For physician employment and medical jobs visit 4 MD Jobs for medical employment job listings. Heathcare jobs and hospital employment listings searchable free of charge to the healthcare job seeker. Hospital jobs online features some of the following healthcare employment and medical jobs. . physician jobs - physician employment . locum tenen jobs - physician assistant jobs . MD jobs . doctor jobs Jobs - physician employment - doctor jobs . physician assistant jobs - physician assistant employment - hospital jobs - hospital employment . radiology jobs - radiologist employment . internal medicine jobs - emergency physician jobs - ER physician employment . family physician jobs - internal medicine jobs - oncologist jobs - cardiologist jobs - anesthesiologist physician jobs - hospital jobs, healthcare jobs, and medical jobs such as physician jobs, MD jobs, and other healthcare employment job search listings. If you're a hospital and would like to advertise or upload your hospital, medical or healthcare JOBS then give 4MDJOBS.com a call. JOB SEEKERS post FREE resume. We have hospital jobs and healthcare jobs search, physician jobs, doctor jobs, physician assistant jobs. Medical employment job search listings for hospitals and hospital employment are update daily. Try our healthcare job search agent for medical jobs and hospital jobs today.
Similar posts: interventional cardiology
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- Mood:Very good
- Music:K-MARO
For physician employment and medical jobs visit 4 MD Jobs for medical employment job listings. Heathcare jobs and hospital employment listings searchable free of charge to the healthcare job seeker. Hospital jobs online features some of the following healthcare employment and medical jobs. . physician jobs - physician employment . locum tenen jobs - physician assistant jobs . MD jobs . doctor jobs Jobs - physician employment - doctor jobs . physician assistant jobs - physician assistant employment - hospital jobs - hospital employment . radiology jobs - radiologist employment . internal medicine jobs - emergency physician jobs - ER physician employment . family physician jobs - internal medicine jobs - oncologist jobs - cardiologist jobs - anesthesiologist physician jobs - hospital jobs, healthcare jobs, and medical jobs such as physician jobs, MD jobs, and other healthcare employment job search listings. If you're a hospital and would like to advertise or upload your hospital, medical or healthcare JOBS then give 4MDJOBS.com a call. JOB SEEKERS post FREE resume. We have hospital jobs and healthcare jobs search, physician jobs, doctor jobs, physician assistant jobs. Medical employment job search listings for hospitals and hospital employment are update daily. Try our healthcare job search agent for medical jobs and hospital jobs today.
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- Mood:Good
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Undoubtedly, the most important headlines this week is the death of Michael Jackson. It was headlines news over all the newspapers, all over the world. On the 25th June 2009, Michael Jackson was pronounced dead at the University of California, Los Angeles Medical Center. He was said to have died from a cardiac arrest. That on its own, is not a proper cause of death. We are all anxiously waiting for the autopsy report. Well, what do the cardiac boys' say. It is common knowledge that MJ was under tremendous stress, with a 50 concerts due to start in about two weeks, he was to start an international tour to kick start his career again. He is USD400million in debt, he is 50years and have not performed for many years. He is high on drugs,including painkillers and occasional opiates. It is known that he was regularly on IV demerol, and also oxycontin. He was underweight when they did the autopsy, and allegedly quite emarciated.
What are the possible causes of a cardiac arrest? Or is it a cardiac arrest? His doctor, Dr Murray, was with in the house when he had the cardiac arrest. Dr Murray noted that he had a faint femoral pulse, when he arrived at the bedside. That would suggest that he may have been in respiratory failure, before the cardiac arrest. That raised the possibility of drug induced respiratory suppression as one would get with the opiates or other sedative group of drugs. IV Demerol could also cause hypotension, in someone dehydrated enough, to cause a hypotensive cardiac arrest. It is also interesting to note that MJ was under the care of a non-board certified cardiologist. Dr Murray is not board certified. Of course, Dr Murray tried to do CPR, but without opiate antagonist to reverse the opiate respiratory suppression ( if at all that is the cause ), and without endotracheal intubation, his CPR efforts would have been futile, as we now know it was. It was also alleged that Dr Murray performed the CPR without putting MJ on the hard floor. External cardiac massage would have been very ineffective, on the soft MJ bed.
