iiinova — where your digital self keeps evolving

Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 12/06/2026

Got a new telescope, trying some astrophotography

Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 24/03/2026

Submitted a manuscript for publication, crossing my fingers and hoping that reviewer #2 is kind to me #academic #nursing #academia #evidence-based #publication

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 02/11/2025

My co-workers call me the "prince of pee" yesterday I lived up to my nickname diuresing 15 L off a patient 😆 #medsky #nursesky

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 03/09/2025

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.

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 28/06/2025

Just a PSA, going off your antihypertensives in favor of a more "natural" approach is a poor way to deal with HTN, but a great way to meet a heart failure specialist. #medsky #nursesky

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 19/02/2025

Reading this amazing book about nursing history & current nurse leaders. All of my #nursesky friends should grab a copy. #booksky

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 13/02/2025

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.

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 12/02/2025

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.

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 11/02/2025

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

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 10/02/2025

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.

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 09/02/2025

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!

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 31/01/2025

Despite the chaos of the world, spending an evening with a great book and this furry gremlin in my lap is the best

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 23/01/2025

Practicing what she preaches, if more were like her this country would be a much better place

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 16/01/2025

Seattle/King County public health has zero chill

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 08/01/2025

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

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 06/01/2025

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

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 02/01/2025

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

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 31/12/2024

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.

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 20/12/2024

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

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 18/12/2024

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.

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 13/12/2024

I was just informed that I've been appointed to the Heart Failure & Transplant Section Leadership Council for ACC! Term will be effective April 1st, excited and humbled for the opportunity!

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 05/12/2024

A question for my academic colleagues. Do you offer your lectures on Zoom/Teams/whichever platform during class times? Giving students the option to join online or inperson.

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 04/12/2024

Adding to my pen addiction. I love the Pilot Custom 74, write with it every day. Goal is to get all the colors, but the clear, blue, and forest green arrived today!

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 01/12/2024

My team and I have diuresed 78 pounds and counting off a patient in 2 weeks, definitely in my top 10 hospital weight loss

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 28/11/2024

Me and all my cardiology peeps getting the lasix, torsemide, and bumex ready to go

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 28/11/2024

Doing some data collection prior to getting all the food going, I have an excellent colleague assisting (mostly supervising) me #pomeranian #dogs #dogsofbluesky

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 26/11/2024

I 100% do not care about the citizenship status of an individual in the hospital bed or clinic exam room. They are there for treatment and they are safe with me.

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 19/11/2024

Got this shipped to me from Ancora in Tokyo, from their limited release birthday line. I'm a March baby, so a gorgeous aquamarine with tulip accents on the nib and cap. A Sailor pen with a 14k gold fine nib. Paired it with the Sailor birthmonth blend ink.

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 15/11/2024

American College of Cardiology has made it to bluesky!

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 15/11/2024

Treatment inertia in HFrEF is a real phenomenon that leads to increased morbidity and mortality. This article onlinelibrary.wiley.com/share/YQEURF... is a great read on how to approach treatment inertia in practice.

onlinelibrary.wiley.com

How to tackle therapeutic inertia in heart failure with reduced ejection fraction. A scientific statement of the Heart Failure Association of the ESC

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 12/11/2024

For those that like to write or gain knowledge, are you a fan of commonplace books vs compendium, and any examples to share?

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 12/11/2024

In these stressful times my aquarium and growing fish population greatly help relax me

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Ben DNP AGACNP-BC AACC HF-Cert @heartnpben.bsky.social · 12/11/2024

Just completed a peer review for a journal, I'm reviewer #1 thankful not to be reviewer #2 lmao

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