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Gopi Dandamudi MD MBA
Medical Director, Cardiovascular Service Line, CHI Franciscan Pacific Northwest;Tweets are my own & not medical opinions;
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Gopi Dandamudi MD MBA 4h
Replying to @xyc1982 @MdHuang and 6 others
Same to you
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Gopi Dandamudi MD MBA retweeted
Brennen Hodge Jan 22
Thanks for sharing. That critique is new to me. I also went down the same rabbit hole of data & methodologies for recreating that chart. It's virtually impossible to get an accurate count on "HC admin."
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Brennen Hodge Jan 22
Replying to @BrennenHodge
Breakdown by general specialty:
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Brennen Hodge Jan 22
Replying to @BrennenHodge
For the record, physicians are only paid 7.3% of our total national health expenditure. They are NOT the problem.
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Gopi Dandamudi MD MBA retweeted
Brennen Hodge Jan 22
Discussion time: How much of the red is actually necessary for providing healthcare?
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Gopi Dandamudi MD MBA 5h
True Cost of Healthcare ⁩ ⁦⁩ ⁦⁩ ⁦⁩ ⁦⁩ ⁦
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Murli Jan 4
We can debate all we want about growth of healthcare administrators. Another measure to evaluate is market value of health insurance companies. Can any physician practice or hospital valuation grow like this? And this data is not including the value appreciation in last 4 yrs!!
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Gopi Dandamudi MD MBA 5h
All the best!
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Gopi Dandamudi MD MBA 5h
Happy Chinese New Year
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Gopi Dandamudi MD MBA retweeted
Shunmuga sundaram 6h
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Steven Zweibel Jan 22
First table - patients not on AC. Notice high TE rates with high CV scores even with no AF detected. Second table - patients on AC. Notice continued high rates of TE events in high CV scores across the board.
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Tina Baykaner Jan 22
I believe there are some studies suggesting that indeed..
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Steven Zweibel Jan 22
Our Circulation paper (Kaplan et al) showed that those with implanted devices and high CV scores not on AC had high rates of stroke regardless of amount of AF - with no reduction in stroke rate on AC in any high risk group.
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Gopi Dandamudi MD MBA Jan 22
If we use that logic, we should be anticoagulating all pts with high risk scores and not consider AF as a trigger to anticoagulate, shouldn’t we?
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Rakesh Gopinath Jan 22
I am with you. As long as it is done in discussion w patient and it’s an informed decision and documented well, that’s fine
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Gopi Dandamudi MD MBA Jan 22
Yes to a great degree. Easy to monitor residual (symptomatic) burden when making medical decisions. More importantly, it has allowed pts to be more engaged with their care & work on behavioral modification/prevention/hospital avoidance
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Gopi Dandamudi MD MBA Jan 22
I personally don’t think that increases one’s liability. You are continuously monitoring them (which is a much higher form of care). Absence of evidence or a guideline does not trump sound medicine/logic IMHO (I may be in the minority with this logic)
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Gopi Dandamudi MD MBA Jan 22
Do we start pts on anticoagulation without AF even with a high risk score? We start it only because of AF. So why is it wrong to stop anticoagulation when we can document continuously that there is no AF?
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Gopi Dandamudi MD MBA Jan 22
I do it only with ILR monitoring on board
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Gopi Dandamudi MD MBA Jan 22
Very nice!!
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