Of course, he could have a cardiac arrest from other forms of drugs that he was taking. That is why we are awaiting the toxicology reports. With poor diet, and emarciated conditions, he may have been somewhat dehydrated, so that electrolyte imbalance and a cardiac arrest may have occurred.
It is also well know that MJ suffers from SLE. Lupus can also affect the heart, sometimes causing heart blocks, sometimes causing myocarditis and cardiac inflammation, thereby causing a cardiac arrest.
There is a distant possibility that at 50yrs, MJ could have had a heart attack, with that causing the cardiac arrest. MJ, though 50yrs old, never had a stress ECG? His cardiologist, Dr Murray felt that he looked well and so there was no need for a stress ECG, although all his concerts are heavily insured. Anyway it is important to note that a cardiac arrest is when the heart stops, either from ventricular fibrillation ( the heart fibrillating ) or complete heart block. A heart attack is when the patient has coronary artery disease ( maybe silent arteriosclerosis ) with atherosclerotic plaques on his coronary arteries. Should those plaque rupture, as it can do under severe stress, the resulting coronary thrombosis ( blood clot in the artery, blocking the artery ) causes the heart muscle cell death, we call a heart attack.
There is even a report that MJ may have committed suicide as his rehearsals were not going well. After not performing for so many years, and not being in perfect physical condition, he can hardly be expected to do the "moon walk ". Rather then face a flop on his comeback, he wanted to be remember for what he achieved earlier, not to mention the financial loss should the concerts flop. So he took his own life.
Whatever had happened, we would all have to await the whole autopsy report, including the toxicology report, before we can arrive at a definitive conclusion.
25th June has seen the death of an icon. May MJ rest in peace. His work on earth is done.
Similar posts: interventional cardiology
What are the possible causes of a cardiac arrest? Or is it a cardiac arrest? His doctor, Dr Murray, was with in the house when he had the cardiac arrest. Dr Murray noted that he had a faint femoral pulse, when he arrived at the bedside. That would suggest that he may have been in respiratory failure, before the cardiac arrest. That raised the possibility of drug induced respiratory suppression as one would get with the opiates or other sedative group of drugs. IV Demerol could also cause hypotension, in someone dehydrated enough, to cause a hypotensive cardiac arrest. It is also interesting to note that MJ was under the care of a non-board certified cardiologist. Dr Murray is not board certified. Of course, Dr Murray tried to do CPR, but without opiate antagonist to reverse the opiate respiratory suppression ( if at all that is the cause ), and without endotracheal intubation, his CPR efforts would have been futile, as we now know it was. It was also alleged that Dr Murray performed the CPR without putting MJ on the hard floor. External cardiac massage would have been very ineffective, on the soft MJ bed.
Of course, he could have a cardiac arrest from other forms of drugs that he was taking. That is why we are awaiting the toxicology reports. With poor diet, and emarciated conditions, he may have been somewhat dehydrated, so that electrolyte imbalance and a cardiac arrest may have occurred.
It is also well know that MJ suffers from SLE. Lupus can also affect the heart, sometimes causing heart blocks, sometimes causing myocarditis and cardiac inflammation, thereby causing a cardiac arrest.
There is a distant possibility that at 50yrs, MJ could have had a heart attack, with that causing the cardiac arrest. MJ, though 50yrs old, never had a stress ECG? His cardiologist, Dr Murray felt that he looked well and so there was no need for a stress ECG, although all his concerts are heavily insured. Anyway it is important to note that a cardiac arrest is when the heart stops, either from ventricular fibrillation ( the heart fibrillating ) or complete heart block. A heart attack is when the patient has coronary artery disease ( maybe silent arteriosclerosis ) with atherosclerotic plaques on his coronary arteries. Should those plaque rupture, as it can do under severe stress, the resulting coronary thrombosis ( blood clot in the artery, blocking the artery ) causes the heart muscle cell death, we call a heart attack.
