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Medical Forum / General / Cardiology / June 2005

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Went to the Doctor yesterday

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tforms1@yahoo.com - 24 Jun 2005 16:26 GMT
Finally went to the doctor yesterday.

Got an EKG, doctor took my blood pressure (120/80).

He wants me to come back next week or an Echo and a Holter monitor.
Then the week after for a stress test.

So far no answers as to what caused the papitations.

Are these 3 tests really necessary?
Should I ask him anything?  (I am relying on your experience to know
what questions to ask, since I do not know enough)

Thanks
Andrew B. Chung, MD/PhD - 24 Jun 2005 18:35 GMT
> Finally went to the doctor yesterday.
>
[quoted text clipped - 6 lines]
>
> Are these 3 tests really necessary?

A second opinion from me would require that I take your complete history
and examine you.

> Should I ask him anything?  (I am relying on your experience to know
> what questions to ask, since I do not know enough)
>
> Thanks

You are welcome.

All praises belong to my heavenly Father, Whom I serve with all my
heart, soul, mind, and strength.

In Christ's love and service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
Suggested Reading:
(1) http://makeashorterlink.com/?G1D5217EA
(2) http://makeashorterlink.com/?W13A4250B
(3) http://makeashorterlink.com/?X1C62661A
(4) http://makeashorterlink.com/?U1E13130A
(5) http://makeashorterlink.com/?K6F72510A
(6) http://makeashorterlink.com/?I24E5151A
(7) http://makeashorterlink.com/?I22222129
Jason - 24 Jun 2005 21:05 GMT
> Finally went to the doctor yesterday.
>
[quoted text clipped - 10 lines]
>
> Thanks

Yes, those tests are necessary. Repost after the doctor
has told you the results of the tests.
Jason

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David Rind - 24 Jun 2005 23:36 GMT
>>Finally went to the doctor yesterday.
>>
[quoted text clipped - 14 lines]
> has told you the results of the tests.
> Jason

How do you know that those test are necessary? What training do you have
to give such advice?

Signature

David Rind
drind@caregroup.harvard.edu

Rita - 24 Jun 2005 23:40 GMT
>>>Finally went to the doctor yesterday.
>>>
[quoted text clipped - 17 lines]
>How do you know that those test are necessary? What training do you have
>to give such advice?

I believe he must have graduated from medical school since he last
wrote "I am not a doctor".  He does have a medical book beside his
computer, however:) Does that count?
Jason - 25 Jun 2005 02:49 GMT
> >>Finally went to the doctor yesterday.
> >>
[quoted text clipped - 17 lines]
> How do you know that those test are necessary? What training do you have
> to give such advice?

David,
I try to remind people that I am not a doctor or medical expert but I
forgot--sorry. I based my post on common sense and what I learned from a
book related to heart disease that I read last week.
Jason

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Bill - 25 Jun 2005 03:32 GMT
> Finally went to the doctor yesterday.
>
[quoted text clipped - 10 lines]
>
> Thanks

Trust your Dr. rather than anyone here. He knows you much better.

Look at it this way. Are you willing to take the chance that they are
unnecessary? He is just attempting to rule out some things. Even then the
tests won't be 100%.

Bill
Jason - 25 Jun 2005 06:03 GMT
> > Finally went to the doctor yesterday.
> >
[quoted text clipped - 18 lines]
>
> Bill

Bill,
Great post. Much better than my post. Keep up the great work.
Jason

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tforms1@yahoo.com - 27 Jun 2005 07:00 GMT
I'll rewrite my history.
Have MVP, no backwash.
Never had palpititions, but 2 weeks ago, had it for 4 days (Wed-Sat.)
My diet and sleep has never changed, I avoid caffeine.

Made an appointment with a cardiologist last week.
Gave me an EKG, said everything looked fine.
Told me to come back this week for Echo and a Holter Monitor for 24
hours.
Next week for a Stress test (threadmill)
Told me not to work out until we get the results back.
I asked the cardiologist 'What if I dont get palpitations during the 24
hours when I have the holter?" - he said "Does not matter, I can still
see whats happening even without palpitations" - is this true?

