Jeffrey Wilson, MD @jl35wilsonMD Twitter profile

Last Seen Profiles

@tetehyulii

@hotgirlbinal21

@EnkaNetwork

@sangpenikmatST4

@tetehyulii

@JUMP13451418

@CK_Lau_HK

@muahid_hafiz

@sgis_i

@tetehyulii

@Nawwal236606

@wndhevdn

@sex_mertua

@ee729398

@t_kx3

@HollyKeegan838

@LigaGuate

@stwmaniax

@LibDemDavid

@cuiclinart79158

@Frantzcesca_C

@jilbab_tiktod

@b0ngl0r

@Aoiro_blue_aoi

@JdhMn78193

@sex_mertua

@BDS_a_

@KrsJin

@over_dan_over

@mouzlt

@FletcherPlaid

@stwmaniax

@zzdnwm

@japanreset

Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@INVESTMENTSHULK @JennieWTHR Probably had a 3” barrel. Dude should get free ammo and guns the rest of his life. The constitution is his permit. Godspeed.

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Jeffrey Wilson, MD

@jl35wilsonMD

4 years

Deployed my 1st TAVR today! 26mmS3. My heart was pacing at 140 😂

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Jeffrey Wilson, MD

@jl35wilsonMD

5 years

Gentleman was working on his truck and the jack collapsed. Car impacted his chest and abdomen. Level 1 trauma. A Trop was checked. Cardiology consulted.

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Jeffrey Wilson, MD

@jl35wilsonMD

3 years

#ACCFIT here’s an example of the “Paint ‘N Poke” technique for pericardiocentesis. More helpful when effusion is not huge. 5cc syringe of 50/50 w/ micro needle.

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Jeffrey Wilson, MD

@jl35wilsonMD

4 months

70sF w AMICS (SCAI E—>D) w LM trifurcation disease sp LM-LAD-Ramus Minicrush + POBA to LCX. Despite #SafeFemoral and cinching pre-closed sutures w good sheath angle still BARC3 groin bleed. Still absolutely needs MCS. WTD?! “Side-Close” it. @jason_wollmuth @ekgpdx @Abiomed

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@MAC_Arms The police “just wanted to talk to him” right? Ha.

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@BaoGTran Doc did fellowship in consultology.

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Jeffrey Wilson, MD

@jl35wilsonMD

7 months

DK Crush step by step. Ideal case for #ACCFIT . Stable 50sM w “nml perfusion” but global ischemia EKG pattern. @TWilsonMD @Umair2017 @mmamas1973 @_AdilShakil @adityadoc1 @AntoniousAttall @Allison_Dupont @nyalborgesmd @CMcNeelyMD @ShariqShamimMD @jedicath @DrJayMohan @kerrigjl

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@SpeakerPelosi Give those billions you earned on insider trading and Ukraine money to our homeless vets. @PelosiTracker_

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Jeffrey Wilson, MD

@jl35wilsonMD

3 years

Last day of IC fellowship at the U of South Dakota. 900+ PCIs, 30% imaging, and a ton of neck & brain work with our great NeuroIR colleagues. So thankful to my co-fellows (past & present) and attendings!

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Jeffrey Wilson, MD

@jl35wilsonMD

5 months

40sM presents to ER from work w atypical CP (dull/pressure, 8/10, but worse w palpitation) radiating to the jaw. ER sends this EKG at 0300. #ACCFIT #ACCEarlyCareer what do you do? EKG below. @smithECGBlog @mmamas1973 @AntoniousAttall @Allison_Dupont @agtruesdell @MusaSharkawiMD

No STEMI, ✅TnI, call back

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✅ TnI, stat TTE call back

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STEMI, activate lab

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OMI, activate lab.

