@Cephii1@jeremykauffman Unclear why people think IQ is a big thing in medicine. Yes there is a requisite level of intelligence required, and the smarter the better, but most of what is required is work ethic and persistence. Most with IQ>120 would probably be bored stiff within a week of med school.
@bjcohenmd@EiranGorodeski@AHajduczok@HFSA@ACCinTouch@AHAScience Must be in the conversation about integrated training pathways. Institutions are looking for advanced imagers. Why should we not read CMR for cardiomyopathy, PET for post-transplant CAV screening, PET for sarcoid, TEE for TEER, etc? These are our patients, let’s own their care.
@OGdukeneurosurg Probably massive DVT based on swelling.
Analgesia.
IV heparin bolus.
Doppler to confirm.
Fourth order is case request for thrombectomy.
@pulmtoilet CI? Lactate clear? Filling pressures normal? If not under-supported/ underdiuresed and truly just SVR problem, would be reticent to use prolonged nipride if there is AKI. Either cardene or ramp loading of PO hydralazine starting at 10q8h, can escalate at each dose if tolerated
@ShariqShamimMD Considering the other visible work on the heart, I can nearly assure an elevated heart score. Whose ED is sending this home without any testing?
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@poison_com @slucy@ogbonigwe1 Where are you sourcing that there is a decline in interest? I’m telling you there isn’t, and that competitiveness is continuously rising.
@poison_com @slucy@ogbonigwe1 Re: quality, some are probably not qualified for what they applied for. Many are. Are some smart people choosing not to be a doctor? Sure. More than before? Idk, maybe. But there is plenty of demand and unless something changed, the average GPA and MCAT score rises year on year.
@poison_com @slucy@ogbonigwe1 Thousands of medical school applicants don’t get in each year. Hundreds of doctors graduating from US med schools who apply but don’t get a residency each year. Thousands of US citizens in non-US med schools+foreign medical graduates who apply but don’t get a residency each year.
@jl35wilsonMD SCAI E plus sounds like EDP is through the roof. Offload with VAD first. There isn’t a line for door to balloon metrics on death certificates.