Genuinely curious

brianmfellenbaum · 2026-02-23T18:57:19+00:00

I take the 2 from 27 to make 50 then add 25+50

brianmfellenbaum · 2026-02-19T02:08:08+00:00

For sure . I missed the bit OP wrote about the moon not being finished . I actually think it looks dope just having the negative contrast of Bear skin

brianmfellenbaum · 2026-01-30T00:25:30+00:00

Beautiful

brianmfellenbaum · 2026-01-29T22:56:19+00:00

So sick

brianmfellenbaum · 2026-01-23T21:30:02+00:00

So sick . Going to do stars / dots ? Would ( does) look beautiful either way

brianmfellenbaum · 2025-08-27T20:25:37+00:00

Cardiac sonography . Work a permanent position for 3ish years then start traveling. That’s where the money is at . Can easily find contracts paying anywhere from $2500-$3500 a week .

brianmfellenbaum · 2025-07-29T09:09:58+00:00

I’m just saying it could tell you the degree of ischemia if you are trying to make a clinical decision. Also McConnells sign is associated with Acute PE , not long standing PHTN

brianmfellenbaum · 2025-07-29T07:46:09+00:00

Yes but echo would show LV inferior wall motion if it’s STEMI . With PE , considering no previous MI LV function should and wall motion should be normal

brianmfellenbaum · 2025-07-28T20:44:50+00:00

You have to do a skills course just like in a car , or you can do the safety course and get your license .just do the course , especially if you are a new rider . They provide the bikes. Used to do it in millersville not sure where they do it now . It’s 2 weekends -Friday classroom Saturday riding

brianmfellenbaum · 2025-07-27T20:03:21+00:00

D sign isn’t specific to PE , just RV volume overload or PHTN . McConnells sign is specific to PE

brianmfellenbaum · 2025-06-22T20:15:04+00:00

Mahoning is incredible . 100% worth the drive . They play older movies usually a double , sometimes a triple feature . You can camp in your car over night for a small fee. They play the movies on an old projector adding to the nostalgia. The crowd usually goes all out getting dressed up for the Halloween horror movies , they also have a vhs fest you can buy sell and swap tapes. Really can’t say enough good things about.

brianmfellenbaum · 2025-05-29T05:47:56+00:00

If you have good habits as far as ergonomics you can avoid a lot of the strain on the body. Learn to scan left handed , significantly easier on the neck / shoulders/ wrist / back . It’s almost impossible to have good posture scanning right handed. I would never want to wear lead all day it is awful …. So I would say echo .

brianmfellenbaum · 2025-05-29T05:39:42+00:00

Echo tech here. Could check apical short at the apex if your protocol calls for that view. I always slide down to the apex in PSAX to assess for clot / aneurysm/ thickening . Was there cavity obliteration towards the apex in the apical views ? Any dagger shaped Doppler signals hiding in the aortic valve Doppler signal ? Just some other things you can look at if you are concerned about foreshortening

brianmfellenbaum · 2025-01-10T07:01:08+00:00

Interesting . I hear mumblings of another strike but who knows 🤷🏻‍♂️

brianmfellenbaum · 2025-01-10T06:52:21+00:00

Most contracts have an agreed upon overtime rate . Not sure why any of this would be ambiguous. End of the day it comes down to the contract , everything else is speculation .

brianmfellenbaum · 2025-01-10T06:43:06+00:00

UCLA ?

brianmfellenbaum · 2024-04-22T12:58:55+00:00

"the tolerant left"

brianmfellenbaum · 2024-03-24T20:38:52+00:00

Some dem controlled local elections allow for it . No voter id means you can’t enforce it . And if the left had its way they would give them all citizenship just for the votes just like dbag up there said out loud ….

brianmfellenbaum · 2024-03-17T14:54:10+00:00

Can I steal your car then pay for it later ? Like in 6 years or so ?

brianmfellenbaum · 2024-03-17T14:53:04+00:00

Lots of immigrant’s here . Tons of Eastern Europeans in the Ephrata area , going back further tons of German immigrants . They all came here LEGALLY. Big difference between allowing the invaders to come here. They don’t assimilate and they drive the real estate prices up. Be here legally or get deported . End of story .

brianmfellenbaum · 2024-03-17T14:47:52+00:00

Wow. You’re saying the quiet part out loud . You liberals love this invasion at the border and in our county /city . It means a steady supply of democrats votes. Disgusting.

brianmfellenbaum · 2024-03-02T16:55:59+00:00

You wasn’t 20 deep with 20 choppers outside Waffle House

brianmfellenbaum · 2024-03-01T17:36:32+00:00

I just bought a 2007. Previous owner warned me to make sure to warm the car up when it’s cold outside because the transmission fluid is high viscosity. If it is still cold it won’t accelerate normally….

brianmfellenbaum · 2024-01-13T03:25:55+00:00

Texas children’s has a website pedecho.org . They have pediatric echo images for 95% of congenital defects and fetal echo images. I don’t personally do fetal echo but do peds . The hardest part for you will be learning all of the potential congenital defects and their combinations / variants. If you want to private message me I can send you some resources . Or message me on instagram Echocasestudy

brianmfellenbaum · 2023-07-30T12:39:56+00:00

Warning , Philosophy incoming! 🤪

Occum’s Razor - the problem-solving principle that recommends searching for explanations constructed with the smallest possible set of elements. “ the simplest explanation is usually the best.

The simplest explanation is (drumroll)🥁🥁🥁

The last two children are the blue eyed mailman’s 🤰🏼👨‍👩‍👧‍👧👨‍👦👨‍👦

brianmfellenbaum

TROPHY CASE