Jason Pelton, MD Profile
Jason Pelton, MD

@DrJasonPelton

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Interventional Cardiology Fellow @ BCM Future Interventional Cardiologist @ CHI St. Vincent-Hot Springs #cardiotwitter #radialfirst tweets ≠ medical advice

Houston, TX
Joined March 2015
Don't wanna be here? Send us removal request.
@DrJasonPelton
Jason Pelton, MD
3 years
@DrNasrien That’s not the issue with APRNs. The issue is they often practice outside their scope and training and have very little oversight in terms of their training. There are absolutely excellent nurse practitioners but they should stay within the level of training and expertise.
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@DrJasonPelton
Jason Pelton, MD
4 years
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@DrJasonPelton
Jason Pelton, MD
4 years
@EoinHiggins_ @Liz_Cheney Look at this tough guy.
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@DrJasonPelton
Jason Pelton, MD
4 years
Thanks to all the great folks at @CookMedical for a fanstasic hands-on course on IVC placement/retrieval and endovascular treatment of chronic limb ischemia @AhmedAnsari_MD @DavidWongMD @BCMHeart @SCAI #SCAIFallFellows #SCAIFIT19
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@DrJasonPelton
Jason Pelton, MD
4 years
Very blessed to receive this award.
@BCMHeart
BCM Cardiology
4 years
Congratulations to @DrJasonPelton on getting the BCM Interventional cardiology fellowship’s best graduate award! @docHJ @BCMDeptMedicine @BCMHouston_News @BCM_InternalMed @WKayaniMD @Umair2017 @BaylorCardio
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@DrJasonPelton
Jason Pelton, MD
3 years
52 yo m w/ hx of substance abuse complicated severe LV dysfunction with LV thrombus, recent PE from SVC/subclavian venous thrombosis presented 5 days post #radialfirst SCA with acute cool, pale, and numb hand. CTA and US c/f ulnar and radial artery occlusion. IR balked to cards.
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@DrJasonPelton
Jason Pelton, MD
4 years
We should be treating every patient with ACS as a suspected COVID patient. Period.
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@DrJasonPelton
Jason Pelton, MD
4 years
@bpromd @RachelRiechelm2 All these people I’m sure have never given a medication off label without a large multi-center adequately powered RCT to support its use. Hypocrites.
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@DrJasonPelton
Jason Pelton, MD
2 years
Bennett and the next great @RazorbackFB running back @BraylenRussell @LakesideRamsFB
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@DrJasonPelton
Jason Pelton, MD
4 years
Heading out to Vegas today for @SCAI fellows course with @AhmedAnsari_MD and @DavidWongMD ! Looking forward to seeing everyone there. #SCAIFIT19
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@DrJasonPelton
Jason Pelton, MD
5 years
Great start to my interventional year at @BCMHeart Female in her 70s with unstable angina. Left coronary system normal. Predilated with 2.5 followed by 3.5 balloon. Difficulty with stent delivery and wanted to avoid guide extension due to proximal location of lesion. Angios below
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@DrJasonPelton
Jason Pelton, MD
3 years
This is a very privileged opinion. Not everyone can choose to go to a “private hospital”. This is especially true for poor minorities and undocumented immigrants who rely on safety net hospitals which are usually heavily staffed by residents. I guess we should force them.
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@DrJasonPelton
Jason Pelton, MD
1 year
@anish_koka So rare that it probably has never happened. I doubt this the cause here too but may be wrong.
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@DrJasonPelton
Jason Pelton, MD
4 years
@jcastelltwitt There is autopsy data from China showing microvascular thrombosis and myocardial necrosis.
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@DrJasonPelton
Jason Pelton, MD
4 years
A 91 yo patient @Umair2017 and I performed LM PCI a few months ago celebrated his 92nd birthday today. He sent us a picture of him blowing out his birthday candles. It’s nice to get little reminders of why we do what we do. @BCMHeart @bcmhouston @docHJ @LakkisN_MD
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@DrJasonPelton
Jason Pelton, MD
5 years
@PigTrailNation If @coachchadmorris felt it early then make the switch earlier. Poor coaching.
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@DrJasonPelton
Jason Pelton, MD
4 years
New ad in the Sentinel-Record. I will be accepting new patients in July at @CHIStVincent in Hot Springs, AR. Come and see us.
