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KEERTHIKAN FINAL 2025

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00:00:00Okay, here I am showing you the hospital name and the year, right, 2008 I think. This is the iota, from the iota, the right side coronary artery is coming out like this, left side is coming like that, left side coronary artery.
00:00:23This is the heart, imagine this is the heart, from there the iota is going out and it is supplying to the muscles, as soon as the iota comes out, it supplies to the right side of the heart muscles, left side of the heart muscle, medium size, also there will be one like this at the back.
00:00:41But we are not interested in that, you are going to say in your article that the RCA, this is the right coronary artery. For that purpose only, I give this diagram and I am explaining here, in order to show them, not show them, for you to understand what you wrote.
00:01:00See, 100% block, can you see here, they are drawing and showing, and they are showing the block here, and they are showing here, they are going to put a stent, this is the stent, net.
00:01:10They are going to put the net, that's what they are trying to show here, in this same diagram, Dr. Gladstone, the top most man in cardiology, in Centenary Hospital, his diagram.
00:01:21So, this is the block, 100%, here 40% block, they didn't do anything for this and this, but they only wanted to put a stent for me here.
00:01:31So, that is what you want to know it, so that your presentation is valid.
00:01:40So, that is what you want to know it, so that your presentation is valid.
00:01:47You can see here, P, Q, R, S, T.
00:02:01Now, this is ECG, ECG, this is what you want to know.
00:02:05Then, you can see here.
00:02:08You can see here, PCG, it's not good.
00:02:10You can see here, it's okay.
00:02:12Let's say, everything in this 199 of a heart, cardiologist, it's fine.
00:02:17Let me tell you that.
00:02:19The cardiac conduction system consists of the following components.
00:02:34The sinoatrial node or SA node located in the right atrium near the entrance of the superior vena cava.
00:02:43This is the natural pacemaker of the heart.
00:02:45It initiates all heartbeat and determines heart rate.
00:02:50Electrical impulses from the SA node spread throughout both atria and stimulate them to contract.
00:02:58The atrioventricular node or AV node located on the other side of the right atrium near the AV valve.
00:03:07The AV node serves as electrical gateway to the ventricles.
00:03:12It delays the passage of electrical impulses to the ventricles.
00:03:16This delay is to ensure that the atria have ejected all the blood into the ventricles before the ventricles contract.
00:03:24The AV node receives signals from the SA node and passes them onto the atrioventricular bundle.
00:03:32AV bundle or bundle of his.
00:03:34This bundle is then divided into right and left bundle branches which conduct the impulses toward the apex of the heart.
00:03:44The signals are then passed onto Purkinje fibers, turning upward and spurting throughout the ventricular myocardium.
00:03:52Electrical activities of the heart can be recorded in the form of electrocardiogram, ECG or EKG.
00:04:01An ECG is a composite recording of all the action potentials produced by the nodes and the cells of the myocardium.
00:04:11Each wave or segment of the ECG corresponds to a certain event of the cardiac electrical cycle.
00:04:17When the atria are full of blood, the SA node fires, electrical signals spread throughout the atria and cause them to depolarize.
00:04:28This is represented by the P wave on the ECG.
00:04:34Atrial contraction or atrial systole starts about 100 milliseconds after the P wave begins.
00:04:42The PQ segment represents the time the signals travel from the SA node to the AV node.
00:04:49The QRS complex marks the firing of the AV node and represents ventricular depolarization.
00:04:56Q wave corresponds to depolarization of the interventricular septum.
00:05:02R wave is produced by depolarization of the main mass of the ventricles.
00:05:07S wave represents the last phase of ventricular depolarization at the base of the heart.
00:05:15Atrial repolarization also occurs during this time, but the signal is obscured by the large QRS complex.
00:05:25The ST segment reflects the plateau in the myocardial action potential.
00:05:30This is when the ventricles contract and pump blood.
00:05:34The T wave represents ventricular repolarization immediately before ventricular relaxation or ventricular diastole.
00:05:45The cycle repeats itself with every heartbeat.
00:05:53Electrical activities of the heart can be recorded in the form of electrocardiogram, ECG, or EKG.
00:06:00An ECG is a composite recording of all the action potentials produced by the nodes and the cells of the myocardium.
