Hacker News Board Hacker News, browsed like a classic message board
Live data from Hacker News

I Now Have a Cardiologist

joecieplinski.com

Post reply on HN
Print view View original

161–170 of 189 posts

Re: I Now Have a Cardiologist

#161

Post by skizm »

mach5 wrote: post #70
skizm wrote: post #67

One thing to note: portable ECGs are <$100 on amazon. Not as feature rich as the apple watch, sure, but the watch only measures from one location, normally you want to measure from a few, usually at least 3: leg, arm, and chest.

the watch measures from two locations actually, through the wrist and through a finger on the crown. you're still right that 3 (and more) is better.

For each of the three locations I mentioned, you also need to contact the portable ECG with your finger. The finger is being used to create a closed loop. It is not a measurement site.

Re: I Now Have a Cardiologist

#162

Post by arandr0x »

bartread wrote: post #149
treis wrote: post #36

Earlier quoted context omitted.

Yeah, he didn't exactly need an Apple watch to tell him something is going on. That's a bit under double what his heart rate should be. Equivalent to what someone in reasonable shape would have when they're jogging. It's amazing he never got it checked out before.

It's possible he may not have noticed, or may not have realised that his RHR was unusually high. I mean, in day to day living how many of us are really conscious of what our hearts are doing outside of periods of heavy exertion?

120 is an "uncomfortable" heart rate though; you'd feel it at rest, it would somewhat get in the way of concentrating or sleeping. (Although it's easy to dismiss as resulting from anxiety or infection.)

Re: I Now Have a Cardiologist

#163

Post by notacoward »

Tharkun wrote: post #119
maxgee wrote: post #8

> resting heart rate being in the 113-120 bpm That seems insanely high

It's not "insanely" high. And blanket statements like this can cause undue alarm. If you're worried about an elevated resting heart rate, go get an ECG done. Don't let random people on the internet talk you into health anxiety.

As even the tiniest bit of research will show, that is insanely high. Well over 99th percentile for that age group, according to US CDC. While it might be counterproductive to get anxious about minor symptoms, when one of the most critical indicators of overall health is off the charts I think "you should be worried" (with "go see a doctor" as the express or implied followup) is the humane response. "Meh" or denying the statistical reality is IMO irresponsible.

Re: I Now Have a Cardiologist

#164

Post by baq »

mbreese wrote: post #107
baq wrote: post #101

Earlier quoted context omitted.

I have 3 kids delivered by c-section. Total paid - €0. Performed by trained professionals in a nice hospital, not by villagers in a shed.

Given that you are quoting the price in Euros, I suspect the funding mechanism for your hospital is very different than the hospital costs the parent was talking about. I know nothing about how the financial side of European hospitals work though... but I assume they still have internal costs that are tracked and tallied. Your kids' deliveries may not have cost you, but there was a total cost somewhere in the system.…

I agree completely.

I simply believe that not becoming broke by a scheduled or unscheduled medical procedure is a human right and it's realistic to achieve. I'm not saying it should be free - I pay quite a bit of medical insurance to the state, but it's mostly transparent as it's included in the income tax deductions.

Re: I Now Have a Cardiologist

#165

Post by inglor »

antirez wrote: post #157
inglor wrote: post #141

Earlier quoted context omitted.

Israel used to be this way and it used to be a requirement by the government (not an ECG but a doctor note). Like a lot of other regulation it made it less likely for people to work out. Now it's a questionnaire instead. I think the new system works better here since it's one less hurdle to get over before you can sign up for a gym and work out.

I would say yes and not: yes it may become a barrier, but no, here most gyms organized that they have a doctor inside and for 40 euros they do the doctor checkup + ECG.

Oh, in Israel getting a doctor checkup or an ECG is free and most gyms don't have doctors or even a nurse (all gym instructors must get CPR certification though).

Re: I Now Have a Cardiologist

#166

Post by Tepix »

goshx wrote: post #53
risaacs99 wrote: post #47

Earlier quoted context omitted.

