Kelly Laipply, MD

The cost of a DEA license renewal is insane. $888 to renew, and I prescribe MAYBE 2 Ativans a year to help patients tolerate a cardiac MRI. Absolute highway robbery.

@ricardotorresmd You got it! Prob LVNC too

@KellyLaipply MAD?

Observations/abnormalities on this 2ch MRI in young man with nsVT?

@TheAngryDaddy69 @MohiniSmiles @grok Gender biased and incorrect. Not sure which is worse. Studies repeatedly and consistently show female physicians produce better patient satisfaction scores AND outcomes. Reproduced in the literature by multiple research institutions. What does this AI pull from? @grok

Hey @grok, remove the doctor you would personally go to for treatment.

If I’m being totally honest, when I chose cardiology, trained, and board certified in diseases of the heart, I was not intending to treat dysautonomia/POTS, or at least not this much. It’s overwhelming our outpatient practice, and it isn’t even a cardiac pathology. It’s neuro.

As a cardiologist, I really hate AI because now when I talk about AI, people think I’m actually talking about AI.

Really nice example of a negative sarcoid protocol cardiac PET/CT. Nicely suppressed myocardial FDG uptake leaves no doubt.

@slyaerofevil @WorthW0rds @ctisus Yeah, sorry. I’m not perma-online due to the whole job thing.

@KellyLaipply @WorthW0rds @ctisus I didn’t expect this reply after 2 or 3 weeks. Anyway I agree modern technology in medical field is advanced no doubt about it. MRI is the most advanced medical tool in 21st century. Are u happy now ?

Today is the 54th anniversary of the first CT scan 🎉

@slyaerofevil @WorthW0rds @ctisus I’m not even sure what this reply means. Google/ChatGPT are your friend in this regard.

@KellyLaipply @WorthW0rds @ctisus If u say so 🤷🏽‍♂️

Proud to say our lab did our first two Flyrcado PET studies today. We were a clinical trial site, but first ones for clinical use. Flows turned out nice, was happy to see the background residual subtraction frames worked as intended. Thanks @GEHealthCare for having a team to help

If there is a big MCA stroke, and the internal carotid is occluded on that side, it can’t be cardioembolic. It can’t. I feel like I’m being gaslit by neuro lol. Am I missing something?

@slyaerofevil @WorthW0rds @ctisus Non-ferromagnetic metal is fine.

@WorthW0rds @ctisus MRI is good, it’s time consuming and also metals r not allowed in side the machine. I m just saying we need to research more for better technology then existed one.

Apparently you have to be defibrillator-bad to qualify for participation in a non-pharmacologic exercise/lifestyle based intervention within insanely robust outcome benefits. For something she has paid into in taxes her whole life.

I have a patient whose EF is 35-40% who can’t participate in my cardiac rehab referral because her EF is not <35% based on Medicare. What dystopian hellscape is this?

@ravcchaudhary @EM_RESUS Nothing, it’s a congenital heart defect.

@KellyLaipply @EM_RESUS What could she have done to prevent this?

Here's an amazing 3D Reconstruction from a Coronary CTA of a 25-year-old woman who suddenly collapsed to the ground in cardiac arrest while running What's the diagnosis?

@MrPitbull07 Wait, they didn’t have to put in a shunt?

"For the last 9-months, my wife, Brooklyn has been pregnant with a very sick baby boy. Three or four months ago, we learned that the baby had severe hydrocephalus. Back in the old days, hydrocephalus was called, 'water on the brain' - too much brain fluid. Ultimately, we were referred to Cincinnati Children's Hospital, where we were told by several of the most highly regarded fetal specialists in the country that his condition was dire. The baby's condition was 'off the charts bad'. It was so extreme that the specialists stopped measuring and monitoring his fluid level because, at that point, it didn't really matter. The MRIs were sickening to look at. We were told, point blank, that there was over a 90% chance that the baby would either die shortly after birth or have such severe cognitive impairments that any quality of life would be hard to imagine. We had a meeting with palliative care regarding the use of life-sustaining measures and had detailed, awful, and emotional discussions about the ethics of when we might need to remove or cease such measures - which would result in the baby 'passing away peacefully. Brooklyn relocated to Cincinnati and lived in a hotel close to the hospital - in case she went into labor. I commuted back and forth. On July 8th, Brooklyn did indeed go into labor. Literally, 15 minutes before they wheeled her back to start the C-section, we had another meeting with doctors regarding the use of a breathing tube and at what point we might need to remove that tube and let the baby go to Heaven. Guess what? The baby came out crying - which was the sweetest sound I ever heard. In a nutshell, Charlie Schnarr stayed in infant intensive care until yesterday - when we all came home. He seems to be a normal, beautiful baby doing all the things that babies do. He has mild ventricular enlargement, but we can deal with that with checkups. How did this happen?! The doctors said, 'We do not have and cannot come up with a medical explanation for what we've witnessed here. Somehow his brain found a way to naturally clear the blockage or re-route the fluid that was causing the oppressive backup of brain fluid. During the last week, I heard the words, 'divine intervention' and 'miracle' more times than I could count. Nurses with decades of experience and esteemed, nationally admired doctors were flabbergasted but jubilant. Because of the domino effect of friends, family, clients, colleagues, and even strangers praying and asking others to pray for us, I do not doubt that there were thousands of people praying for us. I'm a practical person that certainly believes in science and medical technology, but I absolutely know, from the bottom of my heart, that God was involved in this. I give ALL of the credit and glory to Him. Prayer is positively powerful. God is real, and He still performs miracles." : Nick Schnarr

@DavidHeidelbe14 I did not get the memo

@KellyLaipply I don’t know , but I do know that I need you to get those TPS reports in order.

What percent of people do you think would understand the reference if you called them a Lumberg?