Nisha Patel, MD MS, Dipl of ABOM, CCMS @DrPlantel
👩🏽⚕️Obesity, Lipid, Menopause, Culinary & IM Doc ✨Cardiometabolic health ⭐️Neuroscience nerd ⭐️Plant forward 🌟Physician burnout advocate 🚫 medical advice Joined December 2020-
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@deirdre_tobias @JohnSpeakman4 Don’t know who needs to hear this, but… 🤔Eating is driven by subconscious neurological circuitry 🤔Eating is driven by subconscious neurological circuitry 🤔Eating is driven by subconscious neurological circuitry 😀
You know what I think about constantly? How do you help a single parent of 3 kids live a healthier life? How do you help an elderly person with resistance training to improve frailty? How do you help a family on limited income make healthier eating habits? This is the real world.
Oh lookie! When the majority of Americans can’t follow basics of a healthful lifestyle, don’t worry, Huberman to the rescue with his hacks 🤦🏾♀️🤦🏾♀️🤦🏾♀️ Dude, it isn’t that easy. You got your priorities twisted if you think this will magically improve population cardiometabolic health.
Oh lookie! When the majority of Americans can’t follow basics of a healthful lifestyle, don’t worry, Huberman to the rescue with his hacks 🤦🏾♀️🤦🏾♀️🤦🏾♀️ Dude, it isn’t that easy. You got your priorities twisted if you think this will magically improve population cardiometabolic health.
Perfection is overrated. There is no perfect diet, no perfect lifestyle, no perfect exercise to improve cardiometabolic health. NONE of us are perfect. Stop comparing your journey to others. What matters everyday is that you keep trying because consistency is king!
I will never sell my soul to work for an insurance company. I spend countless unpaid hours fighting for medical care coverage for my patients. Horrible. “Cigna Pressured Her to Review Patients’ Cases Too Quickly, Says Former Cigna Medical Director” propublica.org/article/cigna-…
It’s a HUGE red flag when someone is marketing a product, service or supplement to “heal chronic disease.” Which chronic disease? How does it get healed? How do you measure “healing”? Any human outcome data to support claims? It’s a marketing tactic appealing to the vulnerable.
Happy Monday to everyone except those who scare others into thinking that eating any form of carbs is going to result in immediate death 🙃 y’all are wack
On this weeks substack, we discuss a medical condition that is under diagnosed in menopause but is a major risk factor for the # 1 cause of death in women. 50% of women between the ages of 45-60 have this condition and many don’t know it! (CDC). meetayla.substack.com/p/unveiling-th…
Who is building tech for physicians? That is, who is building to make physicians’ day-to-day easier, allowing them to better care for themselves and patients?
Elevated ApoB/LDL causes heart disease Elevated ApoB/LDL causes higher mortality You do not have to pick diet over ApoB. Appropriate accommodations can be made to mitigate ApoB (e.g., medicine that increases LDLr, thus lowering ApoB). Denying this reality only hurts YOU. [end]
There are literally people who think apples are going to destroy their health because “omg sugar!” It’s a freaking apple not a Twinkie 🤦🏾♀️🤦🏾♀️🤦🏾♀️
It’s going to get ugly as time goes on in healthcare. Finding a doctor & accessing care is getting worse. The health systems across the country aren’t moving fast enough to impact change that is meaningful to the practice of medicine. It’s a shit storm
It’s going to get ugly as time goes on in healthcare. Finding a doctor & accessing care is getting worse. The health systems across the country aren’t moving fast enough to impact change that is meaningful to the practice of medicine. It’s a shit storm
So much paper gets wasted by insurance companies. CVS Caremark was insistent I do a prior auth for Wegovy via fax. They wouldn’t email me the form. They wouldn’t let me do it over the phone because it was for Wegovy. They literally faxed a blank form. Intentional hurdles to care!
I don’t care what anyone says, “I feel fine but my wife made me come in” has a positive predictive value for something being really fucking wrong that approaches 100%
This 👇🏽 in my inpatient hospital work, I hold my breath & hope they don’t have metastasis so they can undergo surgical resection of their biliopancreatic cancers but many times it’s too late 😔
This 👇🏽 in my inpatient hospital work, I hold my breath & hope they don’t have metastasis so they can undergo surgical resection of their biliopancreatic cancers but many times it’s too late 😔
As horrible as breast cancer is, heart disease kills more women every single year 😔 Many don’t realize this. As a obesity/menopause/lipids doc, prevention of heart disease in women is in my core. The earlier we start prevention, the better.
Many face the reality of losing GLP-1 insurance coverage if they even have it in the first place. The drug shortages are also crazy so that’s another factor. We try to drive as much weight loss with GLP-1 & switch to cheaper meds + lifestyle factors for weight maintenance.
Many face the reality of losing GLP-1 insurance coverage if they even have it in the first place. The drug shortages are also crazy so that’s another factor. We try to drive as much weight loss with GLP-1 & switch to cheaper meds + lifestyle factors for weight maintenance.
I don’t hate low carb diets, many people can be healthful on a low(er) carb dietary pattern. The low carb zealots who ignore elevated LDL-C/ApoB are annoying AF though.
I don’t hate low carb diets, many people can be healthful on a low(er) carb dietary pattern. The low carb zealots who ignore elevated LDL-C/ApoB are annoying AF though.
