Michael Richman MD, MMM, FACS
@doc4heart.bsky.social
Double Board-Certified Cardiothoracic/General Surgeon
Co-Founder/CCO-PaladinMDs
Clinical Professor, Univ. of Houston Tilman J. Fertitta Family College of Medicine
www.paladinmds.com
doc4heart.substack.com
Georgetown University C87&M91
Southern California
Co-Founder/CCO-PaladinMDs
Clinical Professor, Univ. of Houston Tilman J. Fertitta Family College of Medicine
www.paladinmds.com
doc4heart.substack.com
Georgetown University C87&M91
Southern California
Reposted by Michael Richman MD, MMM, FACS
This is both disgusting and expected.
The Scumbag-in-Chief
The Scumbag-in-Chief
December 15, 2025 at 2:59 PM
This is both disgusting and expected.
The Scumbag-in-Chief
The Scumbag-in-Chief
Reposted by Michael Richman MD, MMM, FACS
As it turns out, the only way to stop a bad guy with a gun *isn’t* a good guy with a gun—it can be a good guy *without* a gun. Just another NRA lie.
December 14, 2025 at 11:19 PM
As it turns out, the only way to stop a bad guy with a gun *isn’t* a good guy with a gun—it can be a good guy *without* a gun. Just another NRA lie.
The Scientific and Economic Reality of Drug Development open.substack.com/pub/doc4hear... #drugdevelopment #bigpharma
The Scientific and Economic Reality of Drug Development
The journey from a lab idea to a marketed drug is a high-risk gauntlet.
open.substack.com
November 26, 2025 at 3:42 PM
The Scientific and Economic Reality of Drug Development open.substack.com/pub/doc4hear... #drugdevelopment #bigpharma
Mike Johnson is pathological liar, an embarrassment, and NOT a Christian…in simple terms, Go Fuck Yourself #speakerjohnson #mikejohnson #MAGA #Trumpisapieceofshit
November 18, 2025 at 5:28 PM
Mike Johnson is pathological liar, an embarrassment, and NOT a Christian…in simple terms, Go Fuck Yourself #speakerjohnson #mikejohnson #MAGA #Trumpisapieceofshit
Reposted by Michael Richman MD, MMM, FACS
Making Argentina Great Again. Indefensible.
October 22, 2025 at 2:14 PM
Making Argentina Great Again. Indefensible.
I'm Dr. Michael Richman, and I want to clear up the real facts behind MEDICAL MALPRACTICE and why not all bad outcomes mean negligence, and how this affects both doctors and patients
substack.com/@doc4heart/n...
substack.com/@doc4heart/n...
Michael Richman MD, MMM, FACS (@doc4heart)
I am Dr. Michael Richman, a double board-certified cardiothoracic surgeon. Medical malpractice is a critical issue in the healthcare industry, one that has profound implications for both patients and ...
substack.com
October 10, 2025 at 5:01 AM
I'm Dr. Michael Richman, and I want to clear up the real facts behind MEDICAL MALPRACTICE and why not all bad outcomes mean negligence, and how this affects both doctors and patients
substack.com/@doc4heart/n...
substack.com/@doc4heart/n...
Ask A Cardiothoracic Surgeon: The Truth About Probiotics
Are they safe for all populations?
open.substack.com
September 6, 2025 at 6:24 AM
A recent comprehensive analysis titled The Effect of Diet on Cardiovascular Disease and Lipid and Lipoprotein Levels provides critical insights into how dietary components influence lipid and lipoprotein levels, thereby modulating CVD risk
open.substack.com/pub/doc4hear...
#lipids #cholesterol #diet
open.substack.com/pub/doc4hear...
#lipids #cholesterol #diet
June 27, 2025 at 5:59 AM
A recent comprehensive analysis titled The Effect of Diet on Cardiovascular Disease and Lipid and Lipoprotein Levels provides critical insights into how dietary components influence lipid and lipoprotein levels, thereby modulating CVD risk
open.substack.com/pub/doc4hear...
#lipids #cholesterol #diet
open.substack.com/pub/doc4hear...
#lipids #cholesterol #diet
At the heart of cancer biology lies a perplexing contradiction known as Peto's Paradox which is the observation that cancer risk does not scale with body size or lifespan across species.
open.substack.com/pub/doc4hear...
#cancer #bats #longevity #petosparadox
open.substack.com/pub/doc4hear...
#cancer #bats #longevity #petosparadox
June 27, 2025 at 5:54 AM
At the heart of cancer biology lies a perplexing contradiction known as Peto's Paradox which is the observation that cancer risk does not scale with body size or lifespan across species.
open.substack.com/pub/doc4hear...
#cancer #bats #longevity #petosparadox
open.substack.com/pub/doc4hear...
