Exactly the same here! I'm 15 in the UK and want to be a neurologist, largely because of these videos. Plus, watching them often helps me with GCSE biology. Thanks!!
@@lewishelliwell9463 I miss Gcse and A-Level days, truely the best days of my life Best of luck buddy, medicine is a very satisfying carrer path, but the path to that carrer is not easy
@@lewishelliwell9463 I’m 16 in the uk just finishing up my GCSE’s. I plan on doing my nursing degree in adults but I’m working my way up. I’m volunteering at the moment, then I plan to become a healthcare assistant along side my nursing degree
You’ve inspired me to become a doctor since I was doing my GCSEs in high school. Now I’m a 4th year medical student. I started a UA-cam channel myself to document my life as a medical student with the hopes to be able to inspire the new generation…just like you did for me! Thank you!
I survived a 100% blockage. It was an emotional experience when I saw my own heart got unblocked on the screen. I didn't know I was so close to death. Thanks to the medical professionals my life was spared and live to tell the story. It will be just a week away for my 1 year "widows maker" anniversary.
I had a 100% blockage as well, and it was in April 2016. I threw out all the meds they prescribed for me after a month, and have lived fine and dandy on aspirin ever since. They said I would die within a year if I stopped taking the meds. Well, it's been 7 years and I'm going strong. lol
My mum had a massive heart attack last month. She had the “widowmaker”. 90% LAD blockage. She was so sick. Happened so fast too. She’s an ex nurse/Paramedic so she knew what was happening. She was in the Cath Lab within the 90 minute window. I’m so grateful to her cardiologist. He was amazing!
I had a heart attack in February. Widowmaker was 60% blocked. Took 3 trips to the E.R. for them to do a cardiac work up even though I told them I was a nurse and my dad died of a heart attack when he was 66 (I am 67). Frustrating to say the least. I thought we were past dismissing women who have atypical symptoms but I guessnot 🙄
@@maureenb.8517 omg! How are you now? Mums a ex nurse/paramedic so she knew what was happening. American health care sucks. :( I’m in Australia. You’d think they’d have listened to you knowing you’re a nurse. I swear some doctors shouldn’t be licensed. 🤬
I wish more UA-cam doctors would mention Takatsubo’s Cardiomyopathy (also known as Broken Heart Syndrome). I had it ten years ago. No plaque or blockages. I have had to explain this myself to many health professionals who have not heard of it. I feel it needs more attention. Thanks!
Takotsubo cardiomyopathy also known as stress induced cardiomyopathy can be a heart attack mimic where it can clinically and biochemically present with an elevated troponin. Often times, a coronary angiography like the one in this video is required to rule out obstructive coronary disease to diagnose Takotsubo. It is thought to be due to a significant stress that causes ‘stunning’ of the heart muscle. Hope this explanation helps :)
Thank you. I am totally aware of what it is and what causes it. I just would like more health care professionals to be aware of it. I also would like UA-cam doctors to talk about it. Most videos are about heart attacks involving plaque and blockages. It damages the heart muscle and requires diagnosis and medical treatment. I’d like it to be put out there by doctors so that people know about it.
@@catherinebent5101 Yes! I would like to hear more about it too! It sounds very interesting topic. I think that channel: "MedCrisis" did a video about it. He is cardiologist so this would be his speciality.
@@catherinebent5101 People should know about it. I am sure I have watched this doctor mention it a few years back in one of her videos. I think many health care professionals who should know about it since they help in treating such patients know well about it.
I am a medical student and your videos really motivates me to study. Studying about coronary arteries during anatomy class is so much more interestng after this video. Also the editing of your videos is amazing!
I’m an ED nurse so I’ve had the patient that gets rushed to cath lab and I’ve see the procedure but it is still so cool to watch and learn all these steps again and especially the part I don’t see, which is what happens when they are admitted. I wasn’t aware of the driving restrictions and the why for them. That’s tough but it all makes sense. So grateful that this hospital allows you to film so much! They truly are helping us all learn more about our health and bodies. ❤
Thanks for sharing facts in progress. Yes. Q: could the stents be made out of a substance that will be diluted gradually, instead of unnatural metal objects ? Just asking. 🤽♀️👍❤
@@RonWesterbeek metals are natural. Just wanna get that out of the way. Second, you don’t want these stents to go away. These need to remain in place so that blood flow can continue throughout the heart. If they dissolved then the blockage would return resulting it more damage to the heart.
@@BlueCrystalAnimatez But that completely defeats the point of having the stent. The purpose of the stent is to keep the blood vessels open because the plaque that has built up within the walls of the vessels is causing them to narrow or even close which prevents blood to the organs and causes organ death. When it comes to the heart, dead heart tissue leads to dangerous irregular heart rhythms that lead to death. You absolutely do not want anything that will dissolve or break down or degrade over time because then you'll just have to keep having surgeries to replace these stents. Every time we cut into the human body, be it inserting an IV or full on surgery, we are opening that person up for infection. The last thing we want to do is increase the risk of infection which can lead to complications and even death.
