hey...
 

did you hear that?

nope nothin here, but i think i saw something move over there *points to the left*

Yes, that was me - sorry about that - it'll hit you via another sense in a few seconds.

Oddly enough, yes, yes I did.

i heard footprints...

you can 'hear' footprints? Thats's pretty good hearing there uncle phil...

aj, i have ears like a hawk...

i thought i heard a hawk.

was that you uncle phil?

just circling the field, looking for a place to take off...

Try just to the left of that large oak tree... you know... the one with the treasure buried under it.

I think that our frammet valve is scored on the triangular side. I hate when that happens, the noise drives me nuts.

yes I heard that it was the voice again

The voice scares me.

I eat dead people.....wait a minute....no I don't.


Remember Barf from You Can't Do that On Television? "D'IIIIIII heard that"

Thought I hear someone coming. No wait...that was me. ;-)

I smelt that!

Ya I heard that, keep it down will ya? :p

I am so embarassed.

The fourth heart sound is a low frequency sound heard just before the first heart sound. It is most commonly known as S4.

The S4 is a diastolic sound which occurs during the late diastolic filling phase at the time when the atria contract. When the ventricles have a decreased compliance or are receiving an increased diastolic volume, they generate a low frequency vibration, the S4.

The S4 of left ventricular origin is best heard at the apex with the patient supine, or in the left lateral recumbent position. Its causes include severe hypertension, aortic stenosis, cardiomyopathies, and left ventricular myocardial infarctions.

The sound you heard was an S4 recorded from the apex of a 36 year old male that eats too many hamburgers.
-GH

hey gh, beat on this...