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The New Coffee Room

  1. TNCR
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  3. I spotted it. Medical stuff.

I spotted it. Medical stuff.

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  • George KG Offline
    George KG Offline
    George K
    wrote on last edited by George K
    #1

    I follow this ER doc on Twitter who does educational videos. Usually he shows EKGs with a breakdown of what the abnormalities are, and how intervention proceeded in the case. He's really good.

    Here's the video.

    But, at the end, he shows the coronary angiogram and how this man's evolving heart attack was prevented with an angioplasty.

    His mouse arrow points to the obstruction and how it was opened.

    Screenshot 2023-08-22 at 5.23.12 PM.png

    But I saw something else, and commented:

    (not a cardiologist - just wondering)

    Is that 1st diagonal (?) somewhat stenotic as well? Was it considered for angioplasty?

    F4KUp1zWIAALzKK.jpeg

    I was right!!!

    Yes nice catch, a very tight Proximal D1 which was intervened upon as well!

    Nice to see that I can still, sorta, read a coronary arteriogram.

    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

    1 Reply Last reply
    • jon-nycJ Online
      jon-nycJ Online
      jon-nyc
      wrote on last edited by
      #2

      👍

      "You never know what worse luck your bad luck has saved you from."
      -Cormac McCarthy

      1 Reply Last reply
      • HoraceH Online
        HoraceH Online
        Horace
        wrote on last edited by
        #3

        Cool. AI got nothing on you.

        Education is extremely important.

        1 Reply Last reply
        • brendaB Offline
          brendaB Offline
          brenda
          wrote on last edited by
          #4

          Well done, doc!

          1 Reply Last reply
          • LuFins DadL Offline
            LuFins DadL Offline
            LuFins Dad
            wrote on last edited by
            #5

            Nice! Ready to come out of retirement?

            The Brad

            George KG 1 Reply Last reply
            • LuFins DadL LuFins Dad

              Nice! Ready to come out of retirement?

              George KG Offline
              George KG Offline
              George K
              wrote on last edited by
              #6

              @LuFins-Dad said in I spotted it. Medical stuff.:

              Nice! Ready to come out of retirement?

              Not just no, but hell no.

              During my fellowship, I spent a month in the cath lab. I learned a lot.

              "Now look here, you Baltic gas passer... " - Mik, 6/14/08

              The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

              1 Reply Last reply
              • George KG Offline
                George KG Offline
                George K
                wrote on last edited by George K
                #7

                Also, what's really fascinating (to me) is all the branches off the LAD (Left Anterior Descending Coronary) that were perfused after the angioplasty.

                screenshot-2023-08-22-at-5.23.12-pm.png

                20 years ago, this would have been an emergency open-heart operation.

                I showed this to Mrs. George (former ICU/CCU nurse) who commented, "Yep, that's why we called the LAD 'The Widowmaker.'"

                "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                1 Reply Last reply
                • taiwan_girlT Offline
                  taiwan_girlT Offline
                  taiwan_girl
                  wrote on last edited by
                  #8

                  @George-K You could maybe do some consulting or teaching. Any school would be lucky to have you!

                  1 Reply Last reply
                  • 89th8 Offline
                    89th8 Offline
                    89th
                    wrote on last edited by
                    #9

                    Impressive!

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