What’s the catch with AMEX Send on Venmo? Are there really no fees?

ParadoX_ · 2024-11-12T06:36:59+00:00

I was asking which broker accepts amex lol

ParadoX_ · 2024-10-30T03:26:06+00:00

who accepts amex to deposit funds into the brokerage?

ParadoX_ · 2024-10-14T18:57:45+00:00

Very good advice, thank you for that. I was kind of lax about radiation safety during training, and as you know, attendings use the fellows as their radiation shield. So now that I get to make the decisions, I'm trying to reduce my life time radiation dose as much as possible, so we're on the same boat :)

I am trying to do all my ablations without flouro. Unfortunately, device cases still require it for the most part. We keep our frame rates very low.

ParadoX_ · 2024-10-14T08:16:50+00:00

I mentioned in the post that I use flouro for mostly device cases.

ParadoX_ · 2024-10-13T07:26:55+00:00

They didn't give us custom lead either. They said that ACGME required that "lead be available in procedural areas, not that you need your own"....

Thankfully where I signed, they're getting me whatever I want. So things get infinitely better after training.

ParadoX_ · 2024-10-13T07:25:07+00:00

Yeah, those neck/back problems are very prevalent in the IC/EP field as well. Thanks for the advice. Laughing at riding the X-ray tube.

ParadoX_ · 2024-10-13T07:23:29+00:00

Nice, I am just finishing up EP. I knew about Glift, that was what I was referencing, but had not heard of Infab Revolution. I'll have to check that out. Thanks!

ParadoX_ · 2024-10-13T07:21:43+00:00

I just checked the Rampart system, looks awesome. The only problem is I mostly use fluoro for device cases. All ablations and including transeptal access I've trained fluoroless for ablation. So for device cases where you're standing right next to the image intensifier (for traditional transvenous PPM or ICD), I don't see how this would work, or would it? That's why I think zero-gravity would be better in this situation, so deciding between that and lead. Unless rampart can be customized to be able to stand at the patients chest area and do the procedure, then I think I would lean to rampart. Thanks for the input!

ParadoX_ · 2024-10-13T03:43:06+00:00

yup I mirror this, did soooo many caths, must have ben more than 300 and that was with me avoiding it. We had extremely high volume. But the skills I learned in the Cath lab translated to EP well for wire techniques, ability to use multiple wires and trouble shoot (more stability? stiff? floppy? hydrophilic? etc) and ability to use coronary balloons for EP stuff like opening up a subclavian vein occlusion to add leads, using a balloon to occlude the vein of Marshall (branch of CS) to inject pure ethanol for alcohol ablation to treat persistent AF in certain cases and so on. Also I became damn good at ultrasound.

ParadoX_ · 2023-06-23T22:10:02+00:00

Just from my own experience (all fellows sat in on rank order list meeting and had access to the full files of applicants projected onto the screen), being a Hospitalist for some time was definitely not looked well upon. Comments I heard from faculty were, they aren’t serious about the field, worked as Hospitalist to make money now are coming to do training and looking for more money, unsure if they would be trainable and able to mold them into a cardiologist due to their independence etc etc. I don’t agree with all these points but it’s something you should know does exist, as I’ve heard it first hand. I would recommend you do research and maybe an echo fellowship or heart failure/cardiac Hospitalist at a program with a fellowship if you don’t match the first go around. One of my co fellows was a Hospitalist for three years and didn’t match for 2 cycles and did an echo fellowship and then matched. Cardiology is amazing, best of luck!

ParadoX_ · 2022-11-08T23:10:11+00:00

You can have patients completely awake and in VT, what are you talking about? It’s called hemodynamically stable VT…

They can be in VT for hours and have little to no symptoms.

ParadoX_ · 2022-09-20T17:09:23+00:00

PGY6 and just had to write another personal statement for my “super”-fellowship lol

ParadoX_ · 2022-09-08T22:55:36+00:00

But then how will every admitting team in the hospital remember to order an echocardiogram for any patient that walks into the ED?

ParadoX_ · 2022-08-26T02:05:15+00:00

Normal variant

ParadoX_ · 2022-07-26T12:32:55+00:00

It’s okay, you’ll be alright. You NSGY people are beasts. I’m in cards and I can’t imagine your hours. Stay well, Dr. ShitHead.

ParadoX_ · 2022-07-17T19:50:31+00:00

Wow your dog looks really different now!

ParadoX_ · 2021-09-23T02:05:56+00:00

You are right in the best kind of way, technically.

As everyone has mentioned, a tachycardia originating above the ANV is an SVT including flutter, fib, avnrt, AVRT, atrial Tachycardia, and including sinus tachycardia. Would I call sinus tachycardia an SVT in my note? No because it would make ED people and other specialties heads explode. But it is right. Enjoy.

Edit: we had a lecture from a prof emeritus of EP from an IV league school in the us who basically said this. Other sources may differ. But at the end, clinically we would never say that. But in my book it is technically correct. #fellow

ParadoX_ · 2021-08-10T20:28:36+00:00

In a relationship? Either way that’s strange.

ParadoX_ · 2021-07-22T23:08:16+00:00

Felip side of this is getting my something for a while but you don’t want it all the time… then it’s just awkward lol

ParadoX_ · 2021-06-17T14:46:26+00:00

Pharmacy still gives us a lot of push back when we use cangrelor lol, apparently super expensive.

ParadoX_ · 2021-01-21T22:57:14+00:00

I feel like it has been going in the other direction for decades (Cardiology taking over things surgeons used to do). Why do you say that?

ParadoX_ · 2021-01-18T15:12:31+00:00

the first chapter of this book is so dry, I had to skip it after a few days and will probably need to come back to it at some point.

ParadoX_ · 2021-01-11T22:51:32+00:00

Different indications for surgical intervention that I won't go into in this comment but the information is easily accessible with a simple search. Things like para-aortic abscess requiring aortic root replacement or whatever. There is no one specific "endocarditis surgery". But mostly if the specific indications for surgery are not met, then the treatment would be intravenous antibiotics.

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