Called my Primary Care Physician to update him.
He told me that he felt the stress test is overkill.
He does not think I need it.

He also thinks I should get an Event monitor instead of a Holter
Monitor. My primiary care physician said since I never had palpitations
before, the chance of it happening during those 24 hours is slim, but
with an event monitor I have 30 days.

He also said that I can workout now.

So the advice seems to be pretty opposite between my two doctors, which
should I listen to?
What do you guys think of the advice from each of them? (I know you
cannot give a real diagnosis over the net, dont worry, I just want your
opinion, you will not be liable for anything)

Thanks
Bill - 27 Jun 2005 08:10 GMT
> I'll rewrite my history.
> Have MVP, no backwash.
[quoted text clipped - 29 lines]
>
> Thanks

You may want to read up on Palpitations

http://www.medicinenet.com/palpitations/article.htm

MVP can lead to that. All 4 tests you mention are sometimes done. The event
monitor sometimes after the Holter.

Bill
Jason - 27 Jun 2005 16:12 GMT
> > I'll rewrite my history.
> > Have MVP, no backwash.
[quoted text clipped - 38 lines]
>
> Bill

Bill,
Great post--keep up the great work.
Jason

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We do NOT respect the subscribers that enjoy criticizing people.

Andrew B. Chung, MD/PhD - 27 Jun 2005 11:42 GMT
> I'll rewrite my history.
> Have MVP, no backwash.
[quoted text clipped - 27 lines]
> cannot give a real diagnosis over the net, dont worry, I just want your
> opinion, you will not be liable for anything)

A man purchases a new home from a builder but two weeks after moving in,
there is a leak coming from under the kitchen sink.  The plumber is
called and the plumber recommends changing the polybutylene to copper
water pipes.  The builder says this is not necessary.

Who should the man believe?

> Thanks

You are welcome.

All praises belong to my heavenly Father, Whom I love with all my heart,
soul, mind, and strength :-)

In Christ's love and service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
Suggested Reading:
(1) http://makeashorterlink.com/?G1D5217EA
(2) http://makeashorterlink.com/?W13A4250B
(3) http://makeashorterlink.com/?X1C62661A
(4) http://makeashorterlink.com/?U1E13130A
(5) http://makeashorterlink.com/?K6F72510A
(6) http://makeashorterlink.com/?I24E5151A
(7) http://makeashorterlink.com/?I22222129
elgoog - 27 Jun 2005 17:20 GMT
> > I'll rewrite my history.
> > Have MVP, no backwash.
[quoted text clipped - 34 lines]
>
> Who should the man believe?
<<snip>>

Whichever is most competent.
-elgoog
Silas - 28 Jun 2005 01:17 GMT
> snip>
> A man purchases a new home from a builder but two weeks after moving in,
[quoted text clipped - 3 lines]
>
> Who should the man believe?

"The Plumber"

>>Thanks

Your welcome

S
elgoog - 28 Jun 2005 03:37 GMT
> > snip>
> > A man purchases a new home from a builder but two weeks after moving in,
[quoted text clipped - 11 lines]
>
> S

Unless, the plumber is self-interested and seeking to deceive the home
owner for his own lucre and the builder is wise and has dealt with many
plumbers and knows the truth of the man's character.

There is always that.

OTOH, you should definitely choose the man/woman that is right.

-elgoog
Silas - 28 Jun 2005 05:39 GMT
>>>snip>
>>>A man purchases a new home from a builder but two weeks after moving in,
[quoted text clipped - 17 lines]
>
> There is always that.

That would be an assumption.

> OTOH, you should definitely choose the man/woman that is right.
>
> -elgoog

He should believe the Plumber because:

1. The job done by the builder failed.
2. The builder is not a Plumber.
3. Household "Water pipe" should be of non ferrous metal, ie. copper.

S
Andrew B. Chung, MD/PhD - 28 Jun 2005 11:10 GMT
> >>>snip>
> >>>A man purchases a new home from a builder but two weeks after moving in,
[quoted text clipped - 31 lines]
>
> S

Would suggest you ignore folks like elgoof, Don Kirkman, Jeff Utz, et al
who have chosen to oppose the truth.

