Unusual ECGs #1

We had an interesting case yesterday where the ECG looked classically like Wellens Syndrome . Scary thing about this condition is that if the patient is experiencing acute ischaemia the ECG can pseudonormailse – see the with and without pain ECGs here

Learning tips are to watch for the distinctive ECG pattern as described in the links above and also remember you can NEVER have too many ECGs done on a patient 🙂

HP N40L Microserver

Very useful little fileserver. It has been available with ÂŁ100 cashback from approved resellers in the UK for a couple of years now. I bought my last one from serversplus.com

Watch out for amazon.co.uk sellers as they probably aren’t eligible for the HP cashback offer(selling parallel imported N40Ls) and it will end up costing you more….

The thread that started my interest in these devices is the great ‘Tim’s Tiddler‘ one on avforums. Once you have flashed the BIOS and unlocked the extra speed on the optical drive SATA port you can add even more drives to this little beast. There are x4 3.5″ drive slots in the main bay and in the top 5.25″ section you can have an optical drive, x2 3.5″ or 2.5″ or a combination of the two depends on the brackets you get. I’ve even seen a setup with x6 2.5″ drives in there!. to run a 6th drive you need to use an eSATA to SATA cable and need an extra molex>SATA power splitter

I have installed a passive radeon 6450 and upgraded to 8Gb of RAM although some folk have had success with 16Gb kits

Galaxy Nexus won’t charge

All of a sudden my galaxy nexus phone won’t charge. I recently flashed a new ROM (AOKP 4.12) which I thought might be the problem. Tried different cables, tried pulling the battery, tried charging from the PC – none worked. Then i remembered that the micro usb charging port is 180 degrees different on my nexus tablet vs nexus phone and I sometimes have difficulty reinserting the charging cable when I swap between the 2 devices. I read a useful post here #15 and bent the prong inside the charging port upwards a little and it works again!

Roast Potatoes

I’m in charge of cooking Sunday lunch. I’ve cooked the roast beef with HP sauce and wholegrain mustard baste and am looking for the perfect roast potato recipe.

Today i’m trying the Delia method – I hope it works out well….

Red wine

I haven’t imbibed much red wine in the last few years (NZ Sauvignon Blanc is to blame for that) but have managed to find a spectacularly nice red from virgin wines – Black Pig. Massive flavour and very smooth it is one of my all-time favourites

Broome Docs

Great medical educational website at BroomeDocs.com

If you have never heard of Broome use google maps to find it in Australia and see how remote it actually is

Well worth a read through some of the things they deal with far far away from what most of us consider civilisation.

msconfig

Msconfig is a useful built in tool in windows that you can use to control which 3rd party applications load in at startup. Trimming these can significantly speed up the time it takes to boot up into windows to the point you can start actually doing stuff.

Start>run>msconfig

Alternatively you can use the neat little tool startupcpl from mlin.net

If you need to check if you should disable something or not there is ~27000 item searchable database here

ECG lead reversal

I recently had a patient sent from the GP surgery with a letter stating ‘widespread t-wave changes ? MI’. I looked at the ECG for a few seconds then realised what was wrong – limb lead reversal. Here is an example (not my patient) of left/right lead swappage There are other ECGs to see at ECG Pedia which show other combinations of lead reversal. Remember to look at the precordial leads too – if the QRS complexes get smaller as you go towards v6, positive QRS in aVR and negative QRS in aVL you could have bagged yourself an ECG in a dextrocardic person 🙂

YAMJ cmd

YAMJ is a great program for presenting your media when streaming to your TV. I have setup another little batch file to rescan my media libraries after i have added new content so it can scrape the fanart and movie/tv info for the episodes/films. I can run this script remotely as described earlier

I tweaked the standard My_YAMJ.cmd to scan more than 1 library at a time, even if they are stored on different drives – see the syntax below

@Echo OFF
C:
CD \YAMJ
CALL moviejukebox My_Library.xml -o “G:\ServerFolders\Videos”
CALL moviejukebox My_LibraryTV.xml -o “F:\ServerFolders\Recorded TV”
CALL moviejukebox My_LibraryKIDSmovies.xml -o “G:\ServerFolders\kidsmovies”
exit

oops – forgot to include the syntax for .xml files above – i’ve bolded the related lines

<!– Library file generated by Omertron’s GUI Config –>
<!– YAMJ GUI Config v0.51 –>
<!– http://mediaplayersite.com/YAMJ_GUI_Config –>

<libraries>

<library>
<path>F:\ServerFolders\Recorded TV</path>
<playerpath>file:///opt/sybhttpd/localhost.drives/NETWORK_SHARE/vail tv/</playerpath>
<exclude name=”sample,tmp/,temp/,RECYCLER/,RECYCLE.BIN/”/>
<description></description>
<prebuf></prebuf>
<scrapeLibrary>true</scrapeLibrary>
</library>

</libraries>

it is a bit fiddly to get the paths correct, but is worth persevering 🙂