Would somebody look at these ECGs?

[email hidden] (Jerelyn) wrote in news:15953b27.0404211843.76f3f672
@posting.google.com:

Quoted message said:

These are ECGs belonging to a family member. No. 1 and No.
2 were taken on the same day - No. 3 was taken about 10
days prior at the start of a stress test.

Any comments would be appreciated. I would appreciate any
info about where I couls send these for an online
interpretation. Click on the URLs - that should bring the
pages up in your browser.

Why do you need an online interpretation? Tracing 2 was
recorded on a Mac-Lab system, so the patient presumably had
either a cardiac catheterization or electrophysiology study.

I don't see any gross abnormalities. The atrial rhythm is
sinus versus low atrial rhythm, intact AV conduction, normal
QRS axis and conduction, a single normally conducted PAC on
the first tracing.

- TC, md Pediatric cardiology and electrophysiology

Quoted message said:

Why do you need an online interpretation?

Dr. Chun as I said before welcome to our group. You will
notice that there are many posters who have received 2
or more opinions from their own doctors (in person) and
then post a snippet of their history/results and want an
online 2nd, 3rd or 4th opinion given to them by complete
strangers. When I make any sort of comment that perhaps
this is not the best way to manage their health care I
get flamed.

George said:

Quoted message said:

Why do you need an online interpretation?

Dr. Chun as I said before welcome to our group.

This is Andrew:

Terrence is not new to SMC. If anything, he should welcome
you, whomever you are.

Quoted message said:

You will notice that there are many posters who have
received 2 or more opinions from their own doctors (in
person) and then post a snippet of their history/results
and want an online 2nd, 3rd or 4th opinion given to them
by complete strangers.

Neither Terrence nor I are strangers.

Quoted message said:

When I make any sort of comment that perhaps this is not
the best way to manage their health care I get flamed.

I would refrain from judging others.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam?
makeashorterlink.commakeashorterlink.comOpen ↗

Quoted message said:

I would refrain from judging others.

Quoted message said:

Andrew

Must you argue with everyone about everything? You certainly
must have too much time on your hands to quibble with the
entire internet.

I have the time, but then again I am not dispensing medical
advice nor am I a practicing physician (if we are to believe
your web page that you are).)

What is so judgmental about being cautious with seeking
internet medical advice and not using it to supplant advice
of doctors you know (and can verify are real and perhaps
might even have a rapport with).

And since you seem to want to pick a fight, I cannot for the
life of me understand why there has not been 1 positive
testimonial from one of your real live patients who you
treat in the flesh in a real office.

Why are none of your patients offering some support to you
since you are under constant attack? None have ever found
this newsgroup? Or is there perhaps another reason (i.e. you
do not treat real people in a real office and thus have the
24/7 time to devote to internet advice). You use your real
name, you have a shingle (according to the web page you are
incessantly advertising) and yet not one of your patients
you treat in the flesh has ever vouched for you. Something
about this just doesn't add up. Are you a practicing
cardiologist treating real people in a real office? Or as
Dr. Nagler has suggested have you been suspended or worse?

Any other questions about why people seeking internet
medical advice over that from physicians they know and
hopefully trust might not be the best way to manage their
health care?

George said:

Quoted message said:

I would refrain from judging others.

Quoted message said:

Andrew

Must you argue with everyone about everything?

No.

Quoted message said:

You certainly must have too much time on your hands to
quibble with the entire internet.

You are hardly the entire Internet.

Quoted message said:

I have the time, but then again I am not dispensing
medical advice nor am I a practicing physician (if we are
to believe your web page that you are).)

God helps me with the time :-)

Quoted message said:

What is so judgmental about being cautious with seeking
internet medical advice and not using it to supplant
advice of doctors you know (and can verify are real and
perhaps might even have a rapport with).

Perhaps you should ask the people who flame you.

Quoted message said:

And since you seem to want to pick a fight, I cannot for
the life of me understand why there has not been 1
positive testimonial from one of your real live patients
who you treat in the flesh in a real office.

They don't want to be stalked. Can't say I blame them.

Quoted message said:

Why are none of your patients offering some support to you
since you are under constant attack?

They do privately. However they also recognize that what I
endure in the manner that I endure it is not humanly
possible. And indeed it is not humanly possible without the
help of my Lord and Savior, Jesus Christ.

Quoted message said:

None have ever found this newsgroup?

They don't want to be stalked. Can't say I blame them.

Quoted message said:

Or is there perhaps another reason (i.e. you do not treat
real people in a real office and thus have the 24/7 time
to devote to internet advice).