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

My wife met the legend…Dr. Sharma…today. She recognized his voice and face from all the YT videos I watch! #BalloonMassage #JustMassageIt #CCC

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Jeffrey Wilson, MD

@jl35wilsonMD

7 months

Ostial RCA IVUS guided PCI. @djc795 taught me a while back that steep LAO helps. He’s right. @esbrilakis taught me the “floating”/sepal wire technique. He’s right. #SafeFemoral 45cm Destination is my SOP for most ostial RCA interventions. Standard tools for all IC fellows.

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Jeffrey Wilson, MD

@jl35wilsonMD

1 year

20s Male, p/w CP, SOB, L arm discomfort. No PMH or social 🚩. Classic debate: Nail it or Cross over? IVUS showed *maybe* 5% plaque burden on LAD side of LM. @TWilsonMD @AntoniousAttall @agtruesdell @mmamas1973 @LAzzaliniMD @_AdilShakil @DeepBlueDoc21 @MattMcDiarmid1

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@BruckelJeffrey 💯. I work as hard as I want to work. The RVUs come as they come. Whether I make 10,000 or 15,000 is of no importance to me. Only thing that matters is treating patients like when you were a senior fellow. Evidence. Based. Taking 30min to say “no” instead of 3min to say “ok”.

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Jeffrey Wilson, MD

@jl35wilsonMD

4 years

Just paid $2480 for my cardiology boards. Can’t wait to pay another $2480 for my IC boards next year!

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@EM_RESUS Looks like ostial LAD. Send to lab and find out. Spasm vs plaque rupture vs both. IV nitro and Benzos in the meantime in addition to standard meds for ACS. “Lifestyle modifications advised.” Nice EKG!

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@HalstedMD I would laugh it if was a joke. It should only be a joke. I can’t imagine the blowback of this nonsense occurred in 2000s-2010s. The amount of lunacy to allow this over the past decade is incalculable.

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@EM_RESUS GSW. Looks like a pistol round, likely 9mm FMJ with some of the copper jacket sheared off. Could also be an underexpanded JHP. Very sad.

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

Plavix Resistance is the reason for this 2.75 DES in the pLAD for ACS. Used 3.0 NC, 3.5mm Angiosculpt at 20atm, 4.0 NC to correct the “resistance.” Megatron DES, POT w 4.5mmNC. Plavix should work now. @agtruesdell #ACCFIT #ICFIT

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Jeffrey Wilson, MD

@jl35wilsonMD

7 months

Team got bigger today. @InfoNbpas @doctorwes @AaronGoodman33 @Allison_Dupont @agtruesdell LET’S GO!!! #EndMOC

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Jeffrey Wilson, MD

@jl35wilsonMD

4 years

@HemeIsABlast @mahad_minhas Probably the best response.

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Jeffrey Wilson, MD

@jl35wilsonMD

5 months

@Allison_Dupont @GabashaMD @MusaSharkawiMD @mmamas1973 @Obisht @AntoniousAttall @agtruesdell @nyalborgesmd @BaoGTran @CMcNeelyMD @EM_RESUS @smithECGBlog @Hragy @aspergian1 @kerrigjl @JmKsnow @mornei2011 @KPujdak @timir_paul @mirvatalasnag @DrJayMohan @SossouMd @TWilsonMD @SVRaoMD

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

#ACCFIT #ACCearlycareer #RadialFirst @SVRaoMD @TWilsonMD @_AdilShakil @MattMcDiarmid1 @MusaSharkawiMD @ShariqShamimMD @LAzzaliniMD @Umair2017 CT surgeon called to the lab. “If you can stent it, stent it.” “Done. Time to get to werk.”

