Robbie

There's also this really cool mechanism of an aortic dissection presenting with high vagal tone from the abrupt rupture.

I don't have a way of reconciling the aortic dissection with the EKG apart from when I shared the idea that Takotsubos could be at play.

The deeper concept in Takotsubo is whenever you have those T wave changes, it's just a marker of sympathetic excess on the heart.

And so you can easily imagine why somebody with an aortic dissection has a sudden onset sympathetic excess in their heart.

But, you know, this is now a very, very serious issue.

And the patient definitely needs a CT scan.

And now what's changed with the CT scan is I'm prioritizing an aortic dissection protocol as opposed to a PE protocol.

And the good news is that you'll still get most of the main and segmental branches.

You might not get sub-segmental PEs, which are probably okay in a scenario like this.

Actually, I have it on my laptop.

Amazing.

So I don't, I'm so, you know, his presentation makes sense.

Thank God.

I was like, I'm going to have to read about 100 million hours for this, but I'm maybe profits.

What I'll do is cause I imagine it's probably easier for Matt to upload pictures.

So I'll just, uh,

Carol Lau is here.

Carol Lau should come look at this CT.

It's crazy.

So this, we're recording, but I'm being facetious.