00:06:10Each wave or segment of the ECG corresponds to a certain event of the cardiac electrical cycle.
00:06:16When the atria are full of blood, the SA node fires, electrical signals spread throughout the atria and cause them to depolarize.
00:06:28This is represented by the P wave on the ECG.
00:06:33Atrial contraction or atrial systole starts about 100 milliseconds after the P wave begins.
00:06:41The PQ segment represents the time the signals travel from the SA node to the AV node.
00:06:48The QRS complex marks the firing of the AV node and represents ventricular depolarization.
00:06:55Q wave corresponds to depolarization of the interventricular septum.
00:07:00R wave is produced by depolarization of the main mass of the ventricles.
00:07:08S wave represents the last phase of ventricular depolarization at the base of the heart.
00:07:14Atrial repolarization also occurs during this time, but the signal is obscured by the large QRS complex.
00:07:22The ST segment reflects the plateau in the myocardial action potential.
00:07:30This is when the ventricles contract and pump blood.
00:07:34The T wave represents ventricular repolarization immediately before ventricular relaxation or ventricular diastole.
00:07:43The cycle repeats itself with every heartbeat.
00:07:52I'm showing here PQRST.
00:07:54Can you see PQRST inside the circle?
00:07:58Two of them I'm showing PQRST, right?
00:08:01PQRST, okay?
00:08:07I'm showing here PQRST.
00:08:10Can you see PQRST inside the circle?
00:08:13Two of them I'm showing PQRST, right?
00:08:16PQRST, okay?
00:08:19Yeah, you can identify PQRST, small ones, okay?
00:08:25If you're starting with P, the big curve on the left side, then it's coming and then going R,
00:08:35complete R, S, then S to T is the final one, okay?
00:08:44So, you are able to read the graph, but there are, if you see the other pulses,
00:08:50second or third pulses, they are a little different.
00:08:53So, that was the thing that they were detecting problem with my heart, right?
00:08:59Yeah, you can identify PQRST, small ones, okay?
00:09:04It is starting with P, the big curve on the left side, then it's coming and then going R,
00:09:15complete R, S, then S to T is the final one, okay?
00:09:24So, you are able to read the graph, but there are, if you see the other pulses,
00:09:30second or third pulse, they are a little different.
00:09:32So, that was the thing that they were detecting problem with my heart, right?
00:09:39Now, you are seeing supraventricular trachycardia, okay?
00:09:42You studied PQRS all this time, various graphs, I put it in different years.
00:09:49Don't read everything, only I show the one,
00:09:52the PQRS you see, forget about the other graphs.
00:09:55But here, in this one, you are seeing PQRS is different.
00:09:59This is called supraventricular trachycardia.
00:10:02This is what they found out when I had a heart attack, you know?
00:10:08This is supraventricular trachycardia.
00:10:10Can you see this scribbling of a child up and down with a pen, something like that?
00:10:16Yeah, this is the PQRS.
00:10:19This is the PQRS I got.
00:10:22It's called supraventricular trachycardia, ventricular trachycardia.
00:10:27The ventricle, you know, the bundle of his, it was coming down,
00:10:32I'm writing in the article I gave you,
00:10:37from the second charge, it is coming down to the apex.
00:10:44At that time only, it started looping.
00:10:47It was not going to the, going up on the Perkinje fiber.
00:10:52It didn't go.
00:10:53It is in the bundle of his itself.
00:10:55It was rotating, circulating.
00:10:59So it started vibrating.
00:11:01It is called fibrillation.
00:11:03Right?
00:11:03So that is why you get this fibrillated signals in the graph.
00:11:10Yeah, this is what I had in my graph.
00:11:12See the here.
00:11:13You can see on the red circle, I think it will happen.
00:11:17Yeah, you can see there.
00:11:20Right?
00:11:20So you must understand which area this was happening.
00:11:26This was happening during the R area.
00:11:30Remember, R area.
00:11:32Go back and see if you want R bundle of his area.
00:11:36Trioventricular bundle, AV bundle or bundle of his.
00:11:50This bundle is then divided into right and left bundle branches,
00:11:56which conduct the impulses toward the apex of the heart.
00:12:00The signals are then passed onto Perkinje fibers.
