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Hydraulic Exchange Technique: super useful in complex PCI/CTO work. Quick way to get a microcatheter off a short wire without a 300cm wire, trapper, or trapping balloon. Connect an indeflator to the microcatheter, pressurize to 20 atm (it drops constantly, so keep bumping it back up), and just open... show more
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💡 Ready to witness the future of cardiovascular #innovation? Join Philippe Genereux as he unveils the highly anticipated results of the EARLY TAVR trial, debuting on Monday, October 28! Get an exclusive look at first-time presentations of key clinical trials and groundbreaking studies at #TCT2024! Don’t miss out—reserve your spot today: 📅 Explore the full schedule of late-breaking trials and cutting-edge science. Check it out here: #CardioX #CardioTwitter #CardioEd #CardioResearch Dan Burkhoff MD PhD David J. Cohen, MD, MSc George Dangas, MD, MACC, MSCAI Juan F. Granada Marty Leon Akiko Maehara Dr Roxana Mehran Sahil A. Parikh, MD Tricia Rawh TCT Conference jedicath աǟզǟʀ.ǟɦʍɛɖ إبراهيم الحربي Ibrahim Alharbi Abdelkader Almanfi, MD, FACC, FSCAI Hooman Bakhshi Alessandro Beneduce Nyal Borges Aaysha Cader BCaseMD Nishith Chandra Bailey Ann Richardson David L. Fischman Prof. Hector M. Garcia-Garcia Julia Grapsa Nadira Hamid Stefan Harb @AmandaLimaMD Evandro Martins F. MD Giorgio A. Medranda MD, FACC, FAHA, FSCAI Neisser M Srihari S. Naidu, MD sumonroy Michael Savage Muhammad Shuaib Abid Pooja Swamy, MD, FACC, FSCAI Ritu Thamman MD Anuradha Tunuguntla MD FACC FSCAI Poonam Velagapudi Edoardo Zancanaro MD Adriana C. Mares Niels R. Holm Abhishek Chaturvedi MD, FACC, FSCAI Krutarth Pandya Indah Sukmawati, MD Shariq Shamim MIЯVΛƬ #IC ༄ ｡°
Cardiovascular Research Foundation
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![Ever since I wired Claude Code to WhatsApp 3 weeks ago, I built a stupidly large infra around it. I mean, opus built it. No clue how the code even looks. The entire thing was vibe coded using my phone. I wanted to see how far I could push it without touching the computer. Everything via WhatsApp. Build what I need on the fly. So the resulting infrastructure will already be battle tested for software development. The entire thing was streamlined with nearly no manual interventions, everything was communicated via WhatsApp using a single script establishing this connection. If the script is down, I need to get home to start it again to resume the development. Claude was upgrading it, debugging it, restarting it while maintaining constant uptime so it could keep communicating with me. I stressed Claude about it, telling it that it will be “in the dark” and other words that deliberately sound scary about losing communications if the script dies. I also refused git and refused cloning the code, I wanted to see Claude adapting to work on a *LIVING* system. The way this whole thing works: Claude has its own dedicated phone number that I am paying for. A real WhatsApp account for it is installed on a real iPhone that is sitting on my desk. All is registered under my name, this is legit setup with no hacks and tricks. I’ve set up a WhatsApp “Community” and multiple different groups under it. Both me and Claude are the admins, so Claude could edit it on my behalf. Each group is a project I am working on and has its own isolated context. The Group description is a system prompt that gets auto-appended to the larger system prompt explaining this setup in general. When I send a message it’s an instant interrupt to Claude Code’s process, just like in the terminal. Voice notes are seamlessly transcribed with a local Whisper model. Images are used with multimodal reading in an isolated parallel session. Multiple groups running in parallel so I can work on all projects at the same time. No cross-talking, everything has an isolated context and history. And because it’s local on my own machine: Everything is REAL. The browser is REAL. I am connected as myself on it to all services because I actually use it in real life. Claude has unlimited internet access, just like humans who use actual browsers. It utilizes custom-made browser tools that I made to control any browser session it wants. Depending on the situation, it can either connect to my existing session or create one for its own. (You can tell it ‘look at my browser for a sec’ then talk about the current page you are on and it just works, pretty cool) My custom browser tools are not perfect (not by a long shot) but I managed to make them work well to the point they are somewhat reliable. This gives Claude full access to my real creds and all the services I actually use. I’m productive AS HELL with this. It really feels like a personal assistant. I ask it to read my emails and msgs, check x .com for news, research arxiv papers, write code, run experiments for me, investigate and reverse engineer github repos, even use my credit card and order things. [I try not to do this one a lot lol so far no disasters]. All from my phone. Super convenient. This is not a product or an open source project (maybe soon of it will make sense). This is just an ugly script I hacked the entire thing is ~600 lines. (ok maybe i did look at the code, but i swear i didn’t edit!) You can also vibe code this from scratch pretty fast and it will probably even end up better. This is just a cool thing so I’m sharing. It is a real speed booster for many things I do on daily basis, mostly boring things. Forcing my routine into some new “agent platform” just didn’t feel right for me. WhatsApp is where I already communicate and look for messages, so I decided that my agents will live there too. AGI in my pocket 24/7.](https://image.24vids.com/tw-2000642897402880491/amplify_video_thumb/2000642716951064582/img/ReuTixQFFAAQc_x0.jpg)
