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Among the patients, there was a rumor that Joy walking into the room was a special stress test. If the heart did not accelerate, it was very sick.Seriously, stress testing is an important part of cardiology. It reveals things that do not happen unless the heart is working hard, for exercise, or because illness puts demand on it. The basic way to do stress testing is exercise, usually by running in place on a treadmill, or sometimes using a stationary bicycle. If the patient’s disease, or the nature of the test being performed, prevents physical exercise, the alternative is injecting a drug, such as dobutamine or adenosine, which forces the heart to beat quickly.EchocardiographyLet us return to Joy’s area of specialization, research involving echocardiography. This involves the use of extremely high frequency, inaudible, sound waves -- ultrasound -- to form images of the heart or circulatory system. There are various techniques, but all involve placing a transducer, which generates. At the end he invited any of the party to add to the picture, but no-one spoke up."I am aware that this tiny store of information will be of small help for our landing," he said, "but given the observational limits it is about the sum total of what we can discern from here. I also note that much of it derives from a badly outdated source—the Argo records. The small observations we have been able to make are not inconsistent, but we know they have made vast technological progress since that visit and some of their behaviors may also have changed."We are thus confronted with what I had most hoped to avoid—a blind landing into an unknown situation. It is of course a shared disadvantage; they, too, know nothing of us. But they outnumber us immeasurably, especially if, as happened before, a substantial segment of the community downs tools, takes up what is sure to be improved weaponry and rushes to confront us."It was at that juncture that Igwanda offered his almost casual remark about.
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