You three very learned doctors exude confidence in your field, and, along with your smiles, ensure patients that the care doctors in general provide exemplary care. Thank you for the time you take in your very busy lives!
The “White Coat” phenomenon is more than that. The need to disrupt the day, the drive in infernal traffic, the 30 minute hunt for a parking place, the walk into the office adds to the tension as we wait in the office all add to increased BP!
And then the docs do it wrong. They don't have you sit and talk and relax first. They often just put on the cuff and take a reading. And they dangle your feet off the table. And your arm is not at heart level.Etc etc.
I would add take a list of your own questions to the Cardiologist and just hand it to them. I tend to either forget, or clam up once the Doctor walks into the exam room. Thank you times three for these informative videos! Great job guys can't wait for Dr. Mike to address women's cardiac needs.☺️
Greet, make you comfortable, NOT my experience. Arrogance, impatience, talking down (and I have 2 graduate degrees). I saw him for 5 minutes, sends me for tests, no call back on results...
You guys are awesome! I'm so glad I found your channel. I have genetic high BP (both sides) so I was diagnosed at 22 and eventually by age 30 I had to start taking meds. Always active and slim to athletic build yet still a struggle. So I really appreciate all of your information.
Taking your own blood pressure, imo, is HUGE! When I first went to the cardiologist, the first appointment, I was so nervous and scared to be there. I knew I was going to be taking a stress test and was going to be hooked up to a monitor, I was having hip and knee problems and was worried I'd fall off the treadmill (funny how they have a stationary bike right there for you, just in case...NO EXCUSES!). Plus, I had a hard time finding parking and was running later than I wanted, so I was rushing to find the right place I needed to be. So, of course, my usual 120/70 was more like 140/90! I couldn't believe how high it was, and I told them that it never runs that high and I wasn't sure they believed me. Of course, they had me just sit and relax for about 15 or 20 minutes and it finally came down. But having numbers with me would have saved a lot of time.
I’m 25, and seeing my first ever cardiologist tomorrow morning. I have flutters, my blood pressure is always high. I had three EKG’s and they all came out abnormal. Turns out the lower left part of my heart is enlarged and not pumping enough blood to my body, more like a 50 year old. So I’m super nervous! So thank you for the video.
June 12th 2024, my husband is gonna have his first appointment with cardiologist I found this video when I was searching about what happen when the doctor refer to a cardiologist. English is our second language and I had no idea what would happen so it was very helpful to know, thanks a lot.
Can one ever safely no longer require bp medicine? How long is the process to phase out a bp medication? What could you recommend patients do to reduce bp homeopathically?
I apologize for the off topic but i wanna ask something looks a little confusing... I am on betablocker (propanalol) 20mg + 20mg for anxiety control (don't work very well but meh) and i wanna do sport for loose weight and build some muscles... I am 43 years old, my heart is ok but i do a sedentary life and honestly... I am done with that and wanna change something. I never found a clear answer about the betablockers and sport... Clearly the betablockers slow down the heartrate, so you can't reach the necessary heartrate you need for sport... But is same at my dosages? I mean... Is so low... 40mg total at day is the very minimum as long i know... What you doctors think?
Hi Milo. They certainly can limit your heart rate during exercise but you can still likely have a beneficial workout. Your heart rate will go up. Just not as much as it normally would. Thanks for watching and subscribing
If you have a supre ventricular acopy 8.9 percent, should you see a cardiologist. I had 21 day monitor , results with this. VA has not let me see a cardiologist.
After a year of panic attacks , heart palpitations I still am trying to figure it all out. My bp started staying high and my cholesterol with from a bit high to real high. I have copd. Even today after I ate I felt I couldn’t get enough air. My oxygen was 99% . So I took bp and it was 161/74. Can’t figure. They checked me at er two weeks ago an call that one a panic attack. I didn’t feel panic til I felt my heart rate was up. What’s causing this docs?
