What to do if your patient has chest pain. www.hdyrver.wordpress.com http hdryver.wordpress.com

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CAROL HUBSHMAN WAS AT A CLOSE FRIENDS FUNERAL WHEN SHE EXPERIENCED THAT DREADED FEELINGCHEST PAIN. SOT CAROL HUBSHMAN: It was a doubly stressful day because our youngest daughter Linda lives in California and she was beginning another bout of chemotherapy that day. HUBSHMAN THOUGHT SHE WAS HAVING A HEART ATTACK BUT HER DOCTOR DIDNT FIND ANY BLOCKAGES IN HER ARTERIES. SOT CAROL HUBSHMAN: She explained to me that I had had a classic case of broken heart syndrome. [NATS: "This artery is wide open..."] BROKEN HEART SYNDROME, OR STRESS CARDIOMYOPATHY, IS THOUGHT TO BE CAUSED BY STRESS HORMONES RUSHING TO THE HEART IN RESPONSE TO AN EMOTIONAL OR PHYSICALLY TAXING EVENT. TYPICAL SYMPTOMS ARE CHEST PAIN, SHORTNESS OF BREATH AND DIZZINESSALL SIGNS THAT ALSO POINT TO A HEART ATTACK. SOT DR. ILAN WITTSTEIN, MD: People who get broken heart syndrome will suddenly experience a stunning of the heart, so that its no longer acting as an efficient pump and this can cause all the same problems that occur with a heart attack. The big difference being that with broken heart syndrome the heart eventually recovers. SOT DR. MARC A. TURCO, MD: This occurs in a setting where patients’ arteries are normal. There are no particular blockages. THE SYNDROME IS MOST COMMON IN POST-MENOPAUSAL WOMEN LIKE HUBSHMAN. PHYSICIANS BELIEVE THATS A SIGN IT’S LINKED TO HORMONES. DR. ILAN WITTSTEIN FIRST PUBLISHED RESEARCH ON BROKEN HEART SYNDROME IN 2005. HE SAYS THE CONDITION HAS GONE FROM UNKNOWN TO WIDELY …

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Theres a youtube poop music video at the end. Music: Dj Alexz – Darkness www.newgrounds.com Audio from Whitest Kids U Know Some PBS thing Spiderman 3

The MRU get called to a farm where a guy has been sucked down by corn in silo. When Jo goes in to save him she loses her mask. Will She be ok? Will the guy, Dean be ok? It’s Frank’s birthday and he’s in just as bad a mood as any day. Amy says she’s taking him to dinner for his birthday. Will his mood get any better? And flowers arrive for Claire. She assumes their from Steve, but really their from Ian. What does he have install for Claire and Steve? And a man who is one of Von’s home care patients comes after prolonged chest pain. All he seems to be able to talk about is his work. Will he drive the ED staff crazy? Why is he having chest pain when is medication has been working up to now?