There is even a report that MJ may have committed suicide as his rehearsals were not going well. After not performing for so many years, and not being in perfect physical condition, he can hardly be expected to do the "moon walk ". Rather then face a flop on his comeback, he wanted to be remember for what he achieved earlier, not to mention the financial loss should the concerts flop. So he took his own life.
Whatever had happened, we would all have to await the whole autopsy report, including the toxicology report, before we can arrive at a definitive conclusion.
25th June has seen the death of an icon. May MJ rest in peace. His work on earth is done.
Similar posts: interventional cardiology
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The cream of neurology met in San Diego in Feb 2009, to review and update the management of acute strokes. This was published in Medscape, and now availbale on-line for review. Interesting. Looks like there have been much advance since my medical officer days. A stroke occurs when a brain artery gets blocked, causing sudden lack of blow flow to the brain and that results in sudden lost of function of that part of the brain that is supplied by that blood vessel. This usually results in paralysis on one half of the body. This sudden paralysis, can be catastrophic and devastating, causing an active individual to suddenly become dependant, not being able to take care of his/her own needs. Besides the obvious functional disability, there is the emotional and mental disability, resulting in a severe transformation of that persons whole life outlook. Yes, a stroke is devastating.
The neurologist have been working very hard to improve stroke outcomes. As a cardiologist, I can see that many of their advances is modelled on the advances in cardiology in the treatment of acute heart attacks. They now also have what they term, acute brain attack ( for strokes ) and the call to set up stroke units in major hospital, in an attempt to improve on the acute management of strokes. Yes, they are also on to the use of IV and also intra-cerebral arterial r-TPA as a acute thrombolytic agent to revascularise the infarcted brain. Of course, hemorrhage in the brain is much less well tolerated the myocardial hemorrhage following thrombolysis in AMI. Their time window for the benefit of rTPA is 3-4.5 hrs, not unlike the time window for AMI thrombolysis. Just as the acute ECG is all important for us, the acute CT scan of the brain is very important for them. Some stroke units also do acute CT angiograms to better demarcate the territory of supply. The neurologist have also tried acute angioplasty and the use of stents, but the conference concluded that there was not yet enough evidence to show benefit, and so is not yet ready for widespread use. Acute brain surgery also has a role, but a very limited role. Hemicrainectomy, prolongs life but does not improving quality of life ( if you know what I mean ).
I suppose, in many sense, the neurologist is not wrong in following many of the approaches of the cardiologist. Afterall, we are dealing with blood vessels and vascular supplies, and when occluded, a sudden loss of blood supply and their consequences. In this sense, stroke units ( like CCUs ) and thrombolysis and door-to-needle time becomes important similar concepts. We await large scale clinical trials ( I do not think that they can be blinded or randomised ) to show us if primary angioplasty for strokes will improve outcomes when compared to IV thrombolysis.
What I did not see enough in their San Diego conference was an emphasis on stroke prevention. Control of blood pressure, prevention of diabetes and obesity, stop smoking, lower serum cholesterol, and LDL-cholesterol, adequate exercise, adequate rest and sleep, are all as important, if not more important, in my opinion, than IV r-TPA and acute stroke units. Maybe there is nothing new there. I felt that strokes, like CAD and heart attacks are better prevented. An acute stroke is in many ways a failure of prevention, and doctors must do their most to avoid that. It is something that many doctors personally too, would like to avoid, myself included.
