Ben DNP AGACNP-BC AACC HF-Cert
@heartnpben.bsky.social
Advanced heart failure NP in the PNW, member ACC heart failure section leadership council, co-chair cardiology SPG for AANP, dog dad, bibliophile, fountain pen addict
I hope residency programs in family medicine, pediatrics, PA programs, and FNP programs in Florida really bulk up the lectures for diptheria, pertussis, polio, mumps, rubella, measels, and all the other vaccine-preventable illnesses so we can at least quarantine and treat the new outbreaks to come.
September 3, 2025 at 9:36 PM
I hope residency programs in family medicine, pediatrics, PA programs, and FNP programs in Florida really bulk up the lectures for diptheria, pertussis, polio, mumps, rubella, measels, and all the other vaccine-preventable illnesses so we can at least quarantine and treat the new outbreaks to come.
April 21, 2025 at 3:30 AM
Just saying
March 20, 2025 at 2:47 AM
Just saying
March 3, 2025 at 4:55 PM
February 22, 2025 at 11:57 PM
For #hfweek2025 let's continue our discussion of WHF with a bit about vericiguat, a soluble guanylate cyclase stimulator. For patients who are experiencing WHF this medication has a class II indication in the current guidelines for the management of heart failure with a specific indication for WHF.
February 13, 2025 at 4:11 PM
For #hfweek2025 let's continue our discussion of WHF with a bit about vericiguat, a soluble guanylate cyclase stimulator. For patients who are experiencing WHF this medication has a class II indication in the current guidelines for the management of heart failure with a specific indication for WHF.
The #hfweek2025 topic today is risk for mortality associated with worsening heart failure. As demonstrated here in this graphic, patients with WHF are at a 40-60% risk of death, far higher than ASCVD risk and much higher than in many other disease processes.
February 12, 2025 at 4:04 PM
The #hfweek2025 topic today is risk for mortality associated with worsening heart failure. As demonstrated here in this graphic, patients with WHF are at a 40-60% risk of death, far higher than ASCVD risk and much higher than in many other disease processes.
Let's talk GDMT today for #hfweek2025. Foundational therapy is ARNI, SGLT2i, BB, & MRA at OPTIMAL doses.
GDMT saves lives:
‼️ Relative risk reduction 73%
‼️ Absolute risk reduction 26%
‼️ NNT = 3.9
‼️ Extending median survival 7-11 years
GDMT saves lives:
‼️ Relative risk reduction 73%
‼️ Absolute risk reduction 26%
‼️ NNT = 3.9
‼️ Extending median survival 7-11 years
February 11, 2025 at 4:35 PM
Let's talk GDMT today for #hfweek2025. Foundational therapy is ARNI, SGLT2i, BB, & MRA at OPTIMAL doses.
GDMT saves lives:
‼️ Relative risk reduction 73%
‼️ Absolute risk reduction 26%
‼️ NNT = 3.9
‼️ Extending median survival 7-11 years
GDMT saves lives:
‼️ Relative risk reduction 73%
‼️ Absolute risk reduction 26%
‼️ NNT = 3.9
‼️ Extending median survival 7-11 years
As #hfweek2025 continues, some trends in epidemiology. Currently there are ~7 million adults with HF in the US, and projected to grow to 8.5 million by 2030. Mortality is rising again after years of decline.
February 10, 2025 at 3:44 PM
As #hfweek2025 continues, some trends in epidemiology. Currently there are ~7 million adults with HF in the US, and projected to grow to 8.5 million by 2030. Mortality is rising again after years of decline.
Today kicks off #hfweek2025 with @hfsa.bsky.social
Hopefully my @accintouch.bsky.social colleagues join in spreading the word to increase visibility
We as a healthcare system have so much work to do for heart failure patients, but the best thing we can all do is commit to starting GDMT early!
Hopefully my @accintouch.bsky.social colleagues join in spreading the word to increase visibility
We as a healthcare system have so much work to do for heart failure patients, but the best thing we can all do is commit to starting GDMT early!
February 9, 2025 at 4:38 PM
Today kicks off #hfweek2025 with @hfsa.bsky.social
Hopefully my @accintouch.bsky.social colleagues join in spreading the word to increase visibility
We as a healthcare system have so much work to do for heart failure patients, but the best thing we can all do is commit to starting GDMT early!
Hopefully my @accintouch.bsky.social colleagues join in spreading the word to increase visibility
We as a healthcare system have so much work to do for heart failure patients, but the best thing we can all do is commit to starting GDMT early!
