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Josh Krasnow

@jmksnow.bsky.social
694 followers 86 following 1.3K posts

Cardiologist, sometimes with stents. Bikes. Desktop linux cardiosky medsky

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Josh Krasnow @jmksnow.bsky.social · 12/09/2026
If you come for the white whale, you best not miss
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Josh Krasnow @jmksnow.bsky.social · 06/09/2026
The town of Phil Campbell, AL was named after...Phil Campbell... who built the railroad depot Every year they have a festival at which Phil Campbells from all over come to celebrate the non-uniqueness of their name
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Molly White @molly.wiki · 05/09/2026
I would add OpenStreetMap, which is also community edited. This administration has really underscored some strengths of the wiki model.
Map screenshot showing label "Lake Ontario"clay_c
Clay Smalley
United States moderator
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Although I don’t moderate this section of the forum, here’s a friendly reminder from last time the US government instigated a frivolous naming dispute over an international body of water:

These are the guidelines we use to determine what should be considered the name of a feature:

Names
Multilingual names
Disputes
Currently, the Gulf is tagged with name=Golfo de México, name:en=Gulf of Mexico, and official_name:en-US=Gulf of America. This is unlikely to change, unless the US government reverses its position, or (less likely) English speakers across the world all agree to start using the US government name. That last tag, official_name:en-US=*, is quite obscure and doesn’t show up on any map renderers that I’m aware of. But its inclusion allows people to, for example, search for “Gulf of America” and be redirected to the Gulf of Mexico.

Please keep comments on-topic and substantial. We all have opinions, and it’s easy to drop your two cents in an online forum. However, a discussion about OSM naming guidelines or real-world name usage statistics might be worth at least a few dollars here.

In this case, the lake is tagged with name=Lake Ontario, official_name:en-US=Lake America. For this situation to change, the government would need to reverse its position.

