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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22486
Experience:  Over 20 yrs of Family Practice
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I need a doctor to read an EKG for me. I have a history of

Customer Question

I need a doctor to read an EKG for me. I have a history of Pericarditis. I am currently deployed and having chest pains with slight pressure on both left and right side of chest. My throat feels slightly constricted and I now get sharp pains going to my right shoulder. My military doctor told me to take Percocet but I declined and just started taking aspirin. Are there any doctors that I can email a snapshot of my EKG to and could tell me if I should try to go over his head?
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Chip replied 1 year ago.
Hi--we can't use emails here but if you could post the EKG on this page or at Snapfish, Imageshack, or Photobucket and give me the link I'll be happy to look at it
Customer: replied 1 year ago.

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Expert:  Dr. Chip replied 1 year ago.
OK--before we go on is it that the only thing you need from me is my interpretation of your EKG?
Customer: replied 1 year ago.

that and what to do depending on what you see

Expert:  Dr. Chip replied 1 year ago.
OK--tell me all you can first about the chest pains.
Customer: replied 1 year ago.

well it starts out as pressure and every once and a while there will be sharp pains on either side and sometimes both. Its starting to radiate to my right shoulder. Also when I take a deep breathe it hurts more.

Expert:  Dr. Chip replied 1 year ago.
You've had a chest x-ray?
Customer: replied 1 year ago.

no. right now I'm feeling light headed

Expert:  Dr. Chip replied 1 year ago.
Any abdominal pain, especially in the right upper quadrant?
Customer: replied 1 year ago.


nothing in the abdomen or below my sacrum. its sometimes in line with it or in the center of each breast. right now its pressure throughout my chest and sharp pain in the right side of my chest starting from the center of my right breast moving outward

Expert:  Dr. Chip replied 1 year ago.
Any tenderness to the chest wall?
Customer: replied 1 year ago.

if you mean sensitive to touch, not so much but if I arch my back it hurts more

Expert:  Dr. Chip replied 1 year ago.
OK. Sorry for all the questions. The only thing I see on your EKG is a slight J point elevation in some of the leads and it could be a slight ST elevation. While I don't think it's anything significant, I would get cardiac enzymes to check for possible myocardial damage as in a heart attack. That said, what you describe doesn't sound cardiac. I would get an MRI of the thoracic spine to check for a disk problem there since the pain you're having could be radiation from a nerve compression there, or it could be an intercostal nerve compression where the ribs meet the spine. If this were only on the right side and radiating to your shoulder, I'd suspect a gall bladder problem. My gut feeling is that none of this is your heart
Customer: replied 1 year ago.


cardiac enzymes? Whats that? and does it matter if I have a neurogenic bladder? Like is that in any relation to what you're saying with the gall bladder? Also I have had spine surgeries but on my L4, L5, and sacrum nut nowhere near my ribs. Plus if it's nerves why would it be sharp on both sides and only radiate to one side?

Expert:  Dr. Chip replied 1 year ago.
Blood test to check for the enzymes from the heart muscle that are released when someone has a heart attack. None of this would be related to a neurogenic bladder. If it were nerve root compression from the thoracic spine it can radiate on both sides but be worse on the side where the compression is more intense.
Customer: replied 1 year ago.


so do you think theres no chance of it being pericarditis again? I just don't wanna get caught here with no real doctor if I have a bad attack like last time. Is it possible?

Expert:  Dr. Chip replied 1 year ago.
Sorry for the delay. No it's not pericarditis from the EKG and your symptoms wouldn't make me consider pericarditis

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