tag:blogger.com,1999:blog-18943510.post5182106543338925127..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: My 4:30AM Wake-Up CallDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-18943510.post-55827958285413927502009-01-17T12:55:00.000-06:002009-01-17T12:55:00.000-06:00"Yeah, but on the basis of patient confidentiality..."Yeah, but on the basis of patient confidentiality, we're not gonna answer that one."<BR/>I don't think HIPAA applies if there is no patient identifier. It sure would be nice to know the cause. This could be any strip from any hospital in any town.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-53714560251205700612009-01-11T09:00:00.000-06:002009-01-11T09:00:00.000-06:00No worries, DrWes! What do you consider a clinical...No worries, DrWes! What do you consider a clinically significant QTc for the purposes of treating polymorphic VT? Anything over 460 ms? 500 ms? Interesting about Lidocaine shortening the QT!Tom Bhttps://www.blogger.com/profile/18291404904437933272noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-40331501834450224212009-01-09T12:12:00.000-06:002009-01-09T12:12:00.000-06:00Dr. Wes, Hopefully you meant the nurse called in t...Dr. Wes, <BR/>Hopefully you meant the nurse called in the cavalry. (grin)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-45408167853007612272009-01-07T06:52:00.000-06:002009-01-07T06:52:00.000-06:00Wow, that's interesting. Thanks for the explanatio...Wow, that's interesting. Thanks for the explanation.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-56776888279282875212009-01-06T16:49:00.000-06:002009-01-06T16:49:00.000-06:00Tom B-Yeah, but on the basis of patient confidenti...Tom B-<BR/><BR/>Yeah, but on the basis of patient confidentiality, we're not gonna answer that one. Hope you understand.DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-30479133811039378892009-01-06T15:43:00.000-06:002009-01-06T15:43:00.000-06:00Any idea about what caused this patient's 3AVB and...Any idea about what caused this patient's 3AVB and prolonged QT?Tom Bhttps://www.blogger.com/profile/18291404904437933272noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-23141028649247546272009-01-06T15:24:00.000-06:002009-01-06T15:24:00.000-06:00Chris-It's just a potentially life-threatening rhy...Chris-<BR/><BR/>It's just a potentially life-threatening rhythm called "Torsades de Pointes" (aka, "twisting around the points" and also known as polymorphic ventricular tachycardia). In this case, the patient had underlying complete heart block and developed PVC's on the "T wave" of the EKG, resulting in initiation of this arrhythmia. Most of the time, this rhythm would self-terminate, but DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-20107597689510124272009-01-06T12:02:00.000-06:002009-01-06T12:02:00.000-06:00Can somebody explain this, for those of us who hav...Can somebody explain this, for those of us who haven't gotten into med school yet? Thanks!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-71462299322690604972009-01-06T11:28:00.000-06:002009-01-06T11:28:00.000-06:00Wow. That's all I can say.Wow. That's all I can say.OHNhttps://www.blogger.com/profile/03856294075428012923noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-85037729382196094032009-01-06T11:14:00.000-06:002009-01-06T11:14:00.000-06:00Normal or abnormal?Normal or abnormal?The Happy Hospitalisthttps://www.blogger.com/profile/14392872203166584371noreply@blogger.com