Similar posts: interventional cardiology
The neurologist have been working very hard to improve stroke outcomes. As a cardiologist, I can see that many of their advances is modelled on the advances in cardiology in the treatment of acute heart attacks. They now also have what they term, acute brain attack ( for strokes ) and the call to set up stroke units in major hospital, in an attempt to improve on the acute management of strokes. Yes, they are also on to the use of IV and also intra-cerebral arterial r-TPA as a acute thrombolytic agent to revascularise the infarcted brain. Of course, hemorrhage in the brain is much less well tolerated the myocardial hemorrhage following thrombolysis in AMI. Their time window for the benefit of rTPA is 3-4.5 hrs, not unlike the time window for AMI thrombolysis. Just as the acute ECG is all important for us, the acute CT scan of the brain is very important for them. Some stroke units also do acute CT angiograms to better demarcate the territory of supply. The neurologist have also tried acute angioplasty and the use of stents, but the conference concluded that there was not yet enough evidence to show benefit, and so is not yet ready for widespread use. Acute brain surgery also has a role, but a very limited role. Hemicrainectomy, prolongs life but does not improving quality of life ( if you know what I mean ).
I suppose, in many sense, the neurologist is not wrong in following many of the approaches of the cardiologist. Afterall, we are dealing with blood vessels and vascular supplies, and when occluded, a sudden loss of blood supply and their consequences. In this sense, stroke units ( like CCUs ) and thrombolysis and door-to-needle time becomes important similar concepts. We await large scale clinical trials ( I do not think that they can be blinded or randomised ) to show us if primary angioplasty for strokes will improve outcomes when compared to IV thrombolysis.
What I did not see enough in their San Diego conference was an emphasis on stroke prevention. Control of blood pressure, prevention of diabetes and obesity, stop smoking, lower serum cholesterol, and LDL-cholesterol, adequate exercise, adequate rest and sleep, are all as important, if not more important, in my opinion, than IV r-TPA and acute stroke units. Maybe there is nothing new there. I felt that strokes, like CAD and heart attacks are better prevented. An acute stroke is in many ways a failure of prevention, and doctors must do their most to avoid that. It is something that many doctors personally too, would like to avoid, myself included.
Similar posts: interventional cardiology
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For physician employment and medical jobs visit 4 MD Jobs for medical employment job listings. Heathcare jobs and hospital employment listings searchable free of charge to the healthcare job seeker. Hospital jobs online features some of the following healthcare employment and medical jobs. . physician jobs - physician employment . locum tenen jobs - physician assistant jobs . MD jobs . doctor jobs Jobs - physician employment - doctor jobs . physician assistant jobs - physician assistant employment - hospital jobs - hospital employment . radiology jobs - radiologist employment . internal medicine jobs - emergency physician jobs - ER physician employment . family physician jobs - internal medicine jobs - oncologist jobs - cardiologist jobs - anesthesiologist physician jobs - hospital jobs, healthcare jobs, and medical jobs such as physician jobs, MD jobs, and other healthcare employment job search listings. If you're a hospital and would like to advertise or upload your hospital, medical or healthcare JOBS then give 4MDJOBS.com a call. JOB SEEKERS post FREE resume. We have hospital jobs and healthcare jobs search, physician jobs, doctor jobs, physician assistant jobs. Medical employment job search listings for hospitals and hospital employment are update daily. Try our healthcare job search agent for medical jobs and hospital jobs today.
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For physician employment and medical jobs visit 4 MD Jobs for medical employment job listings. Heathcare jobs and hospital employment listings searchable free of charge to the healthcare job seeker. Hospital jobs online features some of the following healthcare employment and medical jobs. . physician jobs - physician employment . locum tenen jobs - physician assistant jobs . MD jobs . doctor jobs Jobs - physician employment - doctor jobs . physician assistant jobs - physician assistant employment - hospital jobs - hospital employment . radiology jobs - radiologist employment . internal medicine jobs - emergency physician jobs - ER physician employment . family physician jobs - internal medicine jobs - oncologist jobs - cardiologist jobs - anesthesiologist physician jobs - hospital jobs, healthcare jobs, and medical jobs such as physician jobs, MD jobs, and other healthcare employment job search listings. If you're a hospital and would like to advertise or upload your hospital, medical or healthcare JOBS then give 4MDJOBS.com a call. JOB SEEKERS post FREE resume. We have hospital jobs and healthcare jobs search, physician jobs, doctor jobs, physician assistant jobs. Medical employment job search listings for hospitals and hospital employment are update daily. Try our healthcare job search agent for medical jobs and hospital jobs today.
