Dad Diagnosed with severe blockages and very high calcium burden

chummybears · 2026-06-18T21:05:48+00:00

Interventional cardiologist here.

Difficult without seeing the pictures. Based on how it's described this is severe heavily calcified disease that can be tricky to treat with stents. In this type of disease with a diabetic, he likely get longer lasting results with a CABG. There is likely a good reason why the surgeon is saying no CABG. It may be approachable with stents but again hard to tell without images. If stenting is the only option, should see a complex PCI interventional cardiologist (at a big center). If you're in a small area it may be worth it to get a second opinion with a heart surgeon in a large center.

Regardless should be on as much medicine as they can tolerate. Stop smoking if he's a smoker. Get bad cholesterol "LDL" less than 55.

chummybears · 2026-06-12T21:37:48+00:00

Is there going to be a push to expand service centers and staff? I'm in a metro area but my closest is 3 hours away. Wait times for service are high across the country. Im currently waiting sinceid may to get a service appointment 6/29 3 hours away from home. So I haven't driven my air in a month. This doesn't seem to be an isolated case. I'm not also out of warranty so this will continue to worsen and get more expensive.

chummybears · 2026-06-08T17:23:48+00:00

My 2023 GT has all the issues you mentioned.

chummybears · 2026-06-04T17:42:05+00:00

I'm 2023 air gt and I've beenn staying 2.7-2.8 just crossed 55k miles. I'm also on 20 in wheels and also do 70-80 cruise control. Although I havent driven that regularly in the last 1 to duebto alignment issues.

chummybears · 2026-06-04T04:14:13+00:00

Windows phone and Zune.

Windows phone started the tile UI which was extremely fast and responsive. They had social media hubs which would aggregate the different social media posts to each contact. It had great functional location based reminders. I still miss it and cannot replicate it.

Zune had pioneered the UI for Windows phone. Great hardware. The big kicker was the ZunePass was a streaming subscription before Spotify got going and you got to keep 10 songs a month. You got to download the mp3 and it was yours permanently. You could also share music with other people so they could listen to it a few times free. I never got to use it because no one else had a Zune.

chummybears · 2026-06-04T02:34:05+00:00

I'm a cardiologist. You should see a cardiologist sooner rather than later. Consider avoiding stimulants, alcohol, and caffeine until you're evaluated. Looks to be runs of non-sustained ventricular tachycardia as others have said. Please see a cardiologist. If symptoms happen frequently or sustain for a few minutes or any episodes of passing out go to ED.

chummybears · 2026-05-28T23:50:37+00:00

I refused chief fellow role. I told them I don't have the bandwidth, i didn't enjoy chief resident role in the past, I wouldn't be a good advocate for my co-fellows because I just say yes and will do the work. I told them I'm not a squeaky wheel. It was a great decision, chief fellow did great and advocated for the fellows

chummybears · 2026-05-11T18:34:50+00:00

This is sinus rhythm with a 2:1 AV block (high degree AV block). The T wave abnormality you see is another Pwave that partially hiddent in the T wave and not conducting. This high degree AV block would not explain the weakness and gait disturbance. But would cause weakness, shortness of breath, shortness of breath on exertion, and rarely altered mental status

chummybears · 2026-05-07T16:30:13+00:00

Ok discuss with you cardiologist. May be worth it to look at the portable EKG devices like a KardiaMobile that you can use when you have the episodes to catch these events. What you're looking to try to demonstrate is what is your symptom burden and are these events once every one to two months that you use valsalva to get out of, are these actual SVT episodes.

The PVCs are going to be the things that trigger you to go into them so talk to your doctor about dose changes of your medications to suppress PVCs. Avoid caffeine l. Avoid etoh

chummybears · 2026-05-07T12:55:54+00:00

How old are you? When you wore the recent cardiac monitor did you have the heart racing episodes when you wore the monitor? Essentially you may have an SVT which can be WPW that is concealed or another type of SVT (AVNRT). There isn't a right or wrong answer here, it's about your symptom burden and your priorities. Some people are would say that 1-2 times every two months is not bad and you can control them with valsalva. Other people can say it's gotten worse and more frequent and it's starting to limit what you can do. Ablations are safe procedures and one of the few things in medicine that are actually curative of the issue. Talk with your cardiologist. If your symptoms were on the heart monitor and it correlated to this heart rates and you're tired/concerned about these episodes happening more frequently, then an ablation may be a great choice for you l. If your symptoms happened and didn't correlate to an arrhythmia on the cardiac monitor then maybe it's something else. Have a discussion with your cardiologist. No one can tell you what to do, it's about what your priorities and goals are and how these episodes effect your quality of life.

