Cardiology Doctor Quotes

Recent evidence in the field of cardiology has shown that the nature of a patient’s emotional ties drastically affects whether or not this patient will get heart disease. Experiments have shown that a patient’s blood chemistry changes when that patient has a bitter thought. Doctors are now including, in their treatment of heart patients, training in becoming more loving and trusting. A person’s ability to love and connect with others lays the foundation for both psychological and physical health. This research illustrates that when we are in a

Informatics is the field of medicine that concerns itself with “the interactions among and between humans and information tools and systems.” In 2013, it became an official specialty, like cardiology or obstetrics, with its own board certification.

The story was an 82 year old guy with a broken neck. He had apparently fallen in his bathroom that morning, cracking his 1st and 2nd vertebrae. I had a vague memory from medical school that this wasn't a good thing--the expression "hangman's fracture" kept bobbing up from the well of facts I do not use --but I had a much more distinct impression that this was not a case for cardiology. "And Ortho isn't taking him because?" I said wearily. "Because he's got internal organs, dude." I sighed. "So why me?" "Because they got an EKG." The MAO was clearly enjoying himself. I remembered he had recently been accepted to a cardiology fellowship. I braced myself for the punch line. "And?" "And there's ectopy on it. Ectopy." He then made a noise intended to suggest a ghost haunting something.

In fact, a study done in Norway a few years ago looked at the issue of cholesterol and blood pressure targets in more detail. Using guidelines developed by the European Society of Cardiology (ESC) they established that, by the age of 50, over 95% of people would have a cholesterol level, or blood pressure level, considered high enough to require drug treatment.[2] This is despite the fact that the Norwegians are amongst the healthiest and longest-lived people on the planet. So God knows where that leaves the rest of us.

As the pumping engines for the circulatory system, ventricles must have a particular ovoid, lemonlike shape for strong, swift ejection of blood. If the end of the left ventricle balloons out, as it does in takotsubo hearts, the firm, healthy contractions are reduced to inefficient spasms—floppy and unpredictable. But what’s remarkable about takotsubo is what causes the bulge. Seeing a loved one die. Being left at the altar or losing your life savings with a bad roll of the dice. Intense, painful emotions in the brain can set off alarming, life-threatening physical changes in the heart. This new diagnosis was proof of the powerful connection between heart and mind. Takotsubo cardiomyopathy confirmed a relationship many doctors had considered more metaphoric than diagnostic. As a clinical cardiologist, I needed to know how to recognize and treat takotsubo cardiomyopathy. But years before pursuing cardiology, I had completed a residency in psychiatry at the UCLA Neuropsychiatric Institute. Having also trained as a psychiatrist, I was captivated by this syndrome, which lay at the intersection of my two professional passions. That background put me in a unique position that day at the zoo. I reflexively placed the human phenomenon side by side with the animal one. Emotional trigger … surge of stress hormones … failing heart muscle … possible death. An unexpected “aha!” suddenly hit me. Takotsubo in humans and the heart effects of capture myopathy in animals were almost certainly related—perhaps even the same syndrome with different names.

Visitors stream in and out of the rooms and corridors. There are families to see, questions to answer, a new admission from the ED. It’s one thing after another—randomly, it seems—bouncing from one story to the next. Mr. Gunther, headed for the NIH, leaves with his wife. She gives me a long look as they head toward the elevator. I wish her well; living with Pascal’s wager can’t be easy. Mr. Kinney, a dapper corporate attorney, is also getting out of here after a rough two weeks. His pancreas is totally destroyed, replaced by puddles of necrotic fluid, yet he refuses to accept the fact that his fondness for single-malt scotch is the reason why. His wife gives me a long look, too, then they’re gone. Jim, the Cardiology fellow, shows me the echocardiogram he just did on Mr. Warner, our guy with HIV. Nothing there, Jim says, no vegetation, no sign of endocarditis. We consider what this means, make a plan. Up on 10 Central, Mr. Mukaj’s bladder irrigation backs up painfully again but there’s nowhere else we can put him, no empty beds in the ICU or Step-Down Unit, no place where he can have his own nurse with him all the time. We bounce this around, too, decide to try this, then that, we’ll see. Mr. Harris, our patient with Marfan syndrome, a plastic aorta, and a septic hip joint, spikes a fever again. Not good. We make a plan. And so it goes, on into the evening. On days like this, doctoring feels like pinball: nonstop random events—intercepted here, altered there, prolonged or postponed by this or that, the bells and boinks sounding all around—and sometimes you can’t be sure whether you’re the guy pushing the buttons, manipulating the levers, and bumping the machine, or whether you’re inside the machine, whether you’re the pinball itself.

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