Dr. Glaucomflecken Explains: Transcatheter or Surgical Treatment of Aortic-Valve Stenosis

Come to rounds prepared.

In our second video in partnership with @DGlaucomflecken, a cardiologist quizzes a med student about a study on transcatheter or surgical therapy of aortic-valve stenosis.

#Neurology #Stroke #MedicalEducation #MedEd #NEJM

[imgoingtoexplode]

This is the most effective method of delivering research results in the history of human kind

[yisseroff]

Imagine a future where journals are no longer ranked by impact scores, but instead by Glaucomflecken Explains views and likes

[benitomichel]

And so, the gen-Z journal club was born.
Effective, engaging and funny. Thanks Dr Glauc

[james.telfer]

Whoever suggested this collaboration deserves an award 😁

[rdm]

I was this >< close to calling a nephrologist Salt Bro yesterday.

[osmanthusoolongmilktea]

Requesting for all my future journal clubs to be in the form of Glaucomflecken skits please

[VoIcanoman]

As a rad tech student, I got to observe some TAVIs (transcatheter aortic valve implantations) being completed last year (by the interventional team in the cath lab, a career I might eventually pursue after I get a few years of x-ray under my belt). *And it was the coolest thing ever.* They literally, INTENTIONALLY stop the heart by fibrillating it with electricity at the moment of valve implantation because if the heart pumps against an aortic valve that is obstructed or closed (which could happen if it was pumping during the few seconds of implantation), it's called an...umm...unaliving heartbeat (yeah, the s-word, can't say that on YouTube), and the heart goes into cardiac arrest. So they feed this valve, made from pig myocardium, up through the vasculature (from the LEG), get it in place (the valve is sized to the exact opening needed, measured by a special cardiac CT scan), stop the heart, and just plop it in there where the old valve used to be before starting the heart again. It's amazing. And yes, patients are typically older, and therefore not ideal surgical candidates, so even though the long-term success of the TAVI procedure is possibly not as robust as that of the surgical equivalent, by doing it on those who can't have surgery, you're extending the life of those patients by typically at least 5 years, to as much as 15+ years, which is pretty freakin' significant.

[davidmcalpine]

Very timely for me. My 10 year old prosthetic aortic tissue valve is starting to fail. Now I can believe my cardiologist when he tells me that I should have a TAVR.

[JimYeats]

Possibly the smartest thin the New England Journal of Medicine has ever done.

If we could get someone to condense UpToDate articles into a 1:35 video that would be awesome too. Then I could just watch it in the room with the patient instead of having to spend 15 minutes trying to find the one pertinent piece of info I needed.

[MegaSpartan]

I'm not even the medicine field but I love these skits.

[carudnick]

This is amazing and I hope that this partnership continues! As a biomedical engineer, it is so wonderful to hear about cutting edge findings!

[ScholarOfImagination]

I’m so happy that I live in a world where I need to understand Complex Lore for the full NEJM experience!!!

[shellyrae]

Rattlesnakes rattle to warn potential aggressors to back off or to distract prey, The Nephrologist’s salt is doing the same 😂

[ecarghtiaf]

this NEJM glaucomflecken collab is rad

[lindapereboom]

This series cracks me up!!! 100% realistic from a now retired 40 yr peds critical care nurse. I started in newborn ICU in 1980 ( before pulse oximetry) and nurse practitioner programs were just starting. During rounds the bedside nurses were expected to participate with the house staff in physiology, management decisions, and applicable research. The bedside nurses were expected to manage our patients per protocols. We ordered labs if indicated, made changes to feedings by calculating caloric intake. I became an excellent independent clinician because the attendings expected the nursing staff to participate. I went on to grad school at UCLA. i went on to become a flight nurse for 25 yrs. Didn't have to become a practitioner or physician, yet managed critical medical and trauma patients independently and got to do all the really cool procedures. Did a MICU rotation one yr when they started doing bedside perc trachs. It was a big deal. I shook my head cause i had been doing the same thing in a ditch with a flashlight for years😅

[Echo]

This is legitimately what rounds are like.

[henrexpaulalemon]

As a cardiology fellow in training, this 💯 on point during daily rounds

[stephanklein]

Great to hear that studies meanwhile confirm the superiority of the TAVI method ! My mom had a TAVI performed on her 8 years ago at then 78 years of age. Post-OP 3 days of ICU for observation, and back on her feet again after a total of 4 weeks only ! A highly unlikely positive outcome, given her general health condition and age, and nothing short of a medical miracle. It gave her a few more good years with a much higher physical fitness than in pre-OP state, with a 90% aortic valve stenosis. Great PSA Dr. Glaucomflecken ! 👍

[markpickett]

The art of condescension is strong in this one. Perfect attending material right there.

[Hydrogen]

I’m not a doctor and clicked on a meme and now I learned me something ❤