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For physician employment and medical jobs visit 4 MD Jobs for medical employment job listings. Heathcare jobs and hospital employment listings searchable free of charge to the healthcare job seeker. Hospital jobs online features some of the following healthcare employment and medical jobs. . physician jobs - physician employment . locum tenen jobs - physician assistant jobs . MD jobs . doctor jobs Jobs - physician employment - doctor jobs . physician assistant jobs - physician assistant employment - hospital jobs - hospital employment . radiology jobs - radiologist employment . internal medicine jobs - emergency physician jobs - ER physician employment . family physician jobs - internal medicine jobs - oncologist jobs - cardiologist jobs - anesthesiologist physician jobs - hospital jobs, healthcare jobs, and medical jobs such as physician jobs, MD jobs, and other healthcare employment job search listings. If you're a hospital and would like to advertise or upload your hospital, medical or healthcare JOBS then give 4MDJOBS.com a call. JOB SEEKERS post FREE resume. We have hospital jobs and healthcare jobs search, physician jobs, doctor jobs, physician assistant jobs. Medical employment job search listings for hospitals and hospital employment are update daily. Try our healthcare job search agent for medical jobs and hospital jobs today.
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For physician employment and medical jobs visit 4 MD Jobs for medical employment job listings. Heathcare jobs and hospital employment listings searchable free of charge to the healthcare job seeker. Hospital jobs online features some of the following healthcare employment and medical jobs. . physician jobs - physician employment . locum tenen jobs - physician assistant jobs . MD jobs . doctor jobs Jobs - physician employment - doctor jobs . physician assistant jobs - physician assistant employment - hospital jobs - hospital employment . radiology jobs - radiologist employment . internal medicine jobs - emergency physician jobs - ER physician employment . family physician jobs - internal medicine jobs - oncologist jobs - cardiologist jobs - anesthesiologist physician jobs - hospital jobs, healthcare jobs, and medical jobs such as physician jobs, MD jobs, and other healthcare employment job search listings. If you're a hospital and would like to advertise or upload your hospital, medical or healthcare JOBS then give 4MDJOBS.com a call. JOB SEEKERS post FREE resume. We have hospital jobs and healthcare jobs search, physician jobs, doctor jobs, physician assistant jobs. Medical employment job search listings for hospitals and hospital employment are update daily. Try our healthcare job search agent for medical jobs and hospital jobs today.
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Vascular Surgeon needed for a group in Indiana. The group is associated with a local hospital that is part of a larger system of twelve healthcare facilities. The vascular opportunity is a 100% vascular and will provide no general surgery call. The hospital is not a Level I trauma center, therefore provides no trauma call. The practice office is located on campus and is in very close proximity to the $70M state-of-the-art heart center, which opened three years ago. The group has a close relationship with the large cardiology group and there is consultative support from every specialty. Presently the group contains three surgeons as one just relocated to be closer to aging parents. The position is employed and offers a very competitive salary with a two-year income guarantee with bonuses. The position offers a generous sign-on bonus and relocation allowance. A full benefits package is offered, including health, dental, and vision insurance, malpractice coverage, and several retirement options. Client is considering vascular or endovascular, fellowship-trained candidates.
