Posts made by Dr GO

@administrator said in First gig today:

... Didn't catch anything, but it was such a relief to just leave the house for one hour.

Great, because I have head the Covid is biting down your way!

@GeorgeB said in The One:

Speaking of Getzen, I recently bought a new 490 at half price and though it is considered an intermediate horn I am really liking it as much, if not more than a couple of my professional horns.

Waiting for the picture!

@J-Jericho said in Happy 4th of July!:

Do away with Electoral College, and we'll have a true democracy, which is defined by two wolves and a sheep voting on what's for dinner.

That can only turn out Baaaaaaaaaaaaad for the sheep.

@chelpres said in Happy 4th of July!:

@Vulgano-Brother The sooner we (in Australia) become a Republic the better.

Nix an electoral college, OK?

Did you lead off with "Fever"?

Just commenting on my experiences and not yours trying to keep it into perspective.

That cardiac arrest you refer to is caused by abnormal rhythm. Many causes including cardiomyopathy, conduction reentry defects, drugs, electrolyte, metabolic abnormalities and yes even ischemic changes to name a few. I specialize in teasing out which of these causes is most likely.

@administrator said in Longest Layoff:

@Kehaulani said in Longest Layoff:

@GeorgeB said in Longest Layoff:
NO ! But, I bet you could tell some really interesting stories to youngsters of what and what not to do before considering the taking of vows.

Yeah. Don't get married.

Sorry, but I couldn't disagree more.

Me too! I have a real soul mate in my wife. Been together for 20 years now!

@barliman2001 said in Well, old age has finally caught up with me:

Well, I am no physician. My GP then took me off the acid blockers and hey presto, all the side effects vanished.

We don't use acid blockers for heart disease here in the US. Not sure what you mean by acid blockers, unless they were co-treating you for gastric etiology of chest symptoms. GeorgeB is concerned about Afib which has a different approach in terms of classes of drugs we use to treat this abnormality.

@Vulgano-Brother said in Well, old age has finally caught up with me:

@Dr-GO "...but now, your heart is learning syncopated rhythms!"

"I've got rhythm, (stomp stomp), I've got rhythm, (stomp stomp), I've got rhythm, (stomp stomp), who could ask for anything more?"

How about:
"I've got rhythm, (shock shock), I've got rhythm, (stomp stomp), I've got rhythm, (shock shock), who could ask for anything more (how about another 100 Joules)?

By the way GeorgeB, old age hasn't caught you. I have patients in their 40's with new onset afib. It is more common than you may think. So don't look at it as getting older, but now, your heart is learning syncopated rhythms!

By the way GeorgeB, if you would like your physician to convert you, do this fast as you have several weeks to convert before conversion increases you risks of developing a stroke related blood clot. If I care for a patient that I know has been in afib for several weeks, I will first start them on blood thinners before trying to convert them.

As a primary care physician, for a new diagnosis of afib I would also use a trial of sotalol over metoprolol, the latter which only is used for rate control. Sotalol is truly underutilized and has a high success rate in converting the heart back into sinus rhythm. It has anti-arrhythmic and beta-blocker activity (extra effects over metoprolol) AND if successful, avoids the need to be on blood thinners.

I have been on blood thinners in the past, and they are not pleasant medications to have to use if they can be avoided.

@tmd said in Well, old age has finally caught up with me:

@GeorgeB said in Well, old age has finally caught up with me:

Our doctor members will know the drug: METOPROLO. It slows down the heart rate. Well it also slowed me down, period.

There's one more "L" in the name ... metoprolol. Yes, fatigue is one possible side-effect. It may be temporary. Hopefully it is.

Mike

So fatigued that that finger goes out before the last "l" could to typed in...

@GeorgeB said in Longest Layoff:

@Dr-GO
Thanks.
It's been 8 years, Doc, but you know, I never really got over it and probably never will. She was something else.

I truly understand. My wife is a cancer survivor. I remember those emotional days of surgery, radiation, chemo. I was there EVERY day to be by her side. She had an aggressive form of HER2+ breast cancer... AND A GREAT ONCOLOGIST. She is now 8 years out from therapy and remains cancer free.

Pip Pip and cheerio Mr R. Happy 4th for the rest of us in the colonies!

Sorry but the reference to your mute in question must have been muted.

GeorgeB I am so sorry for your loss.

@Kehaulani said in Longest Layoff:

Ah, 3 marriages and 3 significant others. That adds up to about 57 years. Does that count?

Only for the lawyers settling the cases!