iiinova — where your digital self keeps evolving

Wayne Whitwam @toasterpastry.bsky.social · 14/07/2025

A rare American electrical outlet from a 1920s house. The lower plug was used to connect the radio to the antenna in the attic.

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Wayne Whitwam @toasterpastry.bsky.social · 24/05/2025

Years ago when I was a medical student, I followed a nephrologist, and we came upon a patient in a hospital bed with low blood pressure. He diagnosed pulses paradoxus and subsequent tamponade based on the clinical exam. I thought that was so cool, like a magic trick.

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Wayne Whitwam @toasterpastry.bsky.social · 02/03/2025

Of course AMBS rejected it. The proposal made too much good sense.

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Wayne Whitwam @toasterpastry.bsky.social · 23/02/2025

As dumb as it sounds, this book changed my life.

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Wayne Whitwam @toasterpastry.bsky.social · 23/02/2025

ECG in patient presenting with chest pain. ST-segment elevation in inferior leads (II, III, aVF). But no reciprocal change in the anterior leads. Would you take this patient to the cath lab? They did emergently: no obstructive disease.

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Wayne Whitwam @toasterpastry.bsky.social · 23/02/2025

ECG demonstrating ST-segment elevation in mulitple leads. Normal coronary arteries. Patient initially diagnosed with Influenza A.

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Wayne Whitwam @toasterpastry.bsky.social · 07/02/2025

I just met a 101 year old woman who was born the same year as my father. It was like meeting somebody who is in a very exclusive club that is rapidly losing their membership.

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Wayne Whitwam @toasterpastry.bsky.social · 05/02/2025

A surreal moment. I’m in the ICU examining a very sick man, and there’s a woman in the corner of the room playing guitar and singing, “My way,” and I start harmonizing with her.

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Wayne Whitwam @toasterpastry.bsky.social · 04/02/2025

I swear if I hear one more person comparing themselves to the "Energizer Bunny" I'm gonna lose it.

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Wayne Whitwam @toasterpastry.bsky.social · 03/02/2025

Back in my day, if you could breathe air with your mouth closed, they accepted you into medical school. Now, despite doctor shortages, you practically need a Nobel Prize.

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Wayne Whitwam @toasterpastry.bsky.social · 11/01/2025

There’s this guy I’ve met. He’s 93 and has a baritone voice that could melt concrete, think Sam Elliott. I told him he could be a great voice actor, and he said that would give him something to do since now he’s alone and widowed.

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Wayne Whitwam @toasterpastry.bsky.social · 10/01/2025

In my unpublished study, 100% of the subjects who have newly discovered sleep apnea, say they don’t have sleep apnea.

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Wayne Whitwam @toasterpastry.bsky.social · 07/01/2025

Weird things I frame: I came across this old map of Philadelphia from the 1930s. It’s hanging up in the office.

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Wayne Whitwam @toasterpastry.bsky.social · 05/01/2025

After I took the picture, I walked up to the guy and AirDropped him the picture.

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Wayne Whitwam @toasterpastry.bsky.social · 02/01/2025

I appreciate the simplicity and complexity of an ECG. It tells you everything with no words, like why this person eventually got a defibrillator.

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Wayne Whitwam @toasterpastry.bsky.social · 30/12/2024

Twice I have received a whole bag of guava fruit from a patient, and twice in two different offices I have had some office personnel exclaim that it smells like the feces of babies (but not in those words).

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Wayne Whitwam @toasterpastry.bsky.social · 30/12/2024

I heard Howard Hanson’s Symphony No. 2, which is probably one of the most beautiful symphonies ever written. To think, I played it in an orchestra when the composer was still alive(!)

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Wayne Whitwam @toasterpastry.bsky.social · 15/12/2024

Currently attending a theatrical performance, entitled “Valvoline Oil Change.”

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Wayne Whitwam @toasterpastry.bsky.social · 13/12/2024

I used to work as a DJ at a radio station, and came across Neil Diamond’s, “Girl, You’ll Be A Woman Soon,” which is probably one of the creepiest pop songs ever recorded. It was then I realized Neil Diamond was a genius.

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Wayne Whitwam @toasterpastry.bsky.social · 12/12/2024

The clock is on the wall! It gives me so much joy to rebuild this old IBM school school clock.

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Wayne Whitwam @toasterpastry.bsky.social · 12/12/2024

Happy Birthday Dad. You would be 101 today. You had great phrases like “didy dump,” and “charged water,” and I laugh to myself every time I have a chance to say them.

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Wayne Whitwam @toasterpastry.bsky.social · 09/12/2024

I’m not a big fan of dogs in the hospital. But I have a real soft spot for this guy.

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Wayne Whitwam @toasterpastry.bsky.social · 06/12/2024

I have known a few elderly patients over many years, from the moment that they come to me as individual people, to that time where they are accompanied by one of their children. I realize a little piece of them is gone and now the children are speaking for them. I saw it in my own father too.

