America's Cup go Team New Zealand!

Now watch the race tomorrow while playing the New Zealand artist Lorde's song Tennis Court or Royals and you will feel the exquisite pleasure of being a Kiwi. Im doing this for the thrill of it , killing it! Never not chasing a million things, I want. Im remotely young as the minute is, full of it. But I know they will never own me. We don't care, we didn't come for the money we will never be caught up in your love affair.

What an amazing country New Zealand is it deserves the title as the "greatest small country in the world". 

Judder Bar Flutter

On rounds the other day I was presented a case of a elderly gentlemen with chest pain who had a episode of "VFIB/VTACH" while being transported by the Ambulance Service to the Hospital. The notes from the Paramedic state that the patients vital signs were stable with a BP of 136/74. The notes also state that he looked remarkably well during this rhythm disturbance. At the bedside the patient told us that they had taken a especially rough and bumpy road to the hospital. Looking at the rhythm strip I notice normal sinus rhythm followed by wide undulating complexes that return to sinus rhythm. The QRS complexes march out so I concluded that this was artifact caused by the ambulance going over a rough patch of road or a speed bump. Speed bumps in New Zealand are called judder bars. So I explained the house staff that this was judder bar artifact. One of my colleagues suggested I write this up and call it "Judder Bar Flutter". So this is the world premiere of a new rhythm first described by Stephen Stowers MD FACC Senior Consultant in Cardiology Palmerston North Hospital. Cheers from Palmy on the North Island of New Zealand!