It would be your choice to entertain yourself with fanciful
imaginings.

Quoted message said:

You use your real name, you have a shingle (according to
the web page you are incessantly advertising) and yet not
one of your patients you treat in the flesh has ever
vouched for you.

They don't want to be stalked. Can't say I blame them.

Quoted message said:

Something about this just doesn't add up. Are you a
practicing cardiologist treating real people in a real
office?

Yes.

Quoted message said:

Or as Dr. Nagler has suggested have you been suspended
or worse?

It is Stephen who has stopped seeing patients... not I.

Truth is simple.

Quoted message said:

Any other questions about why people seeking internet
medical advice over that from physicians they know and
hopefully trust might not be the best way to manage their
health care?

Yes, why are you opposed to people being seekers of
information?

You remain in my prayers, neighbor.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam?
makeashorterlink.commakeashorterlink.comOpen ↗

Quoted message said:

Quoted message said:

You use your real name, you have a shingle (according to
the web page you are incessantly advertising) and yet
not one of your patients you treat in the flesh has ever
vouched for you.

You reply: They don't want to be stalked. Can't say I
blame them.

Quoted message said:

Quoted message said:

Any other questions about why people seeking internet
medical advice over that from physicians they know and
hopefully trust might not be the best way to manage their
health care?

You reply: Yes, why are you opposed to people being seekers
of information?

Quoted message said:

Dr. Chung, I am sorry to see you avoid my sincere questions
with very flippant answers and excuses.

You claim that not one of your patients has ever supported
you in this newsgroup where you are under constant attack
because you claim they all are afraid of cyber stalkers? I
have been using the internet and usenet from its inception
and have never been cyber stalked or stalked in real life.
Do you think we are all so gullible as to believe that all
of your patients refuse to support you publicly because of
fear of the boogie man?

Seems like a pretty lame answer if you ask me, in fact it
makes no sense at all.

So in this climate of information and misinformation
overload, how can you be on the offensive to a suggestion
that people seek primary care and information from their
personal physicians? You advise them to do this all the
time. We teach our children to be careful and wary of
strangers, but are willing to trust our lives and medical
well being to anyone with a bi-line? And for this line of
thinking you go on the offensive?

It truly is a weird world we live in.

Seek information, sure. All I am cautioning is to use it
carefully…..very carefully.

As I have said all along your advice usually seems good.
Your demeanor and mysterious intentions diminish its value,
at least for
Ds.

But then again what do I know. I am hostile, express
aggression and what else have you said to me in past posts?
What weight should people give my opinion?

I forgot to mention I was looking for Hypokalemia
indications.

Thanks.

Renne

"Terrence Chun, MD" <[email hidden]> wrote
in message
news:<[email hidden]>...

Quoted message said:

[email hidden] (Jerelyn) wrote in
news:15953b27.0404211843.76f3f672 @posting.google.com:

Quoted message said:

These are ECGs belonging to a family member. No. 1 and
No. 2 were taken on the same day - No. 3 was taken about
10 days prior at the start of a stress test.

Any comments would be appreciated. I would appreciate
any info about where I couls send these for an online
interpretation. Click on the URLs - that should bring
the pages up in your browser.

Why do you need an online interpretation? Tracing 2 was
recorded on a Mac-Lab system, so the patient presumably
had either a cardiac catheterization or
electrophysiology study.

I don't see any gross abnormalities. The atrial rhythm is
sinus versus low atrial rhythm, intact AV conduction,
normal QRS axis and conduction, a single normally
conducted PAC on the first tracing.

- TC, md Pediatric cardiology and electrophysiology

Really, what would be the point? They would just be
dismissed as sock puppets anyway (as I have been).

John

George said:

Quoted message said:

Quoted message said:

You use your real name, you have a shingle (according
to the web page you are incessantly advertising) and
yet not one of your patients you treat in the flesh has
ever vouched for you.

You reply: They don't want to be stalked. Can't say I
blame them.

Quoted message said:

Quoted message said:

Any other questions about why people seeking internet
medical advice over that from physicians they know and
hopefully trust might not be the best way to manage
their health care?

You reply: Yes, why are you opposed to people being seekers
of information?

Quoted message said:

Dr. Chung, I am sorry to see you avoid my sincere questions
with very flippant answers and excuses.

You claim that not one of your patients has ever supported
you in this newsgroup where you are under constant attack
because you claim they all are afraid of cyber stalkers? I
have been using the internet and usenet from its inception
and have never been cyber stalked or stalked in real life.
Do you think we are all so gullible as to believe that all
of your patients refuse to support you publicly because of
fear of the boogie man?

