First time at ASH but my friends, mentors, collaborators made me feel welcome, even to a cardiologist! Julia Zhang, my close buddy since our intern @ZhuoerXie my fantastic CHIP collab and friend Dr. Sokol, Moffitt Hem Onc PD and my forever Heme A attending.

Bringing the best of the best. "to whom much is given, much is required" .

We charge each newly recruited and matched cohort of Cardiovascular Disease Fellows: "Come and make us better". Class of 2026-2029 is poised and positioned for influence and transformation. "To whom much is given, much is required." @USFHealth @TGHCares - handle, hard, better.

Bringing the best of the best. "to whom much is given, much is required" .

Wednesday …. @SCAI

We are our grandparents and parents children - born of those who strived then thrived through and beyond this era. https://t.co/YPz5hYR9bN - How Florida navigated the turbulent, terrible 1930s

Thoughtful reflection on MOC. My conclusion is that “psychometric testing” of MCQs is a specious and dubious enterprise when applied to clinical practice. An MCQ test cannot separate practicing physicians into “competent” and “incompetent”- this is the core of ABIM’s approach and

Humility and altruism - a power with no match. Connection and relevance not impeded by decades but enhanced by presence and principle(s). https://t.co/MMLLjbYKXT - Loyola basketball's famous chaplain always had faith

Our time and attention is a victim of technological larceny. It's all about fractals and mind wandering to optimize involuntray attention - and allows was to learn. Keeping neuroplasticity, well, plastic. Finding Focus in the Age of Distraction

@EllauziRama @DrCaliff_FDA @MayoCVFellows Great opportunities to learn and be inspired!! I remember as a fellow at @PennCardiology we took Dr Bernie Gersh out for lunch. 5 years later I was on the HCM guidelines with him & then he wrote the foreword to my HCM textbook. So you never know where these relationships can go!

A sterling example of relationship and influence across decades. From @KoushikReddy to #SHOCKWEEK through ASA proctorship and #SCAISHOCK 2025. High motor and limitless benevolence from @SrihariNaiduMD. We @USFHealth @TGHCares have been made better.

Not for fame. Be Careful About What You Want

No shortcuts. Be curious. Study the craft. Talent is merely the entry point. It’s the mindset, the character, and the daily pursuit of excellence—grounded in deep respect—that becomes the differentiator.

Esse quam videri - "to be rather than to seem" On being ready https://t.co/sQW1jXGS5U via @httpstwittercomTMitrosilis

"Defeat is never fatal. Victory is never final. It's courage that counts". Churchill Finding balance is hard. But learning how to accept the failures we all face may help us stay grounded—and maybe even enjoy more than two minutes of our success.

"........pain is inevitable but suffering is not." Avocado and Salt | New England Journal of Medicine

Annual intro to Cath lab equipment. Always fun! Great to see new fellows and their excitement about starting! @WMCHealth @nymedcollege @WMCCardsFellows @SwatiChand_ @TanyaSh112 @purviparwani @JamalRanaMD @mirvatalasnag @HarisPatail @SCAI

Such a sensate - whole life, learning life, true to life -perspective. And sometimes, success is not in the moment but in the aggregation of moments - the law of accumulation. You lead well.

“Whatever befalls you, never fall out one with another.” This includes debate, dissent, and having discourse without subterfuge. Ken Burns’s latest epic documentary, “The American Revolution,” tackles America’s complicated creation story. https://t.co/14NvS4qN75 via @WSJ

The conveyor belt - protocol driven care. "Theory of mind" still applies. Will AI be a higher form of such care. "Trustworthiness" of information remains our responsibility. The Hospital: A Total Institution