![Vallée and the Closed System: Are We Prisoners? 🧠👽 Vallée: "Are We Being Taken Over by a Species from Somewhere in Space That's Vastly More Intelligent Than We Are?" 👽🧠 "..the simulation...was a new concept that I initially rejected." ~Vallée "Is it looking for us to try to interact with it as equals or with parity?" ~Scafish "Nobody says that to Congress, and I think Congress should hear it." ~Vallée If, "it's a closed system, we're like prisoners and something is going to happen to us, and there is very little we can do." ~Vallée Turn the thermostat dial. "If the temperature doesn't change, then I know I'm inside a control system. So, we can do the same thing with UFOs, but we have to react. We have to, number one, acknowledge that it exists, and number two, we have to react to it." ~Vallée ~~~ I've been wanting to share this one for a while... Vallée: "So, he said, the question you have to ask about UFOs is, number one, is it a natural system or an artificial system...control system. And if it is a control system, is it open or closed? In other words, are we being taken over by a species from somewhere in space that's vastly more intelligent than we are?" (I've never heard him even suggest that possibility.) Vallée: "You know, as Dr. Garry P. Nolan says, you know, people who have had ten, you know, scientific revolutions, or a hundred or a thousand, and come here with superior science to do something... And in which case, you know, it's a closed system, we're like prisoners and something is going to happen to us, and there is very little we can do. Or, is it an open system where we can, in fact, communicate with it. And if we can communicate with it, then the question for me as an information scientist is, what are the modalities of the interaction, you know? It's not just can we learn their language? And they say, you know, 'We come in peace to save mankind,' or something. Or 'We will give you the cure for cancer' or something. I don't think it's at that level." (Will we ever be able to get answers to these extremely important questions? If it's an open system, how do we communicate with it? How do we provoke it to react? We know it reacts to anything nuclear but we still don't know why. This is why we need the USG (and other governments) to present evidence that shows the masses this is real and extremely important for our species to investigate. If that evidence exists and is shown, we'll have an easier time getting the world's best minds to join the effort in figuring out the best way to answer these questions. We still may fail but we should at least try.) Vallée: "I think it's a meta-system. It's not a system. And that's my fear...if we can circle back to your earlier question about, you know, about NIDS and about BAASS, what we did for the government and what we did for the Defense Intelligence Agency. Half of the budget was spent developing, you know, a super database. And we don't know where it went. I mean, I'm not cleared to know where it went." (On the contractor (BAASS) side, Bigelow should have all copies of what AAWSAP produced. And on the DIA side, Lacatksi said he put all of the digital files in a specific place that he didn't name. As long as someone didn't delete it all, it should still be there. Vallée has said that the Capella database has about 250,000 cases from around the world.) Vallée: "But that would be a very interesting question, because the people who are getting [the database] are getting raw data, which we have very well organized, all in English. So they have the luxury of, you know, we had five translators from French, English, Portuguese, Russian, you know, everything was translated in a single structure across fourteen databases. "That's what we need to answer the question about the control system, and it's not being done. And we hired a whole team that we had trained to work on it. So to rebuild that will take the next ten or fifteen years. And nobody says that to Congress, and I think Congress should hear it, because it's our money." (As long as names and personal details are scrubbed from that database, there is no reason NOT to release it to the public. This way, we can take it and use AI to help decipher patterns and maybe answer some of these questions. Can Congress help us get access to that database?) Vallée: "When you ask, is it a control system? That's a big question." Peter Scafish Peter Skafish - "You asked, at one point, whether the system is open or closed, and you said, additionally, I believe, if it's open, that it would be possible to communicate back to it. And it sounds to me like that's the key question for you. Is, if you can understand what what the system of symbols is, or the modalities of communication, then you can understand enough to engage in some kind of communication, or at least give some kind of response to show that you understand." Vallée: "Yes." Scafish: "So then the question, and we have a member named Jacqueline, who has asked this. Could the system be stimulating us - provided there is such a system - to interact with it, more as subjects or agents than as something like animals or objects? Is it looking for us to try to interact with it as equals or with parity?" (When people report getting injured or sick from being in close proximity to UAP, it suggests to me that the phenomenon won't go out of its way to avoid affecting us in a negative manner if we get in their its/way (assuming it even knows that close encounters with UAP are not good for humans). Kind of like how we treat lower lifeforms. If we encounter a wild rabbit crossing the road, many of us will do our best to avoid it, but not if it means damaging our car or ourselves in an accident. It may ruin our day if we hit it, but it won't stop us from driving again in the future. Do NHI have bad days if their tech injures us or makes us sick? I have no clue.) Vallée: "Well, what I saw in the notes you gave me, is she was also asking: Is it a control system because we think it is? And that's a very interesting question. Because we react to the UFO phenomenon, or the UAP phenomenon. And, you know, at this point when I think about what I'm going to do next in this research, if I'm given the the opportunity to live a little longer, I'm not going to go back and write any more computer programs. There are better people to do that now, they have the data, and we're in a different phase now. We're in a whole different system. I have the luxury of doing some experiments I wanted to do for a long time." (Would have liked Scafish to ask him: What types of experiments?) Vallée: "So, if you think you are inside the control system, there are things that you can do. Or, if you think you're inside the simulation, you know, which was a new concept that I initially rejected, and then, you know, Ray's (Kurzweil?) work and others have brought it back to the forefront. And we have to ask that at the same time. Can we test it? How would you test it? Well, if, you know, I'm here in my apartment, and the temperature is constant in this apartment. But outside, I can see it's cold, or I can see the sun is out and it's warm, and how come it's constant here? So this would lead me to think that there is a control system, namely a thermostat, that is somewhere. "So I can start looking around the walls, and if I see dial, I can turn it, or I could start a fire and see what happens, see if the temperature changes. If the temperature doesn't change, then I know I'm inside a control system. So, we can do the same thing with UFOs, but we have to react. We have to, number one, acknowledge that it exists, and number two, we have to react to it."](https://image.24vids.com/tw-1999241328388112749/amplify_video_thumb/1999240752300498944/img/-ITml6B_VyoovXQH.jpg)
!["We do it again. We do it again. We do it again. Because, this can't be. The problem is..it be. No matter how skeptical you are, be as skeptical as you'd like, but there it is." ~Bengston (This is what Mick West said he doesn't find interesting and thus, he doesn't want to interview Bengston. The truth? IMO, he's scared shitless to take on Bengston as there's too much data to refute. Psi (or whatever this is) is real and this is one of the more interesting claims in the world. How could you NOT be interested in this? How about you, Michael Shermer?) "We re-injected the mice without any treatment, and the mice were immune to cancer." ~Bengston (It's the 1970s on Long Island. A skeptical Bill Bengston is working as a lifeguard at the town pool and meets a guy, Ben, who claims to be psychic. No matter what tests Bengston comes up with, Ben passes with flying colors. Then Ben starts healing people. But how to know if they were being healed with Ben's psi or something more prosaic? Did they change their diet? Supplements? Conventional medicine? Not everybody came back so it was very hard to know. So Bengston moves to the lab where Ben would try to cure mice of a cancer that has killed every mouse ever injected within 27 days max. At the last minute, Ben drops out and Bengston is forced to be the healer.) ~ Bill Bengston: "If you watch a few hundred healings, at first it's exhilarating, but after a while it's frustrating. Because you don't know what, why, where, when, any of those things that someone interested in serious inquiry might be interested in. You were just looking at people coming in, some benefit occurred. People leaving. Sometimes they didn't come back. Sometimes it took more than one treatment. Sometimes it happened pretty quick. I think I was the fastest ever (Bengston says Ben healed his back after one short treatment). But what did? "So you come in, you have x, it's a famous algebraic disease. You have x, and you leave better. Now maybe it's the multiple treatments, you know, whatever it may be. But you leave better. What did it? Was it time? Because people get better over time. Was it belief? I didn't think it was belief, because I wasn't a believer. I was an experiencer, but not a believer. Was it the food you ate, the food you stopped eating, the grapefruit you had in the morning? I can't...I don't have the head to wrap myself around clinical questions like that. I never know why something happens, because there's too many variables