Medical Forum / General / Cardiology / April 2009
What is cardiac work?
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douglas - 18 Apr 2009 11:17 GMT What is cardiac work, and how is it clinically useful? I know it's SV* (MAP-PCWP)*HR*.0136, and it's in gm-M/min, and it integrates volume, pressure, and time. Why would you need to calculate it? Is it, plus SvO2, one of the most important CV values?
I need TP for my chunghole - 18 Apr 2009 17:32 GMT > What is cardiac work That's what chung used to do before getting fired and devolving into a raving lunatic on Usenet.
dolf - 29 Apr 2009 06:37 GMT (ru) dolf: "Well yes, we could say that there is a little of this Nicole's grasping photos of her new born and a contrast to Sydney born and bred Hugh Jackman's wolverine super-hero character {Male Idea: #461 as #1 #10 #400 #50: Very extended, lasting; constant; continuity, constancy, strength; firm, durable; mighty ones, nobles; rocks} and his early days as a grease monkey at Wahroonga Shell, that a comparison could be drawn with Meryl Streep's character and pious portrayal in a 'dingos got my baby.'
Then there is the aspect that her own name (Streep) is testimony to Nicole and Keith's wedding of 25 June 2006 having a temporal (steeping) connection with the Category of Understanding #321 {Female Idea: #321 as #1 #10 #300 #10 n. Manly #1 #20 #300 Coil up; roll up #1 #300 #20 To bind, to knit together #1 #300 #20 String, (of pearls); testicle, sexual use of testicle}.
I've heard stranger things in the press: On 2009.4.7 it was reported by Peter Michael of the Courier Mail, that "A castaway cattle dog has been reunited with her owners after surviving four months on a tropical north Queensland island eating goats and koalas.
In a miraculous tale of survival, owner Jan Griffith said the family pet and 'indoor' dog was making world headlines after her emotional homecoming.
"People are just like 'wow'," Ms Griffith, of Mackay, said yesterday.
"We wish she could talk, we really do." [ref: Courier Mail 7 April 2009]"
(ru) dolf: "I agree with Hugh Jackman, you can't really accuse him of savage indifference to Internet based religious and sexual vilification by Australians of Dolf Boek in the public affection he shows to his children, but how dare the media, at the time of his Australian movie release of 2009.4.29, reduce his sexuality to a mundane biographical detail--as evocative question on his physical enjoyment of males over females and whether as he claims, such a choice by him isn't at all dissimilar to a question of appetite over blonds or brunettes or reading an auto-biography over fiction as your preference in books."
- dolf - http://www.grapple.id.au/Chronicles/automata.html
>> What is cardiac work > > That's what chung used to do before getting fired and devolving into a > raving lunatic on Usenet. Bob Larter - 29 Apr 2009 16:03 GMT > (ru) dolf: "Well yes, we could say that there is a little of this > Nicole's grasping photos of her new born and a contrast to Sydney born [quoted text clipped - 36 lines] > - dolf > - http://www.grapple.id.au/Chronicles/automata.html Holy sh.t! Here's another old kook coming out of the woodwork. Man, this is like old times again. ;^)
 Signature W . | ,. w , "Some people are alive only because \|/ \|/ it is illegal to kill them." Perna condita delenda est ---^----^---------------------------------------------------------------
The Honest One - 29 Apr 2009 18:54 GMT > > - dolf > > - http://www.grapple.id.au/Chronicles/automata.html > > Holy sh.t! Here's another old kook coming out of the woodwork. Man, this > is like old times again. ;^) That means that you have more virtual dicks to suck, Corset-Boi !!
Hee....Heeeeeeeeeeeeeeeeeeeee! -- HJ
alt.usenet.kooks,alt.alien.vampire.flonk.flonk.flonk,alt.2600,rec.arts.p oems,misc.legal,alt.fan.karl-malden.nose
Let's help Lionel save AUK by posting mindless Krap like he is doing right now..........post.......post........post !!
Andrew B. Chung, MD/PhD - 18 Apr 2009 18:38 GMT Convicted neighbor Douglas (Protoman) wrote:
>What is cardiac work, and how is it clinically useful? I know it's SV* >(MAP-PCWP)*HR*.0136, and it's in gm-M/min, and it integrates volume, >pressure, and time. You just answered your own question.