The guidelines on naming disputes apply to every country equally. This is far from the only naming dispute around the world. Let’s not get bogged down in American exceptionalism when we consider how the tagging guidelines should or shouldn’t change.
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😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 04/09/2026
desert island disc
copper blue by sugar
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Josh Krasnow @jmksnow.bsky.social · 29/08/2026
If you want a real world example of how the intellectual center of gravity has moved in the last couple of years, just look at the studies presented at ESC vs ACC in that time period actions have consequences #cardiosky #esc #medsky
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Josh Krasnow @jmksnow.bsky.social · 22/08/2026
Not this, but I used to see clubbing all time, now very rare Presumably because smoking rates have decreased? Maybe it's just where I've worked
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David W (aka Flex NP) @rnflex.bsky.social · 21/08/2026
There's a bitter irony to an insurance company sending me a letter that my patient needs high intensity statin + PCSK9I therapy for their cardiovascular disease, when that same company denied a PCSK9i drug to the SAME PATIENT that I tried to prescribe last month. It's just insanity at this point.
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Josh Krasnow @jmksnow.bsky.social · 14/08/2026
Introduce yourself as what almost killed you Still not quite of the proximate cause, but I'll leave it at syncope and bridges don't mix
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Josh Krasnow @jmksnow.bsky.social · 14/08/2026
Anatomy is not destiny
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Josh Krasnow @jmksnow.bsky.social · 03/08/2026
yeah, that's great...but I also have to take my levothyroxine on an empty stomach, and PPI's ideally as well I'll live with a ferritin of 22, it's the best I can do, and no, I don't need another colonoscopy or a capsule, nor am I going to start eating a lot more meat 22 is way better than 8
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ReMona Lisa - News Reader - @thebookwormturns.co.uk · 31/07/2026
Just a small reminder of the scars our doctors and nurses carried every day wearing PPE 24/7. And those are only the visible ones. #Fauci
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Josh Krasnow @jmksnow.bsky.social · 29/07/2026
EMR vendors thinking this is license to enshittify further
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Josh Krasnow @jmksnow.bsky.social · 27/07/2026
Nixon agrees
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Josh Krasnow @jmksnow.bsky.social · 26/07/2026
Please no. If someone did something egregious, ok to review and fine/suspend after the game, but during the game, it should be the ref's call without external tech. Part of sports is dealing with bad/missed calls. It's a human endeavor. Humans playing, humans officiating
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Josh Krasnow @jmksnow.bsky.social · 24/07/2026
Marmite has that effect on me
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Josh Krasnow @jmksnow.bsky.social · 24/07/2026
An AI “salesman”, or a man who sells AI?
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 18/07/2026
MedPage Today @medpagetoday.com quotes @brianrifkin.bsky.social et al on CKM guidelines/staging www.medscape.com/s/viewarticl... I do think CKM is a fake made up condition & the staging is a terrible idea Flozinate, glipinate - but shoving another disease and staging and guideline? Count me out!
medscape.com
Grumblings Over CKM Guideline Not Warranted, Experts Say
Experts push back against concerns of overmedicalization and confusing staging with the new AHA/ACC guideline on cardiovascular-kidney-metabolic syndrome.
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Paul Williams @paulnwilliams.bsky.social · 18/07/2026
I am going to have a stroke. www.jacc.org/doi/10.1016/...
jacc.org
2026 AHA/ACC/ADA/ASN Guideline for the Prevention, Detection, Evaluation, and Management of Cardiovascular-Kidney-Metabolic Syndrome: A Report of the American College of Cardiology/American Heart Asso...
2026 multisociety guideline for cardiovascular-kidney-metabolic syndrome addressing CKM staging, PREVENT risk equations, obesity treatment, kidney disease prevention, and cardiovascular risk reduction...
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Josh Krasnow @jmksnow.bsky.social · 11/07/2026
#medsky
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Josh Krasnow @jmksnow.bsky.social · 11/07/2026
Mick Jagger been rode hard and put up wet
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Josh Krasnow @jmksnow.bsky.social · 09/07/2026
Are we bringing back NFT's? #cardiosky #medsky
ABIM email saying "coming soon: your ABIM digital badge"
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Josh Krasnow @jmksnow.bsky.social · 08/07/2026
As I’ve said for over twenty years: Myocardial perfusion imaging is a great test…once you know the anatomy CT is the (present and) future @bjcohenmd.bsky.social #cardiosky #medsky
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Josh Krasnow @jmksnow.bsky.social · 27/06/2026
Coffee ride supposed to be a metric, ended up doing an imperial 100m then a 3 mile dog walk Oh, and wife did track 1K repeats coached by my daughter who was on a rest day so did an easy 4 @ 7:30 World cup and beer tonight This is only normal with serious selection bias, but it has been a great day
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Josh Krasnow @jmksnow.bsky.social · 27/06/2026
Methinks a Strait of Hormuz beats a pair of Jokers
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Josh Krasnow @jmksnow.bsky.social · 27/06/2026
I'm sure I have thoughts and engagement, might learn something or contribute something, but.... since I don't have a subscription, I just consider this advertising Link the articles without a paywall if you're actually interesting in the advancement and dissemination of medical information
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Frank Harrell @f2harrell.bsky.social · 25/06/2026
An important read. Naive researchers are using TriNetX easy-to-use tools without realizing that their analyses of routinely collected data are meaningless, even claiming that nonexistent TriNetX tools fixed biases.
