Michael Wilson MD

@RSohnMD Great work documenting a known cause of very late stent thrombosis!

1/ WHY “very late” stent thrombosis? ➡️ #OCT can show you! 👀 CASE: 63M w/ old RCA stent, now w/ sudden severe CP EKG & initial angiography 👇🏼👇🏼

@GoodishIntent @DGlaucomflecken Next time, impress him by asking for the Adson’s with teeth

@KBAndersen I am all for it! Hello Piper!

Good production design. The suspended stages are very cool.

@KPujdak @PCRonline @BotPci @ShariqShamimMD I would add- Ck pressure even before flushing. That 10 cc flush can do it.

Our #FIT hate me for repeating it over and over again but this is what can happen, when you don't check pressure before injecting contrast #ACCFIT #CardioTwitter @PCRonline @BotPci @ShariqShamimMD

@RSohnMD @OrbusNeich The ScoreFlex has proven itself and got me out of tough situations. Deliverable on multiple passes. High pressure tolerance. It can save you on those rare 5 F cases

Is anybody else loving the #Scoreflex (NC scoring balloon) by @OrbusNeich as much as I am? Incredibly deliverable (had one cross yesterday when regular balloon wouldn’t), and works beautifully at fracturing calcium (see #OCT image) #RadialFirst

@RSohnMD @ProvHealth @RampartIC We can also thank Dr.Sohn for great work on the 8th STEMI of the weekend!

Our first STEMI procedure without wearing any protective lead! Patient did well. And just as important, we feel lighter & safer. Thank you @ProvHealth for caring about the safety of staff too with @RampartIC x-ray shielding. #CardioTwitter #RadialFirst

@RSohnMD This nice clip suggests RAO Cr 30-30 May be a good window for Crossing the TV for RV biopsies.

1/ Performing RHC through a MECHANICAL tricuspid valve prosthesis: Find x-ray view aligned with metal leaflets, in this case RAO-cranial 30°-30° (in this case, a 33 mm St Jude valve): #CardioTwitter #RadialFirst

@JGarciaMD You are giving me nightmares!

Too many unnecessary Loop Recorders are being placed. Some of them by poorly train providers. The most important lesson any of us learn during training is when NOT to do a procedure,even a simple one can have devastating complications. #EPEEPS #cardiology #CardioEd

@jamesbeckerman Wow! Can’t top that!

Happy Mother’s Day!

@DrEricLevi Reminds me of the time my wife drove by the hospital with the kids in the back seat and one said “that’s where daddy lives!”

I accidentally found this. This hurts so much. I hope your kids will never have to write anything like this.

@adnanalkhouli Guess I’ll live forever!

Olive oil people! That’s the answer 🫒 >0.5 tablespoon/day of olive oil is associated with ~20% ⬇️ in mortality. #MedTwitter #CardioTwitter #MedEd jacc.org/doi/10.1016/j.…

@emilynussbaum Great!

Art history. (The early part is cut off but basically, she’s rating whether the painter has ever seen a baby before.)

@Umair2017 @BCMHeart @AKUGlobal @ShariqShamimMD @Pooh_Velagapudi @SanChris999 @UjjwalRastogiMD @Ayman_Elbadawi_ @WKayaniMD @BaylorCardio Basic advice- start with good guide support whatever atherectomy device you choose.

What would be your strategy to treat this RCA with multiple "balls" of Ca2+ ? #ACCEarlyCareer #ACCFIT #CardioTwitter @BCMHeart @AKUGlobal @ShariqShamimMD @Pooh_Velagapudi @SanChris999 @UjjwalRastogiMD @Ayman_Elbadawi_ @WKayaniMD @BaylorCardio

@RSohnMD Great way to improve our understanding of Covid related CAD.

OCT run after dilation w/ 2.0 mm balloon to allow better imaging

1/ Is this organized clot or plaque? Active 65 yo w/ SOB & angina since #COVID19 pneumonia last year. See next for #OCT run. #RadialFirst @RaberLorenz

@RSohnMD Nice instructional photo series- attention to each step pays off!

60 yo man w/ ACS ➡️ DK-CRUSH refresher. Always enjoy doing these & esp grateful during Thanksgiving call for ICs who figured this out WAY easier w/ imaging: 4.5 mm pLAD, 3.5 mm mLAD, very focal calcium just after D1 good for cutting balloon #RadialFirst

@kwoolfmd @ProvHealth Welcome!

Some personal-professional news. After nearly 10 years in private practice, I will be joining the @ProvHealth Heart Institute, to remain based in Hillsboro at the brand new Reed's Crossing Wellness Center. I am delighted by the opportunity to join this incredible team!

@blondemedSJW Used to hide butterfly needles in my locker. Helps rotate at a county hospital or VA.

Hot take: med school doesn’t prepare us for procedures. I supposedly went to a top 10 med school and I never placed one IV in med school. Not a single one. And I know I’m not alone here.

Winning responses for my pumpkin: BrandonJones “Boo-Gaga Sd” and Ethan Korngold who suggested “Thromb -Boo-Lytics”! Any others?

@teelimuskurahat @ut2087 @charliedelta11 @WahajAmanMD @FahdWaqar @BigMaqMD @Umair2017 @djc795 @CMichaelGibson @Akram_Kawsara @ReddyTheRobot @AntoniousAttall @AlabamaACC @yourheartdoc1 @vkvimal @ifarooqMD @KhanAR_MD @yasirakhtarMD @nbarry4 Unfortunately, I am old enough to remember seeing them come out in a straight line.

@DRKAMALAYOUB @PCRonline A collection of these images would include many interventionists (myself included) but would make an selfie coffee table book!

Typical cath related, image intensifier in (LAO cranial) inflected leg injury. Usually caused by sudden unsynchronized friendly fire 🤪 .@PCRonline #cardiotwitter