1/8 Martha, I completely agree with you that the symposium has exciting topics and expert presenters. However, are we preaching to the choir? https://twitter.com/drmarthagulati/status/1312377911626936320

2/8 I am beckoned by the famous lyrics written by Pete Seegar in 1955 “When will we ever learn?” and subsequently popularized by Peter, Paul and Mary when it became a favorite anti-war song in the 60s. We, cardiologists, are indeed at war against CVD, of which is 80% preventable

3/8 “When will we ever learn?” While we are rightfully proud of our excellence in medical, surgical and catheter based therapies, we need to be reminded that each patient represents our collective failure in prevention.

4/8 “When will we ever learn?” Public is well programmed to ensure timely preventive care (check ups) for the car engines and pipes. However, the public has not been programmed to do so for their own CV engines and pipes.

5/8 “when will we ever learn?” it is time to stop lip service when it comes to preventive cardiology, and develop robust plans to save our nation from the calamity that is CVD.

6/8 “When will we ever learn?” that P4P which currently stands for “Pay for Performance” should change to “Pay for Prevention” which will make a true impact on reducing CVD for generations to come.

7/8 “When will we ever learn?” “Primum non nocere” first do no harm, however when I see patients with established CVD, I see our failure to prevent the unwitting harm to those individuals. We should acknowledge our share of blame in these individuals and commit to prevention.

8/8 Thanks to @WilliamZoghbi and @khurramn1 for waving the flag of preventive cardiology today. “When will we ever learn?” Hope and pray soon! @EricTopol @Atul_Gawande @ACCinTouch @American_Heart