> Why would you need to calculate it? A healthier heart is able to perform more work.
> Is it, plus SvO2, one of the most important CV values? No.
What is more important is the absence of VAT:
http://HeartMDPhD.com/BeSmart
Be hungrier, which is truly much healthier:
http://TheWellnessFoundation.com/BeHealthier
Love in the truth,
Andrew <>< -- Andrew B. Chung, MD/PhD Board-certified Cardiologist http://EmoryCardiology.com
I need TP for my chunghole - 19 Apr 2009 05:37 GMT On Apr 18, 1:38 pm, "Andrew B. Chung" <ach...@emory.edu> wrote:
> Convicted neighbor Douglas (Protoman) wrote: > [quoted text clipped - 11 lines] > > No. Marvel at the power of a wasted med school education, followed by a decade of pathetic Usenet insanity.
Pvt. Chung drops and gives us 20 for his imaginary leader: http://www.youtube.com/watch?v=p8B_70Jp-kc
Andrew B. Chung, MD/PhD - 19 Apr 2009 06:44 GMT http://groups.google.com/group/sci.med.cardiology/msg/cd948ac59bc892fe?
<><
"The lot is cast into the lap, but its every decision is from the LORD." (Proverbs 16:33)
Amen.
A Spirit-guided exegesis of Proverbs 16:33 ...
http://groups.google.com/group/sci.med.cardiology/msg/085dcffcafb7e4e2?
Nothing happens by chance because everything happens only as GOD allows it (Ecclesiastes 9:11):
http://groups.google.com/group/sci.med.cardiology/msg/21527d1832960109?
Sign that GOD can easily unleash an H5N1 Pandemic (Pan-Flu) at any time:
http://groups.google.com/group/sci.med.cardiology/msg/a4581567229974c0?
What we are teaching to prepare folks for the eventuality of a catastrophic Pan-Flu:
http://www.youtube.com/watch?v=jfmkax1wbRU
How to not be fearful:
Trust the truth, Who is Jesus !!!
http://T3WiJ.com
May dear neighbors, friends, and brethren have a blessedly wonderful 2009th year since the birth of our LORD Jesus Christ as our Messiah, the Son of Man ...
... by being hungrier:
http://groups.google.com/group/sci.med.cardiology/msg/f891e617d10bd689?
Hunger is wonderful ! ! !
It's how we know the answer to the question "What does Jesus want?" (WDJW):
http://WDJW.net
Yes, hunger is our knowledge of good versus evil that Adam and Eve paid for with their and our immortal lives:
http://groups.google.com/group/sci.med.cardiology/msg/52a3db8576495806?
Hunger is the physical "hearts burning within us" feeling that unlocks the 4 mysteries of the "Road to Emmaus" adventure described in Luke 24:
http://groups.google.com/group/sci.med.cardiology/msg/386f56c2f6d0b154?
Moreover, being hungrier is the key to being Jesus' disciples:
http://groups.google.com/group/sci.med.cardiology/msg/bd20d7c4fe878897?
Being physically hungrier is how we will physically recognize Jesus when He physically returns for us to meet Him physically in the air:
http://groups.google.com/group/sci.med.cardiology/msg/ffa6609710ea9587?
"Blessed are you who hunger NOW...
... for you will be satisfied." -- LORD Jesus Christ (Luke 6:21)
Amen.
Here is a Spirit-guided exegesis of Luke 6:21 given in hopes of promoting much greater understanding:
http://groups.google.com/group/sci.med.cardiology/msg/cc2aa8f8a4d41360?
Jesus is LORD, forever !!!
http://JiL4ever.net
Be hungrier, which is truly healthier for mind, body, and soul:
http://groups.google.com/group/sci.med.cardiology/msg/991d4e30704307e7?
Marana tha
Prayerfully in the awesome name of our Messiah, LORD Jesus Christ,
Andrew <>< -- "... no one can say 'Jesus is LORD' except by the Holy Spirit." (1 Cor 12:3)
http://groups.google.com/group/sci.med.cardiology/msg/035c93540862751c?
