From Davis, CA. Huge Cal Bears, NASA, spreadsheet, and Top Gun fan. Hospitalist @ TJUH & Mayo Clinic . . . views expressed are my own.

✊️🐻s! Must win game; enjoy the flight home, @CalFootball ! #Rollon
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Plot thickens. Buried in @mattbarrows' piece: I THINK he's first to report the @49ers ran a circadian protocol: timed sleep, light exposure, blue blockers. So this was never crazy @RamsNFL science vs. no science @49ers . BOTH leaned in; they chose different priorities 🧵 (1/2)
49ers enjoy family reunion in rout of Rams: ‘It felt like I never left’ nytimes.com/athletic/7583837…
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Shoutout to @DKashiwagiMD for the find! Fellow @49ers super fan and fellow #HugeNerd 🤓!
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Details matter. Some nuance on the Rams travel plan 👇

ALT Details Payattention GIF by Tonya Kubo

Replying to @PSchrags
Great reporting @PSchrags. Respectfully, it also undercuts this AM's "the Rams threw circadian science out the window." 15 staffers over 2 years is leaning IN. Where it gets interesting is execution 🧵 (1/4)
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Great read; kudos to @BruceFeldmanCFB for another example of #Circadian #Science working: this time for @MemphisFB. Informs current @RamsNFL v @49ers debate. ❤️ this stuff. Stay tuned for abstract on 2 years of @CalAthletics applying similar methods at @ACPIMPhysicians ' #IM2027
Memphis went to Vegas and upset UNLV. The game kicked off at 9 pm CT and the Tigers outscored UNLV 20-7 in the second half. How? My story on the best $20,000 any college coach spent this offseason. It wasn’t on a player. It was on a sleep physician: nytimes.com/athletic/7578534…
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... if abstract gets accepted. @acpimphysicians have a high bar . . . 🤣😬🤓
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OK, I'll bite on @RamsNFL v @49ers travel. Never received so many texts re circadian athletic effects 🤣 TL;DR: 📌n=1 game w/ a dozen confounders = draw NO conclusions from Friday, win or lose . . . BUT 📌On the physiology, agree w/ @RamsNFL's Reggie Scott. Details 👇 🧵 (1/7)
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📌How strict were @RamsNFL re light exposure/avoidance, bed/wake/meal times? If not on point, dramatically reduces advantage 📌Is either doing strategic caffeine+power naps? Even @CalFootball 's #CoachThatNeverSleeps @CoachLup talked flight naps yesterday-HC's know 🧵(6/7)
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Which is to say: "How we spend our days is...how we spend our lives," so I'm 💯 for a week Down Under. The @49ers trip is way cooler holistically, but respect the @RamsNFL SEEMINGLY insane but physiologically sound approach; that said... 📌As a @CityofDavis homer, Go @49ers! 🧵✅
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#CircadianScience Respect! That said, Go @49ers !
The Rams arrived in Melbourne at 7 am local time. Since they are staying on west coast time, they will probably go to sleep around 3-5 pm local time, wake up around midnight to 2 am, play a game at 10:30 am and then jump on a plane back right after.
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8-0 against Wooden in last 8 games. ✊🐻s!
Pete Newell, Cal's greatest basketball coach was born August 31, 1915 in Vancouver, Canada. Newell led @CalMBBall to four straight Conference titles, to the 1959 NCAA Championship and to the 1960 NCAA final. He also coached the USA to Gold in the 1960 Olympics in Rome. #GoBears
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✊️🐻s!
The Tarps are coming OFF 📣 You asked, we answered. Let’s pack California Memorial Stadium all season long! 🎟️ For a limited time this week, seats in sections LL & N are $43! Sale ends Friday at 5 pm ➡️ calbea.rs/F26TarpsOff
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TWDFNR; Sitting versus standing at the bedside during rounds. What is best for physician-patient communication? 🔗: doi.org/10.1002/jhm.70293 ✍️: Gray et al 🖼️: #VisualAbstract by @Eric Burnett #JournalofHospitalMedicine #SHM #TWDFNR
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Kudos to @JeffersonUniv 's Dr. Gallagher & the team on our J Patient Saf paper. Appreciate the JPS team for the opportunity & audience! 📌Companion to our @AjmQonline paper: does the SAME transfer note tell us if the transfer should happen? pubmed.ncbi.nlm.nih.gov/4244… 🧵 (1/6)...
Kudos to @JeffersonUniv 's Dr. Gallagher & the team on our new paper in AJMQ. Appreciate @AjmQonline editors & reviewers for the support! 📌Before you scale a QI tool, ask the unglamorous question: do the clinicians who must use it, want it?! pubmed.ncbi.nlm.nih.gov/4254… 🧵...
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Grateful to Dr. Josh Marks & Dr. Jeff Riggio (@TJUHospital), @AHRQGov (POINT funder), @ADAuerbachMD 's #HOMERuN (connector) & the team leading POINT. Couldn't do this w/o @JeffersonUniv, @MayoClinic & @SocietyHospMed. Appreciate the support & community! #HospMed (6/6) ✅❗️🐻
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I see you @SocietyHospMed reading to the very end AND hearting -- I would expect nothing less than that rigor & thoroughness. Just made my night. Carry on the good work!🤓 (and, yes, have brought up for discussion with the SIG . . . perhaps we can solve that dual-purpose note!)
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