Cardiology Quotes

“You find the isoelectric lead and then it’s positive, positive, positive, positive, negative, negative, negative, negative.” -Dr. White
Student: “What does that mean exactly?”
“It means you find the isoelectric lead, where the QRS is equally positive and negative and then from the point of the lead it goes positive, positive, positive, positive, negative, negative, negative, negative.” -Dr. White
Entire class scratches head....

“Alrighty everyone... lean forward (to hear the inaudible video he is trying to play)....(silence)... well that was fun...” -Pummy

“Here’s how to save a life... take off their socks and shoes..” -Pummy

“There’s a name for that point... do you know what it is?” -Pummy
Student: “The.... aortic murmur point?”
“Nope, everyone google erb’t point.” -Pummy

“This arrow is not inside the patient” -Pummy on TEE findings

“Dr. Keuhn, can we comment more on the normal anatomy of the heart?” -Pummy
“The what now??” -Dr. Keuhn

“What else could be calcifying the valve other than calcification?” - Parsa

“Wow, that’s a horrifying story...” -Pummy about how brushing your teeth can lead to viridans bacteremia and subsequent endocarditis as explained by Dr. Saviola

“I guess these slides are from the autopsy?” Parsa in response to Pummy’s continued wierd comment about our ‘dead patient’ whom had acute infectious endocarditis.

“Dr. Parsa, do you want to see the CT?” -Pummy
“Sure.....Whoa...okay...I haven’t looked at this before.”-Parsa “I’m not a radiologist, but I would say those are abscesses.”

In same lecture as above, different slide: “I haven’t seen this...”-Parsa

“Oh...” -Pummy on accidentally showing the class the answer to our last quiz question
“Happy Labor Day...” -Dr. White

“On the left you see a normal valve opened, you could drive a truck through that hole.” -Pummy

“Are we all in?”-Pummy

“(the calcification)...becomes rock hard, and very firm.”-Parsa

“you’re all gorgeous...you all look the same.” Pummy-->when addressing the class

“What if you’re a heart? What are you going to do?” -Pummy

“..and it came too fast! It’s not on time.” -White

“when something comes early, it’s called ‘premature’.. >snicker<” -Pummy

“these are supposed to be hard guys, I’m not going to be this mean on the test.” Dr. White
“good thing I’m not writing the EKG questions.”-Pummy, under his breath.

“if I hear any laughs..it’s gonna be ugly.” - Pummy

“so, just like in sesame street, this one does not look like that one”-pointing to the xrays - Pummy

“could it be this, could it be that? Yes yes yes, all of those things.”

“suppose dr parsa were here...bc the sad part, like last wk, the patient died in the CT scan”-Pum

“a question? Do you want a cookie?”-Pummy

“you get this little pooch here..and by pooch I mean aneurism...now, it pooched out more..bigger anuerysm..”-dr white

“okay, more technology..great.”-Pummy [this is after repeated failed attempts to do the clicker quiz an poll questions that day, again trying to show us an audio clip of a heart murmur.]

“if a patient comes in with a gripping pain in their chest, you’re not going to say, ‘Let me diagnose your OA’.”-Dr. Sanchez

“Is it regularly irregular? Or is it irregularly irregular?”-Pume

“your ruptured aneurysms are mostly going to present as death.”-dr white, when describing the difference btwn aortic dissections & aneurysms

“more bad art, from Dr. White.”
“you guys are like, ‘what’s paper?? Isn’t that what old people use??’”-Dr. White

After student asks how you figure it out, Dr. White answers: “Well, you know its double because you’re Dr. Pumerantz.”

“oh no....evil physics!”-Dr. White

“rookie move, to hit the code, and they’re just asleep and the lead fell off.”-Dr. White

“so why are we worried about this guy? He’s probably stressed from work..working at Walmart..he’s still wearing his blue shirt.”-Pummy

“how do I know it’s sinus? Casey, how do I know it’s sinus?”-Pummy

”Now, where in the heart are you thinking the IE is located? DENNIS! Tell me! Dennis thinks it’s the mitral valve. Disagree…whoever you are, you personless voice..”-Pummy

“is there a differential diagnosis? No! This is calcification!” –parsa.

“sometimes a cigar is just a cigar.”-Pummy

“it’s more like, how soon before they die? because they all die.” -Pummy

“what if you were a pig? and I don’t mean that metaphorically, literally, what if you were a pig??”

“Wow, that’s a horrifying story. I don’t wanna brush my teeth or even floss anymore. Oh, that’s terrible! No, just kidding..I will.”-pummy, after Saviola’s schpiel on formation of bacterial endocarditis.

“oh hey..where’s Ershad?”-Pummy (he must have been missing the questions)

“if you were your immune system, what would you say? Excuse me..you don’t belong here. So I am going to put out all of my defenses and try to FIGHT YOU!”-Pummy

“many of us say it’s like a knife...but, we’ve never been stabbed.”-Pummy

“so the blood says..’I don’t get paid that much, I’m going out the other way.”

::Pumerantz picks up phone:: “...I’m teaching..what?? Oh. Jesus. Okay, we’ll get a post. Alright..young guy (shakes head).::hangs up phone:: “patient just died.” Class laughs, awkwardly.

