Friday, February 16, 2007

What It Is

The medical profession is really intriguing to me...first you have this crazy chest pain, then they scare the snot or something out of you by telling you that you have a positive on a stress test then they require a CT scan of your heart, then you hear NOTHING for a couple of days, then you get a large envelope in the mail with a picture of your heart and a whole lot of information one may not understand...no call from a doctor or nurse, nothing...
should I offer them a smoke?

That is why I have friends...so you can interpret what it means. I think it is truly not my heart so it must be the brain....What do you think?

RIGHT CORONARY ARTERY:The RCA is small (does this mean I have a small heart) but patent, without evidence of significant plaque branching into a large acute marginal branch and then tapering to become quite small (there they go again) in this patient with left coronary dominant system.

LEFT ANTERIOR DESCENDING: Normal, with note made of myocardial bridging over a relatively short segment distal to teh first septal perforator as an incidnetal finding.

RAMUS INTERMEDIUS: A moderate-sized ramus intermedius is present, which gives off a large diagonal branch, which also has a segment of myocardial bridging.

LEFT CIRCUMFLEX: Normal, without significant plaque
NO SIGNIFICANT CORONARY ARTERY DISEASE (hooray)
NON-CORONARY CT ANATOMY DEMONSTRATES AN INCIDENTAL SMALL HIATAL HERNIA http://youtube.com/watch?v=E2yeYabFbzU

4 comments:

Anonymous said...

“RCA is small but patent”
Patent- dictionary.com definition #12. “lying open; not enclosed or shut in”
I think they mean that your RCA is just naturally small, no blockages.

“Myocardial bridge: Literally a bridging of heart muscle over one of the major arteries to the heart (usually the left anterior descending artery). The heart has formed in this abnormal design from birth, whereby the artery is actually 'tunneled' through a part of the heart muscle” (from medicinenet.com).
This bridging may cause the heart muscle to restrict blood flow in the artery when it squeezes.

If your hiatal hernia is bad enough it may cause heartburn which may feel similar to angina: “Heartburn usually is described as a burning pain in the middle of the chest. It may start high in the abdomen or may extend up into the neck. In some patients, however, the pain may be sharp or pressure-like, rather than burning. Such pain can mimic heart pain (angina). In other patients, the pain may extend to the back. Since acid reflux is more common after meals, heartburn is more common after meals. Heartburn is also more common when individuals lie down because without the effects of gravity, reflux occurs more easily, and acid is returned to the stomach more slowly.”

This consultation is yours for free. All information provided by random websites and unprofessional opinions. The providers claim no responsibility for the patient’s health. But, I love you!

s. wells said...

i like the psychedelic picture at the beginning, is that your brain trying to figure it all out?

Anonymous said...

dude...it is my brain

b. wallace said...

I think the ramus intermedius was really meant to be the intermediate renal but there was already a thingy called a renal, so they just called it ramus, like that Uncle's name but with an a.