00:12:06Yeah, in my case, this bundle of his, it was not sending correctly to the, say, going to the apex.
00:12:16There only it started looping.
00:12:17It couldn't go to Perkinje.
00:12:20Right?
00:12:21From there, it couldn't go to Perkinje.
00:12:23At this point, it started looping upward.
00:12:25And spreading throughout the ventricle.
00:12:27Myocardium under the heart muscle set.
00:12:32Perkinje myocardium under the heart muscle set.
00:12:35And the signal.
00:12:37Bundle of his, it was going to the tip and then looping.
00:12:42Right?
00:12:43And started that looping is called defibrillation.
00:12:46The ventricle started fibrillating.
00:12:48Because it couldn't go to Perkinje.
00:12:51Perkinje fibers, it couldn't go.
00:12:52You understand now?
00:12:54That was, and that is the graph that you are seeing there.
00:12:58See, this is the graph you are getting there.
00:13:00Right?
00:13:02This is the graph.
00:13:03It is because a bundle of his tip, it stops.
00:13:08Perkinje fiber, it couldn't go.
00:13:10The electricity, the conduction didn't take place because the fibers are now,
00:13:17they call it scarce.
00:13:19The fibers are scarce.
00:13:20Scars means that muscles or the fibers didn't receive blood supply and they are dead cells.
00:13:28Therefore, they couldn't conduct electricity.
00:13:31You see, this is an electric current only flowing.
00:13:37It is the Perkinje fiber, the electric current only going.
00:13:41And we are talking about what is the, what is the meaning of the sparking.
00:13:45It is called electric, it is the electricity.
00:13:47Completely, this is the node to node, SA node to AV node.
00:13:52It is the electricity going through the atria and then from SA node to AV node.
00:14:04Right?
00:14:04It was going down the bundle of his to the tip.
00:14:09When it goes to the tip, it couldn't conduct properly.
00:14:14Therefore, it couldn't even go to Perkinje.
00:14:17Therefore, it looped.
00:14:20And that's why this ECG, you get the ECG like this.
00:14:23Right?
00:14:23Now, I am showing here, this is the right atrium, left atrium, right ventricle, left ventricle.
00:14:41Right?
00:14:41The left ventricle only, this only pumps to the aorta.
00:14:46Right?
00:14:47This pumps to the aorta.
00:14:49And this is receiving the purified blood from the lungs.
00:14:54And through this valve, this is called valve, through the valve it gives here.
00:14:58From here, it goes into the aorta.
00:15:00Right?
00:15:02Right.
00:15:02Here, from the bottom, dirty blood comes here, over here.
00:15:07From the top, dirty blood comes over here.
00:15:11And then they, through the valve, these valves, it comes here.
00:15:15And from here, it goes to the lungs for purification.
00:15:18It goes to the lungs for purification.
00:15:20Now, the subject here is, I am mentioning in my article to you,
00:15:26from here, the electricity builds.
00:15:30And this side, this side, can you see the electric?
00:15:33It's like lightning.
00:15:37This is called sinal node.
00:15:39It is due to sodium, potassium, calcium accumulation in this area.
00:15:43That's a big story you'll be studying in your Mario college.
00:15:46I know it, but it's too much to explain now.
00:15:49So, that's why we have to concentrate on calcium and sodium and potassium and
00:15:54mainly these three ions.
00:15:56Their concentration develops a voltage here.
00:15:59That voltage sparks through the muscles.
00:16:04Muscles are conductors because they are wet.
00:16:07So, the muscles, they conduct.
00:16:10This sparking takes place simultaneously.
00:16:14One, two, three, four.
00:16:18Right?
00:16:20And they come and join here.
00:16:22So, this sparking of voltage contracts this and this.
00:16:29Therefore, it pumps the blood in.
00:16:32It pumps the blood in.
00:16:32The door can open this way.
00:16:35It can't open, it can't allow that way.
00:16:37It will close.
00:16:39One way.
00:16:40This is a one-way traffic.
00:16:42Now, when it comes here, I am telling there,
00:16:46when this was going, this is called bundle of his.
00:16:50What is the name for this?
00:16:51Bundle of H-I-S, his.
00:16:54Don't ask me what is this, his and all that.
