JC

@RitikaTuliMD Watchman

#CardioNuggets 🔹 Who Gets IE Prophylaxis? (ACC/AHA) ✅ Prosthetic cardiac valves ✅ Prior IE ✅ Certain CHD (unrepaired cyanotic, repaired w/ residual defects, 1st 6 mo after repair) ✅ Cardiac transplant w/ valvulopathy ❌ Not for MVP, HCM, rheumatic disease, pacemakers/ICDs, or routine GI/GU procedures. Procedures: Dental (gingiva, periapical, mucosa perforation) Respiratory (incision/biopsy of mucosa) Regimens: Amoxicillin 2 g PO, 1 hr before (preferred) Azithromycin 500 mg if PCN allergy 🚫 Clindamycin no longer recommended (C. diff risk). #CardioNuggets #Endocarditis #MedEd #FOAMed

@DoctorTro This post makes no sense 😂

This is a loser mentality Doctors should be examples of health, should reach out to corporations, schools, senior homes and churches throughout their communities to spread knowledge about how to reclaim health Anything less is a joke. We need more doctors to take responsibility instead of passing off everything to “society” My message to every doctor out there: Stop being lazy and do better First you have to want to, then you have to vision in it, then you have to do it

@willyhfrick @WUSTL Congrats!

Woo hoo! Matched EP at @WUSTL! A dream come true. A shock to everyone who's seen my feed that I am interested in EP.

@gurgavin Did we really underperform if we started buying low?

CONGRATS TO ALL TESLA BULLS ON THIS RALLY AND UNDERPERFORMING THE S&P 500 BY 5% THIS YEAR $TSLA

@willyhfrick @PacingSpike @evanklin96 @ecgrhythms @The_Nanashi_O @Arron_Pearce_ @ecgandrhythmRoe Atrial rhythm is discordant with ventricular. Definitely see spikes before the QRS, but not before the P’s. So can’t be dual paced.

Do you agree with the over read? @PacingSpike @evanklin96 @ecgrhythms @The_Nanashi_O @fibtoflutter @Arron_Pearce_ @ecgandrhythmRoe

@willyhfrick Impressive

@willyhfrick Wow thats bad.

@FloydECGs @EM_RESUS @willyhfrick @The_Nanashi_O @Arron_Pearce_ @RobertHermanMD @BrooksWalsh @ekgpress @EcgsOnly @EcgOxford @evanklin96 Ok they were very subtle I see them now, thanks!

@fibtoflutter @EM_RESUS @willyhfrick @The_Nanashi_O @Arron_Pearce_ @RobertHermanMD @BrooksWalsh @ekgpress @EcgsOnly @EcgOxford @evanklin96 Inferior ischemia: elevation in III and avF, reciprocal depression in I and aVL. Posterior ischemia: ST depression V2 (and V3 and V4 more subtly).

@The_Nanashi_O @FloydECGs @EM_RESUS @Arron_Pearce_ @RobertHermanMD @BrooksWalsh @fibtoflutter @ekgpress @EcgsOnly @EcgOxford @evanklin96

@EM_RESUS @willyhfrick @The_Nanashi_O @FloydECGs @Arron_Pearce_ @RobertHermanMD @BrooksWalsh @ekgpress @EcgsOnly @EcgOxford @evanklin96 Could you explain to me the ischemic findings? (To learn)

@willyhfrick @The_Nanashi_O @FloydECGs @Arron_Pearce_ @RobertHermanMD @BrooksWalsh @fibtoflutter @ekgpress @EcgsOnly @EcgOxford @evanklin96 Acute Coronary Occlusion InferioroPosterior Transmural ischemia Ventricular Bigeminy—Unifocal PVC emanating from ischemic LV

@BitcoinMagazine Lol

JUST IN: 🇺🇸 Joe Biden's campaign is in talks to accept crypto donations through Coinbase Commerce, The Block reports.

@elonmuskADO Yes

@LUCKYY10P There are people who did both 😂

20,000 hours later. 😂😂😂

@willyhfrick Ectopic atral rythm with 1st degree AV with PVCs. There are some blips after the QRS that look like P waves that are not conducting to the ventricles?

Rhythm?

@willyhfrick My still not trained eye sees variation in QRS amplitudes amplitudes on V1 on all of them and poor R wave progression. That’s what I see in common.

What do all these ECGs from the reading queue today have in common?

@willyhfrick @Arron_Pearce_ @DidlakeDW @PacingSpike @ecgandrhythmRoe @evanklin96 @The_Nanashi_O @cardiojaydoc02 I mean the Ps march independently from the QRS's. The QRS's are marching as well. There both are acting independently so there is some degree of dissociation? like complete heart block? What am I missing? 🧐

@willyhfrick @Arron_Pearce_ @DidlakeDW @PacingSpike @ecgandrhythmRoe @evanklin96 @The_Nanashi_O @cardiojaydoc02 AV dissociation

Do you agree with the overread? @Arron_Pearce_ @DidlakeDW @PacingSpike @ecgandrhythmRoe @evanklin96 @The_Nanashi_O @cardiojaydoc02

@willyhfrick Yes sir, will do.

Advice to all incoming first year cardiology fellows: Make friends with the cath lab nurses and techs. They know a LOT more than you about cath. They do it every day. They can teach you so much. #ACCFIT

@amitisinvesting Black rock had -30M outflow

$BTC 🔴🔴🔴🔴 Oh my goodness. ETF outflows were….not pretty today. Blackrock $IBIT data isn’t out yet and I’ll update this post once it is, but so far… $FBTC Fidelity lost $191M. $BITB Bitwise lost $29M. $ARKB Ark lost $98M. The other ETF’s combined lost $39M. $GBTC Grayscale sold…$167M worth of Bitcoin. Total outflows today — $526M. UGH. Expected post halving. Guess it’s a waiting game until things turn around but would rather have some downside action then a straight moonshot up before inflation has even come down — that likely would be unhealthy and an unsustainable path to getting to a $100K Bitcoin. Inflation coming down, liquidity entering into the system, and rate cuts coming back…all the things needed for growth stocks to thrive…will help $BTC. Just may take the next few months to play out.

@GerberKawasaki They say you are a bottom seller.

China throws tesla a bone! Allows FSD in China. Also signaling no retaliation over tiktok ban. Some positive news for Tesla! $tsla

@garyblack00 Sorry for your loss Gary.

In today’s pre-mkt summary for Subscribers: $TSLA gets preliminary approval to launch FSD in China after partnering with Chinese media and AI giant $BIDU; Fed rate decision and press conference Wed; April non-farm payrolls Friday; $AMZN and $AAPL earnings this week.