Ezman Shariff
@ezmanshariff
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What have we become! Smoking is prohibited in eating areas and yet no one cares.. When others speak up because a 4y old is in the vicinity, they get threatened..
@DrDzul
@Khairykj
@DrZalihaMustafa
.. truly end of Generation End-Game.. maybe just an end of a generation as a whole!
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Malaysians need to be aware what has happened in the past 48 hours since the rise in
#COVID19Malaysia
#COVID19
cases.. 1. Major hospitals have been ordered to discharge and/or divert non-covid patients away.. and mind you non-covid does NOT mean stable & well
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Lost a colleague today to
#covid19
#covid19malaysia
When i first returned to Malaysia.. she taught me everything there was to know abt CCU care. Msians think that our covid is different from that of the UK or Italy.. but fact is our covid kills.. she was a young healthy mother..
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As much as I love me a right heart cath, the beauty of
#EchoFirst
measurements in haemodynamics still marvels me to this day
#CardioX
#CardioTwitter
#Haemodynamics
#HeartFailure
#HeartFunction
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ALL MSIAN POLITICIANS NEED TO APOLOGIZE TO MSIAN HEALTHCARE WORKERS... LIKE 'PUBLIC APOLOGY' APOLOGIZE & NOT ONE OF THOSE ON FB.. I HOPE EVERYONE IS DOING FINE BULL CRAP..
#COVID19Malaysia
#COVID19
#KlusterMenteri
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Lack of response to the vaccine. SAD 😰So many slots lefts! THE BEST VACCINE IS THE VACCINE YOU CAN GET THE QUICKEST. The faster every1 is vaccinated the better.. Dont go complaining abt 6k or 7k cases per day is you haven't done your part !!!😡
@JKJAVMY
open to youngsters pls !
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& REMEMBER.. All this because of a bunch of
#COVIDIOTS
from
#KlusterMenteri
#KlusterAhliPolitik
would not postpone a bloody state election.. Do these ministers think healthcare workers are HAPPY to be reliving this nightmare all over again? There really needs to be repercussions
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Spent 15mins (normally its 15sec lol) taking a referral from a jr dr & decided prob best to teach whilst listening to the presentation. Bcoz of this, we were able 2 brainstorm a list of ddx + formulate a plan.. and could feel how grateful the jr dr was..
#teaching
#satisfaction
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Wonderful end-year summary for
#heartfailure
#heartsuccess
. ESC Heart Failure 2022; 9:3667–3693
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"At least we didnt reach 10k..." is a stupid reason to say you have NOT failed. BE HUMBLE. ADMIT THAT DOUBLE STANDARDS & POLITICAL PRESSURES played a part please. Once we have reflected on our wrongdoings, then can we only progress & improve
#COVID19
#COVID19malaysia
PKP 2.0 tidak gagal. Jika kita tidak buat PKP 2.0, kes boleh mencecah 10,000 kes sehari. KKM jangka kes menurun pada Mei, namun selepas kelonggaran kepada banyak sektor ekonomi dan sosial dan kelesuan pandemik, kes kembali meningkat. Awal Mei, kes kembali 3.000 sehari.
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This is the same in almost any industry. Hospital admin will allow HCW to bicker amongst themselves when theres issues with patient care (no beds, poor staffing, etc..) when it really is their crap to manage..
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Finally done with our
#ATTR
#AL
#Amyloid
#Amyloidosis
pathway for local use..
#CardioEd
#EchoFirst
#CardioTwitter
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I've always felt that 'burnt out' just wasn't the best way of describing what's happening in Msia. Yes, we're tired but if you love your job, you still go home satisfied. 'Demoralized' is a better was of describing the current situation
@codebluenews
Opinion | Doctors Aren’t Burned Out From Overwork. We’re Demoralized by Our Health System. - The New York Times
#medtwitter
#primarycare
. Who has thoughts re this great piece from
@_Eric_Reinhart
re root causes of
#burnout
? 🙋♂️
Articulated WELL
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We are proud to be the Young Ambassadors for Malaysia for the next 2 years...
#HFAyoung
#ESC_HFA
#HeartFailure2023
Let us know how WE can help YOU.. Together, lets BEAT HEART FAILURE !!!
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2022:
1. Started a heart failure attachment in IJN
2. Passed my
#echofirst
boards and EACVI TTE exam
3. Presented on HF topics ranging from
#GDMT
to
#LVAD
and
#hearttransplant
4. Got my NSR 🥲
5. More importantly, met so many wonderful people along the way
#cherished
#memories
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2. Neighbouring hospitals not involved in covid care have been informed to help take over care of non-covid patients.. which means having to postpone semi-urgent and elective cases.. this DOES NOT mean well patients.. just that they are not going to deteriorate soon...
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People dont necessarily remember what you say or do to them.. but they will always remember how you made them feel..
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We were inspired to produce a self-care guide for our heart failure patients after reading the ESC position paper by
@ESC_Journals
@EditorEJCN
.. a lot of great pearls in the original paper.. and we've condensed it and adapted it for local practice !
#heartsuccess
#HeartFailure
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3. Clinics have been ask to shut down for the time being.. meaning patients are probably not going to get important medications top-ups.. heart failure patients w/out medication r likely gonna decompensate & get re-admitted emergently.. defeating the purpose of keeping them away
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I am begging people to not follow what the govt is advocating at the moment.. stay home and stay safe.. people have their own agendas when it comes to creating policies & rules.. it need not be in the interest of everyone..
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Over the weekend.. 2 people who were pregnant passed away due to
#covid19
#covid19malaysia
... and mortality was THE WORSE we've seen, and yet the Govt talks about relaxing restrictions across the country.. how do we console ourselves with this fact..
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I think doctors are busy helping pts with covid in hospitals.. u know.. since no one bothered to rectify the
#doktorkontrak
issue.. u did let thousands quit KKM.. 🤷♂️
#daruratbanjir
#hartal
Saya umumkan cuti kecemasan kepada semua kakitangan awam yang terkesan akibat bencana banjir.
Untuk kakitangan swasta, syarikat disarankan memberi pekerja cuti berbayar atau “paid leave”, dengan tidak menolak peruntukan cuti tahunan dan gaji mereka.
#KeluargaMalaysia
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4. With a spike in cases.. ALL emergency cases are now going to screened before any procedure will be done for them.. even if it is a life saving one.. we know deaths from delays in presentation had spiked with the 1st wave.. probably gonna be the same again this time around..
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I think its high time to start imposing harsher rules..
@DGHisham
@IsmailSabri60
@KKMPutrajaya
@Khairykj
.. we need to end this.. we need to get vaccines rolled out asap.. and we need to set aside differences to achieve this.. no pru.. no darurats.. no dewans.. just public health
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@codebluenews
Apologies.. how is this going to help the current brain drain from the public sector again?
@DrDzul
@anwaribrahim
? In Singapore the wage gap between public-private is not huge that people opt to serve the public sector.. That needs to be addressed locally, alongside other issues
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When babies, adults, animals die because of inadequate response to an emergency.. while the rich float around in 4x4 and helicopters to observe w/out landing a hand, we really need to sit down n ponder.. how did we get to this state
#DaruratBanjir
#MangsaBanjir
#KerajaanPembunuh
JUST IN
Bodies of three men believed to have drowned in floodwaters in Taman Sri Muda were found early today.
Shah Alam Police chief ACP Baharudin Mat Taib confirmed the discovery.
MORE TO FOLLOW
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I. AM. SPEECHLESS. JAIS Urges 1,310 People Who Were At Subang Airport Mosque Last Friday To Undergo Screening via
@saysdotcom
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Malaysia 2020 in summary & lessons learnt
1.
#sheraton
- politicians will be politicians.. there is not one of whom gives a damn about the rakyat.. trust me.. im not a politician
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First
#EzmanSays
... Treat all referrals with respect. They come from a place of concern. If not for the patient, from the referrer themselves. Use them as teaching moments. Was able to teach
#Diuretic
Dosing & Thresholds because of this !!!
#CardioX
#CardioTwitter
#HeartFailure
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Great paper on decongestion of acute
#heartfailure
alongside uptitration of
#GDMT
.. the way I see it.. YOU NEED BOTH !
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THIS. Remember.. it's your right to know how and what the vaccines are made of, how they work etc.. & its our responsibility to provide u the accurate info.. makes my day in clinic when I get to provide an additional 10min consult on
#COVID19Vaccination
#COVID19malaysia
#covid19
Guys,
It’s ok kalau korang ragu-ragu tentang vaksin walaupun dah daftar dan dapat tarikh appointment.
Datang je.
Borak dan tanya sampai puas hati semasa sesi konsultansi. Dapatkan maklumat yang tepat dari yang bertauliah.
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Thank you for the wonderful walkthrough of SGLT2i in
#heartfailure
#heartsuccess
@ShelleyZieroth
@NationalHeart
2022 congress. Twittersphere
#cardioed
#cardiotwitter
#cardiotweet
making a splash with
#flozinator
@mvaduganathan
@ValleAlfonso
#flozinate
#donthesitate
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TQ
@AlexLee_MD
@JaeKOh2
@ScaliaGreg
& the other sifus for the opportunity to contribute...
Echocardiographic Imaging in Transcatheter Structural Intervention: An AAE Review Paper | JACC: Asia
#echofirst
#cardiotwitter
#tavi
#tavr
#mitral
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Judging from the markets, shops & malls at present.. we may be next if we're not careful.. Malaysians.. DO NOT TAKE THINGS FOR GRANTED.. you're NOT special or unique when it comes to
#COVID19
#COVID19malaysia
#lockdowns
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Young people doing young cardiology things...
#apsc2023singapore
@APSC2023
#cardiotwitter
@apsc_office
@Jonyap88
@Haowen_J
@TJ_Yeo
@aayshacader
@luckscuenzamd
@slumberbell
@IndahSP_MD
@keithachanmd
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#MR
#mitral
#echofirst
#cardiotwitter
European Heart Journal - Cardiovascular Imaging 2021; 22:491–493
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The Ever-Expanding Landscape of Cardiomyopathies. Ref: The Ever-Expanding Landscape of Cardiomyopathies. JACC Case Rep. 2020 Mar 18;2(3):361-364.
#heartfailure
#cardiotwitter
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Cardiology is not just angiograms and PCIs.. please la.. Only in Malaysia does this perception exist.. silly people..
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We need to remember... COVID-19 has been the same deadly virus since Nov 2019.. and Msians and migrans have been in different boats since that time as well.. pretty sure our battleships are much cosier vs their sampans...
#MigranJugaManusia
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Our paper on polypill will be out soon.. but wanted to gather thoughts.. what do people in the
#HeartFailure
#HeartSuccess
#CardioX
#CardioTwitter
-sphere feel about the attitudes & perception surrounding
#MRA
? Shocker or Expected?
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Reasons why I left the NHS...
‘Kingston Hospital Trust…received applications from > 400 black candidates in 20-21…no black doctors was offered a position’
Barts, Georges & Homerton Trusts: white applications 13 to 15 times more likely to be offered job (than black applicants)
Todays
@bmj_latest
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Amazing phenotyping exercise by the ASIAN-HF group on Asian HFpEF patients.. can't wait for the published data..
#heartfailure
#echofirst
#echoasia2022
#echoasia
@JaeKOh2
@lamcardio
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Another
#EchoFirst
Quiz Time !!! All of them were referred for
#HFpEF
but are they truly??? Spot the 'real' (I know.. controversial)
#HFpEF
1/n (poll below)
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The best part of the entire
#HeartFailure2023
trip ... meeting these TWO ... Safe trip back everyone and sorry that I had to leave a little earlier. Until next year in Lisbon !!!
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Proud of our recent publication.. Has really shaped my practice back in my institution.. Amazing memories immortalised in a publication.
#HeartFailure
#MDT
#CardioEd
#CardioTwitter
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You know you've been working too hard when you say 'Nak booking katil' instead of 'meja' for buka puasa.. 😅
#puasaproblems
#bilanakbukani
Selamat Berpuasa everyone !
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Thank you
@_antocannata
& the
#HFAYoung
#ESC_HFA
@escardio
team.. will do my best 💪
#HeartFailure
#HeartSuccess
#CardioTwitter
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Life is really too short for you to be doing things you don't like doing
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People need to remember that vaccination is the LONG TERM plan.. the effects of which will be apparent many many months from now.. to curb the rise i.e. the SHORT TERM plan is to PUT YOUR MASK ON, WASH YOUR HANDS AND AVOID SOCIALIZING UNECCESARILY..
#COVID19
#COVID19Malaysia
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@RandyKoh24
@DGlaucomflecken
No 'love' for the 'love docs' on the 'day of love'
#cardiotwitter
#cardiotweet
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I am getting SUPER excited for
#HeartFailure2024
!!! Anyone else joining ???
#HFAyoung
#HFA_ESC
#heartfailure
#cardiotwitter
#cardioX
@MehribanIsgand1
@_antocannata
@slumberbell
@jozinetm
@SotiriaLiori
@HanCardiomd
@HFA_President
@EJHFEiC
@ARakisheva
@GianluSava
@corneliacrm
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Join us in Singapore !!! Will keep everyone on
#CardioTwitter
updated with the latest science in the next couple of days...
#APSC2023singapore
@APSC2023
@apsc_office
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Great slides by
@twj1974
on DK Crush pitfalls !!! The simulation on stent recoiling after crush.. eye-opening !!!
#EuroPCR2021
#europcr
@PCRonline
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Great
#CardioRenal
advice from the great
@WilfriedMullens
@PieterMartensMD
#HeartFailure
#VEXUS
#DiuresisJedi
#CardioTwitter
LINK:
@MarcoMetra
@ESC_Journals
@EJHFEiC
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Amazing pre-congress workshop by
@GEHealthCare
on
#GLS
#Strain
#Speckle
tracking imaging for
#EchoFirst
(still wanted to fiddle with 2-click Crop though 🤣)
@doc_jdam
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I'm just gonna follow every cardiologist/fellow that appears on my page bcoz LEARNING NEVER ENDS & you've got to LEARN FROM EVERYONE really..
#CardioEd
#MedEd
#FOAMed
#RadialFirst
#EchoFirst
#whyCMR
#yesCCT
#FITtweetup
#cardiotweet
#cardiotwitter
😬
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The pandemic has revealed that we truly live in a caste system.. the rich get richer as they are vaccinated.. and r happily boasting abt it. The poor cont to suffer from a limited lockdown. If they dont get
#COVID19
they get fined. If they get the virus they lose their livelihood
@farah_saki
Aku adaaaa!!! Weh mmg kompem amik kat ipoh. Padahal org ipoh amik kat stadium kot. Ko direct amik kat hospital terus! Meh aku nak tag dia 😂 dasar kayangan
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Emerging Leaders for
#APSC2023singapore
@APSC2023
@apsc_office
discussing on complex
#CardioTwitter
cases !!!
@Jonyap88
@aayshacader
@slumberbell
@TJ_Yeo
@IndahSP_MD
@keithachanmd
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Really thankful to Prof Wan and
@NationalHeart
for the opportunity to be part of the writing commitee this time around
#Mentorship
#Sponsorship
#Cardiology
#NHAM2023
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#echofirst
#cardiotwitter
#valve
#pulmonaryhypertension
#PH
Pulmonary hypertension in valvular disease: a comprehensive review on pathophysiology to therapy from the HAVEC Group. JACC Cardiovasc Imaging. 2015 Jan;8(1):83-99.
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Amazing opportunity to share our experience running the first MDT-HF Clinic in Malaysia..
#ESC_HFA
#HeartFailure2023
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Watching some re-runs of
#HFpEF
talks and saw this important slide by
@JenHoCardiology
re: academic resilience.. We talk about
#toxicacademia
a lot but not enough about how to wade through academia.. Important to remember failure is part of the learning process, so embrace it !!!
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Discussing the Universal Definition of
#HeartFailure
#HeartSuccess
#APSC2023Singapore
@BiykemB
@lamcardio
@APSC2023
@apsc_office
@TJ_Yeo
@aayshacader
@keithachanmd
@slumberbell
@luckscuenzamd
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TQ
@APSC2023
@apsc_office
for giving me a platform to share my experience in managing palliation in
#heartfailure
. Shared the stage w some brilliant minds
@VebionaBachtar
#LouisTeo
#RochelleCrus
(Ricci)
#MisatoChimura
#GaryGan
#MasaruHatano
&
#JohnMcMurray
#APSC2023singapore
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Some days I start thinking to myself.. I need to be a vegetarian.. if anything, for my health... and then I have a plate of chicken rice, and all is forgotten..
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A great start to the
#APSC2023singapore
congress with 4 pre-congress workshops !!!
@APSC2023
@apsc_office
@weiqin_lin
@TJ_Yeo
@Jonyap88
@aayshacader
@slumberbell
@luckscuenzamd
@IndahSP_MD
@keithachanmd
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Some cases collected over the past few months..
#EchoFirst
#3DEcho
#CardioTwitter
Guess the pathologies !!!
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Incentivize med students / drs who are keen to be involve in research
#clinicaltrials
#clinicianscientist
. helps with diversifying the field & defo with the glut of HOs/MOs in Msia by creating diff career pathways. I see a lot of burned out drs atm!
@officialmosti
@KKMPutrajaya
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Join us this 6th Dec. This time, it's All About the Valves !
A wonderful group of speakers & panelists from the region - u don't want to miss out on this particular episode !!!
LINK:
#CardioX
#CardioTwitter
#MedEd
#EchoFirst
#Tricuspid
#Mitral
#TAVI
#TAVR
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Dah la.. just stop what you're doing.. go back to mco 1.0.. economy n all.. ppl will die.. the 6 to 7k per day is from testing done a few days ago.. i cant imagine whats the actual numbers now..
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Learn how to say no. Otherwise you'll have 12 talks to give in 4 months. Sincerely, Ezman.
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Excited to be attending and presenting.. really looking forward to the
#CareerCafe
&
#MeetTheEditors
session as well !!!
#HeartFailure2023
#ESC_HFA
#HFAyoung
@escardio
@HFA_President
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Thank you for providing a platform for me to shine a light on
#heartfailure
#HFpEF
during this year's
@uitmofficial
@UiTMMedic
Medical Updates !!! Wonderful turnout !!! On to Day 2 !!!
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Echocardiographers.. back bone of the structural and surgical community
#EchoFirst
We are fortunate to have such amazing echocardiographers
@LHSCCanada
@SchulichMedDent
@westernUanesth
High quality echo is the secret sauce to excellent minimally invasive valve repair surgery!
Hear more from our team and others!
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Amazing
#EchoFirst
#POCUS
#FOAMus
to share. Patient presented with ADHF with a prolapsed MV. But this was incidentally discovered... DDx?
#CardioX
#CardioTwitter
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Recently had my proposal for a workshop rejected by faculty. Received super encouraging emails by 2 Profs reminding me 1. to never give up 2. to not let minor setbacks like this affect me .. there's plenty more to strive for. Sometimes, that's ALL you need
#words
#encouragement
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THIS. Engage your learners.
Successful teaching is:
• 10% your expertise
• 30% understanding your audience
• 60% giving them space to speak
If your learners aren’t engaging.
It’s your fault, not theirs.
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The only way to learn is to remain humble.. the worst way to learn is to deny others wisdom with your non-existent one.. not only would you have pissed the other person & never get taught, but you demonstrate how incompetent u truly are..
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Why dyspnoea is complex (but important to tease out)
#heartfailure
#HFpEF
#cardioed
#cardiotwitter
#cardiotweet
@FH_Verbrugge
@VerwerftJan
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