Structural and interventional Cardiologist. FACC,FSCAI. Tweet ≠ medical advice. Like/RT/Follow ≠ endorse. Tweets ≠ employer’s opinion. #CardioX
Birmingham, AL
Joined January 2017
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Today I finally used my extensive training in the Krebs cycle from undergrad and medical school to diagnose and treat a patient.
Just kidding. I rounded and did some caths.
Matthew Sample retweeted
Interventional cardiology is largely a cognitive specialty rather than a technical one. Can’t have one without the other.
I don’t always agree with posts by @georgetolisjr, but this is correct.
Much of surgery is technical.
But often, the cognitive part and decision making is the difference between life and death.
Owning three Labradors is a constant game of either What’s That Smell, Why Are You Wet, or Who’s Throw Up Is This?
Matthew Sample retweeted
I was part of #FAUST RCT
This was published 14 years ago and here we are still talking about operators not utilizing ultrasound. 🤦♂️
#FAUST was randomized ultrasound guided vs fluoro guided femoral access
ncbi.nlm.nih.gov/pubmed/2065…
This is why I’m still on this app. Well done.
Temporary mechanical circulatory support in infarct-related cardiogenic shock: an individual patient data meta-analysis of randomised trials with 6-month follow-up: @TheLancet
🥸 "The use of MCS should be restricted to certain patients only" ~ @thiele_holger
😱 Summary
👇👇
If an operator has a 0% rate of radial access for diagnostic LHC, is this
10%Valid based on evidence
50%Malpractice
40%Neither, please explain
304 votes • Final resultsI think BNP (and Pro BNP) have nearly eliminated clinical reasoning when it comes to diagnosing decompensated heart failure.
All states should adopt this law @AlHouseInfo @ALSenateRepubs @ALSenateDems
End this extortion by @ABIMcert
Found it! Thanks @MSampleMD !
The text reads:
“requirements to practice medicine.
The board shall not deny a physician licensure based on a physician's non-participation in any form of maintenance of licensure, including requiring any form of maintenance of licensure tied to maintenance of certification. The board's regular requirements, including continuing medical education, demonstrate professional competency.
The board shall not require any form of specialty medical board re-certification or any maintenance of certification to practice medicine in this state.
Matthew Sample retweeted
#SavvySpotlight from Drs. @MSampleMD, Bakir and Ferguson at @BBHealthAL! A 20 mm #Sapien 3 Ultra implanted via #SavvyWire in patient with low flow, low gradient aortic stenosis. 27 mmHg pre gradient & 34mmHg LVEDP. Post implant gradient of 3 mmHg. 1st #SavvyTAVI in Alabama!
Wow. That’s completely…reasonable.
We applaud the @IDSAInfo and their call for substantive changes to ABIM MOC:
"...it would be more relevant to allow physicians to be self-directed in their learning, requiring instead that they partake in a specific number of hours or credits in their medical educational training of choice. Doing so will undoubtedly lead physicians to focus on filling learning gaps that are germane to their own practice."
@IDSAInfo - NBPAS provides a maintenance pathway that is streamlined, self-directed and cost efficient. Let us know if you would like to learn more.
academic.oup.com/cid/advance…
Matthew Sample retweeted
Thank you @PaulTeirstein @CMichaelGibson @bhweiner and @InfoNbpas Proud to be an NBPAS Diplomate! Looking forward to working together to end the @ABMSCert @ABIMcert MOC monopoly in 2024!
These were the last two tweets on my feed - I worry about the direction our collective intellect as a nation is headed. #MakeEducationGreatAgain @JaymetheRN @this_is_mallory
I’m kinda surprised that @nationallampoon and @tylenol haven’t gotten together on a deal for a Christmas season edition of Tylenol, capitalizing on the slogan
Hallelujah! Holy shit! Where's the Tylenol?
In my opinion, the ideal training regimen:
4 years college
4 years medical school
1 year intern (IM/transitional)
3 year Cardiology residency
2 or 3 year Interventional Fellowship (train in all CHIP, SHD, PVD)
Matthew Sample retweeted
If there is a single thing I can add to the universe coming out of this illness, it is to build something that helps caregivers.
It's simply not possible for caregivers to "take care of themselves" if there is no infrastructure to rely on.
Walking outside of a patients room recently and heard the physician ask, “do you know where you are?”.
Why was the first thing that jumped into my head
“You’re in the jungle, baby!”?