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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    Atul Gawande‏Verified account @Atul_Gawande 21 Nov 2017

    Excellent article on what the new guidelines for high blood pressure mean. Under 120/80 is normal. Above 120/80 is not. Long term rates of disease and mortality go up. But there are graded, evidence based things one can do about it. https://www.health.harvard.edu/blog/new-high-blood-pressure-guidelines-2017111712756?utm_source=SilverpopMailing&utm_medium=email&utm_campaign=11.21.2017%20(1 …)

    4:22 AM - 21 Nov 2017
    • 338 Retweets
    • 516 Likes
    • Ronnie Whaley 🇵🇭 DR.A.A jeny's closet Chris Lancashire Mona Stepczyk Hattie Hanley Maureen Báyọ̀ Joyce Moore
    20 replies 338 retweets 516 likes
      1. Steve Leben‏ @Judge_Leben 21 Nov 2017
        Replying to @Atul_Gawande

        What is your opinion about the view expressed in this NY Times op-ed by medial professor Dr. Gilbert Welch?https://www.nytimes.com/2017/11/15/opinion/blood-pressure-guidelines.html …

        0 replies 1 retweet 5 likes
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      1. Rohan M. Shah, MPH‏ @RMShah91 24 Nov 2017
        Replying to @Atul_Gawande

        Dr. Gawande, I’ve heard you say that HTN is the biggest killer in our country and only 40% have it recognized. With these guidelines, that number will shoot up. Does that really do anything to solve the issue of medical literacy/ general neglect of incremental care?

        0 replies 0 retweets 2 likes
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      1. New conversation
      2. Stephen K Williams‏ @BPVisitDoc 21 Nov 2017
        Replying to @Atul_Gawande @stan_kogan

        Very nice article. Important correction for the author of the article. It is not correct that <140 was considered “normal” prior to last week. It was considered “prehypertension” —- an abnormal state.

        1 reply 0 retweets 1 like
      3. Stan Kogan‏ @stan_kogan 21 Nov 2017
        Replying to @BPVisitDoc @Atul_Gawande

        Atul said that <120/80 was normal in his tweet. It’s still considered normal.

        1 reply 0 retweets 0 likes
      4. Stephen K Williams‏ @BPVisitDoc 21 Nov 2017
        Replying to @stan_kogan @Atul_Gawande

        I was referring to the Harvard article by Tello where she wrote, “ The guidelines, in a nutshell, state that normal blood pressure is under 120/80, whereas up until Monday, normal was under 140/90”. But I see now that Dr Gawande made the correction already. O/w GREAT article!

        1 reply 0 retweets 1 like
      5. Stan Kogan‏ @stan_kogan 21 Nov 2017
        Replying to @BPVisitDoc @Atul_Gawande

        Ahh. Great point. You’re right, that looks like a mistake in the article. @HarvardChanSPH @HarvardHealth please take a look! Normal was not previously defined as <140/90.

        0 replies 0 retweets 0 likes
      6. End of conversation
      1. La Fleur Rouge Believes U‏ @CleopatrasHat 21 Nov 2017
        Replying to @Atul_Gawande

        And now we need public policies that facilitate healthy eating and exercise.

        0 replies 0 retweets 1 like
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      1. Motaz Qadan‏ @motazqadan 21 Nov 2017
        Replying to @Atul_Gawande

        This does not take into account physiologic changes with aging. One number does not fit all

        0 replies 0 retweets 1 like
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      1. nehanjp‏ @nehanjp 21 Nov 2017
        Replying to @Atul_Gawande

        Rubbish again a pharma plot to sell more drugs. They did this with lowering diabetes numbers. And scaring folks with BMI Disgusting pharma lobbyists.

        0 replies 0 retweets 1 like
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      1. BoxingFluffy‏ @BoxingFluffy 21 Nov 2017
        Replying to @Atul_Gawande

        What does it mean for Big Pharma? More people on meds!

        0 replies 0 retweets 1 like
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      1. New conversation
      2. Frouke Hermens‏ @froukehe 22 Nov 2017
        Replying to @Atul_Gawande

        What are the recommendations for stage 1 hypertension without other risk factors with all the life-style recommendations already addressed? Do you use home / office recordings, or only 24-hours?

        1 reply 0 retweets 0 likes
      3. Frouke Hermens‏ @froukehe 22 Nov 2017
        Replying to @froukehe @Atul_Gawande

        Tables like these suggest the guidelines should be more complex: https://www.nhg.org/sites/default/files/bsl/images/m84_01_0.jpg …

        0 replies 0 retweets 0 likes
      4. End of conversation
      1. vikas tripurneni‏ @drvikaz 22 Nov 2017
        Replying to @Atul_Gawande

        What's the driving force behind these guidelines..public wellbeing or pharmaceutical prosperity??

        0 replies 0 retweets 0 likes
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      1. Ross Morton‏ @signindoc 22 Nov 2017
        Replying to @Atul_Gawande

        I am sure the life insurance companies and the drug manufacturers are having a field day. Ka-ching! $$$$

        0 replies 0 retweets 0 likes
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      1. Venkataramanan B‏ @venkat0305 21 Nov 2017
        Replying to @Atul_Gawande @sumanthraman

        A Big Pharma game like the BMI game earlier..

        0 replies 0 retweets 0 likes
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      1. Anil Adisesh‏ @doctorsdilemma 21 Nov 2017
        Replying to @Atul_Gawande

        What it does is create medical dependency in people who are asymptomatic and should be encouraged irrespective of BP to be making those lifestyle changes. I'm with Gilbert Welsh @nytimes on this one.

        0 replies 0 retweets 0 likes
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      1. samuraidoctor‏ @samuraidoctor 21 Nov 2017
        Replying to @Atul_Gawande

        It seems to me to be a part of a wider conspiracy to pathologize everything.

        0 replies 0 retweets 0 likes
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      1. BeyondCancerSurvival‏ @AurelieCC 21 Nov 2017
        Replying to @Atul_Gawande

        #LifestylePlusDashDietHelpsHTN

        0 replies 0 retweets 0 likes
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