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Similar posts: interventional cardiology
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For physician employment and medical jobs visit 4 MD Jobs for medical employment job listings. Heathcare jobs and hospital employment listings searchable free of charge to the healthcare job seeker. Hospital jobs online features some of the following healthcare employment and medical jobs. . physician jobs - physician employment . locum tenen jobs - physician assistant jobs . MD jobs . doctor jobs Jobs - physician employment - doctor jobs . physician assistant jobs - physician assistant employment - hospital jobs - hospital employment . radiology jobs - radiologist employment . internal medicine jobs - emergency physician jobs - ER physician employment . family physician jobs - internal medicine jobs - oncologist jobs - cardiologist jobs - anesthesiologist physician jobs - hospital jobs, healthcare jobs, and medical jobs such as physician jobs, MD jobs, and other healthcare employment job search listings. If you're a hospital and would like to advertise or upload your hospital, medical or healthcare JOBS then give 4MDJOBS.com a call. JOB SEEKERS post FREE resume. We have hospital jobs and healthcare jobs search, physician jobs, doctor jobs, physician assistant jobs. Medical employment job search listings for hospitals and hospital employment are update daily. Try our healthcare job search agent for medical jobs and hospital jobs today.
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For physician employment and medical jobs visit 4 MD Jobs for medical employment job listings. Heathcare jobs and hospital employment listings searchable free of charge to the healthcare job seeker. Hospital jobs online features some of the following healthcare employment and medical jobs. . physician jobs - physician employment . locum tenen jobs - physician assistant jobs . MD jobs . doctor jobs Jobs - physician employment - doctor jobs . physician assistant jobs - physician assistant employment - hospital jobs - hospital employment . radiology jobs - radiologist employment . internal medicine jobs - emergency physician jobs - ER physician employment . family physician jobs - internal medicine jobs - oncologist jobs - cardiologist jobs - anesthesiologist physician jobs - hospital jobs, healthcare jobs, and medical jobs such as physician jobs, MD jobs, and other healthcare employment job search listings. If you're a hospital and would like to advertise or upload your hospital, medical or healthcare JOBS then give 4MDJOBS.com a call. JOB SEEKERS post FREE resume. We have hospital jobs and healthcare jobs search, physician jobs, doctor jobs, physician assistant jobs. Medical employment job search listings for hospitals and hospital employment are update daily. Try our healthcare job search agent for medical jobs and hospital jobs today.
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For physician employment and medical jobs visit 4 MD Jobs for medical employment job listings. Heathcare jobs and hospital employment listings searchable free of charge to the healthcare job seeker. Hospital jobs online features some of the following healthcare employment and medical jobs. . physician jobs - physician employment . locum tenen jobs - physician assistant jobs . MD jobs . doctor jobs Jobs - physician employment - doctor jobs . physician assistant jobs - physician assistant employment - hospital jobs - hospital employment . radiology jobs - radiologist employment . internal medicine jobs - emergency physician jobs - ER physician employment . family physician jobs - internal medicine jobs - oncologist jobs - cardiologist jobs - anesthesiologist physician jobs - hospital jobs, healthcare jobs, and medical jobs such as physician jobs, MD jobs, and other healthcare employment job search listings. If you're a hospital and would like to advertise or upload your hospital, medical or healthcare JOBS then give 4MDJOBS.com a call. JOB SEEKERS post FREE resume. We have hospital jobs and healthcare jobs search, physician jobs, doctor jobs, physician assistant jobs. Medical employment job search listings for hospitals and hospital employment are update daily. Try our healthcare job search agent for medical jobs and hospital jobs today.
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No reflow is the terminology used primarily in cath labs where, even after a successful opening and stenting of a coronary artery the coronary blood flow is not restored to myocardium . The point to be emphazised here is blood do cross successfully the site of the obstruction but fails to enter the muscle segment to which the coronary artery is supplying. So the paradoxical situation of artery being open but the myocardium is closed to receive blood flow happens . This is termed as no -reflow. Actually it is a misnomer, and ideally it should be called no flow because normal distal flow does not occur (After PCI) in the first instance to get interuppted later on and be labeled as no re-flow. .The only positive effect of PCI in these situation is blood flow would have improved by few centimeters ie till it reaches but falls short of myocardium . In fact no reflow, can be termed as glorified and concealed terminology for PCI failure . It needs urgent action . No reflow is also called as myocardial epicardial dissociation.
