Heart failure colleagues. I would propose a new focus of emphasis Re the acute Rx of newly decompensated systolic failure. We should favor afterload reduction FIRST. Seminal Beta-blocker trials were in ambulatory outpts. Giving BB to decompensated failure is a mistake. IMO.

Inspiring day of science at MGH CVRC retreat organized by @bmprii. Great to be back and to hear latest work from old friends, including CVRC founder Mark Fishman and new Chief of Cardiology @patrick_ellinor. Also sessions full of rising stars. @MGHCVFellows @mghcvrc

cooking and drinking wine with friends

Remarkable and recurrent generosity from Barry and Natalie Greene at #BostonHeartBall @BarryGreene.

Great job @AmericanHeartMA with Virtual Heart Ball. Not quite the same as usual but just as awesome #BostonHeartBall

proud of my friend andPe colleague and now President of the Royal College of Physicians of Edinburgh for this very personal and powerful piece!

Boston ID speaks from the COVID front-lines."We are foot soldiers in the war against a relentless foe, & we implore you to help in this battle." https://t.co/PaAKaP4Rat #Covid_19 @GlobeOpinion @mgh_id @hboucher3 @The_BMC,@BIDMChealth @LaheyHospital @newtonwellesley @BrighamWomens

This Australian government is staggering. Too late in preparing for and reacting to the fires. Too late to react to climate change. Too late to react to COVID-19, which they discuss in financial and not health terms. They are overtly corrupt, lack common sense, and lack courage.

Oh wow take a look at our beautiful world @OzCvA @RobynDGallagher @calum_og @euanashley @KathyBelov @DrRebeccaJ @jameschong_doc @Ravinay @rebeccahritchie @gillet01 @TonyCPenna @KerryDo75584546

@NEJM @PresidentRCPE Join us in Edinburgh on Feb 20th at the College as we discuss the implications and urgent need for action @RCPEdin

Join us Feb 13 as Boston hospitals and med schools come together to develop bold strategies for mitigation and adaptation to climate change’s impact on health care delivery. #ClimateRx2020 #ClimateMD

HMS assistant professor and @MassGeneralNews emergency physician Renee Salas discusses the connection between climate change and health care

Absolutely-and we had the benefit of having discussed each case in real time overnight with incredible group of MedRegs including @doctorcaldwell @AndrewElder and @PresidentRCPE. Patient-centered team learning I will never forget.

Remarkable couple of days immersed in intellectual environment, stimulating discussion and collegiality of @PHRIresearch . Loved every minute!

But how many of these from cardiac causes @CMichaelGibson ?

A huge congrats to @DorbalaSharmila on starting her term as @MyASNC President -- honored to have her as one of my closest colleagues at @BrighamWomens and excited to see her tremendous leadership in action this year

@gmcuk How can we train FY2 to be Decisions Makers if FY1 Doctors do not have a mandatory minimum quota of Acute Admissions under supervision that are ‘Their’ patients? Decisions Making should start early - not just training in how to use bad Discharge Summary software

What is gratitude? Standing next to the surgeon who held your child’s heart in his hands three times. Thank you Dr. John Mayer. #HLHS #AHA19 @BostonChildrens

I think it is safe to say Stan and I (at least in a couple of dimensions) are still growing.

You need some of Euan’s single malt stash! #theoriginalwestcoastfeel