Heartfelt with Dr Melissa Walton-Shirley

 
 

Heartfelt with Dr Melissa Walton-Shirley

  • Why Physicians and Nurses Should Be Texting After some flip-flops, the joint commission reinstated its ban on texting orders. Dr Walton-Shirley is not a fan of their decision: if consenting docs and nurses want to communicate by text, why not?
  • To Be or Not to Be a Cardiologist Follow your passion and be honest about your strengths and weaknesses is among the sage advice that Dr Walton-Shirley offers to anyone considering a career in cardiology (or medicine).
  • Surviving Medical Practice After Workplace Upheaval Work dissatisfaction has pushed many physicians into early retirement. Dr Melissa Walton-Shirley chose to hit the reset button and begin again in a new state to practice patient-first medicine.
  • AHA Mr Trump: Please Repeal HRRP ASAP Dr Melissa Walton-Shirley attended a session HF readmissions and has a suggestion for the president-elect.
  • AHA Hypercoagulable States: On Clots and Other Things Dr Melissa Walton-Shirley finds what she's looking for on day 2 of the AHA meeting in a session on hypercoagulable states.
  • AHA America: Dumb to Tempt More Pot-Related CV Complications Dr Melissa Walton-Shirley recounts a presentation on the association of cannabis with takotsubo cardiomyopathy and discusses recent legalization efforts in several states and what it might mean.
  • What My Friend With 'Heart Disease' Should Have Been Told Dr Walton-Shirley runs into a friend who has been diagnosed with CAD, or has she? The woman is uncertain what her tests found because she was discharged without a full explanation from her doctor.
  • ESC ESC 2016: Smoke and Hot Lines, Capisce? Dr Walton-Shirley lampoons her maddeningly frustrating experiences at the ESC 2016 for a few chuckles.
  • ESC Cardioneurology: The Multidisciplinary Team Is the Best Approach Dr Melissa Walton-Shirley attended a session on a multidisciplinary approach to stroke, with a range of experts weighing in on the best course of action on a stroke case.
  • ESC MI Without Obstruction: We're Only Getting Started At a session at the European Society of Cardiology Congress, Dr Walton-Shirley learned a new acronym MINOCA (MI-No-Coronary-Atherosclerosis) and that there is much to be done after a "normal" cath.
  • ESC Which Features of Hypertension Predict Atrial Fibrillation? Dr Melissa Walton-Shirley shares highlights from yesterday's session on hypertension and AF.
  • Hail to the MCV: Outcomes Ruled by Blood and Iron No other specialty invites more bleeding than cardiology, and that is why it's worth paying close attention to the mean corpuscular volume, advises Dr Walton-Shirley.
  • Three Pulmonary Embolisms and a Wedding An emotional whirlwind of a weekend as mother of the bride and daughter of the patient introduced Dr Walton Shirley to a new treatment for PE—catheter-directed thrombolysis.
  • When It Looks Like Heart Failure but Isn't Having encountered more than a few cases of obstructive uropathy masquerading as heart failure in elderly men, Dr Walton-Shirley asks for some creative thinking before diagnosing CHF.
  • When Can They Go Home? The Pressure to Discharge Patients Dr Walton-Shirley favors quality of stay over length of stay and notes that she swore an oath to protect the patient, not the hospital's bottom line.
  • High Value for Vascular Care? Perhaps Not for Some Dr Melissa Walton-Shirley sits in on a session on peripheral vascular care and finds out that too much is spent as well as not enough, that some are overtreated and others ignored.
  • HOPE-3: Is It Time to Hate the Polypill Concept Less? Dr Walton-Shirley ruminates on HOPE-3 and reflects on the balance of risks and benefits of treatment without extreme scrutiny.
  • My Top Six Easily Preventable Causes of Patient Death and Morbidity Paying closer attention to potassium and telemetry are two of Dr Walton-Shirley's quick fixes that could save the patient a rehospitalization and the hospital some money.
  • Dr Saussy's Resignation: Let the Character Assassination Begin Dr Walton-Shirley anticipates that the no-holds-barred resignation letter from the Washington DC EMS medical director will prompt a backlash to undermine Dr Saussy for speaking up.
  • Google for CV Cure: Gates and Zuckerberg for Prevention? Google Life Sciences and the AHA put up $50 million for research to fight CHD; Dr Walton-Shirley suggests that tech billionaires spend their money on basic health education in our schools.