2 Birds with One Stone; Twitter’s Potential
The point of this small post is to;
1) Show the potential of Twitter to my colleagues
2) Showing thru #1 ,that even though Residents keep hearing that Troponin-I levels are not affected by Kidney disease, this is a controversial subject, and from a Cardiology perspective, we see in the majority of cases a slight increase of Troponin levels with normal CK and CKMB levels in the setting of impaired kidney function.
Being in the Cardiology Consult service we usually get called to evaluate elevation of Troponins in patients with kidney disease with; Negative EKG changes, Negative cardiac symptoms etc. The residents in the hospital have heard several times in conferences given by another department that “Troponin I is not affected by kidney function”. Not a single Cardiologist I have spoken to agrees with this comment.
Even though I tell them this, they always shoot back the argument “We had a conference where …”. So being new to twitter, I decided to give it a try. I would try to contact a World-Renown expert to give me his opinion on this. So I decided to contact Eric Topol. You did WHAT?! Yes, I know it is overkill, but I just wanted to prove two points. I could contact Eric Topol quickly thru Twitter and get an answer to my question.
I am sure Dr. Topol might have thought this was an absurd question but he humbly answered promptly, proving 2 points.
1) Twitter can be a AMAZING tool if you learn to use it correctly. If Dr. Topol took time to answer this simple and “absurd” question it is very likely that he would be more thrilled to share his knowledge with a more difficult and challenging one.
2) Troponin-I elevation in kidney disease is a controversial subject, so please, when you consult cardiology do not tell them that Kidney function does not affect it.
Eric J. Topol, M.D. is a noted American cardiologist, geneticist and innovator. He is the Director of the Scripps Translational Science Institute in La Jolla, California, which is a National Institutes of Health funded flagship grant, to accelerate research to change medicine. He also serves as the Chief Academic Officer for Scripps Health, a Professor of Translational Genomics at The Scripps Research Institute, and was recently named The Gary and Mary West Chair of Innovative Medicine. In addition, he is a Co-Founder and serves on the Board of the West Wireless Health Institute as Vice-Chairman. He is also the Editor-in-chief of theheart.org. “http://en.wikipedia.org/wiki/Eric_Topol”
Please fell free to add any comments in the section below. Thanks!
Christian, Assad-Kottner, MD
Interventional Cardiologist who happens to be a Professional TechGeek as well. In his free time Dr. Assad likes to teleport himself to Neverland and play Rugbi with the Lost Boys. You can find him there.
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