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Jeffrey Wilson, MD

@jl35wilsonMD

4 months

40sM presents to ER w CP, SOB. BP 60s/40s. Sitting bolt upright in the ER. Fails the “door test” but oriented to person. Legs cold. EKG below. Lab activated immediately. POCUS (while waiting) did not show effusion or sig MR, no VSD, but severe rWMA and EF <20%. Started on max

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Jeffrey Wilson, MD

@jl35wilsonMD

10 months

68M ➡️ ER w acutely worsening SOB, atypical CP. Lactate 6, MAP 80, BMP nml. Diaphoreric. HsTnI 900, 750, 9000. EKG below. Tried to diurese (Lasix + Diamox) and BiPAP but marginal gains overnight. What’s your plan? No surgeon on site. Pt is intubated in ICU bc can’t supinate.

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@CaseyHumbyrd @DrBrian4Health @CMSGov @DoctorJesseMD @drdanchoi @anish_koka @AmerMedicalAssn @AmerMedicalAssn has been totally worthless in this fight for decades. Ever since Clinton. Totally and utterly useless. “Working on it.” Classic.

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Jeffrey Wilson, MD

@jl35wilsonMD

3 years

EF 55%, Octagenarian. mRCA = CTO. 🔪 said “no.” How to attack this ⛰? Legs will accommodate Impella. We have RA, OA, no IVL. @perc_surgeon @nyalborgesmd @mirvatalasnag @mmamas1973 @JmKsnow @AntoniousAttall @AmBifClub @DrAmirKaki @agtruesdell @Babar_Basir @aspergian1

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Jeffrey Wilson, MD

@jl35wilsonMD

29 days

70sF w CCS3 angina, inferior ischemia, on 1 AA 💊 (couldn’t tolerate nitrates, no improvement on Ranexa as expected). Ostial RCA J-CTO 3. Teamed up w @TWilsonMD to “double” the chances of success. Attempted Retro 🏄‍♂️ but couldn’t connect so switched and able to cross via ADR. SDD

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Jeffrey Wilson, MD

@jl35wilsonMD

1 year

@DGlaucomflecken Maybe unions for different specialties would have a better chance of materializing?? There’s no way many PCPs and surgeons/proceduralists will be able to agree on many issues which is a reason why we don’t have any unions or leverage today. Admin knows this and exploits it.

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

Super-dominant hairpin LCX. 88M w NSTE-ACS. Already did RA and PCI on p/mLAD 2 weeks ago. Brought back for DK Minicrush of dLM bifurcation. Used General Anesthesia, helped a ton! #CHIP #ACCFIT #ACCearlycareer

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Jeffrey Wilson, MD

@jl35wilsonMD

8 months

We’re not all bad @DavidLBrownMD just another day in the clinic. Interventional = Preventative cardiology :).

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

See below for dynamic review. What’s going on at 6? NSTEMI. This is LCX pullback. RCA and LAD clean. Angio was hazy. #ICFIT #ACCFIT #ACCEarlyCareer @ziadalinyc @TWilsonMD @RSohnMD @MattMcDiarmid1 @CMcNeelyMD @kerrigjl @GreggWStone

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Jeffrey Wilson, MD

@jl35wilsonMD

4 months

@LockedOnCubs Beautiful. Should be open to selling now. Later this month? Why? Either way, I’m almost glad they’ve proven to be so abysmal so there’s no ambiguity at the deadline.

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Jeffrey Wilson, MD

@jl35wilsonMD

6 months

70M w NSTEMI classic story. Took ➡️lab from ER. Big hazy erupted CN in pLAD. Best way to Rx? @ziadalinyc @mmamas1973 @AntoniousAttall @nyalborgesmd @Babar_Basir @rotamonster @CMcNeelyMD @Allison_Dupont @GabashaMD @aspergian1 @mirvatalasnag @kerrigjl @Umair2017 @kevinjamescroce

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

50sM shoveling grain for 🐄. Has CP but works through it @EM_RESUS @DGlaucomflecken then next day has more CP. Wife drags him to rural ER. Here are EKGs. Initial TnI bumped. Xfer to us at 02:00. ER calls me and wants to know if I should cath. @smithECGBlog @ShariqShamimMD

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Jeffrey Wilson, MD

@jl35wilsonMD

3 years

Quick PPT on recent ACS case. Few tips for #ACCFIT @smithECGBlog @EM_RESUS @ShariqShamimMD

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@nyalborgesmd @AntoniousAttall @_AdilShakil @MichaelMegalyMD @TWilsonMD @MattMcDiarmid1 @MusaSharkawiMD @evandrofilhobr #ACCFIT #ACCEarlyCareer here’s the F/U to that dLM 1,0,1 lesion.

