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Michelle Kittleson

@mkittlesonmd.bsky.social

24 Following907 Followers

Professor of Medicine, Heart Failure/Transplant Cardiologist, Cedars-Sinai. Author, Mastering the Art of Patient Care. https://link.springer.com/book/10.1007/978-3-031-20920-8 #kittlesonrules

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@mkittlesonmd.bsky.socialOct 6, 2026, 3:40 PM

Health care delivery in the hospital too often feels disjointed, inefficient, confusing, and frustrating. We should do everything in our power to reduce that unnecessary stress — because being sick is stressful enough.

@nejm.org

voices.nejm.org/doi/full/10....

@nejm.orgSep 24, 2026, 1:00 PMReposted by @mkittlesonmd.bsky.social

Sometimes the most caring answer is no. @mkittlesonmd.bsky.social explains why in a new NEJM Voices blog post. Read the post and sign up for email alerts: https://nej.md/47bwkI6

A quote from an NEJM Voices blog post reads as follows: “We must have the freedom, as physicians, to tell patients what they need to hear rather than what they want to hear.” The author is Michelle Kittleson, M.D. The background color is red and includes the NEJM Voices logo.
@mkittlesonmd.bsky.socialSep 22, 2026, 3:11 PM

Sometimes the most caring answer is no.

A Worthwhile Trade

voices.nejm.org/doi/full/10....

@nejm.org

@mkittlesonmd.bsky.socialSep 8, 2026, 5:32 PM

One useful strategy distilled from thousands of explanations of common cardiac conditions is spiels for effective communication.

Cardiology Spiels

voices.nejm.org/doi/full/10....

@nejm.org

@mkittlesonmd.bsky.socialAug 28, 2026, 3:14 PM

Even if you never care for patients with cardiac amyloidosis, the CARDIO-TTRansform trial offers lessons in looking beyond soundbite of a clinical trial to understand what the findings really mean for patient care.

voices.nejm.org/doi/full/10....

@NEJM

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