Bipolar VT ablation across the PSP (inferoseptal process) and crux of heart with zero fluoro and ICE guidance. “Kissing catheters!” Enjoyed doing case with our newest partner Luke Cerbin:

Alright let's clear this up. New vaccines *are* tested against placebo (a dummy treatment). If a good vaccine already exists, a new version of it is tested against the old vaccine and not a placebo because it would be unethical to let people get the infection. Got that? Good

For those wondering why a simple doctor’s visit takes so long… Or why medical offices can seem so inefficient… Here’s the journey of a single patient chart… and remember only 1/3 of the quality metrics have any clinical relevance… before we’ve even had a chance to talk

All of the billions spent on AI innovation just so we can get these beautiful cat videos

Everything costs more now, but doctors can’t raise their prices and haven’t had a raise since early 1990s. Our staffs all want double what they did in 2019 and rents have doubled. This has all been engineered to crush average Americans. Factor in interest rates and mortgages from

CHOP & Penn Medicine have delivered the first-ever personalized gene editing therapy for a patient with CPS1 deficiency, marking a major milestone in the application of CRISPR-based treatments. Learn more about KJ & the future of personalized medicine: ms.spr.ly/6015SZLAx.

In 2023, the U.S. spent approximately $1.35 trillion on healthcare administration. That’s more than we spent on: •Physician salaries (~$350B) •Nursing salaries (~$335B) •Retail prescription drugs (~$450B) •Imaging, lab tests, EHRs, and outpatient procedures combined •Even

🧵 ICDs can fail to treat VT/VF—even when functioning normally. In a 5-year MAUDE review (2019–2023), 854 such failures were found: 🔹 Deaths: 96 (11%); Injuries: 585 (69%): Malfunctions: 173 (20%) 📈 Reports tripled from 2019 → 2023. 🤔 Causes - Misclassification as SVT/AF

The first direct observation of gravitational waves captured the merging of two black holes which emitted 36 septillion yottawatts of power (3.6×10⁴⁹ watts), greater than the combined power of all light radiated by all the stars in the observable universe. [🎞️ SXS simulation]

#EPeeps - tough case👇 ⚡️VF triggering pathway from CS diverticulum. Neck >5mm from PLV. 🥉Took 3 goes to get rid of it. Bumped each time - gave limited RF - back in 24hr. 🔥 Encircled neck (30W-20sec) with irrigated RF and its FINALLY gone! Liverpool Heart Rhythm #Alwayslearning

Before vaccines, 1 in 5 kids never made it to their first birthday

RFK Jr. went on national TV and spouted egregious, dangerous falsehoods about vaccines. As a parent and infectious diseases doctor, I couldn't stay silent. Fox News might not fact-check him, but I will. I've reviewed the trials. I've catalogued them. I have receipts. 🧵

Supraventricular tachycardia😍

American surgeon exposing a new scam US Health Insurance companies are doing - This surgeon submits her bill to insurance for the patients surgery - They say no, and only pay 1/3 of the bill - Months later they decide they shouldn’t have even paid that much and submit what’s

No. It's because PBMs corrupt healthcare. Big Pharma wishes they could set their own pricing. They don't. PBMs control formularies and manipulate prices, in exchange for providing pharma access to patients. It's how they maximize rebate revenue. In fact, 3 PBMs NEGOTIATE

MA flutter: once good contact is achieved, what’s your choice when you are close to an artery, PFA or RF.? Precise anatomical definition ICE 👀Medtronic Cardiac Ablation

Hard to Die:M.FL ablation using the Affera system. Failure of Endocardial and distal CS ablation.Activation mapping revealed an epicardial connection, and subsequent (VOM) ethanol ablation successfully resulted in bidirectional block.Stelios⁩ ⁦⁦Ourania Kariki⁩

It’s not that “root causes” are completely irrational to discuss. But also telling people they ate too much, didn’t exercise enough, slept like crap, destroyed their circadian biology, and probably used alcohol, THC, adderal, oxys, or sleeping pills. Build a time machine.

Catheter Ablation of Paroxysmal Atrial Fibrillation and Disease Progression: Magnitude of the anti-progression effect and role of intervention timing Karim Benali Jason Andrade heartrhythmjournal.com/article/S1547-…

My friends and colleagues, you are being FUCKED: "The executive compensation report from the Charlotte-Mecklenburg Hospital Authority, which does business as Atrium Health, shows double-digit raises across much of Atrium’s senior leadership, with several executives seeing their