Yeah the negativity struck me as well. After being in Afib for a month, he was at high risk for having a stroke. I guarantee you that insurance would have been appreciated then. Just to add to the discussion, I've been self employed and on ACA plans for several years now (with my family). I'm grateful to have the option, and it's miles ahead of what we had prior to the ACA.

It seems to me that only people who were born in the US "appreciate" paying this much money for health insurance and see someone criticizing it as being negative. The whole health system in the US is horrible. Nobody should need to go through a middle-man (a.k.a. insurance) in the first place. No wonder prices for everything are absurdly high. Edit: and I have an anecdote about this too. Last year I had an episode of…

Not necessarily. If the insurance wants to you take a different medication from a different brand which is cheaper but contains the same active ingredient, I don't see a problem with that.

Your doctor may have been incentivized by the pharma company to prescribe their more expensive product.

Re: I Now Have a Cardiologist

#167

Post by Tepix »

saagarjha wrote: post #84
est31 wrote: post #19

IDK about this. I find it kinda creepy to have my heart beat monitored & sent to a server far away and not under my control. I mean, ad companies already have so much data about me, do they also need to know how my heartbeat reacts to an ad? Does my insurer need to know it? I wonder whether it can detect sex and be used to e.g. track infidelity. On the other hand, of course it's great to save lives and help you detec…

> I find it kinda creepy to have my heart beat monitored & sent to a server far away and not under my control. Heart rate information, like all health information gathered by Apple Watch, stays on your device unless you choose to back it up to iCloud. In this case it is end-to-end encrypted.

Data backed up to iCloud is not yet encrypted in a way that Apple cannot access it.

Re: I Now Have a Cardiologist

#168

Post by wincy »

rswail wrote: post #129
wincy wrote: post #123

Earlier quoted context omitted.

It’s pretty good for my daughter. She was born with Spina Bifida and we’re paying $300 a month for an ACA plan. She’s cost probably a million dollars by this point so it’s worked out pretty well for us. In a country with socialized medicine they’d probably have just let her die, as the doctors had given her a prognosis that she might not last a year. My wife dug up some research on some treatments they hadn’t conside…

In a "country with socialized medicine" that is in the 1st world (ie US/CA/UK/AU/NZ/EU etc) she'd probably get exactly the same treatments. Oh and the cost of that hospital room would have been literally a tenth of the cost. I (or my insurance) wasn't charged half of that for a post-operative 48 hours in an ICU after quad bypass surgery. The US already has a third of its population covered by "socialized medicine". T…

You’re right I guess. My uncle has no insurance and was just diagnosed with cancer. He’s getting chemo same as anyone else. He supposedly owes tons of money in medical debts but still has over 800 credit score. The US medical system is a really weird beast.

Re: I Now Have a Cardiologist

#169

Post by sneak »

> "I continue to pay for my insurance because thanks to the Affordable Care Act, I have to. It’s the law. And I’m okay with that. Because I know paying into the system helps others who make less money than me have access to care."

One had better be okay with it, because if you don't consent, they'll take the money from you by force.

Re: I Now Have a Cardiologist

#170

Post by dreamcompiler »

JaumeGreen wrote: post #159
dreamcompiler wrote: post #135

Earlier quoted context omitted.

Which hospital is nearest? Which can be reached within the self-driving capabilities of the car? Which has Advanced Cardiac Life Support staff and equipment? Which is still open? Which is not already handling another cardiac emergency? Which route has the least traffic? Paramedics and EMTs can work these questions quickly and they have lights and sirens to get through traffic. Your car will probably google "hospitals…

So what it is needed is that the car communicates with 911 and an automated system will tell it to wait for help, go to a destination where help will go to, or go to a help center (hospital or similar) where help will be waiting. It could even work if you are at home and have an emergency. Call 911 and if they decide you should go to a health center on your own it will send where to go to your car. Of course at first…

Agreed. Technology could help. There are significant elements of assessment, planning, and optimization that now are done manually by emergency responders that probably could be automated.
Post reply on HN