Home Forums Hunting & Shooting Hunter's Campfire Heart PVC's

Still can't refute the logic, eh?

Typical TRH crap. All blow, no show.

Just five minutes ago I showed your posts to the entire cardiology staff at Shands (I offered coffee and donuts to get them all together). They laughed and laughed, so I guess we're even.

See how easy it is to make schit up?

I've responded to this already, several times. It makes no sense to repeat the question when it's been asked and answered.

PS Still waiting for the retraction.

That's called projection. Just because you do something all the time (make schit up) doesn't mean everyone else does it.

So, to clarify, are you accusing me of lying about what I do for a living? Lying about where I work? Or lying about breaking out the phone and showing this thread to a cardiologist or two at my Sunday morning skate?

If it makes it easier for you to answer, people on 24HC have run into me at Abbott Northwestern hospital......

Actually, you have not. You assert that one has "abnormal pathways" in their heart's electrical conduction system if they have even one PVC, yet someone with a perfectly normal electrical conduction system in their heart can have PVC's. (You even agreed to that)

That makes you an "ignorant moron," to quote a friend who's board certified.

Your credibility with me, after the EKG lie (yet to be retracted), and a dollar will get you a cup of coffee at a cheap diner.

Again, you've argued with me for how long about the electrophysiology of the heart?

So, at risk of using the logical fallacy of the false dichotomy, either you are still trying to say you know next to nothing about EKG's DESPITE ARGUING WITH ME ALL THIS TIME, or, through arguing the specifics of the heart's EP, you are retracting your previous feign of ignorance?

Which is it? If you know next to nothing about EKG's, and you are willing to say so, then why wouldn't you STFU and quit talking? Wait, you can't do that, so your feign of ignorance was a lie.....

The ignorant person here is the one whose argument has been refuted, but doesn't understand why.

Here you go: "The problem is that you believe this to be contradictory, when it's not. The pathways of people who have an anatomically normal conduction system can become temporarily abnormal due to caffeine or electrolyte imbalances. Which was the whole point of my early posts, i.e., the diet connection."

The EKG is a piece of diagnostic equipment. Since I don't administer EKGs, I have no reason to learn how to. What does that have to do with a layman's understanding of the basic functions of the heart, and its electrical system? It's a diagnostic tool for clinicians. Very valuable to them, but not to me, not being a clinician. If you cannot understand that there's no one-to-one identity between understanding basic heart function and a diagnostic test, I'm afraid your problems run too deep for me to be of any help to you.

So, I shouldn't apologize because you ARE an expert?

You're an idiot. PVC's don't follow the normal conduction system of the heart, and in a perfectly normal heart, with no history of aberrant conduction, NOT EVEN ONE PVC or PAC, one can easily create a PVC in the cath lab by "tickling" the ventricle with a wire.

It happens all the time. That's why an interventional cardiologist laughed so hard at your idiotic statements.

The wire doesn't create some temporary pathway, the electricity simply follows the path of least resistance (though still inefficient, which is why the morphology is as it is on an EKG, but you know that....), usually through one of the ventricles.

It all takes place OUTSIDE of the heart's electrical conduction system, and in no way indicates the presence of a conduction abnormality in the heart.

But what would I know, I just see it every freaking time I pull a SWAN????

You are an idiot. Quit talking while you can, because you made a 100% factually incorrect (and very technical) statement. Deal with it.

I figured I would just bump this, since you ignored it before.

And, your ignorance is showing again. An EKG machine is the equipment, an EKG is the actual physical representation of a heart's electrical activity printed on precisely graphed paper to allow interpretation by professionals.

By the way, you are not one of the professionals.....

And, just to zero in again on why you are wrong, the electrical conduction system in a person's heart does not become "temporarily abnormal" as you say. What happens is a piece of the heart that would normally not act as a pacemaker becomes hyper-excitable and lets loose with am impulse of electricity. For a PVC, this is, by definition, somewhere in the ventricles. Then, that electrical impulse takes the path of least resistance through the heart, usually just one side of it, before petering out.

The fact that one can induce a PVC in a person with a perfectly normal conduction system simply by passing a wire through the ventricle and stimulating the tissue there completely refutes your assertion that any type of abnormal pathways are to blame, heck, they're not even involved.

Tissue outside of the conduction system (that would be pathway to you, laffn') is what is involved, but as a PACEMAKER, not a pathway.

For the sake of clarity, please explain the normal conduction system of the heart. From the SA node down. Then, specifically detail exactly how that normal conduction system changes and becomes temporarily "abnormal" when there is a PVC.

Please be specific.

If you want, explain why it is so darn easy to recognize a PVC on a telemetry strip. Wait, doing that explains why you're wrong, my bad.....

I'm beginning to suspect that you're actually just a precocious little boy pretending to be a grownup on the internet. Your style of interaction gives you away. Adults with real jobs don't communicate like you do.

Normally, I don't. You, however, are providing me with much entertainment.

Watching you do exactly what people said you would via PM is rather intriguing. I'd never paid much attention to your posts before, but apparently arguing about stuff you don't know much about, then trying to pretend you were misunderstood or that the person you are arguing with doesn't understand you is your usual MO.

You just happened to jump head-first into a subject that is, by nature, VERY technical and detailed. You have just enough knowledge to keep making loops on the noose with the rope you're given. Then, people PM'd me and asked me to keep you going and see just how stupid you would be.

To be fair, I didn't think you would take it quite this far. I know I sure wouldn't try to argue about what BUD/S is like with a Navy Seal, since I was in the marines and have no clue, but you.....

....you're "special."

To either one;

dying here...


damn, that's funny...

Too funny.

Been over for a while though

We're already at the "I don't believe that you are really an adult" and "people with jobs don't talk like you" part of the debate.

The above post illustrates what a piece-of-schidt you are, plain and simple.

Like I said to you before:



You would do the same thing if someone was dumb enough to keep throwing softies into your wheelhouse.

Anyone who's watched you go round and round with Stick knows that for a fact, so spare me the righteous indignation BS medic-boy.