M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 18/07/2026Yea for sure. I use it alongside the ESS. OSA has an prevalence of 1 billion worldwide with nearly 90% undiagnosed, so my threshold to refer for sleep study is low ¯\_(ツ)_/¯ 010 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 18/07/2026Agreed! I’ll think more about it. Your thoughts? 110 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 18/07/2026Plain old exam plus pretest test probability. I haven’t found POCUS helpful even in the best of hands. Might as well get an echo at that point. Could get a quick IJ line in and transduce CVP but again might as well do a RHC then 110 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 17/07/2026of OSA & other contributors. That’s my diagnostic triage. Therapeutic wise, it baffles me how few people have reliable scales they can use to follow that “extra loop diuretic if you gain > 2 lbs in a day” instruction. 220 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 17/07/2026H2FPEF clinical score is decent for evaluation when you have just an echo. I think we underutilize RHC outside academic centers because it’s not sexy and IC docs don’t want to do them. It helps delineate WHO group & can guide therapy with a challenge. We’re also terrible at diagnosing/thinking 210 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 17/07/2026Agreed! You mean from a diagnostic or therapeutic perspective? 010 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 30/06/2026Why is heart disease still the number one killer wordwide, especially when we have so much data & so many risk calculators. #cardiology #coronaryarterydisease #doctor #nurse #healthcare 100 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 30/06/2026Part 2 of a conversation with preventative cardiologist Dr. Khadija Siddiqui about the barriers to optimal cardiovascular care & gaps in knowledge, even amongst other doctors. 100 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 25/06/2026In response to me saying there's not enough high quality data, I got a barrage of YouTube links to functional medicine doctors like @quinnstillsonmd #evidencebasedmedicine #showmethedata #doctor 100 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 25/06/2026I practice medicine based on data, not vibes. This user keeps posting comments about low dose Naltrexone and its benefits as a "cure all" for inflammation. 100 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 21/06/2026He missed my high school graduation speech and so many events caring for people with heart attacks. If I can be 1% of the man and doctor he was, I’ll consider myself a success. Happy dad day, Abu, or as they called him at work, “the lion” 🦁 000 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 21/06/2026My dad landed in NYC with $16 in his pocket, like many immigrants. He modeled ethics, demanding finesse and excellence, curiosity, and so much more. His life consisted of work and family, and I can’t imagine how much of himself he sacrificed along the way. 100 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 19/06/2026What does that look like from my lens as a cardiologist who relies on data to make decisions? #feynman #blackswan #descartes #cardiology #doctor 010 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 19/06/2026A doctor physicist, and philosopher walk into a bar...How do we prove things in science and medicine? I see 2 general trends here and in life. People are curious & eager to learn more, or people distrust the data & science. 110 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 18/06/2026There are proven methods to live a healthy life and decrease the risk of spending your twighlight years going doctor to doctor. #longevity #diet #exercise #doctor #nurse 100 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 18/06/2026Want to live torever? You're out ot luck, though the longevity gurus would have you believe otherwise. There's no proven method to reverse aging, double lifespan, etc. 310 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 17/06/2026Comment stuff you want to hear about & follow for more from an interventional cardiologist. #angina #recognition #cardiology #doctor #nurse 010 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 17/06/2026Here's a routine encounter that makes me see red. Let's talk about a patient with known coronary artery disease and classic symptoms of angina who was brushed off. Just another day in the life. 200 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 17/06/2026Dignity and acknowledgement should be the bare minimum for any patient seeking care, whether in the clinic or in the hospital. That's unfortunately not the case, and my day to day life proves that. 200 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 16/06/2026Comment scenarios you've had where you've felt lost or things you want me to cover. Follow for more from an interventional cardiologist. #medicaljargon #communicationskills #svt #doctor #nurse 000 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 16/06/2026Sometimes, doctors get so engrossed in the terminology that we forget the person in front of us doesn’t speak the same language we do This was a small interaction that humbled me and reminded me that part of the job is communicating effectively at the patient's level. 