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For physician employment and medical jobs visit 4 MD Jobs for medical employment job listings. Heathcare jobs and hospital employment listings searchable free of charge to the healthcare job seeker. Hospital jobs online features some of the following healthcare employment and medical jobs. . physician jobs - physician employment . locum tenen jobs - physician assistant jobs . MD jobs . doctor jobs Jobs - physician employment - doctor jobs . physician assistant jobs - physician assistant employment - hospital jobs - hospital employment . radiology jobs - radiologist employment . internal medicine jobs - emergency physician jobs - ER physician employment . family physician jobs - internal medicine jobs - oncologist jobs - cardiologist jobs - anesthesiologist physician jobs - hospital jobs, healthcare jobs, and medical jobs such as physician jobs, MD jobs, and other healthcare employment job search listings. If you're a hospital and would like to advertise or upload your hospital, medical or healthcare JOBS then give 4MDJOBS.com a call. JOB SEEKERS post FREE resume. We have hospital jobs and healthcare jobs search, physician jobs, doctor jobs, physician assistant jobs. Medical employment job search listings for hospitals and hospital employment are update daily. Try our healthcare job search agent for medical jobs and hospital jobs today.
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Normah Medical Specialist Centre (Kuching) and JPMC Gleneagles (Brunei) are the only 2 private hospitals in Borneo who offered 24 hour angioplasty service. I am the only interventional cardiologist in Borneo who has been doing cardiologist escorted transfer for salvage angioplasty for patients from outside Kuching. In the last 2 years, I flew to Bintulu twice and escorted the patients in Hornbill Skyway helicopter and private jet. I escorted patients from Sibu via land in ambulance and private car twice. So far the survival rate has been 100%. All the requests came from patients' family members who wanted immediate percutaneous reperfusion therapy to save their loved ones from fatal complications due to a myocardial infarct. The best therapy these hospitals can offer is streptokinase which too often failed to recanalise the vessel. That's when the role of salvage angioplasty comes in albeit geographical obstacles in Borneo.
I thank God for the experience I gained in 2004 when Professor Lim Yean Leng tasked me with the responsibility in executing the first 24 hour primary angioplasty service without on site cardiosurgical backup at Western Hospital, probably the pioneer in Australasia then. I coordinated quite a lots of AMI patients from Bendigo, Werribee, Sunshine and Geelong who were transferred by ambulance or helicopter.
This unique experience in primary and salvage angioplasty has been put to good use since I joined Normah Medical Specialist Centre in 2005. FYI, travel by land from Sibu to Kuching takes 6 hours and the road is very bumpy. Travel by air from Bintulu to Kuching is 2 hours by helicopter or 1 hour by private jet.
I thank my wife who constantly prays for me whenever I am on a mission to save someone who is critically sick.
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For physician employment and medical jobs visit 4 MD Jobs for medical employment job listings. Heathcare jobs and hospital employment listings searchable free of charge to the healthcare job seeker. Hospital jobs online features some of the following healthcare employment and medical jobs. . physician jobs - physician employment . locum tenen jobs - physician assistant jobs . MD jobs . doctor jobs Jobs - physician employment - doctor jobs . physician assistant jobs - physician assistant employment - hospital jobs - hospital employment . radiology jobs - radiologist employment . internal medicine jobs - emergency physician jobs - ER physician employment . family physician jobs - internal medicine jobs - oncologist jobs - cardiologist jobs - anesthesiologist physician jobs - hospital jobs, healthcare jobs, and medical jobs such as physician jobs, MD jobs, and other healthcare employment job search listings. If you're a hospital and would like to advertise or upload your hospital, medical or healthcare JOBS then give 4MDJOBS.com a call. JOB SEEKERS post FREE resume. We have hospital jobs and healthcare jobs search, physician jobs, doctor jobs, physician assistant jobs. Medical employment job search listings for hospitals and hospital employment are update daily. Try our healthcare job search agent for medical jobs and hospital jobs today.
