[HSF] how others will see us

[Tea Acuff]

My only hope would be that they do both their best and their least.
Tea
p.s. my wife says I do the last best at home.


----- Original Message ----
From: "wftjrtyler at aol.com" <wftjrtyler at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Saturday, December 2, 2006 9:19:02 AM
Subject: Re: [HSF] how others will see us


In a message dated 12/2/2006 7:09:37 A.M. Central Standard Time,  
tacuff at swbell.net writes:

Here is  how I logically think (I may be completely wrong, but it is my 
logic) about  how off pump can have less MI, equal (? if we use these numbers as 
real world)  mortality, and more reintervention. Surgeons over time become 
comfortable with  their ability to do "necessary" anatomoses. All things being 
equal, which only  is imagined to happen in a study not the real world, it is 
easier to do tinier  and more diseased vessels with the heart still (intra surgeon 
not inter  surgeon). More intra surgeon MI's come from stupid choices than 
stupid  technique. (It may well be that surgeons with bad technique have more 
MI's ,  but this will not show up in randomization.) Just because you can sew it 
does  not mean you should sew it. That is, surgeons adjust to their 
techniques ( if  they have any brains at all) to their comfort which is in no 
(necessary) way  similar to the needs of the patient. OFF and ON pump techniques are 
like bulls  in a china shop. Just beacuse one is smaller and can go
down a smaller isle  doesn't mean it will do less damage automatically.



At the risk of evoking a "Tea"leological rant and rebuke ,I pose the  
question : All things considered [surgeon experience,etc] what  would you prefer for 
yourself?[on or off] 

bill turner md
secretary/historian/parlamentarian Tea Acuff Philosophical  Society
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