Why is it most Doctors do not tell patients how and why to eat healthy and exercise... also about things like magnesium, vitamin D and other vitamins that become depleted due to age and lifestyle...and the fact that there is no correlation between the use of stain drugs and the decrease in heart attacks..healthy life style is the key to a healthy heart ... people make choices ... I feel Doctors should at least tell the patients the truth as to why they are unhealthy..and then the patients will make the choice to become healthy or not..at least they were told or should I say warned ahead of time... I do realize some heart and or physical conditions are not caused by unhealthy life styles although most are.
Hi Patty. Doctors do talk about exercise and healthy eating but patients don't listen. Do you think most people don't know that eating healthy and exercising regularly is good for them? As for the statins, we would disagree but that is up to you to take a statin or not. Elevated LDL is a very specific risk factor for a cardiac event. Thanks for watching, subscribing and sharing with someone if you did.
If you have a family history of heart disease, especially on both sides of your family, would a PCP want to refer a patient to a cardiologist simply for preventive measures, particularly if you have risk factors for heart disease but you don’t have symptoms yet?
Hi Jennifer. It would really depend on how severe the family history was and the other risk factors. They may manage it while it is non symptomatic. Thanks for watching and subscribing
Hello Doctors! My heart attack came out from nowhere. I was very active, played tennis once a week, work out at the gym 2x a week, and weigh 150lbs for a 5'10 guy. Before this happened, there were no warning signs and 5 years back, my cardiologist gave me a green light and everything was great. When it happened, I had a stent inserted as there was one blockage (80%). Weird part was, no warning signs!
Wow when u said you didn't have symptoms made me think I definitely have something. I been having wheezing last couple days. But don't think is asthma because it's when I inhale not exhale the issue. Second symptom nerve pain I. Left wrist and and arm before and after testing positive for covid. Covid negative for now yay. But wheezing just started. Third sign abdominal swelling. Fourth sign fatigue. Fifth sign anxiety. I'm gonna book an appointment and see a cardiologist just to rule out asthma since I do have a cat. Also had pneumonia in past to hope is not heart issue and just a bronchitis thing. So not sure if a cardiologist can detect it but I loose nothing just gain knowledge.
@@mermaidaughter7 Emily, to be safe, ask the doctor to give you I think they call a nuclear test scan for the heart. Make sure your insurance covers it as well because it can be costly. I am back at the gym working out and off blood thinner, but still on 81mg baby aspirin since it happened in August 2020. It's best to have to done because you just never know! Best of luck to you.
Great video, 5 years ago here in Cambridge my family doc sent me to the cardiologist, I had 5 appointments and didn't see the doc once. His staff told me what tests he wanted, they told me the results of the tests, and also told me I did t need to have anymore visits. Was not impressed at all and neither was my family doc. He sent me to another doc in Guelph and was very hands on. Was great. Your videos show what we really should expect and that is great.
Hi Ryan. Sorry to hear that. You definitely should see the doc - save for the pandemic. Glad it worked out. Thanks for watching, subscribing and sharing with someone if you did.
@@keithnichols7926 without getting into my medical history, my appointments were actually with the Doc. He actually explained the tests and gave the results to me himself, not his staff. Thankfully my issue was resolved.
@@ryankay6716: You apparently objected to the lack of communication with your first doc, and this left me curious whether the doc in Guelph produced a different diagnosis that called for a treatment other than the first doc suggested.
