability to delay gratification like doctors. This is especially true of doctors pre-2000s. The online health gurus simply couldn't hack it. They'd fail by 2nd year.
From a new @TheLancet article today entitled "Health care in the USA: money has become the mission" thelancet.com/journals/lance…
So… no more DAPT post CABG!!! (After Acute Coronary Sindrome). Aspirin vs DAPT: More major bleeding events, same MACE. #eacts2025 #CABG
Highway chaos. A crash. Two lives shattered in an instant. Amid speeding cars and blaring horns, Melinda Gurrola lay bleeding, her leg severed, her life slipping away. And then — a Marine ran toward the danger. Hospital corpsman Sammuel Goodwin grabbed his medical kit and…
Viewpoint: For patients with asymptomatic severe aortic stenosis, evidence does not currently support routine early intervention. ja.ma/3IjGr4W
If you FOIA’d & got back & read tons of their internal email chains (like I did) you know I’m right when I say that the MPH-haver Experts at places like CDC making these calls whom we’re supposed to Trust on all things are not exactly intellectually sophisticated mental giants
Former CDC head Rochelle Walensky admits that nobody at the CDC talked rapidly waning vaccine efficacy or even considered variants Yet they demanded vaccine mandates and passports anyway, and somehow they're stunned that they've lost the public's trust
I spoke to a resident the other day who was woken up at 3am to order cough drops. This is because someone mandated all orders must be placed by a physician. A licensed nurse isn’t allowed to give an over the counter “medication” with an adverse risk profile no worse than a…
Physicians' computerized order entry of CPOE is the worst use of physician time possible. Prior to the HITECH Act, order entry was done by ward clerks who were hospital employees. With EHRs the hospitals were able to fire all of the ward clerks and they were replaced with…
Don’t scapegoat doctors. They don’t deserve it. They sacrificed their entire lives to help people. While others were partying in college, they were memorizing the Krebs Cycle. While others were traveling in their 20’s, they were doing gross anatomy, staying up until 2am to…
Why Vinay Prasad was fired from FDA -> Sarepta spends years making drug -> drug is really awful, no benefit -> studies are so cooked and terrible FDA regulators are horrified and say studies are so bad -> regulators overruled -> drug gets approved -> $3.2 million/injection ->…
Patent foramen ovale (PFO) is present in approximately 25% of all adults and is a common cause of #stroke in young and middle-aged patients. This Review discusses PFO-associated stroke management. ja.ma/4lUuD7D
In heart failure patients with mildly reduced or preserved ejection fraction, cardiovascular and sudden deaths were higher in those with EF <50%. Finerenone did not significantly reduce cause-specific mortality. ja.ma/4nC6sw2 @mvaduganathan @HFpEF @AdriaanVoors
Perspective on Covid vaccines and myocarditis from @VPrasadMDMPH and @DrMakaryFDA So many people tried to hide this. I and others were attacked and deplatformed for pointing out this issue. jamanetwork.com/journals/jama/…
🚨 Game changer in cardiac imaging 🚨 Non-invasive #CCTA is no longer the future — it is the new standard for stent evaluation. Photon Counting CT revealing stent strut details and subtle edge hyperplasia @PCRonline @TCTMD @Heart_SCCT @CoreAalst @ESC_Journals
👇🏼👇🏼👇🏼
This Paper Stopped Me Cold What if we’ve been looking for metabolic dysfunction in the wrong places… and far too late? A preprint (from @doctorinigo) recently landed (first reply) — and it should have been front-page news in every medical journal and health policy meeting.…
I’ve been keeping something from you. The way I cope with hard things is by doing the work and putting the pain in a box. But the truth is—since I spoke out against insurance companies, things have been really hard. My practice is struggling. I built a surgery center so I could…
The Doctor’s Lounge: Medicaid, Morality, and Misinformation What happens when a safety net becomes a hammock? This week, two physicians, deeply embedded in America’s Medicaid trenches unpack the quiet transformation of the program into a stealth public option. We cover: Why…
A physician's arguments FOR Medicaid: Medicaid offers coverage and potentially increased access to healthcare services while offering some downside financial protection. (Baseline good) Medicaid covers almost 50% of kids through the CHIP program (around 7M). (Not ideal, but…
I hate to say this, but I can’t see any real lasting solution to America’s healthcare crisis without completely getting rid of Obamacare (aka the Affordable Care Act). It improved coverage but not care. It was the result of complete regulatory capture from health insurance…
Ok. Which policy do we advocate for? And what expertise do we bring—more than a plumber or factory worker? And this: given society’s polarization, how do we serve patients who may seriously disagree w our policy stands? Doctors are like judges. We should be neutral. No COI
We should be working to influence policy based on facts. Based on evidence. Our being quiet about politics is not helpful to our patients. It IS part of our job. I agree to disagree with @drjohnm (again) We are the experts & our policy makers need us. &they do ask our advice
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