Seems like a pretty lame answer if you ask me, in fact it
makes no sense at all.

So in this climate of information and misinformation
overload, how can you be on the offensive to a suggestion
that people seek primary care and information from their
personal physicians? You advise them to do this all the
time. We teach our children to be careful and wary of
strangers, but are willing to trust our lives and medical
well being to anyone with a bi-line? And for this line of
thinking you go on the offensive?

It truly is a weird world we live in.

Seek information, sure. All I am cautioning is to use it
carefully…..very carefully.

As I have said all along your advice usually seems good.
Your demeanor and mysterious intentions diminish its value,
at least for
me.

But then again what do I know. I am hostile, express
aggression and what else have you said to me in past posts?
What weight should people give my opinion?

John said:

Really, what would be the point? They would just be
dismissed as sock puppets anyway (as I have been).

Just curious as to what your post means? He has treated you
in his office, aka real doctor/patient relationship? I am
not saying he does not have the office he says he has, nor
that his advice is wrong or malicious. I just find it weird
that any doctor busy with a practice would or could find the
time necessary to be in a constant war of words with
flamers. Also it is pretty strange that for a busy doctor
with a vibrant practice to never once have a real patient
vouch for him.

That is all I am pointing out, that and the idea that while
gathering information is good (here or anywhere) relying on
the advice of someone you don't know (other than through a
web page) might not be the best strategy. Especially if you
are being treated by qualified physicians. And yes I know
that medical care can be awful, some doctors have poor
patient manners, lack of time, pay superficial attention to
details, can be arrogant when responding to enquiries etc. I
am very much aware of all this.

We DO need to understand what is happening and be in a
position to evaluate whether or not we or someone we know,
is getting appropriate care. That is why these forums and
the internet in general is really amazing. Before (the
internet) you would have to go to a library, spend hours
looking through outdated medical texts/journals, and then be
left on your own as to interpretation.

But we also need to use this resource in a prudent manner
and be aware of potential pitfalls.

And yes someone who preaches their brand of religion
constantly and argues with every and all comers over
everything that does not praise or concur does raise my
suspicions. Sorry, call me paranoid.

[email hidden] (Jerelyn) wrote in
:"]news:[email hidden]:

Quoted message said:

I forgot to mention I was looking for Hypokalemia
indications.

Well, none of the ECG's jump out at me as suggesting
hypokalemia.

Why do you mention hypokalemia?

- TC, md Pediatric cardiology and electrophysiology

George said:

Quoted message said:

Quoted message said:

You use your real name, you have a shingle (according
to the web page you are incessantly advertising) and
yet not one of your patients you treat in the flesh
has ever vouched for you.

You reply: They don't want to be stalked. Can't say I
blame them.

Quoted message said:

Quoted message said:

Any other questions about why people seeking internet
medical advice over that from physicians they know and
hopefully trust might not be the best way to manage
their health care?

You reply: Yes, why are you opposed to people being
seekers of information?

Quoted message said:

Dr. Chung, I am sorry to see you avoid my sincere
questions with very flippant answers and excuses.

Truth is neither flippant nor an excuse.

Quoted message said:

You claim that not one of your patients has ever supported
you in this newsgroup where you are under constant attack
because you claim they all are afraid of cyber stalkers?

Here is what I wrote:

"They don't want to be stalked. Can't say I blame them."

Quoted message said:

I have been using the internet and usenet from its
inception and have never been cyber stalked or stalked in
real life.

Then why the anonymity?

Quoted message said:

Do you think we are all so gullible as to believe that
all of your patients refuse to support you publicly
because of fear of the boogie man?

It remains their choice to avoid harassment. Avoiding
something does not necessarily mean they fear it.

Being wary is part of being wise:

heartmdphd.comstalking.aspOpen ↗

Quoted message said:

Seems like a pretty lame answer if you ask me, in fact it
makes no sense at all.

You are entitled to have your own opinion. Your pseudonym
betrays you however.

Quoted message said:

So in this climate of information and misinformation
overload, how can you be on the offensive to a suggestion
that people seek primary care and information from their
personal physicians?

I have not been flaming you.

Quoted message said:

You advise them to do this all the time.

I do without discouraging them from being seekers of
information.

Quoted message said:

We teach our children to be careful and wary of strangers,
but are willing to trust our lives and medical well being
to anyone with a bi-line?

