
Born with congenital heart disease now taking care of those with it. Mostly tweets on hockey. STH #CBJ but also cheers for #Raiseup and #blackhawks
Columbus, OH
Joined January 2023
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DORV, TGA, PS.
1 BAS.
5 open heart surgeries.
5 defibrillator surgeries
3 ablations.
1 run of Vtach for 45 mins.
Several runs of SVT requiring adenosine.
2 appropriate & 2 inappropriate ICD discharges.
1 transcath pulmonary valve replacement.
32 years old today. #ACHD
Carolina: Hellebuyck
Chicago: Nikishin
Jets: Nazar, Korchinski, Car 1st ‘27, Car 1st ‘28 (or Kotchekov)
Who says no? @CHGO_Blackhawks @Mattymar89 @FutaMichael @FriedgeHNIC
Never forget. #cbj
Clearly the @BlueJacketsNHL didn’t take my wife’s favorite players into account when they just traded them. Now I’m not gonna be allowed to get season tickets this year.
Apparently, even the snails in Columbus needed a smoke after that game. #OhioState
We need to stop publishing things just to say that we have publications.
Your research should actually have to mean something clinically in order to be promoted.
A new Clinical Practice article summarizes the classification, evaluation, risk stratification, and management of syncope. History, examination, electrocardiography, and orthostatic blood-pressure measurement identify the cause in most patients.
Read “Syncope” by Rose Anne Kenny, MD, DSc: nej.md/4cjFuVU
Ask AI Companion to provide a summary of this article for your patient. In Spanish.

ALT A flowchart from the Clinical Practice article "Syncope" by Rose Anne Kenny, M.D., D.Sc., that shows the general principles for initial evaluation of all patients after an episode of syncope. The chart includes steps such as suspected syncope, evaluation, history taking, and an ECG. It categorizes causes of syncope as certain or uncertain, leading to risk assessment and further evaluation or treatment.
As someone who has experienced both several times, Adenosine is not as bad as an ICD shock.
Is Adenosine extremely uncomfortable for a few seconds? Yes. But I would say those few seconds are better than staying in SVT.
Perhaps, shared decision making with patients is best.
I don’t love this. Adenosine is terrible. Patients hate it. You don’t need to torture pts. Giving 6 mg is akin to shocking w anything less than max.
If stable, a more elegant kinder way to stop SVT is to reassure pt, quiet room, less hoopla, IV beta blocker, wait, then try valsalva, w postural maneuver if necessary,
Valsalva does not work when adrenaline is 100x
Consider adenosine use a failure of kind smart doctoring
It’s only treason if you lose.
The most stunningly successful thing about the American experiment is that in the late 1700s, the thirteen colonies were hardly valuable at all.
They had no known great natural resources, they were far from a jewel in the crown of the British Empire.
The British were far more desperate to keep the profitable sugar islands than the thirteen colonies. That’s why upon the entry of the French to the war, peace was sought soon - and the priority was to keep the profitable Caribbean and control of the seas.
In seeking peace, Britain was thinking with its treasury not its heart. War is expensive. And while losing the thirteen colonies was embarrassing, it was not the kind of hit to the British economy that losing other colonies would have represented.
In stark contrast to the relatively barren North America, the Spanish Empire in South America had vast obvious natural resources. Spain extracted gold. But it never built anything to last.
The United States of America proved what far too many countries are yet to understand today.
The wealth of a nation is not in its natural resources. It is not fixed. The world is not zero sum.
America became the wealthiest country on the face of the planet, not thanks to its soil - but thanks to the men who stood on it.
The institutions they built - the English liberties they codified - created the basis for a stable, prosperous, market economy. Freedom under law.
It’s thanks to the systems of government the founders built that the United States became what it is today.
Were any other group of people - with any other ideas about how a society should be structured - to settle that land, America would be like any other country today.
But it isn’t. And that’s thanks to the enlightened ideas of its founding.
Happy Treason Day, cousins. 🇬🇧🇺🇸
It would cost 18 million a year for me to want to live in Philadelphia too.
Panthers logic: who cares if we don’t have a goalie if we just injure your whole team.
We have acquired the rights to Radko Gudas from Anaheim in exchange for the rights to A.J. Greer.
Details » flapanthers.co/Trade_6-29-26
Nazar
Korchinski
2027 Florida or oilers 1st round pick
For
Marchenko.
Who says no?
@Mattymar89 @Aportzline @BarstoolChief











