This photo was taken last night in the Egyptian western desert, by my German friend Fred S.
Posted with permission .
When you camp in the desert you will see stars like you may haven’t before.
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@realarainmd is a naturally talented “explainer of things” ,fluid teacher par excellence! Such an incredibly nice person, I am so lucky to have become his friend, I learn from him every day!
Here at #TCT2026
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A young patient with chemotherapy induced LV dysfunction and arrhythmia, improving on treatment but very deservedly anxious,gets nightly symptoms at 4-5 am ,calls her very kind doctor who gave her her personal number, who is usually asleep,she told me that ChatGPT saves her then.
Medtronic invested heavily ,successfully and ethically in TAVI advancement, where they are forced to be ethical due to being monitored by rules of the FDA and EU…
@Medtronic is advancing the future of #TAVI
Explore the latest clinical insights and scientific discussions at #PCRLV 2026
Discover the full programme: brnw.ch/21x72ni
Sponsored post by Medtronic
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The inexperienced operator argument coming from the industry/company is a bad argument.
Agree 100%. MCS goes beyond access management.
The inexperienced-operator argument comes from the company. It may or may not be true but distracts from the science.
IMO, inexperience with Impella doesn’t necessarily mean inexperience with HR-PCI-related shock. Most operators were seasoned ICs following protocol.
In @CHIP_BCIS3, operators’ hands were tied. They couldn’t leave the Impella in; the only options were IABP (hypothetically inferior) or ECMO (more invasive).
To your point, hemodynamics can and do deteriorate, making withdrawal of support counterproductive. It will be interesting to see MCS’s impact on mortality in Protect IV.
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Bottom line:
Impella good for Cardiogenic shock PCI.(may save lives)
Impella BAD for Non Shock high risk complex CHIP PCI.(may increase deaths).
DYK how responsible Britain is for this suffering?
Why the lip service?
The humanitarian situation in Gaza is getting worse. Heavy rain. Flooded tents. The reality on the ground is heartbreaking.
The UK government will not stand by. We will not rest until we bring an end to the intolerable suffering.
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My amazing friend and colleague in Cairo Dr Ghaliah Al Mohani gave us a lecture on her personal experience in bundle pacing in Egypt and the Arab world some weeks ago, thrilled to read this now!
وزارة البيئة المصرية-وهي وزارة مليئة بالموظفين الغير مهتمين بحماية البيئة او بالاصح لا دراية لمعظمهم بها، لكن زي معظم وزارات مصر شاطرين علي فيسبوك، حاطين صورة مسابقة صيد سمك وفيها صورة لمنطقة شعاب مرجانية ممنوع الصيد بها و كل اسماكها ممنوع صيدها-مصر مسلية لانها بتضحكك من غير قصد!
Twitter or X is still an amazing source of non main stream news, and it gives you the choice to dig deeper and analyze news yourself..
COL. WILKERSON WARNS: NDAA SECTION 219 HANDS U.S. MILITARY POWER TO ISRAEL
The House has passed the NDAA with Section 219 intact, sending it to the Senate before a potential trip to Trump’s desk. The provision merges U.S. and Israeli military and intelligence cooperation, an arrangement unlike any America has with another country.
Col. Lawrence Wilkerson argues this goes far beyond coordinating with an ally. He warns that it would effectively legalize Israel’s theft of U.S. military power, tying American capabilities to Benjamin Netanyahu’s government, the IDF, and Mossad.
This is not a normal alliance. It is the surrender of U.S. military independence to Israel.
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I get disappointed at negative trials, I can’t tell you how upset I was at not having treatment for Lp(a) I do not own company stock, was just hoping patients with high Lp(a) would get good news.
I also WANTED BICIS3 to be positive.
But -ve RCT’s are integral to our integrity!
What is spinning a negative trial?
1-imply it was done by cardiologists less able than others who would have got better results.
2-complain-instead of compliment- that they did did not use industry technical support.
3-throw doubt on techniques and timings where there’s none!
I am fortunate,I have been a practicing Cardiologist since the first half of the 1980’s
I saw Cardiology move from eminence based science to evidence based.
I fully realize limitations of CRT’s, I still use manual aspiration in some STEMI’s,& Rotablator &Flecainide!
But No spin!