What does Jesus want (WDJW) ?
http://groups.google.com/group/sci.med.cardiology/msg/11194899724b810d?
douglas - 19 Apr 2009 17:28 GMT On Apr 18, 9:37 pm, I need TP for my chunghole <bellyfl...@yahoo.com> wrote:
> On Apr 18, 1:38 pm, "Andrew B. Chung" <ach...@emory.edu> wrote: > [quoted text clipped - 18 lines] > > Pvt. Chung drops and gives us 20 for his imaginary leader:http://www.youtube.com/watch?v=p8B_70Jp-kc I suspect all of his cardiac pts in med school died, or were seriously injured...
Cardiac power is one of the three most important PAC parameters, as it tells you how effective the heart is at pumping blood to the organs. SvO2 is just as important, b/c it tells if oxygen requirements are met. SVR is also important, as it tells you how much pressure the heart has to overcome.
A high CO is useless w/o an adequate SVR (because there'd be hypotension), and a high CP is useless if SvO2 is in the tank (because your heart is wasting its time).
Andrew B. Chung, MD/PhD - 19 Apr 2009 17:45 GMT convicted pre-med student Douglas (Protoman) wrote:
> satan via a sockpuppet (corporeal demon) despairingly posted: > > Andrew, in the Holy Spirit, boldly wrote: [quoted text clipped - 22 lines] > I suspect all of his cardiac pts in med school died, or were seriously > injured... If that were true, would not have ever been accepted into Emory's residency program much less become Board-certified in Cardiology.
Nonetheless, your false witness is forgiven by me.
May GOD warn your teachers about your lying behavior because such behavior would possibly result in your harming any future patients who may be assigned to your care.
May GOD soften your heart, Douglas, so that you would come to trust the truth, Who is Jesus:
http://T3WiJ.com
Amen.
Love in the truth,
Andrew <>< -- Andrew B. Chung, MD/PhD Board-certified Cardiologist http://WDJW.net
I need TP for my chunghole - 20 Apr 2009 04:33 GMT On Apr 19, 12:45 pm, "Andrew B. Chung" <lov...@thetruth.com> wrote:
> If that were true, would not have ever been accepted into Emory's > residency program much less become Board-certified in Cardiology. ...which Earthquack promptly pissed away by getting fired from the Central Florida Heart Center, as illustrated in this letter from his former boss:
Dr. Chung: Any comments I make at this time are mine alone and do not necessarily reflect the views of CFHC.
After going through this difficult time with you, I understand that you are probably not interested in anything I have to say. Also, I believe what I do say will probably be twisted or interpreted by you to suit your purposes. For that reason I will be as direct and declarative as possible.
Your website comments about cardiology in Ocala, FL are detractions and border on slander. These are legal terms, and one of the important features of them is that the comments are published. Your website fulfills that requirement. Now just reflect on the fact that you are the only one to make such insinuations or allegations. Any reasonable person seeing these things may justifiably conclude that it is you that is out of step, not the other 15 or 20 cardiologists in Ocala. As I have in the past, I am trying to get you to see the reality of the situation from outside your head. You have chosen to ignore the good advice I tried to give while you were here. I hope you will soon realize you are doing yourself more harm than good by publishing your dispute. It would be better to let it go, before your reputation suffers more.
Speaking of reputations, I have spent 35 years building mine. I can call on physicians from around the world and this community to attest to it. I can also call upon the many physicians I trained to do cardiac catheterization (over 25 years) to offer a positive opinion about my work. You can't. Being just out of training, you have no reputation except the one you have just established here in Ocala. You are continuing to establish your reputation by publishing your website. How do you think what you have said would look to another physician- perhaps an employer- when he reads it? Do you think he or anyone would conclude that you are a reputable physician, easy to work with and a team player?
