Robbie

Or does he have a normal amount, but the blood going there is a simple economy class, and what he really needs is business class quality blood going to his brain.

We'll see.

But those are the hypotheses I have for Rothbard.

Yeah.

You know, when you're asking yourself that.

If I'm worried that somebody's not getting enough blood to their brain, how does their cardiac electrical activity help me do that?

And so what you're looking for is any problems with the rhythm that contribute enough to cause somebody's blood pressure to drop.

but you're also using the fact that they don't have palpitations as a skew for what the EKG is.

So I think the way that this EKG would be diagnostic is if it shows a pathological bradycardia, if it shows sinus pauses or advanced AV block.

Apart from that, what the EKG can serve for is a proxy for structural disease.

So the EKG may show, Q waves may show prolonged QTC, in which case you don't see the actual problem itself, but you can see that this heart is unhealthy, which can help you generate hypotheses based on what you're seeing.

So I think causality would be a pathological bradycardia, but a clue would be anything that tells you what structural issues are happening in the heart, like LVH or right axis deviation, so on and so forth.

Yeah.

And I'm going to send it to the ER.

I never read EKGs in detail in the ER.

I just, like, literally I'll share my reflex impression and then we'll see.

Yeah.

Okay, so the top one is, yeah.

So the top one to me is a sinus and normal sinus rhythm.

The bottom one to me, the thing that catches my eye, unfortunately, is he has anterior V1 through V2, sorry, V1 through V3 changes.