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Josh Krasnow @jmksnow.bsky.social · 11/06/2026
My daughter made kale pizza the other night, and my wife came home and saw it and immediately broke into tears (ok, there were other things going on too, and the pizza was actually excellent, but true story) #nokale
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Josh Krasnow @jmksnow.bsky.social · 07/06/2026
Sure ICD did it's thing, but maybe this isn't the best idea to continue playing? #cardiosky #medsky news.sky.com/story/danish...
news.sky.com
Denmark footballer Christian Eriksen collapses on pitch
Footage showed the 34-year-old clutching his chest with both hands in the 65th minute of the game against Ukraine.
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Josh Krasnow @jmksnow.bsky.social · 06/06/2026
Any radialist immediately made this diagnosis, and switched to left radial or femoral (and cursed under their breath...or slightly louder) #cardiosky
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Carl T. Bergstrom @carlbergstrom.com · 06/06/2026
"911, what's your emergency?" "Hello, Police? Yeah, our highest award recipient is at our meeting handing out copies of an article that we published. And uh....we....well....shit, nevermind." (gift link)
nytimes.com
Police Remove Diabetes Experts From Conference for Distributing Critique of Trump Administration
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The New York Times @nytimes.com · 05/06/2026
Lael Wilcox has already cycled around the world in 108 days, faster than any other woman. Now she’s planning to do it faster than any human, in less than 80 days — she just has to sleep a little less.
nyti.ms
The Fastest Woman to Circle the Earth on a Bike Is Aiming for the Men’s Record
Lael Wilcox will pedal around the world, and she hopes to do it in less than 80 days.
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Paul Williams @paulnwilliams.bsky.social · 05/06/2026
I will say it again: You are not my “peer” if your whole job is using a non-evidence-based algorithm to deny necessary care to my patients. My actual peers are not in the service of bloodless ghouls.
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 05/06/2026
Crazy happenings at the #ADA26 Cops show up, snatch papers and shove scientists out www.medpagetoday.com/special-repo...
medpagetoday.com
Video: Police Tussle With Diabetes Experts at ADA Meeting
Researchers told they could no longer attend the annual scientific sessions
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Josh Krasnow @jmksnow.bsky.social · 05/06/2026
My FTP went up 15 Watts when I got my ferritin from 8 to 30! (ok, this for sure isn't science, but still, 15 Watts!)
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Josh Krasnow @jmksnow.bsky.social · 05/06/2026
They're all coming out of the woodwork
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Josh Krasnow @jmksnow.bsky.social · 03/06/2026
Ain't no LLM write that
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Mark Lindsay @markelindsay.bsky.social · 31/05/2026
Anyway spawning is happening right now, enjoy this video of river herring spawning in Horn Pond from yesterday
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Kevin Ault @kevinault.bsky.social · 25/05/2026
"I suppose nothing would ever give me as much delight as seeing the first patient change from blue to pink in the operating room... bright pink cheeks and bright lips."
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Olivia Waite @oliviawaite.com · 24/05/2026
Sometimes as an NYT books columnist you find yourself quoted in the Atlantic by Helen Lewis, who believes two odd things: 1. That nobody is reading Pratchett anymore (instead of all the time, as they should), and 2. That Pratchett’s politics are hard to pin down, and Reg Shoe is not a fucking hero.
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Josh Krasnow @jmksnow.bsky.social · 23/05/2026
Just found out I am on double-secret "back-up call" you know what that is if you have a potential legal responsibility to respond to the hospital within 30 minutes? Call #medsky #cardiosky
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Josh Krasnow @jmksnow.bsky.social · 23/05/2026
Operation lymph "ruin a band by replacing a word with a bodily fluid"
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Josh Krasnow @jmksnow.bsky.social · 23/05/2026
Ignoble award candidate #cardiosky #medsky www.jacc.org/doi/10.1016/...
jacc.org
Defecation Patterns and Cardiovascular Outcomes in Acute Coronary Syndrome: The Influence of Stimulant Laxative Use
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Josh Krasnow @jmksnow.bsky.social · 20/05/2026
Toss-up: U2 at the Paradise in Boston 1980 or m.youtube.com/watch?v=j8e1...
m.youtube.com
Fugazi - Waiting Room (Live At Wilson Center, Washington/DC 1988)
YouTube video by Direitolatra !
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Josh Krasnow @jmksnow.bsky.social · 17/05/2026
i just follow @mobydickatsea.bsky.social, that must count, no?
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Josh Krasnow @jmksnow.bsky.social · 11/05/2026
Do you think I could build a business and whole industry on some nonsense like microvolt T-wave alternans? www.engadget.com/2169194/whoo...
engadget.com
Whoop will soon offer users in-app video consultations with licensed clinicians - Engadget
Clinicians will be able to see users’ health data.
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Josh Krasnow @jmksnow.bsky.social · 01/05/2026
I've never been happier to be the last one to know about something
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Josh Krasnow @jmksnow.bsky.social · 26/04/2026
That was absolutely nuts Last 5K in 13:32 *After* drilling it for 1:45hr WTAF
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Josh Krasnow @jmksnow.bsky.social · 21/04/2026
Virtually the entire world tour peloton is doping in some form. Same for elite track.
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Josh Krasnow @jmksnow.bsky.social · 17/04/2026
unreadable figure
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American Journal of Hypertension @amjhypertension.bsky.social · 17/04/2026
#HotOffThePress Widespread use of low efficacy antihypertensive regimens for the initial treatment of hypertension among older US adults academic.oup.com/ajh/advance-... and commentary academic.oup.com/ajh/advance-...
visual abstract
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