Journal club letting our fellows and attendings change out of out of scrubs for an evening — thoughtful dialogue on the latest evidence in drug-coated balloons! #ACCFIT#MichiganACC#Cardiology
We are saddened by the passing of Jim Lovell, commander of Apollo 13 and a four-time spaceflight veteran.
Lovell's life and work inspired millions. His courage under pressure helped forge our path to the Moon and beyond—a journey that continues today. go.nasa.gov/41tbrpq
ALT Astronaut Jim Lovell, wearing a white spacesuit with no helmet, stands outside with a tall rocket and launch tower behind his left shoulder. Lovell is pictured from the chest up; he is looking at the camera and smiling. Credit: NASA
"They had looked at and smelled death all around them all day but never even dreamed of applying the term to themselves. They hadn't come here to fear. They hadn't come to die. They had come to win."
- Lt. Harry Welsh, Easy Company, 506th PIR, 101st Airborne Division
I’m “just” a DO.
In some circles, that’s still a slur.
At certain Philly academic centers, you feel it.
In residencies that quietly exclude us, you see it.
But here’s the truth nobody tells you:
The system didn’t make me.
It tried to break me.
Lasix is NOT nephrotoxic 🫘
Please retweet so we can end this myth once and for all 🦄
Rising creatinine is more often an indicator of inadequate Lasix dosing than excessive!!
Lasix can only harm the kidneys if it decreases cardiac output by dropping preload to the point of reducing stroke volume... as someone who scans these patients regularly this is surprisingly rare!
If a patient still has venous congestion (on Doppler), then Lasix is not driving the AKI. Instead, their AKI is from untreated congestion!!
You ask me why I’m slow to act when the patient’s crashing, why I walk instead of run.
You say “Shouldn’t we be doing more?”
Here’s what I’ve learned, and why I don’t reach for the epinephrine first.
A thread for young docs:
Marcus Freeman is straight up out coaching Kirby Smart tonight.
Notre Dame does a fire drill on 4th and 1 deep in their own territory and gets Georgia to jump offside to steal a first down and an extra possession.
Among patients with asymptomatic severe aortic stenosis, early TAVR was superior to clinical surveillance in reducing the incidence of death, stroke, or unplanned hospitalization for cardiovascular causes. Full EARLY TAVR trial results: nej.md/4hjJZRc#TCT2024