In Christ's love and service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
Suggested Reading:
(1) http://makeashorterlink.com/?G1D5217EA
(2) http://makeashorterlink.com/?W13A4250B
(3) http://makeashorterlink.com/?X1C62661A
(4) http://makeashorterlink.com/?U1E13130A
(5) http://makeashorterlink.com/?K6F72510A
(6) http://makeashorterlink.com/?I24E5151A
(7) http://makeashorterlink.com/?I22222129
elgoog - 28 Jun 2005 15:29 GMT
> >>>snip>
> >>>A man purchases a new home from a builder but two weeks after moving in,
[quoted text clipped - 27 lines]
>
> 1. The job done by the builder failed.

That is an assumption. Maybe the plumber was contracted by the builder.
Most builders are contractors and have plumbers come in to do the
plumbing.

> 2. The builder is not a Plumber.

That is an assumption. The builder may or may not have been a plumber.
Either way, the plumbing was likely done to building code by a
contracted plumber.

I am not saying that one should believe the builder over the plumber,
one must choose which is right. I've known a few plumbers that if they
told me the sun would rise in the morning, I couldn't trust them. And,
I've known a few builders that if they told me the sun would set in the
evening, I'd still have to go outside and check.

> 3. Household "Water pipe" should be of non ferrous metal, ie. copper.

Correct. :-)

> S

You're funny. ;-)
Silas - 29 Jun 2005 00:55 GMT
>>>>>snip>
>>>>>A man purchases a new home from a builder but two weeks after moving in,
[quoted text clipped - 29 lines]
>
> That is an assumption.

Not really, "there is a leak coming from under the kitchen sink"

 Maybe the plumber was contracted by the builder.
> Most builders are contractors and have plumbers come in to do the
> plumbing.

I agree, that *a* plumber was contracted to do the initial work, but not
*this* plumber.

>>2. The builder is not a Plumber.
>
> That is an assumption.

Not really, if the builder was a plumber he would have carried out the
repair himself, no need for someone to call a plumber.

 The builder may or may not have been a plumber.
> Either way, the plumbing was likely done to building code by a
> contracted plumber.

I would thinks so to, but, as they are describing a "water pipe" and not
a drain pipe and with limited information, one could assume with
confidence that it should have been done with copper pipe.
Here's an assumption, maybe the work was done initially by one of those
plumbers you describe below.

> I am not saying that one should believe the builder over the plumber,
> one must choose which is right. I've known a few plumbers that if they
> told me the sun would rise in the morning, I couldn't trust them. And,
> I've known a few builders that if they told me the sun would set in the
> evening, I'd still have to go outside and check.

Yep, I know what you are saying.

>>3. Household "Water pipe" should be of non ferrous metal, ie. copper.
>
[quoted text clipped - 3 lines]
>
> You're funny. ;-)

Who called the plumber?

S
bor - 27 Jun 2005 22:40 GMT
>I'll rewrite my history.
>Have MVP, no backwash.
>Never had palpititions, but 2 weeks ago, had it for 4 days (Wed-Sat.)
>My diet and sleep has never changed, I avoid caffeine.

as a patient i would folow the advice of the cardiologist.
If you do not trust his advice you went to the wrong guy...
There is not so much room for mistakes if it concerns your  heart :)

I know several people who dropped dead during work outs...Did they
know that something might be   wrong ?  I think so...Most of the time
your body gives the signals...only fools ignore them.

gr
 

gr
David Rind - 28 Jun 2005 04:13 GMT
> I'll rewrite my history.
> Have MVP, no backwash.
[quoted text clipped - 29 lines]
>
> Thanks

Okay, think what you are really asking here. You have seen two doctors
who actually met you, talked to you, examined you, and saw the results
of tests performed on you, and came up with differing advice.

Now you are looking for a useful opinion on which one gave you better
advice from people who have not met you, talked to you, examined you, or
seen the results of tests.

From what you have written above, I could imagine agreeing with either
the primary care doctor or the cardiologist based on specific aspects of
things that would never be well conveyed in a post on Usenet. Forget
about "liability" -- this is just not a good place to find an answer to
this sort of question.

Signature

David Rind
drind@caregroup.harvard.edu

 
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