@@TalkingWithDocs awesome! Thank you for all you do. I am subscribed and notifications are on! 3d cardiac monitor, 2nd medication and Addison's is being discussed. You guys are great at calming my nerves... well except my Vegus, it's under investigation too! 😁😋🤪😉💝
Three years ago I went through preliminary tests and was given an appointment to have a stent inserted. I drove to the hospital with my overnight bag. But after further testing I was prepped, then told I would need a double bypass. I could elect to have it then or wait to be scheduled in the next few months. My wife was back at home 40 miles away. After a few minutes of thought, I elected to have it done right away. They allowed my wife time to arrive. It literally came down to the team tracking her progress. When she was coming up the elevator, they started to wheel me into surgery. We met for a minute in the hallway. I recovered in 6 days and went home. Life can change in a minute.🙂
I had covid not vaccinated, and I went to the hospital for severe dehydration and dizziness. Now that I'm on the mend my resting heart rate is very high like around 98-120. What's going on and should I go to a cardiologist?
It’s a big high depending on what your normal was before. COVID can cause Longer problems for sure. Worth a trip to your GP first. Thanks for watching and subscribing
I recently had a Cardiac Heart CT-Scan Left main coronary artery 0 LAD 271; Lcx 70 and RCA 32=Total:373. Can I have a Carth Lab instead of taking statins, please explain?
In cases of aortic stenosis/bicuspid aortic valve where the patient has normal cholesterol levels, what is the real, documented risk improvement realized by low-level statins, if any? Thanks!
Hi Ron. We would say it is limited. They have looked at this and applied principles from coronary artery disease but it is not totally transferable. Best to talk to your cardiologist. Thanks for watching and subscribing
Here’s a serious question for Dr. Z; As an engineer myself, I see the medical diagnostic system as an algorithmic flowchart with multiple branches ultimately leading to diagnosis (and the differential). How do you see AI impacting/influence the future practices of MD’s?
Found this very helpful. My husband is recovering from mitral valve repair, open heart surgery. This happened when he saw a cardiologist for a-fib & the endoscopy revealed the hugely leaking valve. Been quite the “ journey”. He’d been fatigued for quite a while before we went to our Doc for an EKG. other twist to this is that he had endocarditis 4 years prior. Our Dr says that’s 100% responsible for his condition. He’s recovering fairly well, has a pacemaker - current meds are basically BP meds & aspirin. Your videos are very straightforward, helpful & fun to watch - even if a loved one is the subject !
sometimes you hear about people who've had a heart attack and had no systems at all. what happens then? my brother had all the test, they said he was fine then a while later was having a heart attack in the middle of the night. ended up having a quadrupole by pass.
Yes Brian this can happen. Usually the damage to the vessels is subtle and then an injury to the vessel wall leads to a big plaque and heart attack. Hope he is ok
A severe anxiety attack can be confused w heart attack...Stethoscopes..I have Litt---Cardiology....would like ta know what ya wearing....thanks in advance from DownUnder (gotta talk code or get blocked)
I had an ishemic stroke in may and I'm afraid it might have affected my heart function. I feel fine at rest but any kind of exertion causes a laborious shortness of breath and my heartbeats per minute to rise. If my heart is the problem then it wont matter how much air I can force into my lungs correct?
Don't be shy as a patient when you know there is something going on with your body. Make it known there is something abnormal going on and be persistent. It took me years to get properly diagnosed with Hypertrophic Cardiomyopathy. I had chest pains every now and then for years. I also felt like I was burning my lungs with heavy exertion (Running/Motocross, etc.). The signs were not obvious as I never had a heart attack, so there were never any abnormalities on the EKG or the blood tests. Finally got on a tread mill which led to getting the proper referrals and tests to come to a diagnosis. Bam! My entire life explained in a single diagnosis. I always though I was just out of shape, but in the end I just was not pumping enough blood.
When I receive blood pressure medication it gave me a quick hot rhythm I couldn't walk half a block with because of it I stopped it did diet and exercise I feel much better
A great video everyone should watch, it will save your life. Eleven years ago at age 59 from nowhere while driving, the sides of my chest hurt so bad it pulled me over in the seat but I let it go, made excuses what it could be. The next day same pain with a very stiff left jaw and elbow. One stent and eleven years later and I'm fine. I ignored all the signs and almost paid for it with my life. Apparently we men aren't that smart, we think " it will never happen to me" well it will. Go see your Cardiologist and don't try reading Dr. Google, the info from there is about as reliable as when your 14 year old buddies were telling you all about sex. Thanks Doc's for this very important video.