#cancer #bats #longevity #petosparadox
As a cardiothoracic surgeon and dog lover, I’m warning you: store minoxidil safely to keep your pets safe from poisoning! #PetSafety #poison #dogsafety #catsafety #goldenretriever #HairLoss #Minoxidil #rogaine #alopecia #VetWarning 🐶🐱
June 26, 2025 at 9:54 PM
As a cardiothoracic surgeon and dog lover, I’m warning you: store minoxidil safely to keep your pets safe from poisoning! #PetSafety #poison #dogsafety #catsafety #goldenretriever #HairLoss #Minoxidil #rogaine #alopecia #VetWarning 🐶🐱
Did you ever wonder how a vegetarian/vegan gets Fish Oil(Omega-3 Fatty Acid) supplementation? Well welcome to Algal Oil. For more information you can go to my website www.paladinmds.com #fishoil #omega3 #algaloil #CardiovascularHealth #vegan #vegetarian
June 25, 2025 at 10:12 PM
Did you ever wonder how a vegetarian/vegan gets Fish Oil(Omega-3 Fatty Acid) supplementation? Well welcome to Algal Oil. For more information you can go to my website www.paladinmds.com #fishoil #omega3 #algaloil #CardiovascularHealth #vegan #vegetarian
I’m Dr. Richman, despite the hype, juice cleanses don’t detox your body or prevent cancer. Let’s rely on science not myths. For more info please go to PaladinMDs www.paladinmds.com #JuiceCleanse #healthfacts #cancer #juicing #detoxjuice
June 25, 2025 at 5:48 AM
I’m Dr. Richman, despite the hype, juice cleanses don’t detox your body or prevent cancer. Let’s rely on science not myths. For more info please go to PaladinMDs www.paladinmds.com #JuiceCleanse #healthfacts #cancer #juicing #detoxjuice
Reposted by Michael Richman MD, MMM, FACS
What we learned yesterday.
The Times They Are a-Changin'
The Times They Are a-Changin'
June 15, 2025 at 4:42 PM
What we learned yesterday.
The Times They Are a-Changin'
The Times They Are a-Changin'
Arterial CO2 Targets in Veno-Arterial Extracorporeal Membrane Oxygenation After Cardiac Arrest - CHEST journal.chestnet.org/article/S001... #CPR #heartattack #ECMO
Arterial CO2 Targets in Veno-Arterial Extracorporeal Membrane Oxygenation After Cardiac Arrest
After cardiac arrest, restoration of circulation is the first step toward survivorship. Extracorporeal CPR (ECPR), the use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) to restore circulation, is increasingly being used in refractory cardiac arrest. The Advanced Reperfusion Strategies for Patients With Out-of-Hospital Cardiac Arrest and Refractory Ventricular Fibrillation (ARREST), Prague Out-of-Hospital, and Early Initiation of Extracorporeal Life Support in Refractory Out-of-Hospital Cardiac Arrest (INCEPTION) randomized controlled trials compared ECPR with conventional CPR for refractory out-of-hospital cardiac arrest (OHCA).
journal.chestnet.org
June 10, 2025 at 2:02 PM
Arterial CO2 Targets in Veno-Arterial Extracorporeal Membrane Oxygenation After Cardiac Arrest - CHEST journal.chestnet.org/article/S001... #CPR #heartattack #ECMO
Interesting that the #MAHA report published last week by #HHS & #RFKJr contained 5 literature citations that never existed. All the former academic MDs who lead HHS & brag about evidence based medicine can add to their CVs the title of “fraudster” as part of this deliberate misinformation
May 29, 2025 at 11:01 PM
Our new epidode, A Surgeon’s Guide to Preventative Cancer Screenings. It may save your life. open.spotify.com/episode/3l9d... #cancer #cancerawareness #fuckcancer
A Surgeon’s Guide to Preventative Cancer Screenings
Two Doctors Tell The Truth's Podcast · Episode
open.spotify.com
May 14, 2025 at 1:47 AM
Our new epidode, A Surgeon’s Guide to Preventative Cancer Screenings. It may save your life. open.spotify.com/episode/3l9d... #cancer #cancerawareness #fuckcancer
Prerequisite Qualifications for being named US SURGEON GENERAL
May 8, 2025 at 3:20 PM
Prerequisite Qualifications for being named US SURGEON GENERAL
We are in a lot of trouble as is medicine in general! Just got this from a professor of thoracic surgery at UCLA and the Wadsworth VA. He is living this!
Internal VA Emails Reveal How Trump Cuts Jeopardize Veterans’ Care, Including To “Life-Saving Cancer Trials”
www.propublica.org/article/trum...
Internal VA Emails Reveal How Trump Cuts Jeopardize Veterans’ Care, Including To “Life-Saving Cancer Trials”
www.propublica.org/article/trum...
Internal VA Emails Reveal How Trump Cuts Jeopardize Veterans’ Care, Including To “Life-Saving Cancer Trials”
Despite a congressional mandate to expand care for veterans, internal Veterans Affairs messages obtained by ProPublica paint a stark portrait of how chaotic cost cutting has already imperiled tests of...
www.propublica.org
May 6, 2025 at 1:07 PM
We are in a lot of trouble as is medicine in general! Just got this from a professor of thoracic surgery at UCLA and the Wadsworth VA. He is living this!
Internal VA Emails Reveal How Trump Cuts Jeopardize Veterans’ Care, Including To “Life-Saving Cancer Trials”
www.propublica.org/article/trum...
Internal VA Emails Reveal How Trump Cuts Jeopardize Veterans’ Care, Including To “Life-Saving Cancer Trials”
www.propublica.org/article/trum...
Our new podcast episode:
youtu.be/qndJtNnlEK8?... #galleri #cologuard #cancer #wholebodymri #cancerscreening
youtu.be/qndJtNnlEK8?... #galleri #cologuard #cancer #wholebodymri #cancerscreening
Galleri Test, Whole-Body MRI, Cologuard Preventative Cancer Screenings: Should I Have Them?
YouTube video by Two Doctors Tell The Truth
youtu.be
May 6, 2025 at 4:39 AM
Our new podcast episode:
youtu.be/qndJtNnlEK8?... #galleri #cologuard #cancer #wholebodymri #cancerscreening
youtu.be/qndJtNnlEK8?... #galleri #cologuard #cancer #wholebodymri #cancerscreening