In this video, targeted at the lay person, I talk about heart palpitations: what are they? are they dangerous? why they happen? how to diagnose and treat them?
Heart palpitations are feelings that your heart races, jumps, throbs, or flutters. You may feel extra beats, no beats for a short time, or skipped beats. You may have these feelings in your chest, throat, or neck. They may happen when you are sitting, standing, or lying. Heart palpitations may be frightening, but are usually not caused by a serious problem.
DISCHARGE INSTRUCTIONS:Call 911 or have someone else call for any of the following:

• You have any of the following signs of a heart attack:
  • Squeezing, pressure, or pain in your chest
  • You may also have any of the following:
    • Discomfort or pain in your back, neck, jaw, stomach, or arm
    • Shortness of breath
    • Nausea or vomiting
    • Lightheadedness or a sudden cold sweat
• You have any of the following signs of a stroke:
  • Numbness or drooping on one side of your face
  • Weakness in an arm or leg
  • Confusion or difficulty speaking
  • Dizziness, a severe headache, or vision loss
• You faint or lose consciousness.

Seek care immediately if:

• Your palpitations happen more often or last longer than usual.
• You have palpitations and shortness of breath, nausea, sweating, or dizziness.

Contact your healthcare provider if:

• You have questions or concerns about your condition or care.

Follow up with your healthcare provider as directed:You may need to follow up with a cardiologist. You may need tests to check for heart problems that cause palpitations. Write down your questions so you remember to ask them during your visits.
Keep a record:Write down when your palpitations start and stop, what you were doing when they started, and your symptoms. Keep track of what you ate or drank within a few hours of your palpitations. Include anything that seemed to help your symptoms, such as lying down or holding your breath. This record will help you and your healthcare provider learn what triggers your palpitations. Bring this record with you to your follow up visits.
Help prevent heart palpitations:

• Manage stress and anxiety. Find ways to relax such as listening to music, meditating, or doing yoga. Exercise can also help decrease stress and anxiety. Talk to someone you trust about your stress or anxiety. You can also talk to a therapist.
• Get plenty of sleep every night. Ask your healthcare provider how much sleep you need each night.
• Do not drink caffeine or alcohol. Caffeine and alcohol can make your palpitations worse. Caffeine is found in soda, coffee, tea, chocolate, and drinks that increase your energy.
• Do not smoke. Nicotine and other chemicals in cigarettes and cigars may damage your heart and blood vessels. Ask your healthcare provider for information if you currently smoke and need help to quit. E-cigarettes or smokeless tobacco still contain nicotine. Talk to your healthcare provider before you use these products.
• Do not use illegal drugs. Talk to your healthcare provider if you use illegal drugs and want help to quit.

I have been a doctor now since 2000, and an emergency medicine doctor since 2003. Every year March 30th comes around it just feels 'the same'. Just another silly celebration? To call a day Doctor's day...what does that really mean? Sometimes a nice lunch at work, a gift from the hospital staff, an e-mail or post from a friend or family saying 'Happy D-day'. Honestly it has never felt special to me, until today.

No...I did not get a special lunch, or gift bag from the hospital, or many if any  'atta-boys' from friends or family. Yet over the last week or so I have seen so much support from patients and lay people, strangers who are thanking me for 'all you do'. I do not feel worthy of that praise, but I do feel honored. I have felt proud to be a healthcare professional like never in my life. To know that I come to work ready to help those who are being sickened by this 'coronavirus' and that in the process I am exposing myself to a potentially deadly virus like I have never encountered before in my professional life. I have made peace with the fact that at some point I too will be ill from this illness, my hope that it will be minor or something that I can recover from. But in the chance that it is not, it makes me proud to hold the title of physician during this pandemic. It makes me proud to come to work alongside NPs, PAs, nurses, respiratory professionals, techs, paramedics, and even our custodial staff (yeah...they also risk their health to guarantee you have a clean room to come into when you needs our services).

So today is so much more than Doctor's day...it is Healthcare professional's day. We are all in this together, we will take some casualties, but we shall overcome!

God Bless you all!