200 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 15/06/2026Comment your questions & follow for more from an interventional cardiologist. #EVOO #mediterraneandiet #cardiology #nurse #doctor 000 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 15/06/2026Food is medicine. Most effective cardiovascular disease prevention starts with diet & activity level. Let's look at the 2018 PREDIMED trial, the largest dietary intervention trial in history & what we can learn from it. For a primer, watch my earlier video on the pescomediterranean diet. 300 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 12/06/2026High cholesterol, high blood pressure, genetics, etc are the only contributors to coronary artery disease, right? Let's look at inflammation. Follow for more from an interventional cardiologist. #inflammation #cardiology #CAD #nurse #doctor 000 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 11/06/2026Comment with questions or topics you want to learn about. Follow for cardiovascular education, the latest data, and tips to reduce risk of heart disease from an interventional cardiologist. 010 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 11/06/2026Do you really need 10,000 steps a day for optimal health? Let's dissect it further using a 2023 study in the Journal of the American College of Cardiology exploring this exact question. 110 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 10/06/2026Think of the gut microbiome as a field like genomics in the '90s. Targeted therapies are just around the corner. #residualrisk #CRISPR #gutmicrobiome #cardiology #doctor 120 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 10/06/2026Let's talk about residual risk, inflammation, and the most promising source of both: the gut microbiome. It’s linked to heart disease, response to cancer treatment, dementia risk, and more. 110 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 09/06/2026Comment questions and follow along for the next part. #residualrisk #coronaryarterydisease #cardiology #nurse #doctor 000 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 09/06/2026My continuing series on the inflammatory hypothesis of coronary artery disease. Let’s explore the gut microbiome, a massive source of inflammatory burden that holds promiser in bridging the "residual risk" gap, the gap between who we predict will develop heart disease and who actually does. 100 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 08/06/2026Is atherosclerosis a function of high cholesterol or inflammation? What about heart attacks? Let's dissect (pun intended) in part 1 of the inflammatory hypothesis of coronary artery disease. #inflammation #heartattack #cardiology #nurse #doctor 010 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 07/06/2026Comment questions, & follow for more from an interventional cardiologist. #wellness #healthcare #wearables #nurse #doctor 000 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 07/06/2026Wearables, poor data, & "wellness." Wearable health metrics suck, and regulation just allowed these metrics to flourish. Ethics is gone, business is booming, and money & the government are prioritizing "wellness" over healthcare. 100 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 20/04/2026Follow for cardiovascular education, the latest data, and tips to reduce risk of heart disease from an interventional cardiologist. #diet #healthcare #cardiosky 010 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 20/04/2026If you're cold plunging and not moving and eating healthy, you're doing it wrong. Learn about the pescomediterranean diet & what actually works (https:// www.jacc.org/doi/10.1016/ j.jacc.2020.07.049). 100 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 17/04/2026Let's talk about why you don't need a fad diet to flush out toxins, and why some of these store-bought cleanses are actually doing the exact opposite. #cardiosky #medsky #detox 020 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 17/04/2026Detox? Cleanse me baby! Welcome back to Bullshit Wellness. Before you spend money on another extreme juice cleanse, let me introduce you to the ultimate, free detox system already inside your body: your liver. 120 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 15/04/2026Have you ever felt rushed at your doctor's visit? Join me for a snapshot of one of many reasons why healthcare has lost the "human touch" & morphed from a calling into a "job" #cardiology #healthcare #heart #cardiosky 100 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 12/04/2026This is the reality of CAD and why early screening for silent risk factors, such as undiagnosed diabetes, high blood pressure, and high cholesterol, is so critical. Watch to see the blockages. #cardiology #preventativemedicine #hearthealth #cardiosky 000 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 12/04/2026What does a 99% heart blockage actually look like? Let's look at a real angiogram from a recent patient of mine. Woman in her 30s presented with a heart attack, and her main symptom was simply heartburn. 100 0
M. Bilal Ahmed, MD, MBA @brwnmgk.bsky.social · 11/04/2026I really appreciate the clarification! Just read through YOUNG-MI study, and you’re absolutely right 010 0