- The description of the echocardiogram is obviously incomplete, most
notably missing (a) the size of the left atrium, and (b) the state of
the mitral valve. Both of these are essential parameters in the
management of atrial fibrillation. It would also be of interest to
know the thickness of his left ventricular wall, because it seems
hard to believe that a 77-year old man would have no history of
hypertension after having been on the rubber-chicken circuit since
- What condition prompted removal of the gall bladder?
- How long has he been taking cholesterol lower medication?
Can it really be true that the Vice President did not undergo
stress testing or a coronary CT scan?
- The date of Biden's upper endoscopy is omitted, as are the actual
results of the test. Read carefully, the note says only why
the test was performed.
- The dates and nature of his sinonasal operations are omitted.
- The references to tobacco and alcohol use the present tense, hence
give no information about risk incurred in the past.
- There is no mention of neuropsychological complications,
whether present or not, from his two brain operations.
- His gall bladder disorder is not specified.
- [Not clear how "regular pulse rate" fits with "irregularly irregular"]
- [Nice to see B12 in there!]
- "No acute ST or T wave changes" only says the EKG is unchanged from a previous
one. It does not rule out ischemic signs on the EKG.