In 2010 on Good Friday, I experienced a "tingle" in my center chest. On Easter Sunday I told my family to stay away from me cause I thought I had the flu. I was extremely tired. On Tuesday the cardiologist took an EKG. I watched the eyes of the tech who was takin' my EKG. Her eyes got really large ! She left and the doctor came in to inform me that I was having an event ! They told me to go to the hospital about a mile away. I drove there. Once at the hospital I received great care. I had a five day "event" and the lower portion of my heart doesn't pump as it should. My main artery was blocked 98%. A recent artery exam showed the stent to be fully open and clear. You don't need to have terrible pain while having a heart attack.
@@TalkingWithDocs Thanks Doctors. I also had a ruptured brain aneurism in '89. After a 9 hour operation, they clipped it off. Everything is OK. An aneurism also killed my grandmother in 1935, long before I was born.
Hello doctors, is it a real cancer risk to get a heart CT scan done? I was told by a cardiologist that I am young and therefore he wouldn't encourage it. I still get unexplained chest pains and no doctor can definitely say what causing it.
That seems a bit odd. CT scans do have some radiation. Maybe they feel the test is simply not needed. If unsure second opinion. Good luck. Thanks for watching and subscribing if you did
The 3 docteers. Not musketeers. Q for doc herffernan ( apologies for misspelling your name) . With an EKG to ECG same thing I guess, can it show if you’ve not only had previous heart attack (s) but can it show strokes too? Another informative video. Thanks docs
Hi sherry. Ha. Yes it can show old heart attacks but not strokes. The way it shows a heart attack is the way the ECG reads muscular activity which is affected by the heart attack. That area of the heart no longer contracts properly. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.
Maybe a topic for another show, but why do some statins cause muscle and joint pain. I have good cholesterol levels. Great BP, I am 75, and a white male with some family history, so the Framingham algorithm wants to reduce my 10 year risk. The only way is to reduce the cholesterol score which is good, but the statin is causing muscle pain primarily in the hips and thighs. Please, any comments. I know, talk to your primary provider, but she is now on mat leave for who knows how long.
Most of them can do this. Some feel it is related to CoQ10 and often supplements can reduce it. Talk to your pharmacist or doctor. Also some reduce their dose or change the drug but stay within the class
I love these videos! You even knew about my amazingly rare bone thing! So I wonder if you could do a video on the relationship between heart issues and strokes? Thanks!
I flat out don't trust my new PCP My old doctor retired and this one is an arrogant kid I searched out local cardiologists on my own I'll be in the casket not him is my mentality
I’m 26 years old I have been having palpitations since may and it’s still on going for me, I’ve seen a cardiologist got several ECG’S done came normal, got an echocardiogram done as well but they said it was normal but I’m always having high heart rate even when I’m resting, I can’t seem to wash my face properly without my heart rate going 112-116 I’ve been super concerned I had a monitor on for 15 days and I was told my high heart rate was nothing to be worried about but it worries me I get chest aching sometime which worries me more are there any other tests I need to get done to figure out why it’s been going on for so long it scares me along with that I have asthma too so with everything that’s going on I’m very uncomfortable with the heart palpitations
Thank you for your videos! I'm 30 and had been feeling a rather odd chest discomfort which later I found out to be likely to due to spine issues/bad posture. I was sent to a cardiologist to dismiss chances I had heart related issues and found an up to 40% blockage in my LAD. Unlikely to cause me any issues in short term but kinda risky to long term. There's simply a lot that can be done if you preventively reach out a cardiologist, but unfortunately people will often only remember them when things are bad. I hope that with preventive medicine I'll be able to avoid a serious cardiac event.
