The 4-1-1 on Vince Sorrell

Over the ensuing Editorials, I have a goal to provide you with monthly updates regarding CASE. Along this journey, I would love to offer a smattering of wisdom and insight picked up from hundreds of colleagues, students, and mentors over the past three decades. You will undoubtedly learn a little bit more than you necessarily need to know about me, but in doing so, will become convinced of my tireless search for knowledge surrounding all things ACI (advanced cardiac imaging). I did not invent this term, but I have offered an ACI training fellowship for over 20 years. I also did not create the term MMI (multimodality imaging), but proposed and moderated one of the earliest MMI for CAD Symposia at ACC way back in 2003. In fact, when I decided I wanted to become an ACI Specialist who was skilled in MMI, that simply meant that I was going to be trained in both – yep, both – echocardiography AND nuclear cardiology. Imagine that? Skilled in multiple modalities and not simply one (note: post-fellowship I pursued additional training in cardiovascular MRI and CCT).I enjoy reading and frequently have many books in partial consumption. I recall enjoying reading volumes Z, T, and B when I was little (aka The World Book Encyclopedia). Jumping from small tidbits of knowledge was something I simply could not get enough of (maybe that is why I enjoy Twitter so much). Where else could I travel to Toronto, understand the propulsion of a Torpedo, expand my knowledge of physics via a measure of pound-feet (Torque), and finally fuel my passion for baseball by reading that Joe Torre won the NL MVP for my nemesis St. Louis Cardinals (you will come to learn that I am a die-hard Cincinnati Reds fan) in 1971. All that without even turning the page? Of course, when my children were little, I just had to buy the entire Encyclopedia Britannica (you should know that my wife is British and I spent time training in England) – and this purchase came AFTER the availability of the WWW (World Wide Web). In retrospect, that door-to-door salesmen may have made his final sale with us.For my entire youth, I believed that fiction was a waste of time and therefore, my reading consisted entirely of non-fiction (although, the concept of fact and fiction has recently become greatly debated based upon the perspective of the author). In my opinion, convincing yourself you don't like something you have barely tried is running the risk of never enjoying your favorite (insert here: book, food, person, or…). This parallels our professional field and reminds us to remain open to technologic developments – but not at the cost of forfeiting our healthy skepticism. Again, CASE and JASE come to your rescue here as these are tools for dissemination of knowledge paired with critical review by your peers.I am fortunate to have two beautiful children that were early readers/beginning to read in 1997 as Harry Potter and the Philosopher's Stone (aka the Sorcerer's Stone for some of you) got me to read fiction along-side. I am certain that many of you were, as me, immediately hooked. Together we read all seven volumes and when one of us would get too far ahead of the other, we tried to avoid seeing/offering any facial clues (tears of anguish, mouths of joy, eyes of surprise) that might cause the story to unfold before we were ready (this rarely happened as we devoured each book as they arrived; this required us to have multiple copies). Since the passing of Voldemort, I have toured the entire brain-works of HG Wells, Hitchhiked across the Galaxy with Arthur in the mind of Douglas Adams (∗Q: Why was Circle Cardiovascular Imaging reporting software initially called CMR42?), and walked the globe alongside the witty Bill Bryson. Biographies of Einstein and Da Vinci provide a humbling perspective that limits any runaway desire to feel innovative. I am currently reading about Samuel Pickwick (The Pickwick Papers, Charles Dickens) who could be described as an eerily similar seeker of knowledge with a reportedly gigantic brain, but quickly exposed as incredibly gullible who believes any story he is told (and there are many). Parallels once again to an academic cardiologist are ripe.My life mottos are “Work Hard/Play Hard” aka “Live a Great Story.” I will attempt to mix in some humor where possible, but please excuse the dad-jokes (they come with the territory). Insert ‘laugh-at-own-joke’ here. As an ACI expert, I believe in #EchoFirst as an imaging roadmap which facilitates additional MMI while adhering to the ultimate goal of “One Best Test for One Best Patient” (which requires “One Best Question”). My twitter tag #JADEL (Just Another Day in the Echo Lab) is meant to remind us that no two days are alike and every day provides us with something to learn and something to teach.So here we go: you have now been provided TMI (Too Much Info) about me. I will continue to scatter suggested literary works outside of medicine to assist you to “play hard” while I “work hard” to create a valuable resource geared to your Continuing Education. This issue of CASE is jam-packed with phenomenal material for the adult, pediatric, and veterinary cardiac imaging specialist. I hope you enjoy perusing presentations of coronary atresia, infantile cyanosis, and aorto-pulmonary fistula; seeing images of LV diverticula, pacer-induced TV stenosis, and cardiac amyloidosis without apical sparing on GLS; and watching incredible videos of a myxoma-induced LVOTO in a dog, leadless-pacemaker induced TR, and traumatic injury to both AV valves.Remember, every ECHO you see today has a Teaching Point and every Teaching Point is a potential new CASE publication.