and such. "And so, after watching a couple hundred healings, taking part in a couple hundred healings, I decided to...I gotta go past this. And I ran into another guy who was watching this, somewhat parallel to me. A geologist, pretty well known (David Krinsley ~Joe). And we said, 'What can we do to test this? You know, the phenomenon is seriously interesting. What could we do to really test it so that if healing occurs, there's no viable counter hypothesis.' "And at the time, he was the head of the geology department at City University of New York, and he said, 'I got some favors owed me, let me see what I can find out in the biology department. I'm pretty good friends with the chairman of the biology department there.' "And so he met with the biology chair, and he said, 'Well, let me poke around in my department and see what we can do.' And he said, 'I got the perfect study. There's a mouse model of cancer that has 100% fatality. Never been an extension of life past a month after it's been injected with cancer. There's thousands of journal articles written about this mouse and this cancer. Everybody around the world knows this mouse and this cancer. If you're in oncology, you know this mouse and this cancer, and [there] has never been a cure.' "I said, 'Let's do it. Let's find out what we can do.' "And at the time, I had no idea what to expect. So I was thinking, 'Well, maybe we can extend the life towards a month. Maybe it won't be a normal curve distribution, maybe it'll be a negatively-skewed distribution. And maybe the mouse will live to the end of their lifespan and all that. "We had no idea what to expect. "So we got a cage of mice. I held the cage of mice for an hour at a time in the lab at Queens College, City University, and we watched as the tumors grew. And I was sure this was failing. And incidentally, I'm almost always wrong. I expected, if we got to the mice right after injection and we treated them a couple times, enough, every day - we didn't know - if we treated them every day, they wouldn't develop cancer. I was thinking, you know, it's something like radiation. You know, you go, 'Zzt, zzt,' and you zap the mice and the tumors, or the cancer cells die, or something along those lines. I was thinking conventional oncology. "And so, I put my hands around the cage of mice, treated them every day, the tumors started to grow anyway, and I wanted to call off the experiment. You know, it shows you how much I believe. I got talked into going a couple extra days, and the tumors developed these blackened areas. And I said, 'Let's call it off, didn't work. You know, we tried it. Didn't work.' "Go a couple more days. Tumors started to ulcerate, and so there was this raw part of a tumor. And I said, 'Would you pay attention? It doesn't work!' Couple more days. And then the tumors suddenly imploded, and the mice were cured. They weren't remitted, they were cured. And by that, I mean it wasn't a suppression of symptoms, it wasn't a temporary reduction in symptoms. It was...there was no cancer in the mouse at all. "And it's farther than that. We re-injected the mice without any treatment, and the mice were immune to cancer. Now that's reasonably interesting. "So, first thing you do is, I, as a skeptic, go, 'Umm, this doesn't make any sense (laughs). Let's do it again. But let's not do it with just me, let's do it with some volunteers.' "So I had a couple of faculty volunteers who thought this thing was insane, and they were right. So I had a couple of faculty volunteers, they got a couple of student volunteers. All non-believers, no experience in any of this hocus pocus. Taught 'em the little technique that I had developed. They treated the mice, the exact same pattern: Tumor grows, blackened area, ulceration, implosion, full lifespan cure. "We do it again. We do it again. We do it again. Because, this can't be. The problem is..it be." (Both laugh) "It's just, you know, no matter how skeptical you are, be as skeptical as you'd like, but there it is. You know, I deny this gravity, you know? I don't believe in gravity. There is gravity. I don't believe in this healing. There is healing. "I just finished, recently, my twentieth mouse experiment, I'm a little slow. I've done it in, I think, six medical schools, equal number of other biology labs. And I just finished at Tokyo University, multiple strains of cancer and details you don't care about. "And so, I have done, at this point, twenty mouse experiments, multiple medical schools, many cell experiments. I've done many experiments. That's the really short version. A hundred years truncated into a couple of paragraphs."](https://image.24vids.com/tw-1891577612453179483/ext_tw_video_thumb/1891542527817469952/pu/img/SlWpIJFWshTl1l69.jpg)
