COVID-19 preys on our innate human desire to be with one another. And it can have devastating consequences for small lapses in judgment due to that desire. A tale of two patients of mine illustrates this heartbreaking reality.

A thread.

1/x

[Posted with their permission] The couple, she in her late 40s and he in his mid 50s, see me for minor cardiology things, nothing serious. They have a couple friend they had seen nearly weekly prior to the pandemic. They had dinner, played dominoes. The husbands had been friends since they were 10.

2/x

I had a balloon-uncrossable lesion the other day and wanted to share a potential new tip that I hadn't heard described before (though it's not rocket science). It was a mid-LAD CTO. I was #RadialFirst, 7F EBU 3.75 guide, 6F guidelines as far as it would go.1/x I could get a 1.2 x 20 mm balloon to cross the lesion and inflated it to 20 atm, but nothing larger would get across, and all the gear kept backing out. I had excellent wire purchase. I suspected there was one spot that was providing the resistance, possibly a spicule of Ca. 2/x