Michael Richman MD, MMM, FACS's Avatar

Michael Richman MD, MMM, FACS

@doc4heart.bsky.social

Double Board-Certified Cardiothoracic/General Surgeon Co-Founder/CCO-PaladinMDs Clinical Professor, Univ. of Houston Tilman J. Fertitta Family College of Medicine www.paladinmds.com doc4heart.substack.com Georgetown University C87&M91 Southern California

170 Followers  |  188 Following  |  98 Posts  |  Joined: 28.11.2024  |  1.7627

Latest posts by doc4heart.bsky.social on Bluesky


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#awarenessatthespeedoflight #hearthealth #preventivemedicine #patienteducation #cardiovascularhealth #drsinicropi | Stefano M. Sinicropi, MD | 24 comments Not all health advice carries the same weight. In this conversation, Dr. Michael Richman breaks down what actually matters most when it comes to preventing heart attack and stroke. Exercise matters....

So happy to be a guest on β€œWellness at the Speed of Light” podcast www.linkedin.com/posts/stefan...

26.12.2025 15:31 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Charlotte Clymer (@charlotteclymer) Here's the 60 Minutes segment Bari Weiss didn't want you to see but forgot to remove from a broadcast package sent to a streaming app. (Part 1)

substack.com/@charlottecl...

23.12.2025 16:55 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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This is both disgusting and expected.

The Scumbag-in-Chief

15.12.2025 14:59 β€” πŸ‘ 20489    πŸ” 4113    πŸ’¬ 3285    πŸ“Œ 1075
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As it turns out, the only way to stop a bad guy with a gun *isn’t* a good guy with a gunβ€”it can be a good guy *without* a gun. Just another NRA lie.

14.12.2025 23:19 β€” πŸ‘ 14496    πŸ” 3421    πŸ’¬ 412    πŸ“Œ 104
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The Scientific and Economic Reality of Drug Development The journey from a lab idea to a marketed drug is a high-risk gauntlet.

The Scientific and Economic Reality of Drug Development open.substack.com/pub/doc4hear... #drugdevelopment #bigpharma

26.11.2025 15:42 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Mike Johnson is pathological liar, an embarrassment, and NOT a Christian…in simple terms, Go Fuck Yourself #speakerjohnson #mikejohnson #MAGA #Trumpisapieceofshit

18.11.2025 17:28 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Incidental Lung Nodules: Understanding the Probability of Malignancy and Management Approaches Advice from a Cardiothoracic Surgeon that may SAVE YOUR LIFE!

open.substack.com/pub/doc4hear... #cancer #lungcancer #cancerawareness

29.10.2025 05:15 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Making Argentina Great Again. Indefensible.

22.10.2025 14:14 β€” πŸ‘ 7167    πŸ” 3213    πŸ’¬ 730    πŸ“Œ 318
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A Cardiothoracic Surgeon Explains the New Face of Lung Cancer: Unraveling the Rise of Non-Small Cell Lung Cancer (NSCLC) in Young, Non-Smoking Patients As a cardiothoracic surgeon who treats lung cancer, there has been a disturbing trend I have noticed over the past decade.

open.substack.com/pub/doc4hear... #lungcancer #cancer #lungcancerawareness

22.10.2025 20:28 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Michael Richman MD, MMM, FACS (@doc4heart) I am Dr. Michael Richman, a double board-certified cardiothoracic surgeon. Medical malpractice is a critical issue in the healthcare industry, one that has profound implications for both patients and ...

I'm Dr. Michael Richman, and I want to clear up the real facts behind MEDICAL MALPRACTICE and why not all bad outcomes mean negligence, and how this affects both doctors and patients
substack.com/@doc4heart/n...

10.10.2025 05:01 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Thank you Keith πŸ™πŸ»

22.09.2025 16:43 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Ask A Cardiothoracic Surgeon: The Truth About Probiotics Are they safe for all populations?

open.substack.com/pub/doc4hear... #probiotic #probiotics #guthealth

06.09.2025 06:24 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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A Surgeon’s Guide to Preventative Colorectal Cancer Screening: Colonoscopy Colorectal cancer (CRC) is a common and lethal cancer worldwide and one of the leading causes of cancer death in the United States.

open.substack.com/pub/doc4hear... #coloncancer #rectalcancer #colonoscopy

04.09.2025 02:20 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Ask A Cardiothoracic Surgeon: Unraveling the Ehlers-Danlos Syndromes (EDS) EDS occurs in 1 in 2500 individuals, but most people have never heard of it!

open.substack.com/pub/doc4hear...