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

How have I not seen this on #CardioTwitter yet?! What else would supplement this costume? #ACCFIT #ACCEarlyCareer

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@INVESTMENTSHULK Can’t legislate away evil. Not sure why that’s so hard to understand. Home Depot also rents trucks.

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

60sM, “DM 🚬” arteries. LAD is heavily calcified from bow to stern. Surgical turndown w h/o prior severe chest trauma. NSTEMI. EF 20-25%. EDP 30-35mmHg on diagnostic. Approach? @Umair2017 @MattMcDiarmid1 @TWilsonMD @agtruesdell @mmamas1973 @adityadoc1 @jedicath @_AdilShakil

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Jeffrey Wilson, MD

@jl35wilsonMD

1 year

@SandeepNathanMD @UCCardsFellows @uchicagohvc @Jonathan_PaulMD @TheRealDoctorOs @MRAkid @SVRaoMD @DocSavageTJU @mmamas1973 @willsuh76 @CNallapati_MD Tip is to go groin and save time, potentially reduce stroke risk, reduce radiation and contrast, and make it home in time to see your family and have dinner. #SafeFemoral is safe. In this case, possibly safer. I’m 90% radial. Fellows, just go groin. #NoShame

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Jeffrey Wilson, MD

@jl35wilsonMD

3 years

My wife now thinks interventional cardiology is the easiest job ever…after watching perfect PCIs on BifurcAID 3D 😂🤣

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

60sM shoveling ❄️ at 0400 had CP at OSH. Got TNK + #GDMT . VF w ROSC <2min. 🚑 in blizzard to me at 0700. Erie when I shoveled at 0545 but beautiful when the system (Pt/Wife, EMS, Police, OSH ER team, Lab) works! EF 55% sp PCI. Small chance I use 5.0mm NC without IVUS. #ImageFirst

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Jeffrey Wilson, MD

@jl35wilsonMD

1 year

@DGlaucomflecken No procedural avenues (or income). Extra 2 years for similar pay as IM docs. People realize contrast isn’t as bad as once thought. Blame radiology and cardiology :).

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Jeffrey Wilson, MD

@jl35wilsonMD

1 year

@georgetolisjr One should ask if a 91F should even get CABG?

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

Catheter selection and control in STEMI. Master guide control and your life will be much easier. It all starts w the guide. Here’s one way to persevere acutely. #RadialFirst #ICFIT #ACCFIT #ACCearlycareer 1/2

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Jeffrey Wilson, MD

@jl35wilsonMD

5 months

@_AdilShakil @nyalborgesmd @Babar_Basir @CMcNeelyMD @djc795 @ShariqShamimMD @TWilsonMD @EM_RESUS @DrJayMohan @timir_paul @Hragy @mirvatalasnag @SrihariNaiduMD @mornei2011 @NotRichBaronMD @KPujdak @JmKsnow @jedicath @lamelaspablo

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

50sF p/w CP, NSTEMI, no sig CAD risk factors aside from obesity. Unusual location for SCAD. Pt had ongoing CP on Nitro gtt, but no STE. How to treat? HsTnI 3500 —> 5500. #ACCEarlyCareer #SCAD #CardioTwitter @MattMcDiarmid1 @_AdilShakil @mmamas1973 @TWilsonMD @JmKsnow

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@SyedYNaqvi1 Just go #SafeFemoral and stop messing around.