Giving medical information is not the same as giving
specific medical advice.

Quoted message said:

And for this line of thinking you go on the offensive?

In truth, I have not been flaming you.

Quoted message said:

It truly is a weird world we live in.

Truth has this effect on the untruthful.

Quoted message said:

Seek information, sure. All I am cautioning is to use it
carefully…..very carefully.

That was not all you were doing:

makeashorterlink.commakeashorterlink.comOpen ↗

Truth is simple.

Quoted message said:

As I have said all along your advice usually seems good.

I don't give out specific medical advice here.

Quoted message said:

Your demeanor and mysterious intentions diminish its
value, at least for
me.

You may killfile me anytime.

Quoted message said:

But then again what do I know. I am hostile, express
aggression and what else have you said to me in past
posts?

You remain in my prayers, neighbor.

Quoted message said:

What weight should
people give my opinion?

The weight that it deserves.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam?
makeashorterlink.commakeashorterlink.comOpen ↗

John said:

Really, what would be the point? They would just be
dismissed as sock puppets anyway (as I have been).

John

Not just you. As *others* have been.

You remain in my prayers, brother.

May God continue to bless you and yours, today and everyday,
in Christ's name.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam?
makeashorterlink.commakeashorterlink.comOpen ↗

Because the subject of the ECG was tested for K and the
level came back as 2 and she had all the symptoms of
hypokalemia. She received 60 mEQ of KCl in both IVs and
tablets. Since I'm not a doctor or a med professional I
really can't tell myself.

Thanks,

Renne

"Terrence Chun, MD" <[email hidden]> wrote
in message
news:<[email hidden]>...

Quoted message said:

[email hidden] (Jerelyn) wrote in
:"]news:[email hidden]:

Quoted message said:

I forgot to mention I was looking for Hypokalemia
indications.

Well, none of the ECG's jump out at me as suggesting
hypokalemia.

Why do you mention hypokalemia?

- TC, md Pediatric cardiology and electrophysiology

George said:

Why are none of your patients offering some support to you
since you are under constant attack? None have ever found
this newsgroup?

Where the hell have you been?

Quoted message said:

Or is there perhaps another reason (i.e. you do not treat
real people in a real office and thus have the 24/7 time
to devote to internet advice). You use your real name,
you have a shingle (according to the web page you are
incessantly advertising) and yet not one of your patients
you treat in the flesh has ever vouched for you.

Where the hell have you been?

Quoted message said:

Something about this just doesn't add up. Are you a
practicing cardiologist treating real people in a real
office?

Where the hell have you been?

Quoted message said:

Any other questions about why people seeking internet
medical advice over that from physicians they know and
hopefully trust might not be the best way to manage their
health care?

Duh.

antwrp.gsfc.nasa.govap960222.htmlOpen ↗ Lift well,
Eat less, Walk fast, Live long.

George said:

You claim that not one of your patients has ever supported
you in this newsgroup where you are under constant attack
because you claim they all are afraid of cyber stalkers? I
have been using the internet and usenet from its
inception..

Did you work for DARPA? Because unless you did, this
statement is
lie.

antwrp.gsfc.nasa.govap960222.htmlOpen ↗ Lift well,
Eat less, Walk fast, Live long.

Home said:

George said:

Why are none of your patients offering some support to
you since you are under constant attack? None have ever
found this newsgroup?

Where the hell have you been?

Where are the patients? Mu? One out of how many? How
believable.

Answer the question.

Quoted message said:

Quoted message said:

Or is there perhaps another reason (i.e. you do not treat
real people in a real office and thus have the 24/7 time
to devote to internet advice). You use your real name,
you have a shingle (according to the web page you are
incessantly advertising) and yet not one of your patients
you treat in the flesh has ever vouched for you.

Where the hell have you been?

Answer the question.

Quoted message said:

Quoted message said:

Something about this just doesn't add up. Are you a
practicing cardiologist treating real people in a real
office?

Where the hell have you been?

Answer the question.

Quoted message said:

Quoted message said:

Any other questions about why people seeking internet
medical advice over that from physicians they know and
hopefully trust might not be the best way to manage their
health care?

Duh.

Never did answer the question.

Bob

Home said:

George said:

You claim that not one of your patients has ever supported
you in this newsgroup where you are under constant attack
because you claim they all are afraid of cyber stalkers? I
have been using the internet and usenet from its
inception..

Did you work for DARPA? Because unless you did, this
statement is
lie.

And this statement from Mu is obfuscation.

Answer the question.

Bob