I was referred to Dr Kincade after an overnight ER admittance. This printout of my heart rhythm from telemetry was given to him for evaluation. He ordered an echocardiogram and concluded that I was fine.
Some quotes from Dr Kincade during my 2-year followup with him when I told him I had experienced several frightening recurrances of palpitations resembling this one over the last 2 years and was concerned:
"You don't have ectopic beats."
"You have no palpitations or arrythmia because I didn't see them"
" I am not going to tell you the origin of your arrythmia because you've never had one"
"You should seek mental health treatment"
"I will not refer you or provide any other care because it would be a waste of my time and other professional resources to investigate your symptoms"
"What do you want me to do? I can prescribe you a pill if you think it'll make you feel better. Will it? I dunno."
I went on to pursue a mental health assessment through both a registered psychologist and also a registered psychiatrist who both found no reason to diagnose any anxiety disorders. I requested the findings be forwarded to Dr Kincade.
This man spoke over me with palpable contempt for my concerns and treated me as though I was lying about my symptoms and wasting his time.
I have attached a photo of the printout that he received from the ER for which I was referred to him. It is of an irregular wide-complex rhythm, which cannot be properly defined with a single-lead ecg as was captured. A proper 12-lead ecg of the rhythm is necessary to determine whether this rhythm originated in the atria, or was caused by a failure of the his-purkinje fibres, or by a bundle branch block, or by accessory pathway, or if it was ventricular in origin, each with different implications and risk factors and potential TREATMENTS. An electrophysiology study can serve to both identify the problem and ablate it if appropriate. These investigations could also prove if these events are truly benign and ease what I feel should be considered valid concerns and fears. My primary care provider did go on to order two seperate holter monitors which didn't capture any events resembling this specific rhythm, as no events occurred; but did show both ventricular ectopics with the same morphology as those in the ER strip, and a 3 beat run of ectopic beats at 200bpm, further confirming that I do in fact suffer from palpitations; yet he still denied any exist and said that no further effort to catch the more elusive slow wide-complex rhythm is warranted. I feel his ego inhibits his ability to provide meaningful care and that I personally offended him by becoming informed and positing my case for further investigation. He offered no reassurance or justification for his disregard and disingenuous statements.
I will never return to Dr Kincades office.