Yeah, I've been through both scenarios, which I've mentioned here before. I had unstable angina caused by two plaques in the LAD, at 90 and 99%. It built up over time and over several months I started to feel tired and when I sneezed I felt like my chest got struck by lightning. I finally called my PCP and they told me to go to the ER because they would just send me there anyway. The ER kept me for observation based on family history, but everyone thought it was probably nothing because I was young. After a stress echo I had really bad angina and the cardiologist himself came in and gave me nitroglycerin. Later that afternoon they did angioplasty and put in one long stent to cover both blockages. I don't think they used IVUS. Afterwards I felt great and had no problems for 6 1/2 years. Except that they went in through the femoral artery and the seal broke a few hours later, but the nurses came in quick and put pressure on it - after each of the students had had a chance to palpate and learn what a broken seal and internal arterial bleeding felt like - the hematoma stayed with me for months and delayed my rehab. On Halloween 2019 I woke up in the hospital with no idea how I got there. Someone asked me if I could remember my name and I thought "of course I can"... but it felt like it took a while for it to come to me, maybe a minute or so. Long story short, for reasons that are still unclear, a couple days earlier I had developed an in-stent thrombosis (a rare complication not to be confused for a re-stenosis), a fresh clot had suddenly formed on the stent placed 6 1/2 years earlier. Family told me that I had taken my nitroglycerin pills and asked them to call an ambulance, but as soon as I sat on the gurney, I had a seizure and coded. The EMTs rushed me out to the ambulance and strapped a LUCAS device to me. Paramedics drove up from home to assist. The Fire chief drove up to assist. They shocked me and would get a heartbeat briefly, only to lose it again. After about 20-25 minutes and three failed shocks, the Fire Chief told them to take me to the nearest ER and told family I had maybe a 50% chance. The ER got my heart beating again after a total of about 40 minutes of CPR. They put me in a hypothermic coma and I was airlifted to a regional trauma center. They aspirated the clot using catheters and IVUS. On the report, they wrote that the previous stent was "remarkably under-expanded." So, they tried to expand it themselves, but they couldn't get the 2.5 mm stent open far enough. So, they put a 4 mm stent inside it. I asked how they could do that and a later cardiologist said the older stent would have broke. So, now I have broken metal in my heart, kinda like Tony Stark. I spent the next month in a couple hospitals for recovery, rehab, back to hospital for complications, then back to rehab. I had lots of medical and nursing students and a researcher come by to interview me. I told them what I was told, but I have retrograde amnesia and never remembered what happened that night or for a few days before. I'm not sure if I was told I couldn't drive or if I read it somewhere or just worried about it myself. It was a couple months before I felt confident enough to get back behind the wheel and my cardiologist said I was OK to drive. However,I still worry about driving, which is making it difficult to get back to work in a job that might require a lot of time on the road. What's surprising is that I'm even thinking about getting back to work. Most people who experience out of hospital cardiac arrest don't make it. Of those who do, most don't make it very far and die shortly thereafter. And of those who do, many have new disabilities. While my chart said I had hypoxic ischemic encephalopathy, in practice I only have some very mild problems with aphasia, brain fog and memory, although I since have been diagnosed with PTSD. My EF only dropped to 45, and afterwords rose to 50. I'm well enough that it's almost as if it didn't happen. I never would have thought of dying being an "invisible illness," but here we are.
@Æsir I'm told I was in pain, but I have amnesia so I forgot it. Doctors say that's lucky. But I do remember having bad angina several years earlier right before they put the stent in, so I'm guessing it felt like that at the very least. It felt like they say, which is like an elephant sitting on your chest. I was and am a little overweight, but I had been obese but had lost 90+ lbs over ten years. My older half brother had a heart attack in his mid 30s, and died from heart failure a short time later. My uncle and biological grandfather died from heart problems in their early 40s. That I was set to die in my 40s was assumed, that I would come back wasn't. Though, the way things have gone since I woke up from the coma, I wonder if coming back was a good idea. The world seems to have gone crazy. And now I'm feeling sick all the time, and starting to suspect Rheumatoid Arthritis.
From all that you said, you seem extremely smart. If you enjoy and understand medicine enough, why not train to become a respiratory therapist or a low-degree medical healthcare assistant? I think you'll get through the studies easily since you do have a head start that relates to your experience. That means you can pick up a new job at hospitals that is if you live near a hospital. So, that is a big if. I read all that you went through, and I am thankful because this was really impressive. I hope you do well for yourself, and I hope you feel more confident driving and staying safe.
@@jakeaurod I read your next post. And it seems that some sort of genetic contribution has something to do with it, but I am hoping not. Don't give up brother, just because some parts of your family lost their life to this doesn't mean you can't fight it. Good on you for losing so much weight. Life is worth living and I hope you get your rheumatoid arthritis doubt checked out.
Hi Siobhan! I was wondering if you could talk about immunotherapy vs chemo. I'm about to start immunotherapy for skin cancer, and would love to hear your take on it :) I would like to get to an idea of what I'm up against, and perhaps what to expect. I know each case is different, but any advice on going through immunotherapy would be so helpful. Thanks 😊
I loved learning more in depth about one case and seeing the diagnosis and treatment process in the cathlab was super interesting! I like knowing what happens to the patients you see and the outcome of your day and learning more in depth about conditions and medical processes
My last nursing placement is on a cardiac ward and I'm schedlued to spend a day in the Cath labs soon. I feel I'll have more idea now, so thanks for sharing. I've actually been watching your videos since I applied for my nursing course during the peak of the pandemic!
Very interesting video. My husband had cardiac arrest (was in Vfib) in February. He didn't have a single blockage but had a defibrillator placed. He's a commercial driver as well and it ended his career. Just so happy he is still with us! Was a very scary few days in the ICU waiting for him to wake up!
@@eneedham789 he has a history of cardiomyopathy and afib but we never got a clear answer why he went into vfib. One theory is the meds he was on for afib were incorrect.
I love how you went deeper with this case! It definitely gives more nuance and it's easier to digest. Hopefully the patient will be able to drive soon! ❤
This was so cool to watch! I'm a nurse working in hospital but what happens in angio seems like a bit of a mystery, like it's a mythical place that people visit but I've never seen, lol.
I felt like I had a heart attack a few years back, but it turned out to be heart palpitations brought on by panic disorder. Thankfully it has now been resolved. So amazing to see how a Dr. can insert a catheter in the arm to reach the heart and that the patient is still awake. Thank you for your continued view into the medical world we usually never see.
I found it very interesting to learn about one specific patient's case in a single video. I feel like I learned a lot more than way. I also like the format where we learn about different cases in one video as well. I don't really have a preference. Do you ever work with any patients that have neurological issues? I'd like to learn more about that being someone who suffers from some of those problems myself.
Great video! This was me back last Christmas. I had a heart attack the week of Christmas. My troponin was elevated to 300 to 400. They contributed that to a heart attack, however, some medical professionals said that could had been the 50 pounds of excess fluid I had gained since Thanksgiving. As of right now i've lost over 100 pounds since that time and my heart is doing great. My cardio infraction has gone from a 40% to a 55% to 66% At the time I was to heavy for the tables so they did not do any medical intervention.
Im a Social Worker on a Cardiology ward and found this very interesting and insightful! Im hoping to get the opportunity to see an angiogram down in our Cath lab one day! Also loved that you spoke on the issue of transport as that's something I often will get referred for, particularly if the patient is elderly and does not have any social supports.
I’m a cath lab technologist…. This is by far the best representation of a cath procedure I’ve seen with easy to follow and accurate commentary. It’s so hard to explain to my non-medical friends and family what I do and how cool my job actually is, this video will now be my go to! Thank you for all you do!🫀❤️
My dad had an angiogram about 10 years ago, and they found that he had a clot that was moving around in his heart 😳 the he had an 80% blockage in the widow maker artery. Needless to say, he had a stent put in. Thanks for showing me exactly how the procedure works!
