David B. Meyer MD

@realarainmd @mirvatalasnag @nicolasamabile @OnumaYoshinobu @aspergian1 @ihtanboga @SripalBangalore @djc795 @agtruesdell @ziadalinyc @DrSinjini Agree with all you have said- I have unfortunately seen very few interventional as well as surgical services willing to honestly discuss cases internally and then discuss honestly with patients - that is one thing we may do better in the congenital cardiac world

Good point, David! I often use a thought experiment to frame the same argument. What if this was a carotid and I was an experienced vascular surgeon who could do both - CEA or CAS/TCAR. How would I use the data to decide what to do? 🤔 Of course, the facts are that this is not a carotid, we all have our biases, IC and surgical talent and outcomes vary from institution to institution. Oh, and everyone has an opinion - incl. the patient. 😂

Young smoker Prior PCI of the LAD following a STEMI (>2 years ago) & now presents with an ACS.. edge stenosis detected..huge LM/LAD How would you treat❓

Game time! #vivaargentina #vamosmessi #citydoodles @MBernedoodles

To those on #tennistwitter as a Rafa fan I think @AlexEala05 with the mental toughness, forehand form, left handedness, etc is the player from the academy that most reminds me of Rafa- she continues to develop and it is so great to watch - Vamos @RafaelNadal @rnadalacademy

@DRsLoungePod I am a cardiac surgeon- we had similar independence- starting complex operations while the attending was in a different zip code- and some bad things did happen- great for us as trainees but not as much for patients

"I did my first unsupervised craniotomy for an epidural hematoma as a PGY three. No one said a word." Dr. Sanjay Dhall on training in the Wild West days of residency — no attending in the room, no one checking, just expected to do the case.

@BobTharin The 99 tour was great

@meyer_db The Prague video wasn’t good. To illustrate the event, I preferred to post one of the best versions of “The River”, in my opinion.

On June 15, 2025, Bruce finally made it back to Prague for a show originally scheduled for May 28, 2024, but postponed because of his vocal issues. That night, he dedicated The River to Ted Brych, a devoted fan who had recently passed away after attending more than 500 shows. In Ted’s memory, here’s a version of The River that truly does the song justice.

@NEJM Needs surgery

Endoscopy in a 44-year-old man with a 4-year history of choking episodes while eating revealed luminal narrowing of the upper esophagus by a pulsating, cordlike structure (arrow) in the posterior wall of the esophagus. Full case details: nej.md/4e5XSBZ

@drkeithsiau I think it’s called “leave her alone”

@georgetolisjr Totally agree- with significant hypothermia I think all the options work well- I am interested more in which solutions can be used effectively at normothermia on less emergent and complex cases

@jovenis10 @Owennfa Exactly

@Owennfa After taxes, that yield is closer to 3.5%. OTOH you may also benefit from mortgage interest deduction (or you may not under standard deduction). Most people would be better off listening to DR over some account on x.

CALLER: I just opened a High Yield Savings Account. My $20,000 emergency fund generates 4.5% interest. That’s $900 annually without lifting a finger. DAVE RAMSEY: Dump it. Throw that $20,000 at your mortgage! CALLER: But I’m making $900 a year for absolutely nothing. DAVE RAMSEY: Debt is poison! Eliminate the house payment! CALLER: My mortgage rate is 3%. I’m getting 4.5%. DAVE RAMSEY: that’s not the path to wealth! REALITY CHECK: If your return rate surpasses your borrowing rate, hold onto the cash. That’s financial arbitrage. Every single dollar counts.

@jasonryanmd @georgetolisjr He has lots of polarizing positions but to me he is generally spot on

Amazing podcast. Dr. George Tolis (@georgetolisjr) is chief of cardiac surgery at Brigham and Women’s and he does not hold back in this discussion about medical training and surgical decision making. Few surgeons are willing to speak so bluntly about these topics. A must listen.

Many (prob 30 percent) are pretty crappy due to timing issues related to life, temperature variability, and lack of expertise)

About 5 years in my sourdough journey- these are best I can do- not instagram perfect but delicious- I owe this very enjoyable and challenging pursuit to the deliciousness of forno campo fiori in Rome and the bread and teaching is @jimlaheySSB - am good at pizza bread too

@mtlawton I know exactly what you mean- it always messes up the video too

@springsteen we can wait to join the no kings effort- after 45 years of fandom I will finally have all three of my kids at the sat show at MSG- with no disrespect to the current setlist would just ask for binder road, since I have raised them with that being my favorite song

@rbarbosa91 @TomVargheseJr More than that, how they handle them also is instructive

It’s useful to watch surgeons’ behavior on the 50/50 cases: the ones that could go one way or the other. If they always operate on such cases, or if they never do, then you know that this is their temperament and it will tend to outweigh everything else in the decision process.

@Ruby__8090 Hope

SO FAR NO ONE HAS FOUND THE WORD IN THE BOX. You deserve $850,000 if you can

@JThoughts1704 @Pipeline_Jon @DjokovicFan_ @andy_murray 100 percent

@meyer_db @Pipeline_Jon @DjokovicFan_ @andy_murray The quality from the women has been insane- the only guys offering the same quality is Carlitos & sinner when they meet

Jim Courier on Novak Djokovic: “We don’t see golf compare men’s majors records with women’s majors records, so why do we do it in tennis? It makes no sense. I’m over that graphic.” x.com/ChadDinas/stat…

@JThoughts1704 @Pipeline_Jon @DjokovicFan_ @andy_murray Yes, and high level stuff at the top

@Pipeline_Jon @meyer_db @DjokovicFan_ @andy_murray It’s more open and competitive than the men’s at the moment. How is that garbage? The last 2/3 years the women across the calendar have offered better matches across all tournaments