Robert Centor MD MACP 🇮🇱

@medrants

Academic internist focusing on teaching. Annals On Call podcast Unremarkable Labs @unremarkablelab

Birmingham, AL medrants.com Joined April 2009

532 Following 17K Followers 17K Posts

Latest posts 5

My hot take on this term, not the goal, but also how quickly we really can get there

GDMT Should Be a Goal, Not a Day-One Order leadingrounds.substack.com/p/gdmt-should-…

leadingrounds.substack.com GDMT Should Be a Goal, Not a Day-One Order This is a hot take.

Robert Centor MD MACP 🇮🇱 @medrants Oct 21

In preparing for a podcast, I had to learn more. I think you'll find this intriguing

Iron Deficiency Comes Before the Anemia: What a Ferritin less than 30 Should Mean to You leadingrounds.substack.com/p/iron-deficie…

leadingrounds.substack.com Iron Deficiency Comes Before the Anemia: What a Ferritin less than 30 Should Mean to You Bottom Line

Robert Centor MD MACP 🇮🇱 @medrants Oct 20

A history lesson on diuretics for cirrhotic ascites!

Spironolactone 100, Furosemide 40: Where Did Those Numbers Come From?

leadingrounds.substack.com/p/spironolacto…

leadingrounds.substack.com Spironolactone 100, Furosemide 40: Where Did Those Numbers Come From? Bottom Line

Robert Centor MD MACP 🇮🇱 @medrants Oct 11

Our attempt to make sense of the problems we have delineated in this series - RVUs, Quality Measures, Guidelines. We hope these have made you think. Policy nerds need to understand these concerns.

The Premortem We Never Ran leadingrounds.substack.com/p/the-premorte…

leadingrounds.substack.com The Premortem We Never Ran Bottom Line: Economists have a name for why a decision maker skips the costly work of checking whether a decision is right: a negative externality, a cost of a decision that lands on someone other...

Robert Centor MD MACP 🇮🇱 @medrants Oct 6

Guideline advocates cannot rationalize this - based on an @AnnalsofIM on Call episode with @EBMTeacher who argues to label "guidelines" as expert opinion when it is.

Guidelines That Disagree With Each Other leadingrounds.substack.com/p/guidelines-t…

leadingrounds.substack.com Guidelines That Disagree With Each Other Bottom Line: The previous post in this series documented six cases in which a specific guideline recommendation was enforced as a mandate before it had been tested, and in most cases was later...