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Wayne
@Toaster_Pastry
Cardiologist. Cardiac electrophysiologist. Fountain pen enthusiast. Former body man at Buddy's Texaco.
La Jolla
Joined June 2009
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  • user avatar
    Wayne
    @Toaster_Pastry
    Mar 21, 2020
    I attended a Zoom meeting of doctors who, as a subculture, is not used to technology (we are the "Reply All" crowd), nor understands the "MUTE" function. Some guy in the middle of the meeting says, "This guy's a fucking idiot." And that ended the meeting.
  • user avatar
    Wayne
    @Toaster_Pastry
    Dec 27, 2020
    These little red spots on the fingers are Janeway lesions, which are septic emboli associated with endocarditis. All my life I have waited to see these, and now here they are.
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  • user avatar
    Wayne
    @Toaster_Pastry
    Mar 21, 2020
    Replying to @Toaster_Pastry
    I'm not saying Cardiac Electrophysiology is the superior medical field. But as a bunch of techno-geeks we can identify the MUTE button during on-line conferencing.
  • user avatar
    Wayne
    @Toaster_Pastry
    Mar 21, 2020
    Replying to @Toaster_Pastry
    Best part. There are like 160 doctors in this meeting. After the meeting ended, the guy who ran the meeting immediately calls me, and asks me if I was the one that made the comment.
  • user avatar
    Wayne
    @Toaster_Pastry
    Feb 5, 2022
    Patient woke up in the middle of the night checked her Apple Watch her heart rate was under 40 bpm for 10 minutes. She called her primary physician who told her to come to the emergency department. These are the case studies that never make it to NEJM.
  • user avatar
    Wayne
    @Toaster_Pastry
    Mar 21, 2020
    Replying to @Toaster_Pastry
    Well, this tweet went viral. Instead of taking the cash prize in a lump sum, I would prefer my winnings to be issued in monthly installments. Thank you.
  • user avatar
    Wayne
    @Toaster_Pastry
    Jan 26, 2021
    I made a very strong martini, and toasted my dad. He died today after 97 wonderful years.
  • user avatar
    Wayne
    @Toaster_Pastry
    Jan 24, 2022
    Wearing one of these is like driving a Mercedes. You’ll never go back.
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    Wayne
    @Toaster_Pastry
    May 26, 2019
    Hey young people, “AF” stands for Atrial Fibrillation.
  • user avatar
    Wayne
    @Toaster_Pastry
    May 9, 2020
    Let me add that Dr. Jeff Barke is a family practice concierge physician who is wearing scrubs like he just came off duty, but has never seen the inside of a hospital in the last 10 years.
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  • user avatar
    Wayne
    @Toaster_Pastry
    Jul 9, 2021
    I got a call for ventricular tachycardia. She needs dialysis, not a defibrillator.
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  • user avatar
    Wayne
    @Toaster_Pastry
    Dec 29, 2022
    There is concern about a malfunctioning pacemaker, but evaluation of chest X-ray reveals that the patient does not have a pacemaker. — hospital chart note
    237K
  • user avatar
    Wayne
    @Toaster_Pastry
    May 6, 2021
    97-year-old doctor: I remember when we first used penicillin. It was September 1944. I remember treating an Austrailian boy with septic peritonitis following a ruptured appendix. He had a fever of 107º We gave him 20,000 U Pen 4 x per day. His fever broke, and he was cured.
  • user avatar
    Wayne
    @Toaster_Pastry
    Feb 20, 2022
    My dictation translated, “Give him metoprolol please,” to “give him Taco Bell please.” This is how critical medication errors happen.