00:16:56Why not kiss, why his?
00:16:59It is H-I-S.
00:17:00It's not K-I-S-S-S.
00:17:02No, no, no.
00:17:03Bundle of his is this area.
00:17:05From this place to this place is called bundle of his.
00:17:09So, the first electricity jumps like that and come here.
00:17:14The second time, it works like this.
00:17:18The electricity runs like this and goes up to here, both sides.
00:17:24So, I am telling, in this region, this conduction was not possible.
00:17:30You remember, I explained to you earlier, coronary artery coming here and not supplying blood to this area.
00:17:37Not supplying blood to this area.
00:17:38Remember, I was again and again showing in this area.
00:17:42So, I am writing in that article,
00:17:45and a bundle of his area, the electricity conduction was not perfect.
00:17:51Therefore, this electricity could not go from this side to this side.
00:17:57So, this was blocked in my case.
00:18:00Maybe, here also, it got blocked.
00:18:04So, this area, electricity, why it is blocked?
00:18:07Because, no electricity, no food was supplied to this.
00:18:13The cells died.
00:18:14The muscles became weak.
00:18:16They couldn't conduct.
00:18:18They dried.
00:18:20Remember, wet leaves can conduct, but dry leaves cannot conduct.
00:18:25Like that, wet muscles.
00:18:27Muscles, when they are rich with food,
00:18:31and they are supplied with fuel, they grow.
00:18:38They are active, alive.
00:18:40Here, most of them died.
00:18:42Therefore, conduction stopped.
00:18:45So, it was looping here.
00:18:47It was just,
00:18:50see, it comes here, then it couldn't go further.
00:18:53So, it, see, can you see here?
00:18:57This is called fibrillation.
00:19:00Can you see?
00:19:02Fibrillation.
00:19:03It comes here, and it circles here.
00:19:07So, the ventricle, the left ventricle will start,
00:19:11can you see?
00:19:12This side also, it couldn't go.
00:19:13This side also, it couldn't go.
00:19:14So, it is just, in this area, it is making this, this part of it beat quickly.
00:19:24So, regular is like this.
00:19:27Lap, tap.
00:19:29Lap, tap.
00:19:30I cannot show both of them, huh?
00:19:32You have to imagine, when I am showing like this,
00:19:34imagine this also runs, huh?
00:19:36From here, lap, tap, lap, tap, lap, tap.
00:19:43But, in my case, it was lap, tap, tap, tap, tap, tap, tap, tap, tap, tap, tap, tap, tap.
00:19:52Can you see?
00:19:52This is called defibrillation, right?
00:19:56So, lap,
00:19:58dab it should be, that.
00:20:01This also will go.
00:20:02When I say dab, both will go.
00:20:04I cannot show with one arrow.
00:20:05I can't show both.
00:20:07When I say dab, imagine this, and this are doing same time, huh?
00:20:10lap from here lap-dap lap-dap now instead of that because these muscles were
00:20:23dead scars right therefore lap mr prudup
00:20:30lup lup lup lup lup lup lup lup lup lup lup lup lup
00:20:37So, no fuel. See, this ventricle could not pump into the iota. Therefore, I was running short of sugar. And you came and gave me sugar. You came and gave me a drink. I am writing there. Right? First time. Right? Because even if I drink, what is the use? My drink cannot be pumped. You know, the blood must carry the drink, you know.
00:21:05It is not carrying because it is not pumping. See, you gave me sugar pills, sugar pills, glucose you gave me, sugar pills. I am mentioning there. Also, you gave me a sugar drink. But what is the use? The sugar drink, everything is going into the blood. But the blood is not able to pump. Because here it is fibrillating. Right? So, that is what.
00:21:29So, now you understand what you, what did, all what you wrote, you are able to understand now. See, and therefore, can you see the diagram? Can you see the graph? Can you see? This is, see, this is the regular one.
00:21:47PQRS. PQRS. PQRS. PQRS. PQRS. This is the regular one. Right? Regular rhythm. But instead of that, see, I showed you here. Right? Lop, lop, lop, lop, lop, lop, lop, lop.
00:22:07This is because of that. They are showing here in another format. This is another format. But this is the regular PQRS. Regular PQRS. Instead of this, I got this. Right? So, now you are a real cardiologist.
00:22:22Can you see? Can you see?
00:22:29Can you see? Can you see? This is regular. This is regular and normal. Can you see when pumps? This is opening.
00:22:45Vel
00:22:51Downs.
00:22:52We are also opening. Thank you.
01:03:49That helped me.
01:03:51I think it's important to decode all the ECHO test readings.
01:03:58Help me to decode all those ECHO test readings and understand the associated tense of
01:04:18videos.
01:04:25Understand the associated videos.
01:04:31I don't feel inside as a junior cardiologist.
01:04:45In my dream world, with ambitions to enter a medical college and pass out to help people
01:05:00recover, to help the people recover or overcome and also overcome problems of the heart.
01:05:15I wonder what profession I would have selected if I did not see this client who made this
01:05:23video.
01:05:24I wonder what profession I would have selected.
01:05:25I wonder what profession I would have selected.
01:05:30If I didn't see this client.
01:05:31I wonder what profession I would have selected.
01:05:37If I didn't see this client.
01:05:38If I didn't see this client.
01:05:39If I didn't see this client.
01:05:41Who made this cardiology medicine very interesting to me.
01:05:42If I didn't see this client.
01:05:44Who made this cardiology medicine very interesting to me.
01:05:45If I didn't see this client.
01:05:46Who made this cardiology medicine very interesting to me.
01:05:51If I did not know what profession.
01:05:52If I did not know if I was in this profession.
01:05:55You know what profession.
01:05:57If I wanted to go to this client.
01:05:58And the client who made this cardiology medicine very interesting to me.
01:06:06medicine very interesting to me you were running a good very interesting
01:06:10akio whatever you were in a car and then on in a profession to put up in the
01:06:15area he put non-chamama wasikapuron you know blog about the vajray is from
01:06:19over there why I selected medical profession I had a swimming pool client
01:06:24with a RCA 100% block repaired with stent and hence allowed me of his health
01:06:33and wanted constant challenging swimming exercise
01:06:39periodically increasing gradually periodically and increasing gradually
01:06:51but it was three years later one day he showed me okay I had a swimming pool
01:07:01client with RCA 100% block repaired with the stent and hence he alarmed and hence
01:07:12he alarmed me of his health and wanted and wanted constant challenging swimming
01:07:21exercise periodically and gradually and gradually
01:07:30periodically and gradually increasing
01:07:33gradually increasing and gradually increasing but it was but it was three years later one day
01:07:43he showed energy less and almost unable to walk regular and
01:07:50but it was three years later one day he showed energy less and almost unable to walk regular and
01:07:57and my and therefore and therefore and therefore my first aid test of pulse found not only one day
01:08:04but it was three years later one day he showed energy less and almost unable to walk regular and
01:08:12and my and therefore and therefore my first aid test of pulse found not regular test of pulse found not
01:08:29and to energize him gave sugar and energize him gave sugar capsule sugar drink sugar drink
01:08:50but it did not help
01:08:57it did not help so in the ambulance on emergency
01:09:12I accompanied he said i accompanied to
01:09:21I accompanied him to hospital with with his seven relatives to meet at the hospital
01:09:26I had to meet relatives at hospitalMee
01:09:28so here it is
01:09:29right
01:09:31It's the centenary hospital, where the medical officer is in the hospital, where the medical
01:10:01officer's injection did not work, so they laid him straight and gave him shock, he jumped
01:10:24a foot high and returned normal, it shocked me to see him normal, shocked me to see him
01:10:42normal when we had tea there in the canteen, he continued coming to pool as normal, he continued
01:10:51not coming to pool, normal, he never feels himself a patient, that he told and continued
01:11:04doing what he was doing as if he didn't have a heart problem, he was a sportsman, captaining
01:11:14soccer, cricket, volleyball, etc. This is how we passed the message. If you are doing exercise,
01:11:21if you are doing exercise, if you are doing exercise, if you are doing exercise, you will know
01:11:28how to do the doctor. One year later, he had same sugar problem. One year later, he had same sugar
01:11:36low problem. One year later, he had same sugar low problem. He had same sugar low problem.
01:11:51one year later, he had same sugar low problem. One year later, he had same sugar low problem.