If you get an echo cardiogram along with the treadmill test at the same time and everything looks and sounds normal ex: EKG, Echo, no abnormal sounds or loss blood pressure etc but still have chest pain and it gets worse with exertion, would you move on to another test or just say the patient is fine???
Omg same I had gotten few ECG’S and echocardiogram done I’ve been dealing with palpitations and chest aching or chest feeling tight/pressured and till now I still have it not sure if I should ask for a stress test
Im a commercial driver .I got a stent for a textbook widowmaker. which pretty much cost me my job becuase i couldnt find a cardiologist to signoff on my health card,Either unavailable or a 3 months out appointments or a primary care docs referal still takes weeks..once youall mess with a healthy heart you need to make follow ups more available.Thx for the 44k stent but i still have heartburn and no job..
Hi Lee. Sorry to hear that. We would agree that a follow up is a minimum for what you went through. Thanks for watching, subscribing and sharing with someone if you did.
Hi test40323. Likely the type of pain and the location. One way is to take an antacid and if the pain goes away - heartburn. If truly concerned should go to ER or call 911 though. Thanks for watching, subscribing and sharing with someone if you did.
A week ago I went to the Emergency Room because I couldn’t breathe and I was diagnosed with Congestive Heart Failure. What type of test will my cardiologist do after the immediate crisis is over?
When it started happening to me it was triggered twice in two weeks by eating salty food, but it was the same food I had eaten before with no problems. I literally rode it out both times. That was a mistake, but the third time I went to the medical clinic telling them "I think I'm having a heart attack", and they swarmed me with the best care ever instantly, called the ambulance, sent me to the ER and saved my life. I had 3 stents put in because it was a bifurcation. They said my heart took little to no damage because I drove myself to the clinic just in time, even though I was having the jaw and chest pain a couple of times in the two weeks prior.
Thanks for this vid. Luckily at the moment, I haven't had the need for a cardiologist referral, but, I'm sure I didn't do my body or heart any favors by smoking. I've since quit cold turkey over a year ago & I'm sure my lungs and heart thank me. I continue to be observant should any adverse side effects decide to rear their ugly head. So dumb to have started to begin with. =(
Thank you Docs I am 63, female and noticed that my chest feel sore, tight and dizzyness whenever I handle heavy objects. I no longer do that and feel fine. Should I still go to a Cardiologist?
if you have a blood pressure, of 110/60, is that a concern, thinking of pulse pressure? 71 years old. I've read the difference shouldn't be greater than 40 (ideally). Curious. Also does a low diastolic like 55 or 60 mean perhaps that valves might not be closing properly, thus not maintaining pressure? Would this perhaps make you feel dizzy upon suddenly standing and starting to walk?
Hi..doctors,Could you please explain this echo report shortly..does this need any further investigation and is there any chance for MI? Sclerotic aortic valve Mild MR,Trivial TR Grade 1 LV Diastolic dysfunction
Hi Marisa. This is best reviewed with your family doctor or cardiologist. There are some minor findings. Nothing on echo is typically predictive of an MI - that relates more to the status of the blood vessels. Best of luck. Thanks for watching and subscribing
I have High Blood Pressure and COPD and I just had a Pulmonary Breath Test. What does this test measure?? And what is the DR. looking for?? I also have Secondary Polycythemia.
Hi Penelope. So that test looks at multiple different things including the amount of oxygen and CO2 in your expired breath. It can also measure breathing rate, force, etc. Thanks for watching, subscribing and sharing with someone if you did.
Hi Nikos. If you didn't get the COVID jab, just be preprared to apologize to the ER and ICU staff who have been working their butts off for 18 months taking double shifts and cancelling their holidays and then will be expected to help you. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs thanks doc! Do they get paid? Is this volunteer work? Also do not forget to call out the obese patients as well when they are eating that garbage food….When the vast majority of patients that pass from covid are OBESE! But keep shaming those that don’t want to take the experimental gene therapy jab. Cheers!