Hi! Fellow southern ontario person here! I've been watching you since I was in high school, and now i'm a kindergarten teacher! What I've always wondered about is how are patients with mental health crisis processed through the emergency department?
This is really cool to see! I’m a nurse on a med surg floor and we get people post angio all the time and always wonder how it goes down. thanks for this video. I learned a lot
Thank you Violin Doc seeing this was fascinating! The arteries look like tree roots and what a difference before and after! I love your channel, I learn so much from you!
Hey, Siobhan, do you get any patients with Amplified Musculoskeletal Pain Syndrome? It’s a pretty rare, yet debilitating, syndrome that is similar to fibromyalgia. There is so little on the web about it, and I would love to hear about any case studies or patients who were diagnosed with it. I was diagnosed at a hospital December after dealing with a host of horrible symptoms for half a year. Thankfully, I’m getting inpatient treatment at Cleveland Clinic to help me get back to some sort of normal. Thanks for your videos! You’re a big part of why I want to be a physical therapist
I had a Stemi in June of 2020. 8 days later had a 2nd attack, arrived at the hospital in full code. They attributed the 2nd attack to the amt of Amiodoron (sp) I was put on. We were tapering down, but apparently not soon enough. Have done fine since tho I still have some arrhythmia.
Fascinating! ok, and a wee bit cringy for me (haha) to imagine something being threaded through my arteries....yikes!! great explanation and actual stent coverage!
I grafting sooner from medical school I can’t no believe it I did medical school for 4 years now I started at age 12 and now am 13 year old doing this medical school life and now I am sooooo proud how hard I have worked this year I did First I did HMX fundamental Immunology that my first ever degrees Then I did cardiology that I haven’t finished yet Then I did Radiology then I did all of the courses in medical school am a student at Harvard Medical School and get a dorm at Kennesaw State University 🙃🎉
Totally off topic but I saw a video of a random violinist playing Vivaldi "Summer" in some kind of public area with a random pianist and I i thought of you ❤
Watching Siobhan while I work on costume pieces for my high schools theater show. I don’t plan on going into medicine, I’d actually like to teach theater, but the way she creates content makes me wanna switch 😂❤
That was fascinating!! I think all of your day in a life videos are fascinating and educational. I don’t hope for anyone to have a medical condition or emergency, but we know they can happen and it makes me feel more prepared to face a medical emergency because of your videos!
I'm sorry, I haven't finished the video yet but that intravascular ultrasound was wicked sick! I'm a paramedic and, just because, I need one in my life!
I loved this type of video where you took us on a journey on progress in one case, I’d like to see the same with cases in hematology and nephrology. Love you Shivan.🩵
would you be able to further expand upon the types of heart attacks? I understand there is one involving the electrical signal. I have had cardiac heat fauluire due to tears between chambers.
Ive always enjoyed your content! Honestly anything having to do with the hospital is always appreciated. It makes me less scared for when something bad happens and I need to go myself. Thank you for always putting your patients first in your amazing care!
So interesting watching this! I have a stent in my right subclavian vein. I've had 11 venograms (awake through 10) as my subclavian vein was so damaged from compression it was blocked for 18 months. Not as life threatening but I was always fascinated watching all the venograms in real time.
Please do more videos like this that give us a closer look at the diagnosis and treatment of (unfortunately) common and potentially catastrophic conditions.
As a cardiac patient, I greatly appreciated this insight. In my case, I was diagnosed with an aortic aneurysm and also needed a single bypass, both of which were detected (thankfully) and repaired prior to symptoms, and I just had my 5 year anniversary of having my "broken heart" fixed 🙂. I really appreciate your videos.
Entertaining AND Enlightening in seeing and learning so much.....and I didn't even stay in A Holiday Inn either!🤣 As a kid, my Saturdays meant Cartoons! WOOHOO😅 but as an Adult Kid my Saturdays now mean Cool Groovy ER situations and on the job field Trips with you and Mark! As always, thank you for saving me a seat in The Ambulance! Cheers and Blessings From COW-lumbus, Ohio MOO 🙏
This was a really interesting video, thanks so much for taking time to educate and major thanks to the hospital & the staff for allowing access to a critical department we hopefully never have to visit.
I'm a Hospital pharmacy tech, and I've seen quite a few of these procedures when I have to help them fix the pyxis in the cath lab. I had no clue that they had intravascular ultrasound. That's so cool!
my dad has had 4 heart attacks and a quintuple bypass and is still living his best life. i know how lucky i am to have him. as a recent MD and a future interventional cardiologist i love that you explained this to others :)
My mom had a heart attack last october that sadly took her life. It was unexpected and sudden, and by the time she got to the hospital she was too far gone. I'm really grateful the cardiology team had tried their best efforts though. It's nice to see the behind the scenes of how doctors approach situations like these. Thank you!
Mom ended up at Scarb Rouge a few years ago. From the incident at the Toronto Zoo, placing the stent, and into recovery was ~2hr. EMS hadn't been there before, and we were going straight to the lab, ER bypass, radio telemetry is AWESOME! I got there before EMS (no room in ambulance), supposed to be met by someone to guide us, they weren't there so I guided (reading signs while medics did their thing). Signage was SO good that I ended up IN the cath lab while they were setting up! EMS apologized FOR me since it REALLY wasn't a place me and my two young nephews should have been! DON'T TOUCH ANYTHING! lol. EMS actually stayed to watch the procedure since it was fairly new, and hung out until Doc came. THEN, the Zoo nurse stopped by after work! We worked in tandem from loading gear at the aid station, to site treatment, to transport.
As you can see from the comments you are a huge inspiration to many people. Please continue with these videos as you are encouraging many others to go into the medical field. Best of luck to you and your husband.
I'd be interested in the extensive history of a patient like the one in this video, since the blockage built up over time, what happened to bring him to a total blockage, as opposed to finding the problem sooner?
I’m 15 and I’ve already known what I want to do when I get older I wanna be a RN and watching your videos have given me a prospective on what to expect and also to get some prospective on some medical terms
Thank you for this in-depth explanation! I work front desk at an outpatient Cardiology clinic and it's really neat to get a peek at what our Interventionalist does routinely in the Cath lab. I have the general idea but it's another thing entirely to *see* the contrast dye go throughout the arteries. I'll be sharing this with my fellow receptionists!