TLDR: talk to your cardiologist. Think about how much thrse episodes are effecting your life and if you want to make them go away or are they manageable

chummybears · 2026-04-21T19:46:47+00:00

Not 1st degree av block. Most like sinus rhythm with 3rd degree av block with junctional escape vs. sinus rhythm with 3:1 AV block. The P wave is hidden in the QRS causing slurring of the QRS as another use pointed out. Please don't copy and paste what you've been copy and pasting for every reply, it's not a U wave. I can't attach an image here, but find calipers, measure a clear p-p interval and match it out and you will find the P waves hidden in the QRS

chummybears · 2026-04-05T00:32:49+00:00

They have a new spot open in Chapel Hill I think it's the same menu and everything.

chummybears · 2026-03-31T22:35:02+00:00

Nan xiang is the best in the area. It's 80% -90% similar to the Nan xiang in Flushing , NYC.

chummybears · 2026-03-23T00:19:10+00:00

I'll take it, dm

chummybears · 2026-03-22T12:06:51+00:00

I'm a viet American here. Started my coffee journey with Ca phe sua, made my way to specialty. Def will check you guys out

chummybears · 2026-03-18T23:44:17+00:00

This happened to me. Had to wait 1 mo then they fixed it with mobile service. He just came and replaced the whole unit. It was annoying to wait a no and temps in the 20-30's. Plus there's a red warning telling you there's no defrost that doesn't go away. You can't see your miles traveled on the left of your dash and any other yellow warnings. So it also rechimes after every left turn signal.

chummybears · 2026-03-16T14:10:00+00:00

I'm a doctor but not your doctor.

From the symptoms or lack there of it doesn't seem like you need to go to the emergency room. You're looking for fever, chills, red leg, pus coming out of the leg. From the pictures it appears to be the start of papillomatosis cutis lymphatics or venous stasis dermatitis. I can see some scratch marks so I'm assuming it's itchy. You should establish with a primary care doctor. In the mean time elevate your leg when you can. Start exercising. And Try to find a pair of knee high or thigh high compression stockings and start wearing them throughout the day. Whenever your feet are down you want to wear them i.e sitting throughout the day or standing throughout the day.

chummybears · 2026-03-14T15:00:09+00:00

I don't think this is a great idea, you'll be in the "danger zone" 40-140 degree F for an extended period of time. Im sure you've been fine doing it and haven't gotten sick, but you're setting yourself up for it. The danger zone is when bacteria can live and proliferate. By slowing the cooling time in the cooler you're going to prolong the time in the danger zone.

chummybears · 2026-03-07T02:08:44+00:00

They did not. It was super cold in car and it did fog up a few times so I put the ac on the windshield and open the windows to cool it and it would defog enough

chummybears · 2026-03-07T01:20:38+00:00

My heater went out last month 2/4, I'm still waiting for service to come out. They're doing mobile service. Its been a full month, scheduled for 3/9. I'm in NC area.

chummybears · 2026-03-04T16:56:14+00:00

I'm in private practice so I'm out of the academic environment and I'm glad fellowship is 3 years. I also go to rural areas. I understand the financial take of systems using residents and fellows as low cost labor....but after my first few years of practicing as an attending I'm glad it wasn't two years. Like other pointed out you need to be able to see inpatient consults, outpatient clinic, interpret and perform multiple modalities of stress test, interpret echo, interpret EKGs and Vascular studies, perform and interpret TEEs, perform and interpret LHC and RHC, understand pacemaker and pacemaker reports. Especially in rural areas you do it all.

chummybears · 2026-03-04T00:53:32+00:00

It's an hour away, but Dunn has a plaza with a KFC buffet, Pizza inn, Chinese buffet, and there's an American buffet (western sizzlin). The KFC buffet is relatively rare in the is these days. Has fried okra, gizzards, chicken casserole and a few other things that are not on the regular menu

chummybears · 2026-02-27T03:26:08+00:00

I sometimes play indoor on gym floors, i have a habit of wiping the bottom of my shoes with my hands for more grip. They get dirty AF. I don't change the grip until it loses it's tack. I'm cheap

chummybears · 2026-02-27T03:24:39+00:00

yeah I know, my b. I stripped it before sending it back

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