Wayne

Cardiologist. Cardiac electrophysiologist. Fountain pen enthusiast. Former body man at Buddy's Texaco.

[Wayne @Toaster_Pastry]

I paid big money to get a tour of the Brigham!

[Wayne @Toaster_Pastry]

Jimson weed. White flower No. 1

[Wayne @Toaster_Pastry]

In 1900 the Brown Pelican was almost hunted to extinction by sport hunters and market hunters working for the millenary trade. This is La Jolla today.

[Wayne @Toaster_Pastry]

Early harvest of leeks makes potato leek soup with purslane garnish.

[Wayne @Toaster_Pastry]

Backyard. Wife created a bit of the farmhouse look with hanging garlic; more of a process than a decoration.

[Wayne @Toaster_Pastry]

My attempt at the ‘Edward Weston look’ without using a 4x5 Graflex Speed Camera.

[Wayne @Toaster_Pastry]

Train station at Solana Beach. My first post after a long hiatus, and it’s a building.

[Wayne @Toaster_Pastry]

@Dr_Santangeli Bad CSP is superior to Bad BiVP

[Milan Koštek @KostekMilan]

Paced qR morphology and transition during threshold testing predicted greater improvement in LVEF, whereas RWPT lacked predictive value. Loss of terminal R in lead V1 and prolongation of RWPT on follow-up prognosticated nonresponse to LBBAP.
https://t.co/58mjymLJH6

[Wayne @Toaster_Pastry]

@willyhfrick @PMcardioApp My eyes thank you!

[Wayne @Toaster_Pastry]

SVT or VT? I was advised by several doctors this ECG (a better copy doesn't exist) that this was SVT. By the way, it's VT.

[Willy Frick @willyhfrick]

@Toaster_Pastry Here’s a better copy courtesy of @PMcardioApp

[Wayne @Toaster_Pastry]

Here are a couple of criteria that help diagnose VT:
1) All QRS complexes in anterior precordial leads are positive
2) aVR: Q wave > 40 msec with notch in descending QRS (Vereckel algorithm).
3) R-S interval in precordial leads > 100 msec (Brugada criteria)
4) I proved it on EPS

[Wayne @Toaster_Pastry]

Electromagnetic interference on an implantable defibrillator with ICD shock. The EMI came from a poorly grounded light in a swimming pool. When the person got out of the pool, the EMI disappeared. From M Akhtar, Clinical Medicine Insights. Cardiology, 24 Jul 2014, 8:63-66

[Wayne @Toaster_Pastry]

ECG: Flecainide overdose

[Wayne @Toaster_Pastry]

I do not understand, nor will I ever understand, the appeal of the fake plastic lawn.

[Wayne @Toaster_Pastry]

Beijing 1989. Goofy pictures of me that I wouldn’t want to be shown in public, don’t look so bad in retrospect.

[Wayne @Toaster_Pastry]

Just about the coolest rocket launch ever.

[Wayne @Toaster_Pastry]

A woman described to me “the tyranny of the urgent,” which are the little things that have to be done immediately that rob us of the more important things in life. I have always called it the “toenail fungus,” the seemingly important issues that aren’t important.

[Wayne @Toaster_Pastry]

@makerjak That was actually the final episode (season 11). Still a very moving episode (obviously), as I remember it like it was yesterday.

[Wayne @Toaster_Pastry]

I'm a doctor, and I'm binge-watching M*A*S*H. Here are some of my favorite episodes, in no particular order: