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A 20-day-old neonate was brought with history of poor feeding and difficulty in breathing.
Echocardiography showed enlarged heart with a large Ventricular Septal Defect with bidirectional, predominantly left-to-right shunt; dilated Left Ventricle, dilated Right Ventricular Outflow and Pulmonary Trunk. Left Ventricular Outflow, Ascending Aorta and Aortic Arch were not adequately visualized.
The child was sent for an [...]

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I was recently interviewed via Skype by Alain Ochoa Torres (alainochoa on twitter), a Spanish journalist who works for Diario Médico, Spain’s leading medium for health professionals. They publish a daily nationwide newspaper focused on health news for MDs. They belong to newly-formed media group Unidad Editorial, which owns the daily newspaper El Mundo among [...]

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Diagnostic Imaging - Dayhawk teleradiology phenomenon unsettles radiology market: [via radRounds. Emphases mine]

“The new dayhawk market threatens the very existence of not just some radiologists’ lifestyles but even their jobs,” said Dr. Giles W. L. Boland, an associate professor of radiology at Harvard Medical School, and medical director of teleradiology at Massachusetts General Hospital. Boland [...]

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Whistleblower: A lost bid to control health costs: (via this tweet from Robbo* aka BiteTheDust)

Alexandria Cody went to the hospital on Christmas Eve with excruciating pain in her ribs. She and her husband, David, left the hospital stinging with frustration over their failed effort to control the costs of their care. The couple have been [...]

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Sharing some images from my first post-CABG Coronary CT Angiogram. The pictures ought to be self-explanatory to those who know basic cardiac anatomy and the basics of CABG.*
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* Key to labels:

D1 - First Diagonal branch of LAD
LAD - Left Anterior Descending artery
LCx - Left Circumflex artery
LIMA - Left Internal Mammary artery

LM - Left Main [...]

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I was glad to find out that quite a few physicians share my opinion of health insurance.
via Medscape Family Medicine The Ponzi Scheme That Is Health Insurance: [Registration required. Free. Emphases in the excerpts are mine. I urge everyone to register (if you haven't already) and read the whole article.]

“Healthcare reform cannot wait, it must [...]

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via Medscape Radiology [heartwire] New Guidelines on Interpretation and Reporting of CCTA.

New guidelines to aid in the interpretation and reporting of coronary computed tomographic angiography (CCTA) studies have been published [1]. The guidelines, by Dr Gilbert L Raff (William Beaumont Hospital, Royal Oak, MI) and colleagues, will appear in the March/April 2009 issue of the [...]

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35-year-old previously healthy young man with sudden onset aphasia and right hemiplegia. No known risk factors for stroke.
Plain CT scan of the Brain showed acute (evolving) left hemispheric infarct (Middle Cerebral territory).
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[click on images to open labelled images in new windows]
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CT Angiography shows severe narrowing of the distal cervical, intracanalicular and supraclinoid segments of left [...]