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@ClementLeeMD Therapeutic hypothermia has been debunked by the best RCT from Scandinavia. Normothermia is the goal. Also doesn’t make sense. You cool a whole body to benefit 1 organ? TTM2 trial from Sweden shows this. Here’s a summary:

PulmCrit - A history of hypothermia for cardiac arrest, 2002-2021 (RIP)

Let’s start by considering what our pretest probability should be regarding whether hypothermia is beneficial after cardiac arrest. Every enzyme in

emcrit.org

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

60sM first timer presents to OSH (>120min D2B) with rather typical crushing CP for 1-2hr. What do you do? TNK+ship? No TNK+ship? Will post what I did and why tomorrow. @smithECGBlog @EM_RESUS @kerrigjl @_AdilShakil @TWilsonMD @MattMcDiarmid1 @Obisht @ShariqShamimMD #ACCFIT

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Jeffrey Wilson, MD

@jl35wilsonMD

1 year

70sM w Cardiorenal Syndrome. EF 30% which is chronic. Cr 2.0–>3.4 in 36hrs. 🦢 on BiPAP. Lactate WNL. MAP 65-70 on no pressors. What SCAI stage? How to Rx? No diuril on the shelf. Bolus vs Drip? @AndrewJSauer @agtruesdell @TWilsonMD @Allison_Dupont @Babar_Basir

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Jeffrey Wilson, MD

@jl35wilsonMD

3 years

#ACCFIT I know it’s fun to talk about #IVL #Rota #CSI but do NOT forget ✂️ 🎈! Angiosculpt at 16-22atm, Wolverine, Scoreflex! These cuts are from Angiosculpt. #Fracking

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@rzakir12 @DrAmirKaki @JayMathewsMD @ajaykirtane @djc795 @MacAnsari Surgery is a great option if the lab has no guides, wires, balloons, or stents. Give the guy 2 image guided stents and he’ll be playing golf the next mens day.

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Jeffrey Wilson, MD

@jl35wilsonMD

1 year

@RosenthalHealth I don’t know any proceduralists that make 3K/hr and even if they did, why is that over valued? Lawyers aren’t worth as much as PCPs or proceduralists, that much is for certain.

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Jeffrey Wilson, MD

@jl35wilsonMD

6 months

50sM w NSTE-ACS. Daily reminder to avoid obsolescence, incompetence, and indifference to outcomes. #IVUS #OCT #ACCFIT if you’re trained in a center that doesn’t use IVI, don’t worry. There’s plenty of help upon “graduation.”

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Jeffrey Wilson, MD

@jl35wilsonMD

6 months

@Umair2017 @JingLiu_MD @mmamas1973 @adityadoc1 @Hragy @minhaskh @BakhshiHooman @nyalborgesmd @BaylorCardio @BCMHeart @jedicath I agree 100%. But we have to tell the other side. The dirty side. If you miss a “nail job” nobody will care (except you & the Pt). But if you do an amazing LM crossover job you may get ostracized by old dog ICs who haven’t stented a LM ever. #ACCFIT aren’t taught the politics.

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Jeffrey Wilson, MD

@jl35wilsonMD

6 months

@Umair2017 @BCMHeart @SCAI @txchapteracc @ACCinTouch @AHAScience @JingLiu_MD @nyalborgesmd @minhaskh @BakhshiHooman @SalikNazirMD @abadkhan2002 @mmamas1973 @jedicath @SyedYNaqvi1 @JoySanyal74 A great injustice. Caused by an IC Nitro deficiency.

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Jeffrey Wilson, MD

@jl35wilsonMD

10 months

In the last 24hrs I’ve seen 2 pts unnecessarily sent for CABG. 1 Pt = 10 day postOp course. Came back w AFRVR and eternal wound dehiscence with discharge. ICs who refer Pts for CABG w no mortality benefit are hurting pts in the aggregate. I guess 70-80% of CABG yield no benefit.

