“Look at it, just look at it!” cardiologist Dr. Wayne Bryan insisted, completely exasperated by the specialized device sitting currently at 70 degrees above supine. Hundreds of cardiologists, hospitalists, and neurologists packed into the electrophysiology lab nod their heads in agreement. “We can’t subject patients to such a wacky device like this, it’s unethical.”
One hospitalist, Dr. Michael Thomas, had to look away, covering his eyes and trying to not to vomit. “That’s f**ked up,” he was overheard saying to his colleagues.
There are several indications for ordering a tilt table test, which include but are not limited to patients with suspected vasovagal syncope, patients with recurrent syncope of unclear etiology, or patients with a single episode of syncope of unclear etiology in high-risk settings.
According to sources, Bryan has already called for support and, if everything goes exactly as planned, like most other technological issues in the health care setting, the tilt table should be fixed in approximately never.