01:12:03But this time also, injection did not work. In the brain, the injection did not work. Also,
01:12:08even the shock did not work. Shock treatment did not work immediately. But a long time it took
01:12:21and they arranged for an angiogram. And therefore, they arranged for an angiogram the next day.
01:12:35My interest and curiosity escalated. And the next day, I dropped all appointments and met the patient along with his relatives.
01:13:03I gave confidence to them, knowing about patients over smartness. I gave confidence to them knowing about patients over smartness.
01:13:24So, I saw a senior doctor. I saw a senior doctor rushing. I saw a senior doctor rushing,
01:13:31rushing, rushing, rushing, rushing, rushing and dashing, rushing and dashing, rushing and dashing, rushing and dashing through the lower.
01:13:38So, I saw a senior doctor rushing, rushing, rushing, rushing and dashing, rushing and
01:13:57dashing through the door, where the door, where the doors, where the doors, where the doors,
01:14:11right.
01:14:12Aditya Alikundar over, Aditya Alikundar over Dr. Borrell.
01:14:19So I asked a nurse following him, she said, so I asked a nurse following him, she said,
01:14:40he is the head of the cardiologist department, Dr. Glassman.
01:14:45I began so curious, then his relatives with me, and thank God he came out, and I was curious
01:14:55after.
01:14:56Then his relatives with me, and thank God he came out, smiling and disappeared.
01:15:06My anxiety was, why the top most, and the anxiety in the world, why the top,
01:15:15why the top most doctor was summoned, as it's serious, as if it's serious, serious, but
01:15:22he goes out by telling something to those inside.
01:15:28the nurse.
01:15:29She told me, she told me, she told me that Gladstone told as the patient lives in the gym.
01:15:35The patient lives in the gym.
01:15:42So, it's why it is so.
01:15:49The patient lives in the gym, it's why it is so.
01:15:56Now my curiosity was to find out more about doctor's statement, since I also know he spends
01:16:03a lot of time in the gym.
01:16:04in the gym.
01:16:05In the gym.
01:16:06In the gym.
01:16:07In the gym.
01:16:08In the gym.
01:16:09In the gym.
01:16:10In the gym.
01:16:11In the gym.
01:16:12That's why it is so. That's why it is so.
01:16:17Now my curiosity was to find out more about the doctor's statement since I also know he spends a lot of time in the gym.
01:16:26I don't know how to do that in the gym.
01:16:29I don't know how to do that in the gym.
01:16:31I don't know how to do that in the gym.
01:16:33I don't know how to do that in the gym.
01:16:38It's not a cardiologist. It's not a cardiologist.
01:16:42When the four doctors came out, I understood from them that the patient's stent that Dr. Gladstone installed collapsed.
01:16:59But thank God, bilaterals saved him due to patients straining and demanding blood circulation for his exercises.
01:17:10They were strained when he did bilateral and formed.
01:17:12The system automatically ordered and fueled the construction of blood vessels either side of the deteriorating stent path which eventually collapsed the blood circulation restaurant.
01:17:25However, having alums with a steady exercise in the gym you could do bilateral, you could do bilateral to leave.
01:17:32You could do bilateral.
01:17:34If you have to do stent collapse, you could stay at the gym.
01:17:38Just say, you are making sure that you are doing but in this gym.
01:17:40The other way found it is a good exercise.
01:17:42For a short time to do extraordinary exercise, this message is brought to me.
01:17:50Why is he an interest in me?
01:17:56To see records?
01:17:58What is he saying?
01:18:00Here is only my first interest to snatch all his past medical records showing RC 100% blocked.
01:18:07If he is 100% blocked, then he collapsed and collapsed and collapsed.
01:18:13Then studying his medical prescription, recording via Google Medical College.
01:18:23Then studying medical prescription.
01:18:26Medical prescription is what he did.
01:18:30I was telling you, I was not Google Medical College.
01:18:36I was literally, I was all these days little upset about his gym work.
01:18:42I was all these days little upset about his gym work after a stent installment.
01:19:00But now I became self-configured as a half cardiologist.
01:19:12I was confident about his cardiologist.
01:19:16Due to the confidence that exercise can induce CPU in our body to construct bilateral around gradually blocking vessel.