“let’s go into the quiz...Close ‘em baby.”-Pummy

“Today’s cases will get your heart racing...” - Pummy about Tachycardia cases

“Why is this so important? We’ll you’re in medical school so that’s why this is important.” - Pummy

“I’ll give you a hint... Tonto...oh there you go, that’s it, the lone ranger...” -Pummy about lone atrial fibrillation

“What do you know, the lights work. Finally something that works. Another Western First.
*Round of applause from class*
“Don’t tell the dean I said that” - Pumerantz

“the pulmonary vein bone is connected to the left atrium bone.”-Pume

“This is not a tuber or the root of something you’d find in a chinese market.” -Pummy on photo of the heart and pulmonary veins.

“ershad is nodding his head. Either he has acute aortic insufficiency, or he has something on his mind.”-Pume

“as long as YOU didn’t do it…it’s an act of God..”-Pume

“so, the Hamburgler says that’s correct..”-Pume

“Let me go out here and dance on the dance floor” Rhuby on his turn to talk during large group

“Can I phone a friend?” Rhuby on answering a questions asked of him.

“Dr. Walters can you explain all of this in five minutes since we are running out of time?” - Pummy
“Oh I’ll need more time than that to completely explain this...” Walters
“Oh Okay, how about 6-7 mins then..” - Pummy.

“we’re out of time for questions, it’s now time for answers”-Walters

“these drugs are very dirty”-Walters

“Which one does it stimulate? Well it’s beta, for the sake of time...” - Walters on the affects of atropine

“It’s just like a foreign body, they like to touch it.” Cardiologist about ‘twiddler’s syndrome’

“That’s about as deep as I expect you to know it, sometimes it’s fast, sometimes it’s slow.... put a pacemaker in.” - White on Sick Sinus Syndrome and treatment

“Sydenhams chorea is transient and will go away regardless of what you do, but it is fun to watch.” -Dr. Patel

“well a viral infection is there, that’s why I am here” - Tiwari

“Let me ask you this, if there is a bad guy on the street, how many good guys do you need to take him out? Well 1 or 2 if they are like me.” -Tiwari on the bodies reaction to coxsackie/adeno- viremia and resultant hypersensativity reaction

“Imma have Dr. Foley drop some physio on you guys.” - Barnes

“I heard Karotkof and Kosakof, which is correct?” - Barnes“One of those”
- Student “One of those..."
"so when you hear the karotosakof sounds....” - Barnes

“What else do you want to look for?” - Barne
“uhhhh...” Ashley
“Their race... that’s what Ashley said.” - Barnes on the epidemiology of HTN

“who... was that byron?” I saw your picture this morning, you had a big goatee...” - Barnes
“They take your photo & it’s the one you’re stuck with.” - Byron
“I Know, but Byron...” - Barnes

“What else can we see in the eye... cholera??? oh pallor.” - Barnes

“Dr. Foley is now going to drop some more physio on you guys...” - Barnes

“To discuss this further I am going to have Dr. Walters drop some pharmacology on you guys...” - Barnes

“C’mon I put a sweater vest on for you guys today... I’m very professorial...” - Barnes

“Who will tell me the answer??? Andrew??? I’ve heard your name but never met you. Okay he wants to phone a friend.... Casey I have also heard of you....” - Bahlodia

“Tissue is the issue” - Mehta

“He smells like he is having an acute ST elevation MI” - Agarwal

“I don’t know how much basic science they are teaching you...” -Agarwal
Don’t worry Dr. Agarwal... we aren’t sure either =)

“Let me ask you in a good hearted manner, what does a good heart use for energy?” - Kandpal

“One of you will develop a drug that modulates the hearts use of ATP and you can retire for life” - Kandpal

“Who wants to tell me what is on this chest x-ray. Raise a hand...... raise a leg...” - Pummy

“And there is autophagic death, which is the way I’d love to go” - Pummy

“There’s like arnold schwarzenager heart where the muscle gets all grrr and in a bikini...” - Pummerantz on the different kinds of cardiac hypertrophy

“This lady hasn’t seen a doctor in a long time, she thinks doctors don’t know what they are talking about, and sadly she may be right...” - Pummy on a case presentation after the class quiz average was 1 for 4.

“This oughta get your juices flowing, if this doesn’t get your juices flowing, I don’t know what will.” - Pummy on p pulmonale.

“cardio is cumulative. If you left your brains in the last session, go back and get it.” - Pummy

“Lisa very good, you get a brownie point. You can have my vicodin later. See all you had to do was get an answer right and you get pills...” -Pummy

“So you can recognize this person from across the waiting room, she usually has a cigarette in her hand.” - Pummy


From the Parsa Path lecture:
“oh, it’s not on the...??” - in regards to his ppt not displaying
“we talked about infarct last year, it seems like yesterday...”
“the reasons are several, I don’t want to go through them all...” - on the cause of MI
“in the real world your patients will come to you and they won’t have read Harrison’s”
“This has been everything you wanted to know about cardiac pathology...”