Alexander Smith

Cardiology Fellow @AHN_CVI interested in AHFTC and CCC | Former: Chief @IMRiversideOH, President @NationalSOMA, @OSUMedicine | Sports Car/Endurance Enthusiast

[Alexander Smith @AWSmith__]

@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.

[Alexander Smith @AWSmith__]

Welcome home everyone!

[AHN_CVI @AHN_CVI]

We're excited to introduce & welcome the Class of 2026 Interventional Cardiology & the Class of 2028 Cardiovascular Disease Fellowship!
Welcome to the @AHNToday Family! #ICFellowship #ACCinTouch #CardioTwitter #MatchDay2024

[Alexander Smith @AWSmith__]

@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.

[Alexander Smith @AWSmith__]

@adriansarli @ebtapper Chaotic good.

[Alexander Smith @AWSmith__]

@OGdukeneurosurg Probably massive DVT based on swelling.

Analgesia.
IV heparin bolus.
Doppler to confirm.
Fourth order is case request for thrombectomy.

[Alexander Smith @AWSmith__]

@EM_RESUS ECPR available? TNK successful?

[Alexander Smith @AWSmith__]

@buckeye_sanjay Are we still heroes if we are snarling?

[Alexander Smith @AWSmith__]

@DaytonaDon3 @nascarman_rr Nah, MX5 cup is pretty much full contact. Watch some old races next time you’re bored, it’s a great series.

[Alexander Smith @AWSmith__]

@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

[Alexander Smith @AWSmith__]

@buckeye_sanjay When you figure it out let me know and I’ll do it for IV diltiazem.

[Alexander Smith @AWSmith__]

@atflorio Looks great.

[Alexander Smith @AWSmith__]

@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?

[Alexander Smith @AWSmith__]

@Mike_M_Klotz WV looks a bit like Road Atlanta innit?

[AHN_CVI @AHN_CVI]

Now accepting applications for the #Match2025! Join our team in Cardiology, Advanced Heart Failure & Transplant, or Interventional Cardiology. We offer a collaborative learning environment under the guidance of highly experienced physicians. Apply in #ERAS now! #CardioTwitter 🫀

[Alexander Smith @AWSmith__]

@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.

[Alexander Smith @AWSmith__]

@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.

[Alexander Smith @AWSmith__]

@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.

[Alexander Smith @AWSmith__]

@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.

[24 Hours of Le Mans @24hoursoflemans]

Traffic jam in Le Mans...😅

#LeMans24 #WEC