Cardiologist. Cardiac electrophysiologist. Fountain pen enthusiast. Former body man at Buddy's Texaco.
Joined June 2009
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9,579 Photos and videos
May 18
In 1900 the Brown Pelican was almost hunted to extinction by sport hunters and market hunters working for the millenary trade. This is La Jolla today.
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May 17
Early harvest of leeks makes potato leek soup with purslane garnish.
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May 16
Backyard. Wife created a bit of the farmhouse look with hanging garlic; more of a process than a decoration.
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May 14
Train station at Solana Beach. My first post after a long hiatus, and it’s a building.
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May 14
My attempt at the ‘Edward Weston look’ without using a 4x5 Graflex Speed Camera.
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Wayne retweeted
6 Jul 2025
Paced qR morphology and transition during threshold testing predicted greater improvement in LVEF, whereas RWPT lacked predictive value. Loss of terminal R in lead V1 and prolongation of RWPT on follow-up prognosticated nonresponse to LBBAP.
heartrhythmjournal.com/artic…
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6 Jul 2025
SVT or VT? I was advised by several doctors this ECG (a better copy doesn't exist) that this was SVT. By the way, it's VT.
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6 Jul 2025
Here are a couple of criteria that help diagnose VT:
1) All QRS complexes in anterior precordial leads are positive
2) aVR: Q wave > 40 msec with notch in descending QRS (Vereckel algorithm).
3) R-S interval in precordial leads > 100 msec (Brugada criteria)
4) I proved it on EPS
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6 Jul 2025
Electromagnetic interference on an implantable defibrillator with ICD shock. The EMI came from a poorly grounded light in a swimming pool. When the person got out of the pool, the EMI disappeared. From M Akhtar, Clinical Medicine Insights. Cardiology, 24 Jul 2014, 8:63-66
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1 Jul 2025
I do not understand, nor will I ever understand, the appeal of the fake plastic lawn.
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29 Jun 2025
Beijing 1989. Goofy pictures of me that I wouldn’t want to be shown in public, don’t look so bad in retrospect.
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6 Jun 2025
A woman described to me “the tyranny of the urgent,” which are the little things that have to be done immediately that rob us of the more important things in life. I have always called it the “toenail fungus,” the seemingly important issues that aren’t important.
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5 Jun 2025
I'm a doctor, and I'm binge-watching M*A*S*H. Here are some of my favorite episodes, in no particular order:
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5 Jun 2025
M*A*S*H "Rally 'Round the Flagg, Boys" S7 E21. CIA man Col Flagg was the best recurring character, and this one is the best of the best.
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5 Jun 2025
I can post more. But those are my favorite M*A*S*H episodes. Do you have others?
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