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Follow-up on my Eight COVID Assertions
Yesterday’s post generated some good comments. Two emergency medicine specialists felt that I was both wrong and insulting in saying that hospitals were not overwhelmed. As a doc in NYC, I would suggest that your assertion 3 was indeed quite wrong and will be wrong in many more places before we are done— Josh Socolow (@Docjoshsoc) December 13, 2020 Jfc you weren't in Connecticut in April, and you aren't here now.We weren't (and aren't) fatally overwhelmed because of massive & costly efforts by our system. Anything less would have been catastrophic.Your blithe dismissal is kind ...
Source: Dr John M - December 13, 2020 Category: Cardiology Authors: Dr John Source Type: blogs

An adolescent with trauma, chest pain, and a wide complex rhythm
This case was sent by Dr Avinash Krishnamurthy, a fine emergency medicine resident from Australia Cairns base hospitalCase:An adolescent male had a mechanical fall and injured his left shoulder and arm. There was apparently no syncope and he had no bony injuries, but he did complain of left sided chest pain. His chest was tender. A bedside cardiac ultrasound was normal.An ECG was recorded:Avinash was understandably confused by this ECG.He wrote:" ECG 1 - shows wide ???IVCD type rhythm ?? Delta waves in them and then his native rhythm, with ectopic pace maker?? "This was recorded shortly after:" Wide com...
Source: Dr. Smith's ECG Blog - June 14, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs

Let’s stop the unnecessary treatment of heart disease
There are many reasons doctors suffer from burnout and compassion fatigue. One of the least-mentioned of these reasons is that much of what we do is so damn unnecessary. In the US, the land of excess everything, caregivers, especially cardiologists, spend most of our time treating human beings that didn’t need to have disease. Let’s be clear and honest: Lifestyle-related disease is largely unnecessary. These days, there is so much unnecessary disease that caregivers, especially cardiologists, rarely see it. We look past the obesity right to the cholesterol number and ECG. And then we pull out the prescription pad for t...
Source: Dr John M - October 3, 2014 Category: Cardiology Authors: Dr John Source Type: blogs