Personally, if I find that you speak disparagingly of me, or my work to any patient or physician, be assured I will not take the matter lightly. Whatever you think of me personally, or whatever you think of my professional activity, you do not have the right to condemn either me or the work to another and thereby compromise my reputation. You may disagree with me, or state we have a difference of opinion, but you may not state that I am practicing less that optimum cardiology. Once again, if I find that you have done so (and I hope it has not happened yet) I will certainly take the matter to the State Board of Medicine for a hearing. If the Florida State Board finds cause, and renders a censure, that must be transmitted to all other State Boards on your next and all future applications for licensure. And once again, just common sense should tell you that hitting back in your situation is counterproductive and could be disastrous for you. But as I told you face to face, you may have great book smarts, but your actions have shown that you have no common sense that permits you to operate successfully in a professional community. And, once again, I will tell you what I did before, you do not operate in a vacuum. Your practice, wherever it may be, must be according to the community standard, regardless of what you perceive that to be. And an attitude that you vocalized by saying that you were unable to change the community standard in Ocala speaks loudly and clearly about your perception of reality and your inability to work with your colleagues.
Dr. Chung, I urgently advise you to let the past go. Look to your future which could be bright. If you persist in these efforts of hitting back and trying to justify your actions to a world that looks upon such attempts as childish or immature and unprofessional, you will continue to do yourself a disservice. You lost your job because you talked yourself out of it.
Frank Hildner MD
Andy no longer has a medical license in Florida. End of story.
Andrew B. Chung, MD/PhD - 20 Apr 2009 07:32 GMT http://groups.google.com/group/sci.med.cardiology/msg/cd948ac59bc892fe?
<><
"The lot is cast into the lap, but its every decision is from the LORD." (Proverbs 16:33)
Amen.
A Spirit-guided exegesis of Proverbs 16:33 ...
http://groups.google.com/group/sci.med.cardiology/msg/085dcffcafb7e4e2?
Nothing happens by chance because everything happens only as GOD allows it (Ecclesiastes 9:11):
http://groups.google.com/group/sci.med.cardiology/msg/21527d1832960109?
Sign that GOD can easily unleash an H5N1 Pandemic (Pan-Flu) at any time:
http://groups.google.com/group/sci.med.cardiology/msg/a4581567229974c0?
What we are teaching to prepare folks for the eventuality of a catastrophic Pan-Flu:
http://www.youtube.com/watch?v=jfmkax1wbRU
How to not be fearful:
Trust the truth, Who is Jesus !!!
http://T3WiJ.com
May dear neighbors, friends, and brethren have a blessedly wonderful 2009th year since the birth of our LORD Jesus Christ as our Messiah, the Son of Man ...
... by being hungrier:
http://groups.google.com/group/sci.med.cardiology/msg/f891e617d10bd689?
Hunger is wonderful ! ! !
It's how we know the answer to the question "What does Jesus want?" (WDJW):
http://WDJW.net
Yes, hunger is our knowledge of good versus evil that Adam and Eve paid for with their and our immortal lives:
http://groups.google.com/group/sci.med.cardiology/msg/52a3db8576495806?
Hunger is the physical "hearts burning within us" feeling that unlocks the 4 mysteries of the "Road to Emmaus" adventure described in Luke 24:
http://groups.google.com/group/sci.med.cardiology/msg/386f56c2f6d0b154?
Moreover, being hungrier is the key to being Jesus' disciples:
http://groups.google.com/group/sci.med.cardiology/msg/bd20d7c4fe878897?
Being physically hungrier is how we will physically recognize Jesus when He physically returns for us to meet Him physically in the air:
http://groups.google.com/group/sci.med.cardiology/msg/ffa6609710ea9587?
"Blessed are you who hunger NOW...
... for you will be satisfied." -- LORD Jesus Christ (Luke 6:21)
Amen.
Here is a Spirit-guided exegesis of Luke 6:21 given in hopes of promoting much greater understanding:
http://groups.google.com/group/sci.med.cardiology/msg/cc2aa8f8a4d41360?
Jesus is LORD, forever !!!
http://JiL4ever.net
Be hungrier, which is truly healthier for mind, body, and soul:
http://groups.google.com/group/sci.med.cardiology/msg/991d4e30704307e7?
Marana tha
Prayerfully in the awesome name of our Messiah, LORD Jesus Christ,
Andrew <>< -- "... no one can say 'Jesus is LORD' except by the Holy Spirit." (1 Cor 12:3)
http://groups.google.com/group/sci.med.cardiology/msg/035c93540862751c?