∗(Spoiler alert … STOP HERE if you are planning to but have not yet read The Hitchhiker's Guide to the Galaxy). “42” was the answer provided eons later by the supercomputer Deep Thought to the “Ultimate Question of Life, the Universe, and Everything.” Sadly, I confess that CMR42 will not provide the answer to everything. Over the ensuing Editorials, I have a goal to provide you with monthly updates regarding CASE. Along this journey, I would love to offer a smattering of wisdom and insight picked up from hundreds of colleagues, students, and mentors over the past three decades. You will undoubtedly learn a little bit more than you necessarily need to know about me, but in doing so, will become convinced of my tireless search for knowledge surrounding all things ACI (advanced cardiac imaging). I did not invent this term, but I have offered an ACI training fellowship for over 20 years. I also did not create the term MMI (multimodality imaging), but proposed and moderated one of the earliest MMI for CAD Symposia at ACC way back in 2003. In fact, when I decided I wanted to become an ACI Specialist who was skilled in MMI, that simply meant that I was going to be trained in both – yep, both – echocardiography AND nuclear cardiology. Imagine that? Skilled in multiple modalities and not simply one (note: post-fellowship I pursued additional training in cardiovascular MRI and CCT). I enjoy reading and frequently have many books in partial consumption. I recall enjoying reading volumes Z, T, and B when I was little (aka The World Book Encyclopedia). Jumping from small tidbits of knowledge was something I simply could not get enough of (maybe that is why I enjoy Twitter so much). Where else could I travel to Toronto, understand the propulsion of a Torpedo, expand my knowledge of physics via a measure of pound-feet (Torque), and finally fuel my passion for baseball by reading that Joe Torre won the NL MVP for my nemesis St. Louis Cardinals (you will come to learn that I am a die-hard Cincinnati Reds fan) in 1971. All that without even turning the page? Of course, when my children were little, I just had to buy the entire Encyclopedia Britannica (you should know that my wife is British and I spent time training in England) – and this purchase came AFTER the availability of the WWW (World Wide Web). In retrospect, that door-to-door salesmen may have made his final sale with us. For my entire youth, I believed that fiction was a waste of time and therefore, my reading consisted entirely of non-fiction (although, the concept of fact and fiction has recently become greatly debated based upon the perspective of the author). In my opinion, convincing yourself you don't like something you have barely tried is running the risk of never enjoying your favorite (insert here: book, food, person, or…). This parallels our professional field and reminds us to remain open to technologic developments – but not at the cost of forfeiting our healthy skepticism. Again, CASE and JASE come to your rescue here as these are tools for dissemination of knowledge paired with critical review by your peers. I am fortunate to have two beautiful children that were early readers/beginning to read in 1997 as Harry Potter and the Philosopher's Stone (aka the Sorcerer's Stone for some of you) got me to read fiction along-side. I am certain that many of you were, as me, immediately hooked. Together we read all seven volumes and when one of us would get too far ahead of the other, we tried to avoid seeing/offering any facial clues (tears of anguish, mouths of joy, eyes of surprise) that might cause the story to unfold before we were ready (this rarely happened as we devoured each book as they arrived; this required us to have multiple copies). Since the passing of Voldemort, I have toured the entire brain-works of HG Wells, Hitchhiked across the Galaxy with Arthur in the mind of Douglas Adams (∗Q: Why was Circle Cardiovascular Imaging reporting software initially called CMR42?), and walked the globe alongside the witty Bill Bryson. Biographies of Einstein and Da Vinci provide a humbling perspective that limits any runaway desire to feel innovative. I am currently reading about Samuel Pickwick (The Pickwick Papers, Charles Dickens) who could be described as an eerily similar seeker of knowledge with a reportedly gigantic brain, but quickly exposed as incredibly gullible who believes any story he is told (and there are many). Parallels once again to an academic cardiologist are ripe. My life mottos are “Work Hard/Play Hard” aka “Live a Great Story.” I will attempt to mix in some humor where possible, but please excuse the dad-jokes (they come with the territory). Insert ‘laugh-at-own-joke’ here. As an ACI expert, I believe in #EchoFirst as an imaging roadmap which facilitates additional MMI while adhering to the ultimate goal of “One Best Test for One Best Patient” (which requires “One Best Question”). My twitter tag #JADEL (Just Another Day in the Echo Lab) is meant to remind us that no two days are alike and every day provides us with something to learn and something to teach. So here we go: you have now been provided TMI (Too Much Info) about me. I will continue to scatter suggested literary works outside of medicine to assist you to “play hard” while I “work hard” to create a valuable resource geared to your Continuing Education. This issue of CASE is jam-packed with phenomenal material for the adult, pediatric, and veterinary cardiac imaging specialist. I hope you enjoy perusing presentations of coronary atresia, infantile cyanosis, and aorto-pulmonary fistula; seeing images of LV diverticula, pacer-induced TV stenosis, and cardiac amyloidosis without apical sparing on GLS; and watching incredible videos of a myxoma-induced LVOTO in a dog, leadless-pacemaker induced TR, and traumatic injury to both AV valves. Remember, every ECHO you see today has a Teaching Point and every Teaching Point is a potential new CASE publication. ∗(Spoiler alert … STOP HERE if you are planning to but have not yet read The Hitchhiker's Guide to the Galaxy). “42” was the answer provided eons later by the supercomputer Deep Thought to the “Ultimate Question of Life, the Universe, and Everything.” Sadly, I confess that CMR42 will not provide the answer to everything.

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