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[Music] [Music] watch your [Music] back are you I mean the right ventricle yeah [Music] and then you have the pump then it goes back to the aort and one of the things we [Music] learn you fainted in the past over last couple of years do you you faint oh yeah well I just fall down without any warning Id be walking in the street merily along the way and then Im on the floor okay how many times has that happened must have happened six times or so did you know you were going down or you just you had no warning warning so this is really true Syncopy what what is it fainting youre fainting we have to figure out why you may have many reasons to faint Dr F and I make grounds The oldfashioned Way We Were trained to go to the bedside and talk to the patients and take the perfect history and do the perfect physical from which one ought to be able to make a diagnosis or come close to a diagnosis maybe 90% of the time and we thought the doctors dont do that anymore they sit a computers and they