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Wayne Whitwam @toasterpastry.bsky.social · 03/12/2024

I like to think of myself as more of a Hawkeye Pierce, but I’m really more of a Frank Burns.

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Wayne Whitwam @toasterpastry.bsky.social · 02/12/2024

I believe in music performed live, but the sound on Thee Sacred Souls in San Diego last night was so bad, that I’m back to recordings. The bass was heavy, vocals and brass were almost imperceptible.

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Wayne Whitwam @toasterpastry.bsky.social · 02/12/2024

The most dyskinetic heart I have ever seen. I usually use my hands to help people understand the benefit of cardiac resynchronization. But this video works better.

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Wayne Whitwam @toasterpastry.bsky.social · 28/11/2024

I worked at a hospital that had the “Doctor of the Quarter,” which I aspired to be; until I realized it was a silly award, and I did not want to be recognized by a hospital that I didn’t respect.

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Wayne Whitwam @toasterpastry.bsky.social · 27/11/2024

Left bundle branch pacemaker lead seen flopping around in the right ventricle. The lead has been functioning well for the past year.

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Wayne Whitwam @toasterpastry.bsky.social · 22/11/2024

They say James Madison, the fifth President of the United States, had lousy handwriting. I never believed them, because he was a Founding Father, and the Founding Fathers were perfect.

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Wayne Whitwam @toasterpastry.bsky.social · 21/11/2024

I’m leaving Honolulu. For the first time in a long, long time I actually had a real vacation [I needed to get away from the office just so I could catch up on work]. #medsky

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Wayne Whitwam @toasterpastry.bsky.social · 21/11/2024

On this day, today, I am older, wiser, and more mature than my wife. But in a few short hours she will catch up. Yes, we were born 9 hours apart.

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Wayne Whitwam @toasterpastry.bsky.social · 20/11/2024

Sonja, 1928 portrait of a customer at Berlin’s Romanische Cafe, by Christian Schad. She a secretary at the Olex oil company, wearing a little black dress, designed by Coco Chanel just 3 years before. She is smoking Camels.

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Wayne Whitwam @toasterpastry.bsky.social · 20/11/2024

Secretary at West German Radio, Cologne. 1931 photograph by August Sander.

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Wayne Whitwam @toasterpastry.bsky.social · 19/11/2024

Nothing but fame: the world’s applause is not everything. From “Pictures of People,” by Charles D. Gibson (1894).

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Wayne Whitwam @toasterpastry.bsky.social · 19/11/2024

The morning after Election Day. From the book “Pictures of People, by Charles D Gibson (1894).

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Reposted by Wayne Whitwam

Sarah Hudson @sarahhudsonuk.bsky.social · 18/11/2024

Its back! Ten current papers for the curious cardiologist, including BP targets in T2DM, spiro post MI, left atrial appendage occlusion, coronary sinus reducer for angina, device detected AF & tirzepatide in HFpEF #CardioSky 1/11

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Wayne Whitwam @toasterpastry.bsky.social · 19/11/2024

The Frankfurt Kitchen as designed by architect Grete Schütte-Lihotzky in the 1920s, as a laboratory for food preparation in small apartments. It predates modern kitchens which have incorporated a lot of the design elements. The year 2026 will be the 100th anniversary.

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Wayne Whitwam @toasterpastry.bsky.social · 18/11/2024

As a cardiologist, I can't remember the last time I had a Quarter Pounder. I also haven't been chosen to Make America Healthy Again.

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Wayne Whitwam @toasterpastry.bsky.social · 18/11/2024

Poster designed by Willi Baumeister for the 1927 Werkbund exhibition in Stuttgart, showing an opulent historical sitting room, crossed out in red. "Away with it!" the respresentatives of the New Design demanded.

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Wayne Whitwam @toasterpastry.bsky.social · 18/11/2024

I just found Sailor Jerry's Tattoo Parlor in Honolulu, and this may be an actual Sailor Jerry tattoo from an old man about 10 years ago. He got it in Honolulu at the time of the War.

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Wayne Whitwam @toasterpastry.bsky.social · 18/11/2024

1935 Waterman advertisement from France (Jif) showing a very coveting ink bottle. There's a glass bead that holds the ink in the reservoir to allow you to fill the pen.

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Wayne Whitwam @toasterpastry.bsky.social · 17/11/2024

Old Waterman (globe) ink bottle. I have two of these 1920s bottles in my collection.

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Wayne Whitwam @toasterpastry.bsky.social · 17/11/2024

1926 advertisement for Waterman fountain pens. If I handed a child a fountain pen, I can assure you that would NOT be the look on his face.

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Wayne Whitwam @toasterpastry.bsky.social · 17/11/2024

Of course Tirzepatide (Mounjaro) is going to show clinical benefit with obesity and HFpEF. It will still be $600 per month with insurance. www.acc.org/Latest-in-Ca...

acc.org

SUMMIT: Tirzepatide Improves Outcomes and Quality of Life For Patients With HFpEF and Obesity - American College of Cardiology

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