Hi Cindi. Ultimately the anesthetist and cardiologist will determine if it is necessary to wait or if you can go ahead. Good luck. Thanks for watching and subscribing
I am diagnosed with a complete occlusion ( 100% blockage ) of RCA and a moderate to severe Mitral valve regurgitation. One cardiologist says surgery to repair valve and a single artery CABG at the same time. But a second opinion suggest I don't mess with the blocked artery because collaterals are working . Confused. I am not asking for advice for a decision. I want to know why the differences.
Hi Wentao. Impossible for us to give that answer. Sometimes if blockages occur slowly your body can accomodate and may not need the bypass because it has essentially done it. Thanks for watching and subscribing
Y'all just didn't learn about throwing all that humor in these videos did you ? Well maybe this video was made before the fact. Just kidding. Enjoy the information. Just hope my surgeon was totally serious when he was doing my quadruple bypass. I understand though from the nurses that he's sometimes on the phone making weekend plans while he's doing surgery . I don't remember a lot about it so I guess it doesn't matter. Keep up the good work!
My personal Omron blood-pressure machine gives varying consecutive readings, three in rapid succession, each morning. And they are much lower than the single readings my doctor's staff gets. In fact, the doc's readings have led to a diagnosis of high blood pressure, which seems rather questionable. How to verify the accuracy or inaccuracy of my machine?
Hi Keith. Traditionally manual BP cuffs are more reliable. And a recent study showed it is critical to have the proper size cuff. Maybe bring yours into your next visit to see. Hope that helps. Thanks for watching and subscribing
Do I need to see a cardiologist? Yes for me. Why? I am 69 and HBP and heart issues. Go to the experts and get proper care. I also see a dermatologist, gastroenterologist, ophthalmologist, and PCP.
Have you ever done a video about recognizing autoimmune problems, before seeing a rheumatologist? I would really like to see one, know that autoimmunes are incredibly varied. I am wondering if there are any basic signs to indicate that a person has one? Thanks.
Great videao. Thank you. Gosh, wish we could have access to the 'tests' in the UK within 'a month' as suggested here. Might be two years for tests here and that's after a 1 year wait for a cardiologist. Thinking of moving to Canada!!
I had episodes of chest pain and feeling my heart was racing at times some pressure just a odd feeling and like I couldn't get a good breath in..if I stopped what I was doing sat down or squatted it would easy off.. I was born with mvp no biggey just never could talk and run at the same time..I was refered to a cardiologist I had been on Norvasc for bp .well controlled. I was a marathon runner ...I had a stress test and the doctor kept asking me if I was ok..the nurses to..my bp would jump from 178/96 to 198/110..sometimes 200/114...I was determined to remain calm..I'm in a hospital I'm safe I thought...the doctor said your nervous aren't you? I said no I'm just really exhausted..my pulse go from 98 to 188 or more... I don't get white coat syndrome.. ..the most bizarre thing was the injection made my butt yes my butt w numb like it weighed 300 pounds now that scared me..the doctor said it was usual but it would pass and it did.....he asked again if I was okay. I assume because of my numbers....I said your the doctor you tell me...so he said I was fine I could go...I got to the lobby I felt nauseated weak sweaty and collapsed my legs wouldn't hold me....it was a mess trying to get to the ER another story ...my Potassium was 2.0...they said it was just a little low so pumped me up with Potassium sent me home I was fine..i guess its just menopause that keeps kicking my butt.. maybe it's all in my head and I'm just getting old as dirt
Recently here in town. A man had a large stroke. He was flown to a medical center, but had no insurance, so was sent home he died a few days ago. So remember Cardiologists care………..about there money and not you!
Hi Tom. Not sure where you live. In Canada everyone gets care through our universal health care. Sorry to hear that story. Thanks for watching and subscribing if you did
