At 7 AM we were back at it for more cases, followed by advanced topics in contrast echocardiography. After the break, we delved into some more specific applications of echocardiography: dyssynchrony, heart failure, AF, effects of radiation and chemotherapy, aortic disease, pregnancy, and a host of systemic diseases.
For lunch, we got take out ahi poke and fish tacos from a real Big Island original, Da Fish House and the appropriately named Lunch Wagon, a converted microbus with a few card tables scattered around, giving new meaning to the phrase “casual dining”! But don’t mind the appearance, this is the freshest fish imaginable, straight in from the boats of Kawaihae Harbor, and you’re certainly not paying for the ambiance!
Thursday afternoon was a very special event for Echo Hawaii, the Pacific Rim Symposium, drawing speakers from Japan, Korea, and Singapore to discuss the assessment of valvular heart disease by 3D echo. We got a good crowd, and the speakers were well organized, each covering a different aspect of the topic. Many thanks to the leadership of the JSE (Kiyoshi Yoshida) and the KSE (Jun Kwan) for helping to put this together.
Sunsets on the Big Island are stunning, in part due to the “vog” (thin volcanic fog) that gives a particular redness to the sun as it dips into the Pacific. We unwound from the day with a few of the faculty and were not disappointed with the sunset. Although we usually go out for dinner when we are at Echo Hawaii, the Hapuna Prince Hotel has some great restaurants including a sushi bar and the Coast Grill, which has a stunning setting overlooking the beach, where we opted for a late meal on Thursday.