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You will see this problem quite a bit. With a HR around 150, always make sure you are not missing flutter with wide complex tachycardia (could have baseline BBB). Even if you do not see the flutter wave, look for them with your calipers. Measure the R-R interval with the calipers; place them on the ECG grid lines; take half of that measurement and start looking for bumps along the T-wave for the flutter wave. If you see a clear P-wave, try to march out the flutter waves with the calipers from above measurement. Hope this makes sense, can catch it more than a few times if you look for Flutter whenever you see a HR of 150.
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For physician employment and medical jobs visit 4 MD Jobs for medical employment job listings. Heathcare jobs and hospital employment listings searchable free of charge to the healthcare job seeker. Hospital jobs online features some of the following healthcare employment and medical jobs. . physician jobs - physician employment . locum tenen jobs - physician assistant jobs . MD jobs . doctor jobs Jobs - physician employment - doctor jobs . physician assistant jobs - physician assistant employment - hospital jobs - hospital employment . radiology jobs - radiologist employment . internal medicine jobs - emergency physician jobs - ER physician employment . family physician jobs - internal medicine jobs - oncologist jobs - cardiologist jobs - anesthesiologist physician jobs - hospital jobs, healthcare jobs, and medical jobs such as physician jobs, MD jobs, and other healthcare employment job search listings. If you're a hospital and would like to advertise or upload your hospital, medical or healthcare JOBS then give 4MDJOBS.com a call. JOB SEEKERS post FREE resume. We have hospital jobs and healthcare jobs search, physician jobs, doctor jobs, physician assistant jobs. Medical employment job search listings for hospitals and hospital employment are update daily. Try our healthcare job search agent for medical jobs and hospital jobs today.
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For physician employment and medical jobs visit 4 MD Jobs for medical employment job listings. Heathcare jobs and hospital employment listings searchable free of charge to the healthcare job seeker. Hospital jobs online features some of the following healthcare employment and medical jobs. . physician jobs - physician employment . locum tenen jobs - physician assistant jobs . MD jobs . doctor jobs Jobs - physician employment - doctor jobs . physician assistant jobs - physician assistant employment - hospital jobs - hospital employment . radiology jobs - radiologist employment . internal medicine jobs - emergency physician jobs - ER physician employment . family physician jobs - internal medicine jobs - oncologist jobs - cardiologist jobs - anesthesiologist physician jobs - hospital jobs, healthcare jobs, and medical jobs such as physician jobs, MD jobs, and other healthcare employment job search listings. If you're a hospital and would like to advertise or upload your hospital, medical or healthcare JOBS then give 4MDJOBS.com a call. JOB SEEKERS post FREE resume. We have hospital jobs and healthcare jobs search, physician jobs, doctor jobs, physician assistant jobs. Medical employment job search listings for hospitals and hospital employment are update daily. Try our healthcare job search agent for medical jobs and hospital jobs today.
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For physician employment and medical jobs visit 4 MD Jobs for medical employment job listings. Heathcare jobs and hospital employment listings searchable free of charge to the healthcare job seeker. Hospital jobs online features some of the following healthcare employment and medical jobs. . physician jobs - physician employment . locum tenen jobs - physician assistant jobs . MD jobs . doctor jobs Jobs - physician employment - doctor jobs . physician assistant jobs - physician assistant employment - hospital jobs - hospital employment . radiology jobs - radiologist employment . internal medicine jobs - emergency physician jobs - ER physician employment . family physician jobs - internal medicine jobs - oncologist jobs - cardiologist jobs - anesthesiologist physician jobs - hospital jobs, healthcare jobs, and medical jobs such as physician jobs, MD jobs, and other healthcare employment job search listings. If you're a hospital and would like to advertise or upload your hospital, medical or healthcare JOBS then give 4MDJOBS.com a call. JOB SEEKERS post FREE resume. We have hospital jobs and healthcare jobs search, physician jobs, doctor jobs, physician assistant jobs. Medical employment job search listings for hospitals and hospital employment are update daily. Try our healthcare job search agent for medical jobs and hospital jobs today.
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