Hey what's up Siobhan! Great to see you! Thank you for another great and informative video! It's always wonderous to me, to see our bodies in action through x-ray, ultrasound and MRI!! So with that being said, This video is awesome!!! Thank you once again for all that you do for us and for your service to the world as a physician!! Be well, be safe and see U in the next one!! Cheers!!
Haha I don’t think it actually stands for anything! Different parts of the ECG tracing are labeled Q R S T, so it’s just representing that segment rather than an abbreviation
Hey, quick remark: Here in Austria nitrovasodilators are less and less used when it comes to ACS, especially with patients suffering from a myocardial infarction of the right heart due to the rapid loss of preload. Is there a similar trend happening in Canada or is this news to you?
My dad had a procedure at his cardiologist where they placed him in these pressure pants that were up to his armpits I believe. Then pressure was exerted intermittently to force the heart to produce new collateral capillaries.
Hi Siobhan! Thank you for this video. I work in the medical field as a CNA and I love seeing different procedures in medicine. Im considering being a nurse one day. Keep up the awesome videos, please!
My dad passed very suddenly last Sunday, and the doctor said based on his history and symptoms my stepmom reported (namely drooling), it was a massive heart attack. He would’ve wanted to go quickly like he did, and I’ve said a couple times that I think the only thing different he might’ve chosen was it not happening at home where stepmom still lives. However, this morning I was realizing too that it happening at home meant safety. He wasn’t driving when it happened which meant no endangerment to my stepmom as a passenger or towards anyone else on the road with him losing control of a vehicle. He certainly would’ve chosen safety for others.
Fantastically informative vid today DrV! My dad was a Teamster trucker who had a massive heart attack, and died a few hrs later, when only 59 yrs young... This vid really helped me understand much more about what happened to him, so thanx.
I can’t help but want to become a Doctor when watching your videos. Seeing your passion for medicine never fails to reignite my fascination for all that nerdy medical science stuff
When I was in secondary school doing a Co-Op on the CCU I had the opportunity pf observing Dr. Bakar perform an angiogram during his time at Schulich School of Medicine in London ON. It was the primary reason for me to pursue a career in healthcare! Great to see he is still making advancements in cardiac medicine!
Thank you! I found that really helpful to understand how the prognosis can vary so much, even when there is the same environmental and lifestyle factors. I really like this style of video where you delve a little deeper into one case. You’ve always been so great at explaining things in a way that is so easy to understand. 🖤 big love from a midwife in the UK!
@@MsStina84 a women will receive antenatal, intrapartum and postnatal care from a midwife only, providing there are no deviations from normality or pre existing medical conditions. A doctor is only referred to in those cases or if medical intervention is required during delivery. It’s interesting how much the role varies (or doesn’t even exist) in certain countries.
This is music to my ears! I’m currently in the Cardiovascular Technology program working on becoming a registered cardiovascular invasive specialist (RCIS). Will be starting my 2nd semester in the program and I understand and know what exactly what you were talking about which means the first semester of the program did justice! Can’t wait to start clinical’s Oct. 2023!
I am an engineering student about to finish school, but I feel like I can become a doctor and it doesn't feel scary or anything. You're a great teacher.
What’s really amazing is that you can film in the hospital. I know you protect the patients identity but with HIPPA here in America they fired a nurse for simply taking a picture of an ER room where they had a event. No patient was in the picture just the aftermath. It was rediculous a long time nurse was fired over a pic with a hashtag of BUSY NIGHT. Love your vids and do you have anything like HIPPA in Canada?
Man I wish I had an internist that could explain the st q changes and rhythm over time. How it relates to non stemi vs a stemi heart attack. I thought I understood, the very basics, my whole life having chd. But the way that you explained how the heart adapts would be so helpful, not just for me, but for those closest to me especially. Trying to understand it all in regard to life, plans, and activity. 💕 … Thank you for this video.
Your by yourself in empty hallways, making a video that you will upload. And your wearing a facemask - by yourself, in an empty hallway, while making a video for people to watch. And you expect who to take you seriously exactly?
QUESTION!! First I Love Your Channel.When A Patient Is Having A Heart Cath.When Is The Decision That They Might Need A Open Heart Surgery Or Do They Even Do These For Artery Disease?? Thanks From San Diego.🌴
i’ve been watching you for years and you have inspired me as a 15 year old to become a nurse/doctor when older
So wonderful to hear that Naners - makes my day!
Exactly the same here! I'm 15 in the UK and want to be a neurologist, largely because of these videos. Plus, watching them often helps me with GCSE biology. Thanks!!
@@lewishelliwell9463 I miss Gcse and A-Level days, truely the best days of my life
Best of luck buddy, medicine is a very satisfying carrer path, but the path to that carrer is not easy
@@lewishelliwell9463 I’m 16 in the uk just finishing up my GCSE’s. I plan on doing my nursing degree in adults but I’m working my way up. I’m volunteering at the moment, then I plan to become a healthcare assistant along side my nursing degree
I’m 14 in the uk and want to be a midwife, it’s still so cool to see hospital settings and stuff
You’ve inspired me to become a doctor since I was doing my GCSEs in high school. Now I’m a 4th year medical student. I started a UA-cam channel myself to document my life as a medical student with the hopes to be able to inspire the new generation…just like you did for me! Thank you!
I survived a 100% blockage. It was an emotional experience when I saw my own heart got unblocked on the screen. I didn't know I was so close to death. Thanks to the medical professionals my life was spared and live to tell the story. It will be just a week away for my 1 year "widows maker" anniversary.
I had a 100% blockage as well, and it was in April 2016. I threw out all the meds they prescribed for me after a month, and have lived fine and dandy on aspirin ever since. They said I would die within a year if I stopped taking the meds. Well, it's been 7 years and I'm going strong. lol
My mum had a massive heart attack last month. She had the “widowmaker”. 90% LAD blockage. She was so sick. Happened so fast too. She’s an ex nurse/Paramedic so she knew what was happening. She was in the Cath Lab within the 90 minute window. I’m so grateful to her cardiologist. He was amazing!
Omg that’s awful I’m so sorry about your mom. Hope she feels better soon 😊
I hope she's doing better. My dad had a widowmaker heart attack in 2018.
@@akcuberferrelldid he make it?
I had a heart attack in February. Widowmaker was 60% blocked. Took 3 trips to the E.R. for them to do a cardiac work up even though I told them I was a nurse and my dad died of a heart attack when he was 66 (I am 67). Frustrating to say the least. I thought we were past dismissing women who have atypical symptoms but I guessnot 🙄
@@maureenb.8517 omg! How are you now? Mums a ex nurse/paramedic so she knew what was happening. American health care sucks. :( I’m in Australia. You’d think they’d have listened to you knowing you’re a nurse. I swear some doctors shouldn’t be licensed. 🤬
I wish more UA-cam doctors would mention Takatsubo’s Cardiomyopathy (also known as Broken Heart Syndrome). I had it ten years ago. No plaque or blockages. I have had to explain this myself to many health professionals who have not heard of it. I feel it needs more attention. Thanks!
Whoa, that's fascinating! Thank you for sharing about Takatsubo's Cardiomyopathy!
Takotsubo cardiomyopathy also known as stress induced cardiomyopathy can be a heart attack mimic where it can clinically and biochemically present with an elevated troponin. Often times, a coronary angiography like the one in this video is required to rule out obstructive coronary disease to diagnose Takotsubo. It is thought to be due to a significant stress that causes ‘stunning’ of the heart muscle. Hope this explanation helps :)
Thank you. I am totally aware of what it is and what causes it. I just would like more health care professionals to be aware of it. I also would like UA-cam doctors to talk about it. Most videos are about heart attacks involving plaque and blockages.
It damages the heart muscle and requires diagnosis and medical treatment.
I’d like it to be put out there by doctors so that people know about it.
@@catherinebent5101 Yes! I would like to hear more about it too! It sounds very interesting topic. I think that channel: "MedCrisis" did a video about it. He is cardiologist so this would be his speciality.
@@catherinebent5101 People should know about it. I am sure I have watched this doctor mention it a few years back in one of her videos. I think many health care professionals who should know about it since they help in treating such patients know well about it.
I am a medical student and your videos really motivates me to study. Studying about coronary arteries during anatomy class is so much more interestng after this video. Also the editing of your videos is amazing!
I’m an ED nurse so I’ve had the patient that gets rushed to cath lab and I’ve see the procedure but it is still so cool to watch and learn all these steps again and especially the part I don’t see, which is what happens when they are admitted.
I wasn’t aware of the driving restrictions and the why for them. That’s tough but it all makes sense.
So grateful that this hospital allows you to film so much! They truly are helping us all learn more about our health and bodies. ❤
Thanks for sharing facts in progress. Yes. Q: could the stents be made out of a substance that will be diluted gradually, instead of unnatural metal objects ? Just asking. 🤽♀️👍❤
@@RonWesterbeek metals are natural. Just wanna get that out of the way. Second, you don’t want these stents to go away. These need to remain in place so that blood flow can continue throughout the heart. If they dissolved then the blockage would return resulting it more damage to the heart.
@@LydJaGillersthey probably meant something that is biodegradable
@@BlueCrystalAnimatez But that completely defeats the point of having the stent. The purpose of the stent is to keep the blood vessels open because the plaque that has built up within the walls of the vessels is causing them to narrow or even close which prevents blood to the organs and causes organ death. When it comes to the heart, dead heart tissue leads to dangerous irregular heart rhythms that lead to death. You absolutely do not want anything that will dissolve or break down or degrade over time because then you'll just have to keep having surgeries to replace these stents.
Every time we cut into the human body, be it inserting an IV or full on surgery, we are opening that person up for infection. The last thing we want to do is increase the risk of infection which can lead to complications and even death.
I could never be a doctor or nurse (not for me lol) but I absolutely love watching these videos. Super interesting.
Yeah, I've been through both scenarios, which I've mentioned here before. I had unstable angina caused by two plaques in the LAD, at 90 and 99%. It built up over time and over several months I started to feel tired and when I sneezed I felt like my chest got struck by lightning. I finally called my PCP and they told me to go to the ER because they would just send me there anyway. The ER kept me for observation based on family history, but everyone thought it was probably nothing because I was young. After a stress echo I had really bad angina and the cardiologist himself came in and gave me nitroglycerin. Later that afternoon they did angioplasty and put in one long stent to cover both blockages. I don't think they used IVUS. Afterwards I felt great and had no problems for 6 1/2 years. Except that they went in through the femoral artery and the seal broke a few hours later, but the nurses came in quick and put pressure on it - after each of the students had had a chance to palpate and learn what a broken seal and internal arterial bleeding felt like - the hematoma stayed with me for months and delayed my rehab.
On Halloween 2019 I woke up in the hospital with no idea how I got there. Someone asked me if I could remember my name and I thought "of course I can"... but it felt like it took a while for it to come to me, maybe a minute or so. Long story short, for reasons that are still unclear, a couple days earlier I had developed an in-stent thrombosis (a rare complication not to be confused for a re-stenosis), a fresh clot had suddenly formed on the stent placed 6 1/2 years earlier. Family told me that I had taken my nitroglycerin pills and asked them to call an ambulance, but as soon as I sat on the gurney, I had a seizure and coded. The EMTs rushed me out to the ambulance and strapped a LUCAS device to me. Paramedics drove up from home to assist. The Fire chief drove up to assist. They shocked me and would get a heartbeat briefly, only to lose it again. After about 20-25 minutes and three failed shocks, the Fire Chief told them to take me to the nearest ER and told family I had maybe a 50% chance.
The ER got my heart beating again after a total of about 40 minutes of CPR. They put me in a hypothermic coma and I was airlifted to a regional trauma center. They aspirated the clot using catheters and IVUS. On the report, they wrote that the previous stent was "remarkably under-expanded." So, they tried to expand it themselves, but they couldn't get the 2.5 mm stent open far enough. So, they put a 4 mm stent inside it. I asked how they could do that and a later cardiologist said the older stent would have broke. So, now I have broken metal in my heart, kinda like Tony Stark.
I spent the next month in a couple hospitals for recovery, rehab, back to hospital for complications, then back to rehab. I had lots of medical and nursing students and a researcher come by to interview me. I told them what I was told, but I have retrograde amnesia and never remembered what happened that night or for a few days before.
I'm not sure if I was told I couldn't drive or if I read it somewhere or just worried about it myself. It was a couple months before I felt confident enough to get back behind the wheel and my cardiologist said I was OK to drive. However,I still worry about driving, which is making it difficult to get back to work in a job that might require a lot of time on the road. What's surprising is that I'm even thinking about getting back to work. Most people who experience out of hospital cardiac arrest don't make it. Of those who do, most don't make it very far and die shortly thereafter. And of those who do, many have new disabilities. While my chart said I had hypoxic ischemic encephalopathy, in practice I only have some very mild problems with aphasia, brain fog and memory, although I since have been diagnosed with PTSD. My EF only dropped to 45, and afterwords rose to 50. I'm well enough that it's almost as if it didn't happen. I never would have thought of dying being an "invisible illness," but here we are.
@Æsir I'm told I was in pain, but I have amnesia so I forgot it. Doctors say that's lucky. But I do remember having bad angina several years earlier right before they put the stent in, so I'm guessing it felt like that at the very least. It felt like they say, which is like an elephant sitting on your chest.
I was and am a little overweight, but I had been obese but had lost 90+ lbs over ten years.
My older half brother had a heart attack in his mid 30s, and died from heart failure a short time later. My uncle and biological grandfather died from heart problems in their early 40s. That I was set to die in my 40s was assumed, that I would come back wasn't.
Though, the way things have gone since I woke up from the coma, I wonder if coming back was a good idea. The world seems to have gone crazy. And now I'm feeling sick all the time, and starting to suspect Rheumatoid Arthritis.
From all that you said, you seem extremely smart. If you enjoy and understand medicine enough, why not train to become a respiratory therapist or a low-degree medical healthcare assistant? I think you'll get through the studies easily since you do have a head start that relates to your experience. That means you can pick up a new job at hospitals that is if you live near a hospital. So, that is a big if. I read all that you went through, and I am thankful because this was really impressive. I hope you do well for yourself, and I hope you feel more confident driving and staying safe.
@@jakeaurod I read your next post. And it seems that some sort of genetic contribution has something to do with it, but I am hoping not. Don't give up brother, just because some parts of your family lost their life to this doesn't mean you can't fight it. Good on you for losing so much weight. Life is worth living and I hope you get your rheumatoid arthritis doubt checked out.
@@jakeaurod My condolences on your loss too
Me watching this after watching her for years...."bro got a stemi lol"
Hi Siobhan! I was wondering if you could talk about immunotherapy vs chemo. I'm about to start immunotherapy for skin cancer, and would love to hear your take on it :)
I would like to get to an idea of what I'm up against, and perhaps what to expect. I know each case is different, but any advice on going through immunotherapy would be so helpful.
Thanks 😊
I loved learning more in depth about one case and seeing the diagnosis and treatment process in the cathlab was super interesting! I like knowing what happens to the patients you see and the outcome of your day and learning more in depth about conditions and medical processes
My last nursing placement is on a cardiac ward and I'm schedlued to spend a day in the Cath labs soon. I feel I'll have more idea now, so thanks for sharing. I've actually been watching your videos since I applied for my nursing course during the peak of the pandemic!
Very interesting video. My husband had cardiac arrest (was in Vfib) in February. He didn't have a single blockage but had a defibrillator placed. He's a commercial driver as well and it ended his career. Just so happy he is still with us! Was a very scary few days in the ICU waiting for him to wake up!
Did you find out why he arrested?
@@eneedham789 he has a history of cardiomyopathy and afib but we never got a clear answer why he went into vfib. One theory is the meds he was on for afib were incorrect.
I love how you went deeper with this case! It definitely gives more nuance and it's easier to digest. Hopefully the patient will be able to drive soon! ❤
Every time I finish watching one of your videos I feel a bit more educated! Love it! ❤️ keep being awesome 🤙🏽
This was so cool to watch! I'm a nurse working in hospital but what happens in angio seems like a bit of a mystery, like it's a mythical place that people visit but I've never seen, lol.
I felt like I had a heart attack a few years back, but it turned out to be heart palpitations brought on by panic disorder. Thankfully it has now been resolved. So amazing to see how a Dr. can insert a catheter in the arm to reach the heart and that the patient is still awake. Thank you for your continued view into the medical world we usually never see.
That's great ur doing Ok now so sorry that happened
@@janinerusinovich3040 Thank you for your kind words.
@@unclevampy aww you're welcome! :D
How did tou resolve the palpitations?
@@martingavrilov5873 By taking care of my panic disorder. Basically lots of therapy.
I found it very interesting to learn about one specific patient's case in a single video. I feel like I learned a lot more than way. I also like the format where we learn about different cases in one video as well. I don't really have a preference. Do you ever work with any patients that have neurological issues? I'd like to learn more about that being someone who suffers from some of those problems myself.
Great video! This was me back last Christmas. I had a heart attack the week of Christmas. My troponin was elevated to 300 to 400. They contributed that to a heart attack, however, some medical professionals said that could had been the 50 pounds of excess fluid I had gained since Thanksgiving. As of right now i've lost over 100 pounds since that time and my heart is doing great. My cardio infraction has gone from a 40% to a 55% to 66% At the time I was to heavy for the tables so they did not do any medical intervention.
Im a Social Worker on a Cardiology ward and found this very interesting and insightful! Im hoping to get the opportunity to see an angiogram down in our Cath lab one day! Also loved that you spoke on the issue of transport as that's something I often will get referred for, particularly if the patient is elderly and does not have any social supports.
Great video, my father is currently going through the same procedure.
you're awesome you know that right?
Such an interesting video! Love these more in-depth cases.
I’m a cath lab technologist…. This is by far the best representation of a cath procedure I’ve seen with easy to follow and accurate commentary. It’s so hard to explain to my non-medical friends and family what I do and how cool my job actually is, this video will now be my go to! Thank you for all you do!🫀❤️
You are amazing at explaining things! Thanks for everyone involved for allowing this to be filmed it was very informative!
My dad had an angiogram about 10 years ago, and they found that he had a clot that was moving around in his heart 😳 the he had an 80% blockage in the widow maker artery. Needless to say, he had a stent put in. Thanks for showing me exactly how the procedure works!
Hi! Fellow southern ontario person here! I've been watching you since I was in high school, and now i'm a kindergarten teacher! What I've always wondered about is how are patients with mental health crisis processed through the emergency department?
This is really cool to see! I’m a nurse on a med surg floor and we get people post angio all the time and always wonder how it goes down. thanks for this video. I learned a lot
What shift do you work?
Was literally thinking about you today 😂. Was like "Why has shioban not posteddddd???"
GOD bless you dearie ❤️❤️
So many heart attacks nowadays. In some countries, most people have died from them in the last 3 years. Hmmm I wonder why??? 🤔🤔🤔🤔
Thank you Violin Doc seeing this was fascinating! The arteries look like tree roots and what a difference before and after! I love your channel, I learn so much from you!
Hey, Siobhan, do you get any patients with Amplified Musculoskeletal Pain Syndrome? It’s a pretty rare, yet debilitating, syndrome that is similar to fibromyalgia. There is so little on the web about it, and I would love to hear about any case studies or patients who were diagnosed with it.
I was diagnosed at a hospital December after dealing with a host of horrible symptoms for half a year. Thankfully, I’m getting inpatient treatment at Cleveland Clinic to help me get back to some sort of normal. Thanks for your videos! You’re a big part of why I want to be a physical therapist
I really want to learn about cuases of gerd and if you have any interesting cases (or maybe you could even shadow an emergency gi for a day) 😊
I had a Stemi in June of 2020. 8 days later had a 2nd attack, arrived at the hospital in full code. They attributed the 2nd attack to the amt of Amiodoron (sp) I was put on. We were tapering down, but apparently not soon enough. Have done fine since tho I still have some arrhythmia.
Fascinating! ok, and a wee bit cringy for me (haha) to imagine something being threaded through my arteries....yikes!! great explanation and actual stent coverage!
Love these videos! They are very educational and fun too. Thanks for taking the time to share ❤
Thank you doctor for showing us this experience. Very informative 🙏🏻
I grafting sooner from medical school I can’t no believe it I did medical school for 4 years now I started at age 12 and now am 13 year old doing this medical school life and now I am sooooo proud how hard I have worked this year I did
First I did HMX fundamental Immunology that my first ever degrees
Then I did cardiology that I haven’t finished yet
Then I did Radiology then I did all of the courses in medical school am a student at Harvard Medical School and get a dorm at Kennesaw State University 🙃🎉
Totally off topic but I saw a video of a random violinist playing Vivaldi "Summer" in some kind of public area with a random pianist and I i thought of you ❤
Watching Siobhan while I work on costume pieces for my high schools theater show. I don’t plan on going into medicine, I’d actually like to teach theater, but the way she creates content makes me wanna switch 😂❤
That was fascinating!! I think all of your day in a life videos are fascinating and educational. I don’t hope for anyone to have a medical condition or emergency, but we know they can happen and it makes me feel more prepared to face a medical emergency because of your videos!
I'm sorry, I haven't finished the video yet but that intravascular ultrasound was wicked sick! I'm a paramedic and, just because, I need one in my life!
I have a quick question to ask what is similar and different is RA from PsA .and is their a correlation between both .
I loved this type of video where you took us on a journey on progress in one case, I’d like to see the same with cases in hematology and nephrology. Love you Shivan.🩵
would you be able to further expand upon the types of heart attacks? I understand there is one involving the electrical signal. I have had cardiac heat fauluire due to tears between chambers.
Ive always enjoyed your content! Honestly anything having to do with the hospital is always appreciated. It makes me less scared for when something bad happens and I need to go myself. Thank you for always putting your patients first in your amazing care!
Best medical content 🤍
Keep up the good work 😘
Med student from morocco
So interesting watching this!
I have a stent in my right subclavian vein. I've had 11 venograms (awake through 10) as my subclavian vein was so damaged from compression it was blocked for 18 months.
Not as life threatening but I was always fascinated watching all the venograms in real time.
Please do more videos like this that give us a closer look at the diagnosis and treatment of (unfortunately) common and potentially catastrophic conditions.
Just discovered your channel, and I love your enthusiasm for what you do!
I’ve been watching you for a few months now and you do a great job and you definitely inspire me
I love your videos! You are so great at breaking things down and explaining it!
As a cardiac patient, I greatly appreciated this insight. In my case, I was diagnosed with an aortic aneurysm and also needed a single bypass, both of which were detected (thankfully) and repaired prior to symptoms, and I just had my 5 year anniversary of having my "broken heart" fixed 🙂. I really appreciate your videos.
That's awesome that someone discovered that before anything happened!! You're absolutely blessed to be here! Hope your recovery went smoothly! ❤
That's great
Entertaining AND Enlightening in seeing and learning so much.....and I didn't even stay in A Holiday Inn either!🤣 As a kid, my Saturdays meant Cartoons! WOOHOO😅 but as an Adult Kid my Saturdays now mean Cool Groovy ER situations and on the job field Trips with you and Mark! As always, thank you for saving me a seat in The Ambulance! Cheers and Blessings From COW-lumbus, Ohio MOO 🙏
This was a really interesting video, thanks so much for taking time to educate and major thanks to the hospital & the staff for allowing access to a critical department we hopefully never have to visit.
I'm a Hospital pharmacy tech, and I've seen quite a few of these procedures when I have to help them fix the pyxis in the cath lab. I had no clue that they had intravascular ultrasound. That's so cool!
Loved this video as always would like to see similar type of videos with different diseases ❤
my dad has had 4 heart attacks and a quintuple bypass and is still living his best life. i know how lucky i am to have him. as a recent MD and a future interventional cardiologist i love that you explained this to others :)
i really enjoyed this style of video! the focus on just one patient was very informative & kept my attention the whole time
My mom had a heart attack last october that sadly took her life. It was unexpected and sudden, and by the time she got to the hospital she was too far gone. I'm really grateful the cardiology team had tried their best efforts though. It's nice to see the behind the scenes of how doctors approach situations like these. Thank you!
I dont know you but i send you all my love🫶 you made your moms life special and she'd want to see you happy:)
Mom ended up at Scarb Rouge a few years ago. From the incident at the Toronto Zoo, placing the stent, and into recovery was ~2hr. EMS hadn't been there before, and we were going straight to the lab, ER bypass, radio telemetry is AWESOME! I got there before EMS (no room in ambulance), supposed to be met by someone to guide us, they weren't there so I guided (reading signs while medics did their thing). Signage was SO good that I ended up IN the cath lab while they were setting up! EMS apologized FOR me since it REALLY wasn't a place me and my two young nephews should have been! DON'T TOUCH ANYTHING! lol. EMS actually stayed to watch the procedure since it was fairly new, and hung out until Doc came. THEN, the Zoo nurse stopped by after work! We worked in tandem from loading gear at the aid station, to site treatment, to transport.
You are so awesome! I have been watching a long time and love to see your videos. I wish I worked with more people like you!
As you can see from the comments you are a huge inspiration to many people. Please continue with these videos as you are encouraging many others to go into the medical field. Best of luck to you and your husband.
Pharmacy student here! I love your videos. Can you do videos on osteoporosis and heart failure and possibly highlight the medications
I'd be interested in the extensive history of a patient like the one in this video, since the blockage built up over time, what happened to bring him to a total blockage, as opposed to finding the problem sooner?
Do you think you could talk about Fibromyalgia ????
I’m 15 and I’ve already known what I want to do when I get older I wanna be a RN and watching your videos have given me a prospective on what to expect and also to get some prospective on some medical terms
Thank you for this in-depth explanation! I work front desk at an outpatient Cardiology clinic and it's really neat to get a peek at what our Interventionalist does routinely in the Cath lab. I have the general idea but it's another thing entirely to *see* the contrast dye go throughout the arteries. I'll be sharing this with my fellow receptionists!
Hey what's up Siobhan! Great to see you! Thank you for another great and informative video! It's always wonderous to me, to see our bodies in action through x-ray, ultrasound and MRI!! So with that being said, This video is awesome!!! Thank you once again for all that you do for us and for your service to the world as a physician!! Be well, be safe and see U in the next one!! Cheers!!
Now I'm angry. Nowhere in the entire internet (kind of) is anyone able to tell me what the letters ST in STEMI stand for. I suppose you know.
Haha I don’t think it actually stands for anything! Different parts of the ECG tracing are labeled Q R S T, so it’s just representing that segment rather than an abbreviation
Hey, quick remark: Here in Austria nitrovasodilators are less and less used when it comes to ACS, especially with patients suffering from a myocardial infarction of the right heart due to the rapid loss of preload. Is there a similar trend happening in Canada or is this news to you?
Absolutely, we always avoid nitrates in an inferior MI for exactly that reason!
My dad had a procedure at his cardiologist where they placed him in these pressure pants that were up to his armpits I believe. Then pressure was exerted intermittently to force the heart to produce new collateral capillaries.
Hi Siobhan! Thank you for this video. I work in the medical field as a CNA and I love seeing different procedures in medicine. Im considering being a nurse one day. Keep up the awesome videos, please!
I learn health science everyday from you.
what does ur job count as? cuz when i say i wanna be a doctor i wanna essentially have ur job but idk what it counts as
My dad passed very suddenly last Sunday, and the doctor said based on his history and symptoms my stepmom reported (namely drooling), it was a massive heart attack. He would’ve wanted to go quickly like he did, and I’ve said a couple times that I think the only thing different he might’ve chosen was it not happening at home where stepmom still lives. However, this morning I was realizing too that it happening at home meant safety. He wasn’t driving when it happened which meant no endangerment to my stepmom as a passenger or towards anyone else on the road with him losing control of a vehicle. He certainly would’ve chosen safety for others.
My condolences for whatever its worth
I started watching you when i was studying bs psychology in college and now i graduated and currently studying for the board exam 🥺
Congrats Patricia!!
Did you go to Sault Ste Marie Michigan???
Wow! This was so fascinating and informative, thank you so much Siobhan. I love learning new things from your videos ☺️
I loved this. When you bring us through from problem to correction procedure.
Loved the more in depth video. I really learned a lot. You always do a great job.
Fantastically informative vid today DrV! My dad was a Teamster trucker who had a massive heart attack, and died a few hrs later, when only 59 yrs young... This vid really helped me understand much more about what happened to him, so thanx.
I can’t help but want to become a Doctor when watching your videos. Seeing your passion for medicine never fails to reignite my fascination for all that nerdy medical science stuff
Always love watching your videos. Interesting and informative. You do an excellent job on explaining everything.
DAY IN THE LIFE OF A DOCTOR HEART ATTACK!
When I was in secondary school doing a Co-Op on the CCU I had the opportunity pf observing Dr. Bakar perform an angiogram during his time at Schulich School of Medicine in London ON. It was the primary reason for me to pursue a career in healthcare! Great to see he is still making advancements in cardiac medicine!
Thank you! I found that really helpful to understand how the prognosis can vary so much, even when there is the same environmental and lifestyle factors. I really like this style of video where you delve a little deeper into one case. You’ve always been so great at explaining things in a way that is so easy to understand. 🖤 big love from a midwife in the UK!
In Canada doctors deliver babies no matter the baby's condition, in Sweden midwives deliver the ones that seem to be feeling well. What about the UK?
@@MsStina84 a women will receive antenatal, intrapartum and postnatal care from a midwife only, providing there are no deviations from normality or pre existing medical conditions. A doctor is only referred to in those cases or if medical intervention is required during delivery.
It’s interesting how much the role varies (or doesn’t even exist) in certain countries.
This is music to my ears! I’m currently in the Cardiovascular Technology program working on becoming a registered cardiovascular invasive specialist (RCIS). Will be starting my 2nd semester in the program and I understand and know what exactly what you were talking about which means the first semester of the program did justice! Can’t wait to start clinical’s Oct. 2023!
I am an engineering student about to finish school, but I feel like I can become a doctor and it doesn't feel scary or anything. You're a great teacher.
an arterial ultrasound is amazing
We want more such case videos!
What’s really amazing is that you can film in the hospital. I know you protect the patients identity but with HIPPA here in America they fired a nurse for simply taking a picture of an ER room where they had a event. No patient was in the picture just the aftermath. It was rediculous a long time nurse was fired over a pic with a hashtag of BUSY NIGHT. Love your vids and do you have anything like HIPPA in Canada?
Hi my friend Siobhan hope you have a good weekend your friend kyle
Hey Kyle! 👋
@@ViolinMD hey Siobhan
Man I wish I had an internist that could explain the st q changes and rhythm over time. How it relates to non stemi vs a stemi heart attack.
I thought I understood, the very basics, my whole life having chd. But the way that you explained how the heart adapts would be so helpful, not just for me, but for those closest to me especially. Trying to understand it all in regard to life, plans, and activity. 💕 …
Thank you for this video.
Future ICU doctor here! Anything ICU including meds used would be awesome. ❤️🥰
Your by yourself in empty hallways, making a video that you will upload. And your wearing a facemask - by yourself, in an empty hallway, while making a video for people to watch. And you expect who to take you seriously exactly?
This is so cool to learn. Plus I'm a certified CPR First Responder
i want to learn about the reproductive system, maybe PID, Ectopic pregnancy, d&c?
QUESTION!! First I Love Your Channel.When A Patient Is Having A Heart Cath.When Is The Decision That They Might Need A Open Heart Surgery Or Do They Even Do These For Artery Disease?? Thanks From San Diego.🌴