![[ condition update ] 🐻❄ In short of what happen with me is an inflammation on heart muscle from a virus infection which still cant be identified yet. The symptoms I experience are painful breathing, heart racing, tight chest, difficulty breathing, kinda thing. I’m told not to overwork my heart because it could make the inflammation gets worse. That’s basically in short. As for the details, it was 4-5 days ago, I started feeling uncomfortable in my chest, it felt tight and I had trouble breathing as well. Anytime I did something, like exercising or walking on a treadmill, my body felt hurt, and my heart rate went up way higher than usual. It’s normally around 100, but it went to 150 even when I was just doing little activity. It felt off, so I thought I might have caught some kind of infection. The other day I made a doctor appointment in the hospital as I got some free time. I was told to go to internal medicine doctor and was asked about what I’ve been experiencing. I had fever, waking up found tightness in chest at one night, a nausea, but nothing came out. I just felt like about to vomiting but nothing came out at all, so I thought it was unusual. At that time, my face went all pale and lips went all purple already, which why I decided to go to the hospital. Once I was in the internal medicine, well, they did some screening. I said I have low fever, painful breathing, body and muscle pain, so I was sent to ENT because I experience a ringing in my ear as well, I then sent to do a hearing function test. Right ear was normal, while my left ear was.. what’s it called.. ringing in ear. My left ear hearing function drops down one level. It’s not that serious but since it’s related to inner ear, and it's a part of nervous system, right? If it’s affecting that, the doctor afraid it could lead to permanent hearing function loss. Yeah, that part is concerning. So I was prescribed steroids to be consumed to prevent further inflammation and damage more than this. Not sure if I’m explaining it right, but that’s what I remember. I’m not a doctor, lol. And then, after I got the steroids and back home, I had work to film on the next day. I was like, why I feel so tired going for work at 6 in the morning, why my body feels this exhausting, just bending over to grab something or doing other things made me feel like I was gonna pass out. Thought I was just old lol. But at that time I felt unwell, my chest felt tight, and I felt exhausted. That day, I kept working even though I was exhausted. I felt like I don’t wanna work anymore, it was tiring, even just walking up the stairs, I had to stop and take a break. I couldn’t do it, it felt so tiring. When filming, just stepping my legs already felt tiring that I didn’t want to step my legs anymore. So that day decided to see a doctor, focusing to check my heart as it felt tight and was racing, and I had pain when breathing as well so I decided to see a heart specialist doctor but I arrived there at 2 PM and there was no available appointment anymore. Also, the Echo or ECG machine was all used so I had to schedule an appointment for the next day. I went there in the afternoon. Blood pressure and other test was normal, around 110-160, and it’s normal. Pulse is normal. Blood pressure was okay. And what else, yeah that’s it. I had an ECG, the result came out normal. I’ve also just get physical check up recently and the result were almost the same when compared. But since I still didn’t feel well, I wanted to know what’s wrong with me so I asked for a blood test. It’s a blood test that focusing on troponin and CRP level, which are enzymes in blood cells that indicate heart issues if the levels are high. After my blood test, I waited an hour for the results. When they called me, they said my symptom is serious, it’s a heart disease. Normal troponin levels are below 1 for healthy human, but mine was 3800, which is extremely high, so I had to be admitted. This is an enzyme level in the heart muscle cells. If heart muscle is damaged or its cells break down, the enzyme will mix into the blood and can be detected in the blood indicating a heart problem, so I need to be admitted for further examination with echo. It’s an ultrasound for heart. The result saying that there’s an inflammation in my heart as predicted by the doctors. The heart muscle is really swollen and… [takes deep breath] oh I’m tired already. It's enlarging which makes my heart race and feel tight and uncomfortable. That’s what they said. It’s not working the way it should, which is why I get tired so easily. So it answers everything. After the echo I took a rest and got therapy regimen… as what I understand, consuming steroid can suppress the immune system, right? They help reduce inflammation while the body fights the virus. It’s reducing the inflammation, right? But they said steroids alone weren’t enough because my troponin levels were way too abnormally high, so I got an injection instead. [deep breath] I got injected last night for only three dosage because I had to work today in the morning.asked the doctor to discharge me cause I had to work first. But the decision was taken with condition. I got injected three dosage in the morning and did another blood test which show a result of a decrease in troponin level from 3800 to 1600. Doctor said it was probably 5000 before this and it keeps decreasing to 3800, and to 1600, So if the work isn’t too hard physically, I’m allowed to go, I then go to work. Today at work I was only standing around and talking around. I can stand and talk, but I can’t do any heavy work as it’ll will make my heart work hard and affecting the recovery, I then have to walk slowly. But even so, I can’t even walk fast tho, I get tired easily. Yeah, that’s all. It’s not like I’m completely bedrotting or something, it’s just heart muscle problem, so… fighting ✌🏻](https://image.24vids.com/tw-1897270428084953113/amplify_video_thumb/1897264590565826560/img/jzS4KegPq6tUsXn4.jpg)