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@DrJasonPelton
Jason Pelton, MD
4 years
Day 1 of @scai fellows in the books. Can’t beat this view of the #lasvegas strip. @AhmedAnsari_MD @DavidWongMD #scaifallfellows
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@DrJasonPelton
Jason Pelton, MD
4 years
We’ve made it to Vegas. Going to be a great weekend. @AhmedAnsari_MD @DavidWongMD @SCAI #SCAIFallFellows #SCAIFIT19
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@DrJasonPelton
Jason Pelton, MD
2 years
@critconcepts You need right sided support. Period. Your systemic MAPs are fine even though they are not pulsatile. At this point the RV failure is the main problem. Fluids will make the hemodynamics worse.
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@DrJasonPelton
Jason Pelton, MD
4 years
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@DrJasonPelton
Jason Pelton, MD
3 years
@DrJayMohan @Allison_Dupont Doing caths without prior ischemic testing or CCTA is a quality metric at many facilities unless it’s ACS. I rarely cath outpatients without a nuclear study and if I do I always do FFR or IVUS to document objective significance before PCI.
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@DrJasonPelton
Jason Pelton, MD
4 years
I think the terms hero and frontline to describe healthcare workers minimize the true courage these young men showed in Normandy.
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@DrJasonPelton
Jason Pelton, MD
4 years
@sully7777 It’s possible the testing and results are offset by a couple days.
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@DrJasonPelton
Jason Pelton, MD
4 years
@EM_RESUS I’m sure you remember that every time you order a CT for a benign abdominal exam
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@DrJasonPelton
Jason Pelton, MD
5 years
Used buddy wire technique with two Choice Floppy .014” wires which did the trick. Were able to deliver 4.00 x 15mm Synergy Stent. Post dilated with 4.0 NC balloon. @LakkisN_MD @docHJ @BaylorCardio @DavidWongMD @DrMarthaGulati @NadeenFaza @CMichaelGibson @DrJayMohan
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@DrJasonPelton
Jason Pelton, MD
3 years
@ajaykirtane I think if my EF improved and my chest pain was no longer lifestyle limiting then I’d probably feel pretty good if I was the patient.
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@DrJasonPelton
Jason Pelton, MD
4 years
Our experience with STEMI in a possible COVID patient. Gown over scrubs, with lead, then sterile gown. On face N95 with surgical mask with face shield. We ended up placing a second faceshield over the head. Patient also with mask with faceshield. #COVID2019 #cardiotwitter
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@DrJasonPelton
Jason Pelton, MD
4 years
@mosdefwilliam @_criscristopher @DanyelleSargent Because only Trump fans can be idiots? I’m agreeing with you he’s an idiot, just to be clear. But there are equal number of idiots in both sides of political spectrum.
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@DrJasonPelton
Jason Pelton, MD
1 year
@Toaster_Pastry @wedenskyeffect Ruled out ischemia how? Negative troponin doesn’t rule out ischemia. Still deserves coronary angiography based on ECG and abnormal wall motion.
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@DrJasonPelton
Jason Pelton, MD
3 years
@TheNarulaSeries @DrAmirKaki @Babar_Basir @ShariqShamimMD @Almanfi_Cardio @adnanalkhouli @NavinKapur4 I think in this case improving hemodynamics is key. Immediately re-establishing flow won’t make a big difference in stunned myocardium. MCS upfront will buy you time to plan and approach the case properly. I believe this is how @BillONeillMD @Babar_Basir would approach.
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@DrJasonPelton
Jason Pelton, MD
3 years
Trainees-file under “How to be judgmental without knowing or understanding the details of a case posted on social media”. Imagine how you would feel if you were so perfect.
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@DrJasonPelton
Jason Pelton, MD
2 years
@frahman480 @ACCinTouch Only 62 and LVEF mostly preserved? What’s the reason for turn down? Seems like there is more to this story.
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@DrJasonPelton
Jason Pelton, MD
4 years
If only they had done this sooner. Think of all the lives lost.
@CNBC
CNBC
4 years
New York City is suspending 24-hour subway service to start disinfecting subway cars overnight.
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@DrJasonPelton
Jason Pelton, MD
4 years
@ReddyTheRobot Just because we are able to do this things doesn’t mean we should. What’s the end game? A lot of resources and money for what would very likely be minimal neurological recovery.
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@DrJasonPelton
Jason Pelton, MD
1 year
I had an almost identical case several weeks ago. LVEDP was 14 pre intervention. Still used @Abiomed impella and several times during @ShockwaveIVL and predilation we lost pulsatility. Was able to wean and perclose post procedure without complications.
