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Dr Leo (@DrPWave) profile picture

Dr Leo

@DrPWave

Born with congenital heart disease now taking care of those with it. Mostly tweets on hockey. STH #CBJ but also cheers for #Raiseup and #blackhawks

 Columbus, OH
Joined January 2023
  • Tweets2.7K
  • Following508
  • Followers505
661Media
Photo by Dr Leo (@DrPWave)Photo by Dr Leo (@DrPWave)Photo by Dr Leo (@DrPWave)Photo by Dr Leo (@DrPWave)Photo by Dr Leo (@DrPWave)Photo by Dr Leo (@DrPWave)Photo by Dr Leo (@DrPWave)Photo by Dr Leo (@DrPWave)Photo by Dr Leo (@DrPWave)Photo by Dr Leo (@DrPWave)
DORV, TGA, PS. 1 BAS. 5 open heart surgeries. 5 defibrillator surgeries 3 ablations. 1 run of Vtach for 45 mins. Several runs of SVT requiring adenosine. 2 appropriate & 2 inappropriate ICD discharges. 1 transcath pulmonary valve replacement. 32 years old today. #ACHD
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Stopped my season tickets for @BlueJacketsNHL and got year pass for @ColumbusZoo. Best trade ever.
Aaron Portzline (@Aportzline) profile pictureAaron Portzline@Aportzline10h
Take him to the zoo!!!
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Tampa Bay is now becoming what Chicago, LA, and Pittsburgh previously were after winning their multiple cups. Winning comes at a (well worth it) cost in the future. Time for Tampa Bay to pay the piper. @FutaMichael @Mattymar89 @FriedgeHNIC
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They beat the @NHLBlackhawks?
Spittin' Chiclets (@spittinchiclets) profile pictureSpittin' Chiclets
@spittinchicletsOct 30
The Sarnia Legionnaires have won their first game in SIXTY-SEVEN games!
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The #blackhawks should have their dads drive them home after that performance.
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In case you missed it, #cbj have a massive penalty kill. @DMaetzMedia @Aportzline @mark_scheig
Image from Dr Leo (@DrPWave)
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Carolina: Hellebuyck Chicago: Nikishin Jets: Nazar, Korchinski, Car 1st ‘27, Car 1st ‘28 (or Kotchekov) Who says no? @CHGO_Blackhawks @Mattymar89 @FutaMichael @FriedgeHNIC
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Having to tell my wife I’m in an important meeting* *drafting my Pokemon hockey team.
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Falconry. If the wife doesn’t allow, I’m getting a large fish tank.
CooperBaggs 💰🍞 (@edgaralandough) profile pictureCooperBaggs 💰🍞
@edgaralandoughOct 7
If you're a millennial (born 1981 to 1996), it's about time you begin to choose or think about what's going to define your mid life crisis. Here are your options:
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Regular mid 30’s guys picking hobbies: sports betting, golfing, grilling, old cars Me: how do I get into Falconry?
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Never forget. #cbj
Mike Bartner (@MikeBartner) profile pictureMike Bartner
@MikeBartnerSep 30
Nobody flops like Jakub Dobes man LMFAOOOOO
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Clearly the @BlueJacketsNHL didn’t take my wife’s favorite players into account when they just traded them. Now I’m not gonna be allowed to get season tickets this year.
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I missed hearing @FriedgeHNIC’s “I’ll say this” all summer.
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Apparently, even the snails in Columbus needed a smoke after that game. #OhioState
Image from Dr Leo (@DrPWave)
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I can promise that never happens in the pediatric ICU.
Alexandra Cooper, DO, MS (@A_Sapp12) profile pictureAlexandra Cooper, DO, MS@A_Sapp12Aug 28
It always makes me chuckle when you go to an off service rotation and the nurses are like *thank goodness* an EM resident is here
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Do people regret leaving bigger academic medicine for smaller groups? 🤔
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We need to stop publishing things just to say that we have publications. Your research should actually have to mean something clinically in order to be promoted.
NEJM (@NEJM) profile pictureNEJM
@NEJMAug 5
A new Clinical Practice article summarizes the classification, evaluation, risk stratification, and management of syncope. History, examination, electrocardiography, and orthostatic blood-pressure measurement identify the cause in most patients. Read “Syncope” by Rose Anne Kenny, MD, DSc: nej.md/4cjFuVU Ask AI Companion to provide a summary of this article for your patient. In Spanish.
A flowchart from the Clinical Practice article "Syncope" by Rose Anne Kenny, M.D., D.Sc., that shows the general principles for initial evaluation of all patients after an episode of syncope. The chart includes steps such as suspected syncope, evaluation, history taking, and an ECG. It categorizes causes of syncope as certain or uncertain, leading to risk assessment and further evaluation or treatment.

ALT A flowchart from the Clinical Practice article "Syncope" by Rose Anne Kenny, M.D., D.Sc., that shows the general principles for initial evaluation of all patients after an episode of syncope. The chart includes steps such as suspected syncope, evaluation, history taking, and an ECG. It categorizes causes of syncope as certain or uncertain, leading to risk assessment and further evaluation or treatment.

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As someone who has experienced both several times, Adenosine is not as bad as an ICD shock. Is Adenosine extremely uncomfortable for a few seconds? Yes. But I would say those few seconds are better than staying in SVT. Perhaps, shared decision making with patients is best.
John Mandrola, MD (@drjohnm) profile pictureJohn Mandrola, MD
@drjohnmJul 26
I don’t love this. Adenosine is terrible. Patients hate it. You don’t need to torture pts. Giving 6 mg is akin to shocking w anything less than max. If stable, a more elegant kinder way to stop SVT is to reassure pt, quiet room, less hoopla, IV beta blocker, wait, then try valsalva, w postural maneuver if necessary, Valsalva does not work when adrenaline is 100x Consider adenosine use a failure of kind smart doctoring
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Blackhawks fans to the rest of the NHL right now.
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If you refer a patient, please only send me your note and relevant studies.
Image from Dr Leo (@DrPWave)
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“That’s a juicy rebound, Edzo” - Pierre McGuire
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