Medical Records

[Guest guest]

Thanks, Bolivar. This was my understanding of it also. I think the privacy laws

came into effect in the late 90s.. Was trying to look them up on the web last

night, but ran out of time trying to get the the exact cite.

Pam

Date: 2002/08/07 Wed AM 07:58:37 EDT

To: " GastricBypass-InfoCentral (E-mail) "

<GastricBypass-InfoCentral >

Subject: re: Medical records

[Guest guest]

Thanks, Bolivar. This was my understanding of it also. I think the privacy laws

came into effect in the late 90s.. Was trying to look them up on the web last

night, but ran out of time trying to get the the exact cite.

Pam

Date: 2002/08/07 Wed AM 07:58:37 EDT

To: " GastricBypass-InfoCentral (E-mail) "

<GastricBypass-InfoCentral >

Subject: re: Medical records

[Guest guest]

Also know that if you see Dr. A, then Dr. B, and Dr. B gets the reports from

Dr. A, Dr. B does NOT have to release the reports from Dr. A to you. Only

his own reports. You would have to see Dr. A for those reports that come

from him. We just went through all of that here. Now if Dr. B, or his

staff, are nice they will copy the entire file, and give it to you. But

they do not have to.

Hugs,

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[Guest guest]

I was diagnosed with a-fib in May of this year. I just received my

medical records including 3 times in cardiac unit (on holter

monitor), trips to ER, EKG's, etc. I don't have a way to post EKG's

but here are some of the comments on them. I need help trying to

figure out what it means.

1. RVR (Rapid Ventricular Response)

2. AF with V response

3. Short -R-R wide aberrant QRS

4. Diffuse ST-T abnormal

5. Multiple ventricular premature complexes

6. Right Atrial enlargement

7. Irregular Atrial Activity

8. Enlarged cardiac sillouette with mild failure

9. S1 & S2 Irregular

I have a nuclear treadmill on my last stay on Oct. 6-8 which showed

no other heart problems. Still waiting on records to come in from

that stay.

If anyone can help me translate this into laymen's terms without the

actual EKG's I would appreciate it.

Debbi

[Guest guest]

Dear Debbi,

If you like to look at an illustrated explanation of an EKG signal, go to

http://www.a-fib.com/EKGsignal.htm. There's an illustration and explanation of

A-Fib at http://www.a-fib.com/Overview.htm. Once you've got a handle on what an

EKG is, your doctor or his/her nurse would probably be happy to explain your EKG

to you.

I'll try to explain what I can from the comments on your EKG.

" AF with V response " and " Irregular Atrial Activity " probably indicates you

have A-Fib and the A-Fib signals are speeding up your heart rate (Ventricular

Response).

" Right Atrial Enlargement " and " Enlarged cardiac silhouette " probably means

parts of your heart are larger than they normally would be. This happens often

in A-Fib when the atria (upper part of your heart) do not pump properly. The

atria tend to enlarge, develop thinner walls and lose their ability to contract

properly. You have to talk to your doctor about how serious a problem this is.

Ask him/her in particular about what " mild failure " is.

" Multiple ventricular premature complexes " probably stands for the extra

beats that may be coming from your A-Fib or from other causes.

A-FibFriendSteve

Medical Records

I was diagnosed with a-fib in May of this year. I just received my

medical records including 3 times in cardiac unit (on holter

monitor), trips to ER, EKG's, etc. I don't have a way to post EKG's

but here are some of the comments on them. I need help trying to

figure out what it means.

1. RVR (Rapid Ventricular Response)

2. AF with V response

3. Short -R-R wide aberrant QRS

4. Diffuse ST-T abnormal

5. Multiple ventricular premature complexes

6. Right Atrial enlargement

7. Irregular Atrial Activity

8. Enlarged cardiac sillouette with mild failure

9. S1 & S2 Irregular

I have a nuclear treadmill on my last stay on Oct. 6-8 which showed

no other heart problems. Still waiting on records to come in from

that stay.

If anyone can help me translate this into laymen's terms without the

actual EKG's I would appreciate it.

Debbi

[Guest guest]

Debbi:

In my opinion, it's Dr. speak for " there is something there, but we don't know

for sure what it is "

You noticed he said " this maybe artifactual " , which means it may be nothing to

do with your heart.

Thor 24/7 AF

PS: As many of you know I have a PVA schd. with the Cleveland Clinic - they

called today & rescheduled for a month earlier - Feb 12th - Will keep all of you

informed.

Re: Medical Records

Thor and Steve,

The written comments on the stress test are as follows:

No focal wall motion abnormailities can be seen. Some fixed

decreased perfusion is present in the inferior wall. No reviersible

defects can be seen, however.

IMPReSSION:

Fixed decreased activity in the inferior wall. This maybe

artifactual or due to a small amount of fixed infarction.

The cardiologist who ordered the test was with me during the test and

during the findings.

Any more comments would be appreciated.

Thanks,

Debbi

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