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#Cardiology emogies
🎈 balloon
💋🎈kissing balloon
⛓stent
🔦echo
🔞low EF
🔪CABG
💊OMT
🚰diuretics
🚱renal shutdown
💉 Thrombolysis
💔MI
🐲surgeon
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jedicath աǟզǟʀ.ǟɦʍɛɖ
24.9K posts
jedicath աǟզǟʀ.ǟɦʍɛɖ
@jedicath
To Learn & Educate | alum IM CV & #IC @BrighamWomens @bidmc |MS @HarvardChanSPH tweets=own opinion
A Grey Scale World Katılım Temmuz 2009
431 Takip Edilen10.1K Takipçiler
@dr_benoy_n_shah @AcademicTruther One of many examples exploitation of physicians. ABIM/MoC is another one
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jedicath աǟզǟʀ.ǟɦʍɛɖ retweetledi
Concur 100%
I teach a one day online course in which I tell all attendees that I have never paid to publish and they should not do so either
It is exploitation & unnecessary
Sadly many still believe they must publish so are willing to pay these absurd APCs 😭
@GPIMcourse
Academic Cardiologist@AcademicTruther
What is the cost to get an article published in these open access CV journals? JACC Advances $3024 JAHA $3810 JCF Intersections $3310 JHLT Open $2500 What the hell are we doing? Who is paying these fees for articles that cannot get accepted in major CV journals?
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Sleep deprivation is not cool.
MLFootball@MLFootball
WOW: #Rams HC Sean McVay spoke about not sleeping as a young coach in the #NFL. “I used to think it was cool to get away with not sleeping. That’s the dumbest sh*t I’ve ever heard” “When your job is to deal with people, you need to establish health habits to sustain yourself”
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@DrDiGiorgio There is a huge disconnect between what doctors take-home versus what the public thinks they do.
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I’ll volunteer to do these surgeries at half the price.
Paul W. Swaney III@paulswaney3
I’ll take Things that never happened for 500$ I’ve had 3 open spine surgeries. The surgeons all took home 50k minimum each time (yes I’ve read the EoB) The device was a line item Anesthesia another line item and separate bill
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@Drakhil_cardio @DrRajeshG1 @Cardiology @EscardioWeb @CardioClinicSUM @AEPCcongenital @CardiologyToday @ACCinTouch @ESC_Journals @BrownCardiology @escardio There is a chimney stent that is now hanging in the aorta?
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#Sharing for learning
What are your observations?
How would you approach management in this scenario?
Would you intervene immediately or prefer watchful waiting?
What would be the optimal timing for intervention?”
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@nyalborgesmd @ShariqShamimMD @evandrofilhobr @realarainmd @SripalBangalore @mmamas1973 @Hragy @DrRajeshG1 @mandeep_mayo @djc795 Agree. IVUS guided LAD-LM stent.
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@ShariqShamimMD @jedicath @evandrofilhobr @realarainmd @SripalBangalore @mmamas1973 @mirvatalasnag @Hragy @DrRajeshG1 @mandeep_mayo @djc795 Crossover stent - it’s a nice wide angle - LCX will be fine. That LMT isn’t bigger than 6.5 so a megatron will work.
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What’s your approach? ACS, focal subtotal oLAD. Lesion persists post 400 IC nitro…(Pay close attention to the size). #ACCFIT #cardiox
@jedicath @evandrofilhobr @nyalborgesmd @realarainmd @SripalBangalore @mmamas1973 @mirvatalasnag
@Hragy @DrRajeshG1 @mandeep_mayo @djc795 @mornei2011 @rickytiago @ziadalinyc @stefan_harb @drandrewsharp
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jedicath աǟզǟʀ.ǟɦʍɛɖ retweetledi
Interesting case and discussion on what to do with an asymptomatic coronary CT with LM disease and MLA > 6. #foamed #meded
jedicath աǟզǟʀ.ǟɦʍɛɖ@jedicath
Don't like Coronary CT without context, just opens Pandora's box Fit older man, no symptoms, smoker, wants a checkup. CTA comes back at high Ca score and 25-50% LM disease (read by outsourced radiology). Come to me for 3rd opinion. LM by IVUS >270 Ca and MLA 6.32 mm sq.
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jedicath աǟզǟʀ.ǟɦʍɛɖ retweetledi
Hardly The Left Main, But The Principle Is The Same!
70+ M with CAD + ESRD with bilateral Fontaine IIb claudication on OMT.
RLE has severe CFA disease, SFA CTO, and 2 v infra-pop. run-off.
Plan → IVUS guided RLE revascularization!
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Don't like Coronary CT without context, just opens Pandora's box
Fit older man, no symptoms, smoker, wants a checkup. CTA comes back at high Ca score and 25-50% LM disease (read by outsourced radiology). Come to me for 3rd opinion. LM by IVUS >270 Ca and MLA 6.32 mm sq.
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@_FoxboroForever Then came cost cutting for the Red Sox and the Celtics.
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@realarainmd @PurumittalDr @aspergian1 @drAliyor @Hragy @SaidAshrafMD @TWilsonMD @cardiojaydoc02 @skat_ct @ignamatsant Both had recommended angio based on the CT. Patient came to me essentially for angio/reassurance. Post Cath he is no OMT.
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@PurumittalDr @jedicath @aspergian1 @drAliyor @Hragy @SaidAshrafMD @TWilsonMD @cardiojaydoc02 @skat_ct @ignamatsant Yes! Asymptomatic pts looking for a 3rd opinion are often perplexed and/or overwhelmed. A little reassurance + good medical therapy goes a long way.
BTW @jedicath, what did the prior two cardiologists recommend?
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@realarainmd @aspergian1 @jl35wilsonMD @Hragy @TWilsonMD Accurate ischemia testing, ie PET is not available. Thus treated LAD with IVL-DES and LCX with DCB.
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@jedicath @aspergian1 @jl35wilsonMD @Hragy @TWilsonMD If the ischemia is only in the AW, then I would leave the LCX alone.
If there is demonstrable ischemia AND residual symptoms after the LAD PCI, then I would consider rota cut or rota shock based on availability +/- cost.
Crossover LM-LCX DES or RTIG LCX PCI are both options.
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2005 cypher stents. Patent at 21 years!
Pt is now over 85. Symptoms due to a new coral reef calcium nodule between the stents.
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@Uqayyum123 @aspergian1 @drAliyor @Hragy @SaidAshrafMD @realarainmd @TWilsonMD @cardiojaydoc02 @skat_ct @ignamatsant 8/10 cardiologists will recommend revasc especially if FFS
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@jedicath @aspergian1 @drAliyor @Hragy @SaidAshrafMD @realarainmd @TWilsonMD @cardiojaydoc02 @skat_ct @ignamatsant Medical therapy
But you may find some who would send for revascularization
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@aspergian1 @jedicath Agree Jack. 1.75 burr, IVL, IVUS, stent. He’s 85. Looking forward to the result.
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@aliciavillegasm Cardiology should but in many places insurance doesn’t allow to curtail costs (no medical reason)
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Aparte de endocrinología, medicina interna y cirugía bariátrica, qué otra especialidad médica puede indicar análogos de la GLP1.
Pregunta muy seria.
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