01:19:24And now 100% interest to read how hard works inside out.
01:19:36All its, how hard works to know inside out.
01:19:50To know inside out.
01:19:52All its anatomy and physiology.
01:19:53Having understood patient won't come out.
01:19:54I left home.
01:19:55Okay.
01:19:56I went up.
01:19:57Next few days.
01:19:59Next few days.
01:20:00I was, he was absent.
01:20:01So I visited home and found from his ECG records.
01:20:06About the book of I put up with a book of other people.
01:20:07About the book of people.
01:20:08I'll bury the next few days all absent.
01:20:09And I put away part then.
01:20:10He see these records that he had, lastly.
01:20:11the next few days next few days i was he was absent so i visited home and found
01:20:20from his ecg records i have to put up with all very the next few days all
01:20:24absent under there and i put away path then he see these records that he had lastly
01:20:33showing easy right now showing
01:20:41showing supra-vendicular tachycardia now it fired me curiosity because supra is a dangerous word
01:20:48as it means suppleative degree so to diffuse my anxiety i started googling and reading
01:20:54reading about the graph about about ecg about ecg graph
01:21:07that was like a
01:21:12easy that was a little and title was right graph ecg graph
01:21:24i searched and found it's a short form of electrocardiography
01:21:38right and now i am restless to see how a normal ecg appears and then when compared both i was almost
01:21:48getting a shocking heart attack because no man can walk it that's the way heart worked for him at the gym
01:21:57it's a big time and the cardiography of it right why jab i searched and found it's a short electrocardiography
01:22:09and now i am restless to see how a normal ecg appears and then when compared both i was almost
01:22:15getting a shocking heart attack because no man can walk it restless again i scanned all youtube ecg videos and articles right
01:22:29and found eventually pqrs portion of the ecg is very vital and it is the one
01:22:33it is the one it is the one a cardiologist look at and scan
01:22:48scan and scan instantaneously conclude okay or not right
01:23:02so it is the one that is the one he said which was that he said which was a long time per person
01:23:14so he is speaking he is crippled you like he drew at whims and fantasies so i learned a name
01:23:21so i so i learned a name for it as techy guardian my father's calling of the subject ended
01:23:26but my client had my client had there is a YouTube professor vibrating and there's
01:23:45a YouTube by now I was internally feeling as if I am
01:23:56a YouTube cardiologist graduated by our YouTube University now I am anxious to seek solution
01:24:06for tachycardia where YouTube University I understood from my client that it was a defibrillator
01:24:14the solution is understood the solution from the pacemaker in many in layman language to be
01:24:22installed sooner that's why he stayed back in hospital to be installed sooner that's why
01:24:29I don't want to return to my YouTube medical college and study the natural pacemaker how it
01:24:41sparks in the art atrial region to shut the atrial muscles and make them contract while
01:24:50valves simultaneously open to flow of blood to bottom to chambers and second sparking and
01:25:01second sparking is only I understood as problematic for me for my client because here while traveling
01:25:11through the bundle of his and upwards it got looped to give ventricular tachycardia where
01:25:18right when further consulting Google medical college it says is the scar on the ventricular
01:25:24tachycardia was a variation resulting in low P on further analyzing the cause of the scar it
01:25:31was found that that the block caused no fuels to certain heart muscle fibers so the muscle fibers died this was able to this I was able
01:25:43to see borrowing the co-test video copy I had this I was able to thank to my client
01:25:56the editor professor who induced me and updated me and also the Sunnybrook hospital training
01:26:03and also for the and also for the Sunnybrook hospital training that helped me decode all
01:26:12these echo test readings and under understand the associated videos I don't feel inside a junior inside as a junior cardiologist
01:26:24cardiologist in my dream world with the ambition to enter a real medical college
01:26:31and pass out to help people recover and also overcome problems of the heart I wonder
01:26:40what problem I would have selected if I did not see this client who made this cardiology medicine very interesting
01:26:49I wonder
01:26:51thought
01:26:56what
01:26:58what
01:27:00I'll love it
01:27:05what
01:27:06I wasn't
01:27:07what
01:27:08I'm
01:27:09what
01:27:10you
01:27:12what
01:27:14I
01:27:15what

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