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@Toaster_Pastry I don’t mind helping but majority of the time PCPs don’t even put in effort. Zero. Hypokalemia and HTN at age 30? God forbid they consider secondary causes. It’s unreal. Maybe they’re just overwhelmed? The ones who do are highly valued and appreciated.

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Jeffrey Wilson, MD

@jl35wilsonMD

4 months

). Lessons learned from bedside Side-Close: 1) use a short short short 0.35 wire. In bigger folks recommend Amplatz SS. 2) Load Perclose before retracting leave-in sheath. 3) it’ll bleed a bit, that’s ok. 4) Re-cinch pre-close sutures after re-inserting

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

Update on ostial LAD, RI, and LCX. DFR of LAD was 0.85 @MichaelMegalyMD . dLM bifurc angle was 80-85 degrees so I chose layered provisional w/ LM into LCX w TAP bailout. POBA of RI. Hammered oLCX w 1.5 💎, 2.5 NC, and 3.0✂️ 20atm. @slingsnack @mirvatalasnag @aspergian1 @BaoGTran

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Jeffrey Wilson, MD

@jl35wilsonMD

5 months

70sF w NSTE-ACS, sp PCI to mLAD. Post IVUS shows excellent DES result but…How do you handle this? Poll below. #ACCFIT #ACCEarlyCareer #NotAllPCIsArePerfect @AntoniousAttall @slingsnack @TWilsonMD @_AdilShakil @SVRaoMD @agtruesdell @Umair2017 @MusaSharkawiMD @Allison_Dupont

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Jeffrey Wilson, MD

@jl35wilsonMD

1 year

@BrantMDJD They don’t call it the Washington Compost for no reason. Stop your subscription.

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Jeffrey Wilson, MD

@jl35wilsonMD

4 months

@slingsnack @aspergian1 @Hragy @mirvatalasnag @jedicath @kerrigjl @Umair2017 @lamelaspablo @mornei2011 @DrSiyabMD @MusaSharkawiMD @_AdilShakil Those who said LM or ostial LAD w Diag were correct. @ShariqShamimMD @smithECGBlog to name a couple. Pt was transferred to OSH for ECMO and consideration of VAD/Tx. #ACCFIT notice the LCX thrombectomy w @penumbrainc Would anyone remove the pre-loaded 🎈 and use

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Jeffrey Wilson, MD

@jl35wilsonMD

6 months

@DrSiyabMD Congrats brother. Great story. Turns out the harder you work, the luckier you get. Who would have imagined?

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@DGlaucomflecken The idea that the federal govt will make things better is asinine. When has the federal govt made things better? ACA worked? Agree the current system has major flaws, but more fed involvement will make it exponentially worse.

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Jeffrey Wilson, MD

@jl35wilsonMD

1 year

@Mrgunsngear Pain is weakness leaving the body 😜

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@nLopretzel I don’t think it’s an issue. I and others stronger than me did it for 7yrs of GME. I’m glad I was worked hard in central BK bc it set me up to handle anything mentally. I thought of it as the BUD/S of my medical career. Succeed in training, the rest will be easier. Hour 2! 🤷🏻‍♂️

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Jeffrey Wilson, MD

@jl35wilsonMD

1 year

@LockedOnCubs Doesn’t have the repertoire for locking down the 9th IMO. The mindset yes, the stuff no.

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Jeffrey Wilson, MD

@jl35wilsonMD

4 months

@EM_RESUS @HeartOTXHeartMD Many of us deleted our 20s and much of our 30s. Can’t count how many times I got off the A/C, walked by the Cranberry St Wine Bar (closed after 42yrs recently) and just wondered how nice it would be to enjoy a late happy hour with good wine and beautiful people. Saddening even to

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Jeffrey Wilson, MD

@jl35wilsonMD

3 years

@ashtonsamos DO students matched at 93.9% clip this year as per the AMA. Best ever. There is no stigma, certainly not at the attending level. It’s only a problem if you make it one. US IMGs matched at 61.9%. Non US IMGs at 58.1%.

