Gary Parizher

Cardiovascular medicine fellow at the Cleveland Clinic via UTSW internal medicine and CWRU SoM. Former NCAA DIII 🎾 Opinions are my own.

[Gary Parizher @GaryParizher]

I think @DGlaucomflecken should do a bit on cardiac imaging. Cardiology is reading CTs and MRIs. Personally I’d love to see a spoof of the cardiology-radiology collaboration that goes into these complex scans.

[Gary Parizher @GaryParizher]

@SparkyDeviceRN If I’m not mistaken, it comes from a word meaning “compression” in French. French doctors probably published the initial description of the phenomenon, so they get the naming rights 😝

[Gary Parizher @GaryParizher]

Technologist student asked me today how to spell “cardiac tamponade.”

I said “like lemonade, but tampon instead of lemon.”

Petition to change how we pronounce it?

[Richard Ferraro @RichardAFerraro]

Preposterously educational case from @CardioNerds

Strongly recommend listening!

https://t.co/SXJjCKyI5o

[Gary Parizher @GaryParizher]

It’s official, check out the new duds

[Gary Parizher @GaryParizher]

Last day in clinic as a general fellow. Thank you to Dr. Jaber for two years of service and mentorship. Thank you to the clinic staff who keep us pointed in the right direction. Thank you to @venumenon10 @CCFcards for the opportunity to be here. Now on to #CVImaging fellowship!

[Gary Parizher @GaryParizher]

@Sst73881Stuart @argulian @MDBeni If you look closely at the diastolic interval you can see mitral inflow above the baseline. Can���t have mitral inflow and mitral regurgitation at the same time, so I don’t think it’s diastolic MR, but I could be wrong.

[Gary Parizher @GaryParizher]

@SeanMurphyMBBCh got it!

This patient had aortic valve endocarditis and severe AR causing premature MV closure and diastolic MR. AR pressure half-time was 85msec and there was holodiastolic flow reversal in the abdominal aorta. Went for aortic root replacement.

[Gary Parizher @GaryParizher]

Diagnosis in one image! #CardioTwitter #echofirst

[Gary Parizher @GaryParizher]

I will post the correct answer tomorrow :)

[Gary Parizher @GaryParizher]

@MattAThompson24 I wonder if there’s a good way to adjust for severity of graft infection (I.e. presence of a structural complication such as abscess or aortic regurgitation) and see if preop abx duration still predicts reinfection risk independently.

[Gary Parizher @GaryParizher]

@MattAThompson24 I wonder if the patients who had less time on abx before surgery were sicker with more extensive infection prompting more urgent surgery. Maybe shorter preop abx duration and high reinfection risk both reflect the underlying substrate rather than a causal relationship?

[Gary Parizher @GaryParizher]

@WrayCharles @HeartOTXHeartMD Not very far off the beaten path but I took this in front of my parents’ house with a gifted refurbished Canon AE1-P

[Gary Parizher @GaryParizher]

@dhjutsw1 Happy birthday Dr. Johnson 🎂

[Gary Parizher @GaryParizher]

@drjohnm Good-faith skepticism, and disagreement are important.

Deliberate lies and quackery are bad.

Distinguishing between these two types of challenges to the status quo, one constructive and the other destructive, can be difficult at times.

[Gary Parizher @GaryParizher]

@RanLeeMD @haithamahmedmd @PulmCrit @CCFcards @zilgiovineMD @AndrewHigginsMD @PennyRampersad @vbluml @tremartyn @jbradwilliams @Bcherry20 @AmitGoyalMD @J_Brooksbank @EuniceDuganMD @PieterMartensMD @carmonarubio I can’t recall an instance of cyanide toxicity, though I’m sure it happens (rarely). Coronary steal, worsening V/Q mismatch, and intracranial pressure can be considerations in some cases, but as Dr. Lee said we use it all the time!

[Gary Parizher @GaryParizher]

@marklewismd Fun fact:

Ginger contains gingerols, a group of phenols that impart flavor and act as weak non-competitive 5HT3 antagonists. This can help with motion sickness on an airplane :)

[Gary Parizher @GaryParizher]

@CMichaelGibson Wasn’t one of the critiques of the TRILUMINATE trial that lacked adequate blinding and lacked a sham control?

[Gary Parizher @GaryParizher]

@CMichaelGibson Love that this has turned into a dog photo thread. Here’s Otto.