@RinfretStephane
Stéphane Rinfret, MD SM
1 year
Impella or not? Bad PVD=Can’t rando in Protect 4. 68 yo, EF 30-35%. Surgical TD due to poor LAD target. What is the critical data you wanna know to decide if you support (PercAx here) vs. not? Horrible calcified LM with slow flow in LCX and RCA CTO. Will need Rota… @ProtectedPCI
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@DrJasonPelton
Jason Pelton, MD
4 years
@yeh_james3 Tiger 5F. Can always engage one and usually both ostia. Helpful, especially for female patients to reduce spasm.
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@DrJasonPelton
Jason Pelton, MD
3 years
@kjdelay1 @choo_ek is a hypocrite.
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@DrJasonPelton
Jason Pelton, MD
1 year
@PEHJackson @drjohnm @VPrasadMDMPH @TheFP @EmilyYoffe @bariweiss They never said it was very common. They just said it’s more common than what is being led on and it is often being dismissed as mild and insignificant.
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@DrJasonPelton
Jason Pelton, MD
7 months
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@DrJasonPelton
Jason Pelton, MD
4 years
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@DrJasonPelton
Jason Pelton, MD
5 years
@DrDamluji Definitely kinking. No systolic compression. Could do FFR with nitro as nitro would worsen bridge.
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@DrJasonPelton
Jason Pelton, MD
4 years
@RazorbackBSB See you guys Saturday night. Bringing my kids for their first razorbacks sporting event.
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@DrJasonPelton
Jason Pelton, MD
5 years
@SVRaoMD One my biggest pet peaves to call any cardiac arrest a heart attack #fakenews
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@DrJasonPelton
Jason Pelton, MD
4 years
@ajaykirtane There have been positive results in both Chinese and French patient subsets.
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@DrJasonPelton
Jason Pelton, MD
4 years
Peri-procedural MI is not the same as spontaneous MI especially in the era of high sensitivity biomarkers. Spontaneous MI is much more clinically relevant. #ISCHEMIA found statistically significant reduction in both CV Death/MI and spontaneous MI. @docHJ @LakkisN_MD @NadeenFaza
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@DrJasonPelton
Jason Pelton, MD
4 years
@THV11 Why shouldn’t it be a terrorist organization? Extremism in any form should not be tolerated in a civilized society.
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@DrJasonPelton
Jason Pelton, MD
4 years
@SumeshKhanal @DrJayMohan @MKIttlesonMD @apcardio @heartdocandcrew @AnkurKalraMD @SaidAshrafMD @meerak8 We are actually getting more. Have had a few in the last couple weeks. A couple COVID+.
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@DrJasonPelton
Jason Pelton, MD
4 years
There’s nothing like home. Can’t wait to be back.
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@DrJasonPelton
Jason Pelton, MD
3 years
@DrJayMohan @JReinerMD @drjohnm You assume your respect is something he actually strives for. As opposed to the most of #medtwitter , he at least thinks analytically for himself and raises interesting questions. Is he wrong sometimes? Sure. We all are. You’re just mad he doesn’t “fall in line” like a good boy.
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@DrJasonPelton
Jason Pelton, MD
4 years
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@EricPMusselman
Eric Musselman
4 years
Love being a #girldad
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@DrJasonPelton
Jason Pelton, MD
4 years
@drdanchoi @Phil72637 Not true. Very inexpensive to have life insurance if you are young. Have a $5 million policy for $100 a month. People don’t get life insurance because they are lazy and shortsighted.
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@DrJasonPelton
Jason Pelton, MD
2 years
Arkansas cardiologist rushes to help victims after fatal shooting
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@DrJasonPelton
Jason Pelton, MD
4 years
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@DrJasonPelton
Jason Pelton, MD
4 years
@Heart_UTHealth @BritOwen is the best of the best. Superstar at work and at home with 4 kids (5 if you include Richard)
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@DrJasonPelton
Jason Pelton, MD
5 years
@boyd_rakeem If anyone deserves that it’s you. I appreciate your fight.
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@DrJasonPelton
Jason Pelton, MD
5 years
@footyDoc @HeartOTXHeartMD @EM_RESUS @MDaware @jlitell @cardiojaydoc02 @VenkBellamkonda @ogi_gajic The diffuse nature of it suggests metabolic issue. I also don’t see clear P waves which is also suggestive of electrolyte derangement.
