Dr John M

cardiac electrophysiologist, cyclist, learner

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The universal sign of successful doctoring…

July 1, 2011 By Dr John

The staff was concerned that she came to the office without her interpreter.

How would we communicate? How would I assess her symptoms?

“Should we get a translator from the hospital?” they asked.

I knew this patient well. I had done battle with rogue circuits in her left atrium more than once. I could even remember the fractions of the fractionated potentials–the squiggles of the squiggly line. I could recall my body’s joyous sensations when burning that precarious ridge of heart muscle steadied her heart’s rhythm.

“Got it,” we say.

Or

“Did you see that…It’s gone.” It’s as if we give fractionated electrical signals monster status. Go away, you bad monster!

So with all this background knowledge, I reassured the staff that my non-verbal clinical observational skills might be sufficient.

And they were.

I entered the room to find a radiant woman that looked full of life. A good sign. Since we couldn’t converse, we looked–at each other.

With hopeful eyes, I beamed my thoughts to her: “Gosh dang it, I worked so hard in that thin-walled upper chamber of yours…please tell me your heart is good…pretty please.”

What happened next needed no translation.

She held out her arms, smiled and motioned me closer. Heart docs don’t hug that much, so it took me a nanosecond to comply. She held me firmly, and longer than one of those nominal cursory hugs. My chest felt her regular rhythm.

I knew the ablation had held.

As she said “thank you” in broken English, I saw the tear on her cheek.

I wanted to tell her how thankful I was for her, and her beautiful expression of thanks–one that needed no words.

I wanted to tell her that the second-most invested person in her procedure’s success was me. It matters, a whole lot.

And that this stuff matters so much lies at the core of why doctoring is such a great job.

Happy Friday.

JMM

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Related posts:

  1. Doctoring isn’t always blissful
  2. Friday Reflections: High-tech doctoring is a team sport
  3. Friday’s reflections: Navigating the forest…with a guide
  4. Cycling Wednesdays: #6: In bike racing and doctoring…if only random misfortune could be defeated…

Filed Under: Atrial fibrillation, Doctoring, Reflection

John Mandrola, MD

Welcome, Enjoy, Interact. john-mandrola I am a cardiac electrophysiologist practicing in Louisville KY. I am also a husband to a palliative care doctor, a father, a bike racer, and a regular columnist at theHeart.org | Medscape

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  • Electrophysiology commentary on Medscape/Cardiology

Mandrola on Medscape

  • My Medscape column on general medical matters

For patients...Educational posts

  • 13 things to know about Atrial Fibrillation — 2014
  • A new cure of AF
  • Adding a new verb to doctoring: To deprescribe is to do a lot
  • AF ablation — 2015 A Cautionary Note
  • AF Ablation in 2012–An easier journey?
  • Atrial Flutter — 15 facts you may want to know.
  • Benign PVCs: A heart rhythm doctor’s approach.
  • Caution with early Cardioversion
  • Decisions of 2 low-risk cases of PAF
  • Defining success in AF ablation in 2014
  • Four commonly asked questions on AF ablation
  • Inflammation and AF — Get off the gas
  • Ten things to expect after AF ablation
  • The medical decsion as a gamble
  • The most important verb in our health crisis
  • Wellness Requires Ownership

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