What does Jesus want (WDJW) ?
http://groups.google.com/group/sci.med.cardiology/msg/11194899724b810d?
douglas - 20 Apr 2009 08:25 GMT On Apr 19, 11:32 pm, "Andrew B. Chung, MD/PhD" <lov...@thetruth.com> wrote:
> http://groups.google.com/group/sci.med.cardiology/msg/cd948ac59bc892fe? > [quoted text clipped - 98 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/11194899724b810d? Lets get back to the OT:
If a pt c/o w/ acute AR, and his CO is normal at 5 L/min, while his MAP is only 56.67 mmHg, and his cardiac power is 0.6234 W, what's his SVR? Does he need vasodilators to reduce it and the regurgitation, or vasopressors to increase it and his blood pressure to mantain perfusion? I bet his SvO2 would be low, too.
Andrew B. Chung, MD/PhD - 20 Apr 2009 10:17 GMT >Lets get back to the OT: A greater concern is the deceit in your heart:
http://groups.google.com/group/sci.med.cardiology/msg/1f7361f16c714b91?
Clearly you remain convicted by the Holy Spirit:
http://HeartMDPhD.com/Convicts
"What good is gaining knowledge if you lose your soul?" -- Holy Spirit
Answer: "Not good."
What is good?
http://HeartMDPhD.com/HolySpirit/good
"The heart is deceitful above all things and beyond cure. Who can understand it?" (Jeremiah 17:9)
Only GOD understands the heart and only GOD can cure the heart.
May GOD soften your heart, Douglas, so that you would come to trust the truth, Who is Jesus:
http://T3WiJ.com
Amen.
Love in the truth,
Andrew <>< -- Andrew B. Chung, MD/PhD Board-certified Heart Doctor http://WDJW.net
dolf - 29 Apr 2009 06:36 GMT (ru) dolf: "Well yes, we could say that there is a little of this Nicole's grasping photos of her new born and a contrast to Sydney born and bred Hugh Jackman's wolverine super-hero character {Male Idea: #461 as #1 #10 #400 #50: Very extended, lasting; constant; continuity, constancy, strength; firm, durable; mighty ones, nobles; rocks} and his early days as a grease monkey at Wahroonga Shell, that a comparison could be drawn with Meryl Streep's character and pious portrayal in a 'dingos got my baby.'
Then there is the aspect that her own name (Streep) is testimony to Nicole and Keith's wedding of 25 June 2006 having a temporal (steeping) connection with the Category of Understanding #321 {Female Idea: #321 as #1 #10 #300 #10 n. Manly #1 #20 #300 Coil up; roll up #1 #300 #20 To bind, to knit together #1 #300 #20 String, (of pearls); testicle, sexual use of testicle}.
I've heard stranger things in the press: On 2009.4.7 it was reported by Peter Michael of the Courier Mail, that "A castaway cattle dog has been reunited with her owners after surviving four months on a tropical north Queensland island eating goats and koalas.
In a miraculous tale of survival, owner Jan Griffith said the family pet and 'indoor' dog was making world headlines after her emotional homecoming.
"People are just like 'wow'," Ms Griffith, of Mackay, said yesterday.
"We wish she could talk, we really do." [ref: Courier Mail 7 April 2009]"
(ru) dolf: "I agree with Hugh Jackman, you can't really accuse him of savage indifference to Internet based religious and sexual vilification by Australians of Dolf Boek in the public affection he shows to his children, but how dare the media, at the time of his Australian movie release of 2009.4.29, reduce his sexuality to a mundane biographical detail--as evocative question on his physical enjoyment of males over females and whether as he claims, such a choice by him isn't at all dissimilar to a question of appetite over blonds or brunettes or reading an auto-biography over fiction as your preference in books."
- dolf - http://www.grapple.id.au/Chronicles/automata.html
> On Apr 19, 12:45 pm, "Andrew B. Chung" <lov...@thetruth.com> wrote: >> If that were true, would not have ever been accepted into Emory's [quoted text clipped - 98 lines] > > Andy no longer has a medical license in Florida. End of story.
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