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Jeffrey Wilson, MD

@jl35wilsonMD

1 year

@olsonplanner $1mln plus for 7yrs and a lot of call. No way anyone working FT should accept $300K as a physician. Thats bonkers.

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Jeffrey Wilson, MD

@jl35wilsonMD

5 years

@ccardyDNP We were told that if quarantined we may well not finish fellowship on time. Ridiculous. I’m a 3rd year fellow. I need more formal general cardiology training.

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Jeffrey Wilson, MD

@jl35wilsonMD

1 month

70sM presents w SOB on exertion (CCS3) and chest tightness. Underwent PCI to RCA, dLM bifurc (layered provisional w TAP it appears) 9-10 mos ago. Assuming you don’t have AGENT (or laser) on the shelf, how would you fix the “Bane of IC?” Mechanism of stent failure is NIH. Stent

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@Drbektas SCAD. TIMI 2.5-3 flow. Leave it alone it’ll heal.

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Jeffrey Wilson, MD

@jl35wilsonMD

2 years

Cleared IFR to Jackson, WY. Should be a good day w/ @TWilsonMD #Diamond

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Jeffrey Wilson, MD

@jl35wilsonMD

6 months

40sM presents w typical Sx, NSTEMI. ER➡️Lab. Got this result after IVUS guided Direct Stenting. MSA 16mm2. Wtd next? Angio + IVUS below. @TheNarulaSeries @AntoniousAttall @Allison_Dupont @mmamas1973 @agtruesdell @_AdilShakil @adityadoc1 @nyalborgesmd @TWilsonMD @BaoGTran @Obisht

Leave it.

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Optimize in 30d w 5.0NC

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Optimize in 30d w 5.5NC

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Optimize in 60d

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Jeffrey Wilson, MD

@jl35wilsonMD

6 months

50sF ESRD on HD, NSTEMI. EF 50% w LAD hypokinesis. 2 CTS said “No” to IMA/EndArt. PCI (and if so, how?) or GDMT only? @TWilsonMD @LAzzaliniMD @_AdilShakil @Umair2017 @kerrigjl @Allison_Dupont @nyalborgesmd @agtruesdell @CMcNeelyMD @GabashaMD @mirvatalasnag @KPujdak #ACCFIT

7

2

17

Jeffrey Wilson, MD

@jl35wilsonMD

2 years

BP 90s/60s. I chose Impella given legs were surprisingly good. DES LCX, POBA OM, 1.5 💎 followed by 3.0mm IVL. Still 🦴 in pLAD and no sig fracture on IVUS so another 80 ⚡️ w 3.5mm IVL.

6

5

18

Jeffrey Wilson, MD

@jl35wilsonMD

5 years

@scratchpadMD Looks more like active transport or at least facilitated diffusion :)

2

0

17

Jeffrey Wilson, MD

@jl35wilsonMD

5 years

@Costa_F_8 @spiritus_bah @UIC_CathLab @AdnanBalouch11 @ElliottMGroves I think the basic idea is to use the Wolverine blades to fenestrate the dissection flap which ideally will decompress the hematoma and aide in healing. At least that’s how I understand it.

1

0

17

Jeffrey Wilson, MD

@jl35wilsonMD

1 year

@BaoGTran @DxRxEdu Exactly.

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3

15

Jeffrey Wilson, MD

@jl35wilsonMD

2 months

@EM_RESUS Lol buckshot…only City folks would guess that 😂😂😂

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0

16

Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@olsonplanner 99.9% of the research is meaningless from the outset too. That’s the worst part. Linking gallbladder stones to calcium scores to calcium intake to statins…

1

0

16

Jeffrey Wilson, MD

@jl35wilsonMD

3 years

@KBrookeGolisch I fully understand. And I am vaccinated. Freedom > Security all day. That’s the POV that you don’t understand. To repeat, “and I am vaccinated.”

