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a cartoon character from south park talking on a walkie talkie

Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · 13d

What puzzles me is how people make the point to fund more vitamin D studies and get through review. They can’t possibly make Cartman’s point

ALT: a cartoon character from south park talking on a walkie talkie

Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · 14d

Nicely analyzed!

Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · 14d

Why not? Looks like Apple made a monitoring device, not a screening device. Gets away from the entire debate about false positives. Once you have hypertension, use this highly specific device to detect uncontrolled bp averaged over time. Should be good for masked hypertension and give decent abpm

a woman says i just want the money in front of a sistas logo

Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · 15d

The drug costs about $450,000- 550,000 per year. That proteinuria reduction better translate into dialysis avoidance forever or immense improvement in QALYs.

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Reposted by Gurmukteshwar Singh, MD

Merriam-Webster @merriam-webster.com · 29d

‘Booty’ and ‘butt’ are synonyms.

‘Call’ and ‘dial’ are synonyms.

But, a ‘booty call’ and a ‘butt dial’ are VERY different things.

170 2.3K 8.2K

Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · 28d

ABIM response: /s

ALT: a woman says i just want the money in front of a sistas logo

Reposted by Gurmukteshwar Singh, MD

Karandeep Singh @kdpsingh.bsky.social · Sep 5

Mother: I have twins.

Doctor: Oh, so they were born on the same day?

Mother: No, they were born with the same propensity score.

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Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · Aug 31

Cayenne/ jalepeno pepper juice + water + a spoon of dish wash detergent to increase spread on surfaces. Spray liberally and don’t rub your eyes after touching your furniture

Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · Aug 28

Never underestimate the underdog.

CNBC bro says this company and their cloud subsidiary: Fully Automated Response Technologies are going to engulf the AI market… like a supernova… or a black hole.

Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · Aug 16

Then the AI quality measuring tool will give it a perfect score in access to care. The prescriber and insurance company will be put in the preferred tier for appropriate and expedited steps. Do it enough times they get a. AI award for care. Snowball effect, never say “oops I made a mistake”.

Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · Aug 14

Just the other day, my DAX Copilot hallucinated and put in my note that my suspected IgA patient going for biopsy received a kidney transplant already.
With the advent of AI prescribers, that patient will get a nice prescription of tacrolimus as well. That will be another acceptable error.

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Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · Aug 14

Makers of GenAI LLMs have disclaimers saying “expect 2-3 serious errors per document generated”. This person was the “acceptable” serious error.
Stop trying to question progress, bro!!

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Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · Aug 14

I had one patient who was resistant to Cyclophosphamide but responded to the 1 gram rituximab 2 weeks apart regimen. Went into complete remission. However, he was caught early and had lots of kidney to save. Elderly anuric patients without pulm symptoms may have nothing to gain and lots of risk.

Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · Aug 9

Funny highlight of today’s road trip

a woman says " we gotta do something " in front of a window

Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · Jul 28

But the high creatinine <check engine> light was in red with not one, but TWO upwards arrows!!

ALT: a woman says " we gotta do something " in front of a window

a man wearing an american flag hat and a red white and blue shirt

Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · Jul 13

ALT: a man wearing an american flag hat and a red white and blue shirt

Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · Jun 22

The only situation I saw a use case was our hospital at home program or to prevent rehospitalization in our AKI rehab program. Basically use where you are thinking patient will need IV diuretics in the next 24 hours. Saves cost of paramedics/ transport/ home infusion as it is self administered.

Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · Jun 21

Still not cost effective. Need lower price tag.

Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · Jun 7

We do this a lot in our post-AKI rehab program. Nudges don’t work unless the sender is known or invests their own time in convincing the receiver. It takes a one-on-one discussion and even then not 100%. That’s why we fill in the gaps with an AKI medical director prescribing GFMT independently.

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Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · Jun 6

Time to make a polypill for CKD? Telmisartan+ #flozin + finerinone + statin+ oral semaglutide?

Call it Tel-em-fine-at-tide

Telemfinatide?

At least for countries with affordable pharma price negotiations.

$2.8 Million Settlement - Medical Malpractice | Blume Forte

Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · May 13

CMS reimbursement for TTE and TEE was on the chopping block till cardiologists renamed them to external and internal echocardiography.

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Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · May 2

ODS happens, it’s poorly understood why or how to prevent it but traditionally has been associated with overcorrection. Not hard to find an expert and a sympathetic jury as the patient is devastated. No one is unclamping anything till there are guidelines or something

www.njatty.com/verdicts-set...

The firm settled this medical malpractice case for a Hudson County man who suffered a severe brain injury as a result of medical malpractice for a total of $2,800,000.

www.njatty.com

Gurmukteshwar Singh, MD @drmootravardhak.bsky.social · May 2

Malpractice ambulance chasers in states without tort reform

patrick star from spongebob squarepants is smiling with his hands folded

ALT: patrick star from spongebob squarepants is smiling with his hands folded