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Robbie

๐Ÿ‘ค Speaker
1265 total appearances

Appearances Over Time

Podcast Appearances

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

And if we break down

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

Problems with blood not getting to the brain into either there's something in the heart or there's something in the vessels.

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

The vessel diseases like diarrhea, dehydration, diuretics are more slow versus the cardiac hypotheses are more abrupt.

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

So the honest answer is that when people say it's abrupt, it's often not actually abrupt and it's abrupt recognition.

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

So if I were seeing him in the ER, I would be like, oh yeah, the medical textbook tells me you have abrupt lightheadedness, I should worry about your heart.

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

But real life integration tells me that you probably have abrupt recognition and I will get your EKG, but it will probably be normal.

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

And then I'll realize that, you know, your ACE has been on and probably too much a dose and you just realized on your bike because today you didn't drink enough.

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

But now with this EKG, you go back and you're like, no, he really, I believe that he really was on his bike, he was cruising, and he has this.

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

Or at least now I have to disprove the actual story that he's sharing.

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

Yeah, yeah, yeah, definitely.

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

So, you know, this is why... Do I get it in everybody who has, I don't feel right?

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

No.

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

But if I... That's why I said, like, it's so important to... I'm so glad you pushed me to stop before the EKG because... Do I get an EKG in somebody who has disequilibrium?

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

No.

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

Right?

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

Like, if we said... If he said, hey, no, I just don't feel right.

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

But if he continues to not feel right, and I can walk him and he feels...

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

not right, even when he walks at a brisk pace, then I'm going into a whole different world.

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

But do I get an EKG and everybody who has exertion dependent lightheadedness?

The Clinical Problem Solvers
Episode 460 โ€“ RLR โ€“ Abrupt Lightheadedness

Oh, definitely.