04.09.2025 02:19 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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The Dunning-Kruger Effect and Robert F. Kennedy Jr. as Head of HHS: An Exploration of Confidence and Competence The Dunning-Kruger effect, a cognitive bias wherein individuals with limited knowledge or expertise in a given area overestimate their understanding and capability, is a phenomenon of considerable rel...

open.substack.com/pub/doc4hear... #RFK #HHS #FDA #CDC #vaccines #vaccine #misinformation

01.09.2025 21:10 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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The Philosophical Considerations of Patient Enrollment in Cancer Clinical Trials Cancer clinical trials offer patients an avenue for cutting-edge medical treatments and a chance to contribute to advancing scientific knowledge.

open.substack.com/pub/doc4hear... #clinicaltrials #cancer

30.08.2025 00:11 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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A recent comprehensive analysis titled The Effect of Diet on Cardiovascular Disease and Lipid and Lipoprotein Levels provides critical insights into how dietary components influence lipid and lipoprotein levels, thereby modulating CVD risk
open.substack.com/pub/doc4hear...
#lipids #cholesterol #diet

27.06.2025 05:59 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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At the heart of cancer biology lies a perplexing contradiction known as Peto's Paradox which is the observation that cancer risk does not scale with body size or lifespan across species.

open.substack.com/pub/doc4hear...
#cancer #bats #longevity #petosparadox

27.06.2025 05:54 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Ok..thank you..will figure in out in the am

27.06.2025 05:48 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

What am I supposed to do?

27.06.2025 05:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Thank you so much for watching!πŸ™πŸ»

27.06.2025 05:26 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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As a cardiothoracic surgeon and dog lover, I’m warning you: store minoxidil safely to keep your pets safe from poisoning! #PetSafety #poison #dogsafety #catsafety #goldenretriever #HairLoss #Minoxidil #rogaine #alopecia #VetWarning 🐢🐱

26.06.2025 21:53 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 1    πŸ“Œ 1
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Did you ever wonder how a vegetarian/vegan gets Fish Oil(Omega-3 Fatty Acid) supplementation? Well welcome to Algal Oil. For more information you can go to my website www.paladinmds.com #fishoil #omega3 #algaloil #CardiovascularHealth #vegan #vegetarian

25.06.2025 22:12 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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I’m Dr. Richman, despite the hype, juice cleanses don’t detox your body or prevent cancer. Let’s rely on science not myths. For more info please go to PaladinMDs www.paladinmds.com #JuiceCleanse #healthfacts #cancer #juicing #detoxjuice

25.06.2025 05:48 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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What we learned yesterday.

The Times They Are a-Changin'

15.06.2025 16:42 β€” πŸ‘ 43485    πŸ” 11536    πŸ’¬ 864    πŸ“Œ 463
Arterial CO2 Targets in Veno-Arterial Extracorporeal Membrane Oxygenation After Cardiac Arrest After cardiac arrest, restoration of circulation is the first step toward survivorship. Extracorporeal CPR (ECPR), the use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) to restore circulation, is increasingly being used in refractory cardiac arrest. The Advanced Reperfusion Strategies for Patients With Out-of-Hospital Cardiac Arrest and Refractory Ventricular Fibrillation (ARREST), Prague Out-of-Hospital, and Early Initiation of Extracorporeal Life Support in Refractory Out-of-Hospital Cardiac Arrest (INCEPTION) randomized controlled trials compared ECPR with conventional CPR for refractory out-of-hospital cardiac arrest (OHCA).

Arterial CO2 Targets in Veno-Arterial Extracorporeal Membrane Oxygenation After Cardiac Arrest - CHEST journal.chestnet.org/article/S001... #CPR #heartattack #ECMO

10.06.2025 14:02 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Interesting that the #MAHA report published last week by #HHS & #RFKJr contained 5 literature citations that never existed. All the former academic MDs who lead HHS & brag about evidence based medicine can add to their CVs the title of β€œfraudster” as part of this deliberate misinformation

29.05.2025 23:01 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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A Surgeon’s Guide to Preventative Cancer Screenings Two Doctors Tell The Truth's Podcast Β· Episode

Our new epidode, A Surgeon’s Guide to Preventative Cancer Screenings. It may save your life. open.spotify.com/episode/3l9d... #cancer #cancerawareness #fuckcancer

14.05.2025 01:47 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Prerequisite Qualifications for being named US SURGEON GENERAL

08.05.2025 15:20 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Internal VA Emails Reveal How Trump Cuts Jeopardize Veterans’ Care, Including To β€œLife-Saving Cancer Trials” Despite a congressional mandate to expand care for veterans, internal Veterans Affairs messages obtained by ProPublica paint a stark portrait of how chaotic cost cutting has already imperiled tests of...

We are in a lot of trouble as is medicine in general! Just got this from a professor of thoracic surgery at UCLA and the Wadsworth VA. He is living this!

Internal VA Emails Reveal How Trump Cuts Jeopardize Veterans’ Care, Including To β€œLife-Saving Cancer Trials”

www.propublica.org/article/trum...

06.05.2025 13:07 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

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