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@DrJasonPelton
Jason Pelton, MD
5 years
@DrRCChester @DrMarthaGulati @skilicmd @cardioPCImom @saraceciliamtz @katiesmurf01 @BritOwen is a rockstar with a 5 yr old, 3 year old, almost two year old and one in the oven. Any advice, Dr. Owen?
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@DrJasonPelton
Jason Pelton, MD
5 years
Very cool look at intramyocardial bridge by IVUS
@evandrofilhobr
Evandro Martins F. MD
5 years
Myocardial 🌉 #RadialFirst
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@DrJasonPelton
Jason Pelton, MD
4 years
He’s not okay.
@FrancisBrennan
Francis Brennan
4 years
"You know the rapidly rising umm uh in with uh with I don't know." - Joe Biden.
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@DrJasonPelton
Jason Pelton, MD
4 years
@Almanfi_Cardio @SVRaoMD @jaygirimd @djc795 @ajaykirtane @rwyeh @schuyler_jones @HenrytTimothy There is definitely subtle PR elevation in AVR and depression in other leads.
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@DrJasonPelton
Jason Pelton, MD
3 years
@SJcardio 6F L Radial access, 0.035 guide wire across with peripheral balloon ready to inflate. Angioseal with 15 minutes of manual pressure. Then DSA to make sure no bleeding. Watch for additional 15 minutes and reimage. At least 6 hours bed rest.
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@DrJasonPelton
Jason Pelton, MD
4 years
One of the greatest things about my job is being able to do things like this and the instant gratification of successful procedures.
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@DrJasonPelton
Jason Pelton, MD
4 years
Shhh....don’t tell the left.
@JuddPDeere45
Judd Deere 45 Archived
4 years
U.S. was more prepared for pandemic than any other country, Johns Hopkins study found |
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@DrJasonPelton
Jason Pelton, MD
4 years
@yourheartdoc1 Needs Benadryl for itching
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@DrJasonPelton
Jason Pelton, MD
4 years
As someone who is conservative and has been supportive of Trump on many issues, I disagree with his executive order banning H-1B visas. Just thought I’d go on record.
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@DrJasonPelton
Jason Pelton, MD
5 years
@Gragg80 Sounds like Petrino. Don’t you agree?
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@DrJasonPelton
Jason Pelton, MD
4 years
I hope when this is all said and done administrators and government bureaucrats will have learned to get of our way and let us do our jobs.
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@DrJasonPelton
Jason Pelton, MD
3 years
This dude
@EricPMusselman
Eric Musselman
3 years
Open to any tips or suggestions...
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@DrJasonPelton
Jason Pelton, MD
3 years
@Umair2017 @shahrukh_bakar @SBorgaonkarMD @BCMHeart @SanChris999 @Pooh_Velagapudi @adityadoc1 @Ravi_Hira_MD @sonnet66 @sabeedak1 @SCAI @BCM_CVRI @WKayaniMD Part of learning Umair. I appreciate your teaching and wisdom. It’s helped me a lot in my young career. I learn from every single case. We are never perfect. Keep doing big things.
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@DrJasonPelton
Jason Pelton, MD
4 years
@AdiAJoshi Covid also causes arrhythmias. Would be helpful to know QTc.
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@DrJasonPelton
Jason Pelton, MD
4 years
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@DrJasonPelton
Jason Pelton, MD
3 years
@Uqayyum123 @mmamas1973 It’s already been proven.
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@DrJasonPelton
Jason Pelton, MD
8 months
I have several patients with chronic chest pain with multiple PCIs and CABG in some cases with normal subsequent ischemic evaluations (non-invasive or invasive)z They seem so surprised when I raise the question that their chest pain was never cardiac to begin with.
@ZSiudak
Zbigniew Siudak MD PhD
8 months
Outpatient. 50y F. Father died of MI at 50y. Atypical chest pain 2 months ago, radiating to left hand and fingers. Referred to CAG. 60% mid LAD stented. Pain persisted. 4 weeks later PCI dist Cx max. 50% stented. Comes to me because pain continues as it was.
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@DrJasonPelton
Jason Pelton, MD
4 years
Quick poll for #cardiotwitter . If a patient presents with AMI with culprit lesion on coronary angiogram and subsequent cardiac arrest without prior COVID symptoms but with positive test what would you list as cause of death and why? @LakkisN_MD @docHJ @BaylorCardio @BCMHeart
Cardiac arrest due to AMI
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@DrJasonPelton
Jason Pelton, MD
2 years
This! I have learned so much in my time out of training because I have to learn as I go. I use my training and intuition to solve problems daily. I think academics stunt the growth of young cardiologists, especially in procedural fields.