Despite the chaos of the world, spending an evening with a great book and this furry gremlin in my lap is the best
January 31, 2025 at 4:26 AM
Despite the chaos of the world, spending an evening with a great book and this furry gremlin in my lap is the best
Practicing what she preaches, if more were like her this country would be a much better place
January 23, 2025 at 9:19 PM
Practicing what she preaches, if more were like her this country would be a much better place
Seattle/King County public health has zero chill
January 16, 2025 at 10:49 PM
Seattle/King County public health has zero chill
More HF rounding thoughts: you can't chart that you "optimized GDMT" if a Pt is only on an ACEi/BB.
Remember GDMT is quad therapy ARNI/SGLT2i/BB/MRA at optimal doses. Every touchpoint with a HF patient is a chance to optimize therapy.
#medsky #cardiologysky
Remember GDMT is quad therapy ARNI/SGLT2i/BB/MRA at optimal doses. Every touchpoint with a HF patient is a chance to optimize therapy.
#medsky #cardiologysky
January 8, 2025 at 7:38 PM
More HF rounding thoughts: you can't chart that you "optimized GDMT" if a Pt is only on an ACEi/BB.
Remember GDMT is quad therapy ARNI/SGLT2i/BB/MRA at optimal doses. Every touchpoint with a HF patient is a chance to optimize therapy.
#medsky #cardiologysky
Remember GDMT is quad therapy ARNI/SGLT2i/BB/MRA at optimal doses. Every touchpoint with a HF patient is a chance to optimize therapy.
#medsky #cardiologysky
Rounding thoughts from the HF service today:
1) If no neurogenic bladder/retention and the patient is ambulatory, TAKE THE FOLEY OUT
2) With no hyponatremia, a 1500 mL fluid restriction is draconian and just makes the patient miserable
3) TED hose are your friends for LE edema
1) If no neurogenic bladder/retention and the patient is ambulatory, TAKE THE FOLEY OUT
2) With no hyponatremia, a 1500 mL fluid restriction is draconian and just makes the patient miserable
3) TED hose are your friends for LE edema
January 6, 2025 at 6:06 PM
Rounding thoughts from the HF service today:
1) If no neurogenic bladder/retention and the patient is ambulatory, TAKE THE FOLEY OUT
2) With no hyponatremia, a 1500 mL fluid restriction is draconian and just makes the patient miserable
3) TED hose are your friends for LE edema
1) If no neurogenic bladder/retention and the patient is ambulatory, TAKE THE FOLEY OUT
2) With no hyponatremia, a 1500 mL fluid restriction is draconian and just makes the patient miserable
3) TED hose are your friends for LE edema
You have the potential to be invincible. All you have to do is never enter a contest where victory isn't up to you.
-Epictetus, Handbook 19a
-Epictetus, Handbook 19a
January 2, 2025 at 4:33 AM
You have the potential to be invincible. All you have to do is never enter a contest where victory isn't up to you.
-Epictetus, Handbook 19a
-Epictetus, Handbook 19a
Did a crazy thing and got married today
January 1, 2025 at 3:04 AM
Did a crazy thing and got married today
Well thanks to a gift from my soon to be in-laws I squeaked in 1 last NPD to end 2024. Added 1 more Pilot Custom 74 in a lovely grenadine with a fine nib. Also trying the Apica CD notebooks.
December 31, 2024 at 1:04 AM
Well thanks to a gift from my soon to be in-laws I squeaked in 1 last NPD to end 2024. Added 1 more Pilot Custom 74 in a lovely grenadine with a fine nib. Also trying the Apica CD notebooks.
Do you ask what is the proper limit to wealth? It is, first, to have what is necessary, and, second to have what is enough
-Seneca
-Seneca
December 20, 2024 at 10:49 PM
Do you ask what is the proper limit to wealth? It is, first, to have what is necessary, and, second to have what is enough
-Seneca
-Seneca
It's a NPD again (probably last one of 2024) the Sailor Plus X pro gear slim "jellyfish" with a fine nib, Ancora put together this lovely ink and notebook to complement the ocean and jellyfish theme.
December 18, 2024 at 3:03 AM
It's a NPD again (probably last one of 2024) the Sailor Plus X pro gear slim "jellyfish" with a fine nib, Ancora put together this lovely ink and notebook to complement the ocean and jellyfish theme.