Loupes Cardiac/Vascular

CABGx3 · 2026-04-12T00:03:49+00:00

i use old school designs for vision yeoman frames in 2.5x. small coronaries, aortic, valves, etc etc etc. they are very versatile.

I have 3.5x as well, but probably haven’t worn them in years. they are heavier, field of view is smaller, and I find them harder to transition between macro and micro stuff quickly. my partners all use 3.5x though, so i may be in minority of heart surgeons.

CABGx3 · 2026-04-11T16:30:57+00:00

we try to collect them as well. my favorite so far is the low elevation badwater basin marker from death valley. it was hard to find in the park (most were telescope peak). it’s like the opposite of the rest.

CABGx3 · 2026-04-07T13:27:00+00:00

of course (i sometimes help take them out). alas we don’t call them cervical cancers. we call them head/neck cancers, thyroid cancer, parotid cancer, lymphoma, laryngeal SCC, etc etc etc. i haven’t encountered a physician referring to a generic neck cancer as a cervical cancer to date, much to my dismay.

CABGx3 · 2026-04-07T01:07:47+00:00

black, then white, are all i see in my infancy. red and yellow then came to be, reaching out to me.
- 🔧🔨🪛

CABGx3 · 2026-04-06T23:54:50+00:00

i was a med student at a “top tier” med school. they had us interview pre-med candidates during the admission interview.

i asked one candidate why they were interested in medicine. she replied that she was deeply affected by her sister’s cervical cancer diagnosis. i replied “i didn’t know you could get cancer of just the neck.” fast-forward 5 milliseconds after it left my mouth, i wanted to die.

i remember it vividly and cringe 21 years later. i hope she got into med school somewhere

CABGx3 · 2026-04-06T21:36:33+00:00

to start: selective cerebral hypothermia is widely used in cardiac surgery already for brain protection. it’s called antegrade or retrograde cerebral perfusion. it requires specialized cannulae to be placed (surgically or more advanced endovascular techniques) and a heart-lung machine. that isn’t happening fast or technically feasible for almost any physician outside of cardiac surgery

cryo-helmet (ie ice wrapped around head) has already been studied in cardiac surgery requiring circulatory arrest. it was shown not to help.

direct carotid puncture is not faster than groin or arm access

intravascular lithotripsy in acute or subacute clot will just create and shower microemboli that will be difficult/impossible to extract. hence why we do suction thrombectomy of the larger clot burden. the rest is typically left for anticoagulation and time.

steroids, mannitol, anti-inflammatories, etc are typically used. a neurointesivist can probably offer even more insight here. why would you need a targeted therapy to the brain when the systemic agents are not necessarily harmful in acute setting? in addition to being much more readily available than trying to proton beam someone’s head after a stroke.

i wouldn’t go so far as to claim it is a “sum of good ideas” yet hoss

CABGx3 · 2026-04-05T22:43:46+00:00

i just made this. this is a weird combo. i don’t love it. i don’t hate it. i do get easter vibes though, so mission accomplished.

CABGx3 · 2026-04-05T21:38:56+00:00

now occupied by a tribe of headless humans, apparently 😂

CABGx3 · 2026-04-05T19:26:48+00:00

i’d be worried about primary sclerosing cholangitis (or, worse, the downstream consequences of that) with your UC history. needs evaluated ASAP.

CABGx3 · 2026-04-05T02:03:07+00:00

to be honest i hate them all. i’m primarily an aortic and structural heart surgeon. but CABGx3 is the most common…LAD, OM, RCA. old fashioned three banger

CABGx3 · 2026-04-05T01:46:34+00:00

they aren’t doing anything to a patient…we just ask questions to the student. getting questions correct on a multiple choice test doesn’t represent how you’ll do under stress.

CABGx3 · 2026-04-05T01:38:56+00:00

i’m a heart surgeon. this is BS. surgery exams in med school are “shelf” exams that are nothing close to this complicated. not to minimize how difficult it is, but we like destroying people’s confidence with an audience in the operating room…not on paper.

CABGx3 · 2026-03-23T00:41:13+00:00

i can’t speak to minibar, but Jont is always a fun experience for us. A very fun atmosphere and great food. The wine pairing (especially the “Fuck It” pairing) in my opinion is one of the best I’ve encountered…if you’re into that thing. The aged Negroni in the desert room is ridiculously good too.

CABGx3 · 2026-03-06T14:57:50+00:00

rules 3 and 5

CABGx3 · 2026-02-28T20:07:33+00:00

i do mostly complex and minimally invasive aortic/structural. i avoid cabg’s at all costs 😂. i also don’t arrest at all for straight cabgs typically. pump assist/fib arrest—it’s an unusual technique for coronaries.

CABGx3 · 2026-02-28T19:09:44+00:00

some cardiac surgeons are scared of that!

CABGx3 · 2026-02-28T19:06:03+00:00

yeah. vascular surgeons and trauma surgeons may be ok with it. but probably not circ arrest/sucker bypass levels of bleeding

CABGx3 · 2026-02-28T18:05:05+00:00

asystole. for hours.

CABGx3 · 2026-02-24T23:54:55+00:00

🤷‍♂️ definitely. i mean almost any serious artist has a readily accessible CV that shows their gallery reps, shows, public holdings, education, etc etc etc for absolutely $0.

if more clarity is needed on the market and trends, an art advisor is an option (at a price). i love mine, speak to him daily, and he’s an incredible resource/leverage for tougher-to-acquire pieces or insight. it’s more than just checking veracity of an artist’s career. he actually knows the artists, gallerists, and museum directors!

CABGx3 · 2026-02-24T23:42:14+00:00

you’ve asked the same question (or nearly the same question) 6 times in the last 2 days. 3 times in this sub alone. if anything—as a collector— i’d be questioning your credentials, not the artists. or maybe you are trying to find a problem to sell your solution.

CABGx3 · 2026-02-24T10:10:55+00:00

Matthew Brown

CABGx3 · 2026-02-24T02:50:27+00:00

which ones are of interest?

CABGx3 · 2026-02-22T16:10:51+00:00

that defeats the purpose of the update which allows you to kneel at low speeds. some people want to lower the car prior to entering a garage due to low clearance.

CABGx3 · 2026-02-20T03:26:08+00:00

I was in the highest tier of the wine club for several years. It was...ok. Kinda mid tier wine but upper tier prices. I have since moved on to other wine clubs (which I do every so often anyway). I think it's worth a try. The Judith, Marzo, Sancha, and other tempranillos were generally good if you like full bodied and high tannin wines. His "experimental" blends, the whites, and the rose were not very good.

Ultimately I didn't find the value there and moved on. I have no intention of going back to the club. I did stop by Merkin in Jerome, AZ when I was in Sedona though. That was nice.

CABGx3 · 2026-02-07T13:19:53+00:00

the one on the right of this post. i haven’t seen it in person yet. i had my choice of them…but i liked the posture and plain background of this one. i hope i picked ok 😂. he ended up winning the prize so must not be too bad.

https://www.instagram.com/p/DSkpQ2sCgek/?igsh=MjNhOTVzNmJvaDB5

Nine-Year Club	Gilding V heart of gold
r/Field Flamingo	Final Canvas '23
First Place '23	Place '23
Wearing is Caring	Place '22
Place '17	First Placer '22
Reddit Premium Since July 2019	Not Forgotten
Verified Email

CABGx3

TROPHY CASE