@curmudgeoncard
Curmudgeon Cardiologist
2 years
Doctors should be required to practice outside of academia for 2-5 years before being able to become faculty. It would provide a perspective outside of the ivory tower, sharpen clinical skills, and disrupt the echo chamber that is academic medicine.
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@DrJasonPelton
Jason Pelton, MD
2 years
@yourheartdoc1 If you didn’t watch the trial how do you know there wasn’t? They tried to portray him as the aggressor to void his self defense argument. There was overwhelming evidence that the first person killed was the aggressor. It’s not illegal in Wisconsin to carry that weapon.
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@DrJasonPelton
Jason Pelton, MD
3 years
@drjohnm They are too busy publishing political endorsements
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@DrJasonPelton
Jason Pelton, MD
4 years
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@DrJasonPelton
Jason Pelton, MD
3 years
@DrQuinnCapers4 Any thoughts on @choo_ek alleged actions as outlined in the the lawsuit. Her use of race to deflect responsibility for reporting sexual assault is abhorrent.
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@DrJasonPelton
Jason Pelton, MD
2 years
@Umair2017 @SanChris999 @yourheartdoc1 @BCMHeart It’s not practical. If the push is for #radialfirst then adding US creates a barrier for some labs. Our US machine is old and the resolution is poor. IR has a new machine which isn’t usually available.
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@DrJasonPelton
Jason Pelton, MD
4 years
@GilbertTangMD @nyalborgesmd @Almanfi_Cardio @Rodrigo79786035 @TCTMD_Yael @Jatin_AnandMD @OPreventzaMD @TCTMD The rate of conversion from TAVR to emergent SAVR is exceeding low. In the future, CT surgery won’t even need to be present.
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@DrJasonPelton
Jason Pelton, MD
5 years
@Dev_Bush1 Defense needs all the help they can get.
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@DrJasonPelton
Jason Pelton, MD
4 years
@iamritu
Ritu Thamman MD
4 years
🔺Abnormal coagulation is common in severe #COVID19 🔺D-Dimer >1ug/dL is an independent risk factor for in 🏥 death 🔺Extensive intravascular microthrombosis seen at autopsy 🔺Rx w anticoagulation if possible @ACCinTouch
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@DrJasonPelton
Jason Pelton, MD
4 years
@Pooh_Velagapudi @WKayaniMD @SVRaoMD @CMichaelGibson @MKIttlesonMD @HeartOTXHeartMD @DrMarthaGulati @yourheartdoc1 @anish_koka @NadeenFaza @rwyeh @szkhalaf @Umair2017 @virani_md @willsuh76 @LilyLeiZhang1 I agree. We attributing every death in COVID+ patients to COVID but I think we are seeing more and more that there can also be two different disease states. CHF and AMI admissions didn’t disappear as much as we think they did. They are hiding in plain sight.
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@DrJasonPelton
Jason Pelton, MD
4 years
Miss that house @KappaSigmaHQ
@RazorbackMBB
Arkansas Razorbacks Men’s Basketball 🐗
4 years
Taco Tuesday with the guys 🌮 Thanks to Kappa Sig for having us. See ya at Bud tomorrow.
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@DrJasonPelton
Jason Pelton, MD
4 years
To all health care workers, Hospital administrators do not care about you. Take care of yourself so you can take care of your patients.
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@DrJasonPelton
Jason Pelton, MD
5 years
@uyedajen Maybe they are too busy clinically correlating?
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@DrJasonPelton
Jason Pelton, MD
4 years
This guy making the rest of us look bad
@_SJPeace_
StanceGrounded
4 years
For the past six months, he's been working with an illustrator to animate him and his girlfriend into her favorite movie Then he filled a theater with her friends and family and popped the question Cutest and the coolest proposal I've ever seen 😭❤
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@DrJasonPelton
Jason Pelton, MD
4 years
Wow. Prayers for Lebanon.
@MikeLeslieWFAA
Mike Leslie
4 years
This is insane. A bride taking wedding photos as the explosion happens in Beirut. And she’s one of the lucky ones, fortunate to survive. (video by Mahmoud Nakib)
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@DrJasonPelton
Jason Pelton, MD
4 years
I’ve never seen anyone so courageous.
@PageSix
Page Six
4 years
Celebrities are going makeup-free while social distancing
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