PulmCC &Sleep doc. Former #SoMe Editor @accpchest. Chair, Chest Non-Resp CC Network. Tele-Sleep Director: https://xitter.cf/t.co/4tKE1ifY4B. Blog: https://xitter.cf/t.co/RMvmB24a6D.
Chapel Hill, NC
Joined July 2011
- Tweets7.1K
- Following455
- Followers1.8K
- Likes1.6K
The AHI is a terrible indicator of true disease severity on Osa. Hypoxic burden (HB) is a much better predictor of outcomes.
#chest2026
Im back at #chest2026--- are so are the shuttles! I love meeting people on these rides!
Take the difference between the list price and price paid for anything you bought and try listing that as charity to the govt. Sounds crazy, right? Its what hospitals do.
📷aha.org/fact-sheets/2020-01-…
One#nonprofit health system sued patients more than 36,000 times chasing 106 million dollars, while running the most restrictive financial-assistance policy of any major system in the state.
This is what "regardless of ability to pay" looks like. kffhealthnews.org/courts/uva…
Bet you didnt know that when a pt is seen at a major med center; Medicare spent $1,327 more per patient each year. The most expensive place to be a patient is inside the building everyone calls a nonprofit.
Every. Darn. Time. With @DoorDash. Didn't feel like cooking tonight. Paid $60. Waited an hour , they sent 1 combo meal of 3. Now family is hungry. They refund the food but not the 20% tip or service charge.
@DoorDash_Help – at Chapel Hill, NC
Wow, this was unexpected! 85% of my colleagues at #chest2024 will consider ordering GLP-1 to treat obesity in OSA pts. – at Durham, NC
Question for my sleep colleagues.
Will you consider ordering tirzepatide (or other GLP-1) to treat your obese pts with OSA?
#CHEST2024
80%Yes
7%No
13%Recommend it to pcp
15 votes • Final resultsQuestion for my sleep colleagues.
Will you consider ordering tirzepatide (or other GLP-1) to treat your obese pts with OSA?
#CHEST2024
80%Yes
7%No
13%Recommend it to pcp
15 votes • Final resultsDr. Malhotra: in SURMOUNT about 30% of people with severe #sleep apnea were "cured" with tirzepatide.
#CHEST2024 – at Boston, MA
Up to 10 mm improvement in systolic BP with tirzepatide.
#CHEST2024 – at Boston, MA
There is a strong link between sleep apnea and impaired glucose metabolism that goes beyond obesity.
#CHEST2024
20% to 40% of OSA is thought to related predominantly to obesity.
#chest2024 – at Boston, MA
10% percent reduction in weight can result in 26% reduction in AHI
#CHEST2024 – at Boston, MA
Use of a ketogenic diet in pts with OHS showed reduced CO2 level of about 6mm in a small study.
#CHEST2024 sleep year in review – at Boston, MA
Retrospective study showed that cpap use improved mortality and reduced CV events.
#CHEST2024 sleep year in review – at Boston, MA
Tirzepatide in pts with mod/severe OSA. excluded DM.
Mean BMI 38;
#CHEST2024 sleep year in review. – at Boston, MA
Reduction in AHI was due to wt loss.
#CHEST2024 sleep year in review – at Boston, MA
Central sleep apnea significantly increases mortality among pts with heart failure.
#CHEST2024 – at Boston, MA
In CSA, pts paradoxically have lower CO2 production and reduced metabolic rates leading to increased chemo receptor sensitivity (loop gain). #CHEST2024 – at Boston, MA
