Replying to @DBelardoMD
Young patient shows up w stroke—“when did you get your adjustment?”
Tom Wilson
2,436 posts
Tom Wilson
@TWilsonMD
Interventional Cardiologist, CTO-PCI, CHIP, Peripheral vascular disease, acute PE. Views & opinions are my own.
- This is what a MD lounge should look like. Not a tiny poorly lit shack with graham crackers, saltines, and a Shasta soda. Fresh vegetables, fruit, and prepared meals daily. Dictation stations and comfortable chairs to decompress for a few prized minutes.
- How to handle this? DCB available, FYI. @realarainmd @ShariqShamimMD @jl35wilsonMD @AuroraCVFellows @DanielJohnsrud @evandrofilhobr @RSohnMD @DrWhyWho @DrBIqbal @drAliyor @mornei2011 @SyedYNaqvi1
00:00 - Replying to @EM_RESUSBiventricular thrombus, plus stroke or acute limb after embolization. Could be tumor thrombus w PFO. Or simply a hypercoag state w BiV dysfunction.
- @Hragy @agtruesdell @ziadalinyc @jl35wilsonMD @jedicath @kerrigjl @ShariqShamimMD @DrIHHashmi1 @evandrofilhobr @RSohnMD @KPujdak @rotamonster @Laserrman @djc795 70sF, non-surg candidate, NSTEMI pres! Complicated by acute Resp failure. How to Rx? IABP placed by colleague to get
00:00 - Replying to @KPujdak @Hragy and 12 othersAttempted CP insertion, unable to advance 14F sheath despite 🎈 iliac. Kept IABP, went w/ step burr approach (1.5–>2.0 in LM only). Sig decel w 1.5, then ⚡️ w/ 4.0, imaged both, decided on Prov stent given HBR pt. Debated 2-stent. Small oLCX dissection tacked up w KBI.
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00:00 - Replying to @DavidSFOX4 and @FOX4Jesus. Terrible. Faster plane lost awareness of where the slower plane beneath him was. Didn’t see it coming from above.
- @mmamas1973 @agtruesdell @jl35wilsonMD @jedicath @nyalborgesmd @_AdilShakil @BaoGTran @evandrofilhobr @DrIHHashmi1 @BSCCardiology Friday add-ons! Definition of calcific nodules. 1.5mm burr to create gutter, NC 🎈, 4.0 Shock, LM-OM PCI. #veingraftdown 6m after CABG. Massive MSAs!
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00:00 - @SyedYNaqvi1 @CMcNeelyMD @mornei2011 @jl35wilsonMD @AllaqabanSuhail @jbspadoni @aspergian1 @evandrofilhobr @ShariqShamimMD @DrIHHashmi1 85F w 🐍 OM1, 2.0 🎈 won’t cross. Trick for #ACCFIT retract wire to floppy tip = reduce wire bias, advance balloon then wire.
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00:00 - @agtruesdell @realarainmd @jbspadoni @RSohnMD @jl35wilsonMD @aspergian1 @Obisht @kevinjamescroce @KPujdak @evandrofilhobr @SyedYNaqvi1 @mornei2011 nice Sunday LM case. Mid 70s, patent LAD/Cx stents 15y old, NSTEMI. Int SYNTAX w Prox R CTO and nice apical collateral. Rota 1.75
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00:00 - Replying to @OnDisastersDoubt he had the runway environment in sight at minimums. Not impossible but unlikely. Go around was in order (unless this pilot/plane was on a CAT II/III ILS which is autopilot flown to the rwy basically.
- @DrIHHashmi1 @evandrofilhobr @Hragy @HadyLichaaMD @mmamas1973 @SyedYNaqvi1 @agtruesdell @jl35wilsonMD @jbspadoni @Obisht 85F, SOB, CCS 2-3, mild ischemia on Nuc. Came in 2d later w CP, Unstable angina. Strategy? 16m later doing well, FYI.
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