Some of you are missing the point of this tweet. The point is that there are people out there telling others they don’t need to worry about elevated cholesterol/ApoB ignoring the totality of evidence in favor of their echo chamber. It’s a problem regardless. Science > beliefs
Some of you are missing the point of this tweet. The point is that there are people out there telling others they don’t need to worry about elevated cholesterol/ApoB ignoring the totality of evidence in favor of their echo chamber. It’s a problem regardless. Science > beliefs
Atherosclerosis, the number one killer worldwide, begins much earlier than when it can be detected by coronary artery calcium (CAC) score
Dr. Spencer Nadolsky @DrNadolsky
53K Followers 932 Following Obesity and Lipid Specialist Physician. Medical Director of WW. Co-Host of #DocsWhoLift PodcastGil Carvalho MD PhD�.. @NutritionMadeS3
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471 Followers 100 Following Louis J. Aronne, MD, FACP, DABOM Director, Comprehensive Weight Control Center Weill Cornell Medicine Past Chairman, American Board of Obesity MedicineCardioNerds @CardioNerds
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809 Followers 746 Following Professor of Medicine. Endocrinologist with interest in obesity, diabetes, and sleep. Tweets are my own views.Chalak Najat Muhammad.. @ChalakNajat
110 Followers 555 Following Diabetologist | Obesity Medicine Specialist | # Scientific Director @ Novo NordiskC. Michael Gibson MD @CMichaelGibson
436K Followers 374K Following Non-Profit Founder/Leader | ❤️ Doc | Artist Scientist Educator | News Anchor https://t.co/7OIKCgMVAT | RT ≠ endorse | Disclaimer: https://t.co/bwmE2O3U5WMenopause Journal @MenopauseJrnl
5K Followers 135 Following Menopause, a peer-reviewed scientific journal, provides a forum for new research, applied basic science, and clinical guidelines on all aspects of menopause.William Cromwell, MD @Lipoprotein
5K Followers 70 Following Lipidologist with over 30 years of clinical experience. Cofounder @PreciseHlthRpt. My passion is creating tools that optimize individual cardiometabolic care.@deirdre_tobias @JohnSpeakman4 Don’t know who needs to hear this, but… 🤔Eating is driven by subconscious neurological circuitry 🤔Eating is driven by subconscious neurological circuitry 🤔Eating is driven by subconscious neurological circuitry 😀
How does a mom re-enter the workplace without discrimination for their experience gap? My mom was a dentist but took 7 years off/ had a hell of a time getting a job so just opened her own practice. Saw listing below on app for a job and respect it.
A reminder that the goal of #obesity care is not necessarily to normalize the BMI buff.ly/4doVwwH #health
@DrPlantel 1000%! 95% of the people who need our help aren't getting it because most people online are more interested in being controversial than being helpful.
@DrPlantel These are great things for a doc to be thinking about. Thank you.
@DrPlantel I feel this! So many barriers out there. I wish more would teach accessible options and simplify strategies. I try to do this but we are up against cost of living, misinformation, fitfluencers selling unrealistic goals and bullsh*t - all making it feel very unattainable
So many people apparently are not familiar with Huberman‘s bullshit All his pods are like this
Strong claim, but the recent Huberman episode on back pain is setting us back decades. It's a brontosaurus of missed opportunity. And a great disservice to patients with back pain, and those who care for them. Here is why, and why I'm furious about it..hubermanlab.com/episode/protoc…
propublica.org/article/cigna-… ProPublica has done it again. These terrifying glimpses inside health insurance corporations are so important. People need to understand what we're up against. These corporations don't care about you. @Cigna
@B_Madden4 Oh, a retail corporation couldn’t manage a medical practice? Surprise surprise.
Totally agree! People who think they've discovered some new magical lipid theory that the entire world of cardiology hasn't been able to figure out are delusional and pretty narcissistic. You personally think you know more than all of academia?
☝️Please stop talking about the “Lipid Hypothesis” There is no such thing 👉It's an incorrect and outdated way to refer to the CAUSAL relationship between LDLc (ApoB) and Atherosclerosis (CHD) @society_eas
No matter the species, kids will be kids..🦍😅
Yesterday, literally as part of my work I got to speak to a professional puppeteer (who has worked on Sesame Street) about making an anatomically accurate clitoris puppet and I swear I love my career so much.
It’s a common misconception that a registered dietitian in a nutrition session is just going to offer all of the solutions to all of your problems. When in reality, I’m just gonna ask you the right questions to help you figure it out for yourself. Sorry not sorry.
Looking forward to presenting at the 2024 Columbia Cornell Obesity Course in NYC tomorrow! web.cvent.com/event/b827eab8…
@DrPlantel I have BCBS and I have to get reapproved for my neuro-oncologist every 6 months and I am only a year and a half after brain tumor dx and surgery. I can't imagine what it would be like if it weren't something so clearly diagnosed. It's so dumb.
@DrPlantel Excellent share. 🙏🏻 There are good people at insurance companies, trying their best, but often there are systemic forces which make this very difficult. Broadly I would say data-driven healthcare can have great benefits, but it also comes with a cost: dehumanization.
@DrPlantel I want to do it as a retirement job. I want to approve as many things as possible before they fire me. For the one week, all care would be done!
@DrPlantel @CateVarney @KFF It baffles me that insurance companies can just lie and there’s no recourse. There should be an easier pathway to contest their incompetence or obfuscation.