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John Garner, MD
@RhythmHelp
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EP serving the underserved. Mizzou medical school faculty. Medical faculty to the US armed services. Eager student of great ideas from anywhere.
Springfield, MO
Joined August 2011
@ContrarianSaver @KrissBergTweets 100% wrong. Daycare costs as much as college in many cases. No joke. And availability is very poor in many areas too. Impromptu day care even worse.
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Personal prediction: academic research will be fine when the dust settles, and the researchers will be more valued than before.
Bullshit. Lots of these indirects fund useless administrators to sit in their office and think of ways to fuck doctors and nurses who actually work and pay consultants to force all staff to complete dei training and other penance. It is not spent on electricity.
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@CMichaelGibson Needs to be carved out properly as an expense. Things should be paid for. Not in obfuscation though.
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@MarbanLab As a proud recipient of academic medicine's education, I don't want that. But I do want the needed subsidies moved into a clear budget allocation and not hidden in grant overhead.
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@DutchRojas Yep. Put a couple of recent photos on the bedside table of them when they weren't sick to show the docs the vitality they're trying to get back to. Yes, seriously.
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@drjohnm One thing I learned the hard way: never be the first or the last on the bus. The full risk profile of PFA is still being discovered in the broad market. I'll use it as soon as Biosense has it avail, but I don't yet hold conviction overall risk profile will be different.
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@jhouse678 @altcap Yes. One scary-looking lesion has a higher probability than a smaller one. But there are dozens of small lesions and they collectively overpower that risk substantially. Anti-inflammatory measures and plaque stabilization (drugs) makes the big difference in MI rates.
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@justintrimble @altcap Aggressive medical management. Bypass for extensive multi vessel CAD w heart failure. Drug regimens are powerful enough now to partially regress lesions and new therapies coming online yet still.
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@Hapa_EP @javadm20 @jacabreracardio @DrFerminGarcia @ecgrhythms @DrRoderickTung @Koichi16423232 @adribaran @jeffrey_vinocur @CarinaHardy4 @EPWaveDoc The site of earliest activation. Algorithms are great, but in the era of massive multipolar mapping, just go looking with a ballpark idea (LVOT area, in this case). Mapping RCC, LCC, CS and LVOT is < 15-30 min.
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@ringothe5th @CoffeeBlackMD As someone who has done both employed and private practice. The issues I saw were that the senior partners exploited and cheated the junior partners to preserve their income, and had run up overhead into the 60% territory.
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@RepGregMurphy Here’s another thought: if you want the top 1% of the countries talent to go into medicine, you need to provide them the top 1% of the incentives.
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@SMB_Attorney I mean… on an individual basis that question is equal to the probabilities of the events. On a group basis, you just reinvented insurance.
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