10

0

17

Jeffrey Wilson, MD

@jl35wilsonMD

4 months

@GEICC3 @agtruesdell @mmamas1973 @mirvatalasnag @evandrofilhobr @Hragy @DrAmirKaki @LAzzaliniMD @DKarmpaliotis @aspergian1 @djc795 @Babar_Basir @KateKearney4 @SrihariNaiduMD @sbrugaletta @KPujdak @TheNarulaSeries @DrJayMohan @KambisMashayek1 Be obsessive about guide position/coaxiality. I often use a GEC that is advanced over a 🎈 shaft after deflation into the LM DES especially if coaxial guide engagement is difficult. But would do nothing here except stop injecting and get serial CTAs. Result looks amazing.

2

1

15

Jeffrey Wilson, MD

@jl35wilsonMD

1 year

@rbarbosa91 I’m glad I don’t routinely think of admin when I get paged at 2am for an acutely ill Pt needing a time sensitive procedure. It’s usually otw home when it hits me. Proud of what I and my team were able to do for a Pt/Family, but disgusted at how the “machine” works.

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16

Jeffrey Wilson, MD

@jl35wilsonMD

4 months

When I think of South Dakota, I think of serene, expansive landscapes and “Wait, this is in SD?!” Western SD is truly a beautiful, under appreciated part of the US. Its isolation is a blessing and provides a great place to detach and wander without being lost (from May to

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0

15

Jeffrey Wilson, MD

@jl35wilsonMD

6 months

@georgetolisjr Maybe you should see CABG patients on long term F/U, look at mortality data c/w PCI, and assess your community’s refusal to abandon SVG usage. Nobody should accept SVGs given their terrible, atrocious, and unimproved patency rates (unless there’s no other option).

0

1

16

Jeffrey Wilson, MD

@jl35wilsonMD

7 months

@GrimaldiJoel 1) CABG w LIMA to LAD, Radial to D1, RIMA to LCX 2) CABG w LIMA to LAD + Radial to D1, crossover LCX PCI. 3) PCI all. No SVGs.

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16

Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@Umair2017 @smithECGBlog @BCMHeart @bcmhouston @BCMDeptMedicine @EM_RESUS @ShariqShamimMD @JingLiu_MD @jedicath @evandrofilhobr @djc795 @mmamas1973 Would take to lab. If you need any “encouragement” use this app. Saved my ass a few times. V2-V4 can’t be ignored.

1

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16

Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@Obisht Avoid suffering from rota deficiency. Become very respectful of and comfortable with rotational/orbital atherectomy. Use extra backup guides for most PCIs. AL, EBU/XB, 3DR.

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Jeffrey Wilson, MD

@jl35wilsonMD

6 months

5.0 ZES at 12atm “should be” 5.05mm. #DontTrustTheChart @CMcNeelyMD @djc795 @ShariqShamimMD @cardioPCImom @DavidLBrownMD @timir_paul @kerrigjl @Umair2017 @JmKsnow @KPujdak @SVRaoMD @MusaSharkawiMD

10

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Jeffrey Wilson, MD

@jl35wilsonMD

1 year

@ShariqShamimMD ARNI def not. Sorry. Valsartan is A-OK. Farxiga is 1 I’d pay for.

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0

16

Jeffrey Wilson, MD

@jl35wilsonMD

2 years

@ShariqShamimMD @LAzzaliniMD 1) Palpate pulse 2) Fluoro head w hemostat 3) US of CFA 4) Micro stick at high noon/area of least 🏔 5) Fluoro micro-wire in iliac and needle insertion site 6) Micro introducer and sheath. Every time. Learned from @esbrilakis YT channel on many 🌙 ago.

3

0

16

Jeffrey Wilson, MD

@jl35wilsonMD

1 year