[HSF] OPCAB

Nasser F. Abou'Seada nfaabouseada at gmail.com
Sat Dec 9 05:52:24 EST 2006 

Very well said Hal ..... you speak my mind . 

NFA

> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of hgrmd at aol.com
> Sent: Tuesday, December 05, 2006 1:30 PM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] OPCAB
> 
> Ajit,
>   Give Dr. Salerno a break.  Even I could see he was just kidding.
Believe it or not, I
> enjoy debating him on a lot of issues, and have gleaned a lot from the
positions he
> has put forth on HSF.  We need more guys of his stature contributing to
our dialogue.
> Hal
> 
> 
> -----Original Message-----
> From: damle at cableone.net
> To: OpenHeart-L at lists.hsforum.com
> Sent: Tue, 5 Dec 2006 12:45 PM
> Subject: [HSF] OPCAB
> 
> 
> I wonder if Dr. Salerno's question was rhetoric. I can not believe a
surgeon
> of his caliber would be so ignorant and out of touch of American CABG
> surgery. Most well known institutions in the US, including the Mayo Clinic
> and the Cleveland clinic do not do much off pump surgery at all.
> 
> Ajit Damle
> 
> PS Incidentally, I think this Forum's great strength is the practical,
> clinical advice you get from the many skilled, talented and experienced
> surgeons (like Dr. Salerno, for example). But we do a poor job when we
> venture into sweeping generalizations based on our individual,
unscientific
> biases, not supported by evidence.
> 
> Fortunately, I am sure, most of us can separate the wheat form chaff.
> 
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> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Ramaiah,
> Chandrashekar
> Sent: Tuesday, December 05, 2006 9:37 AM
> To: OpenHeart-L at lists.hsforum.com
> Subject: RE: [HSF] how others will see us
> 
> Sure, most of the cases I do are on pump. As far as I know nearly 80% of
the
> cases and surgeons in this country still use the proven technique that is
> easily reproducible.
> Chand
> 
> 
> -----Original Message-----
> From: "Salerno, Tomas" <TSalerno at med.miami.edu>
> To: "OpenHeart-L at lists.hsforum.com" <OpenHeart-L at lists.hsforum.com>
> Sent: 12/5/06 8:59 AM
> Subject: RE: [HSF] how others will see us
> 
> Are there surgeons out there still using the heart lung machine and
> cardioplegic arrest in coronary artery surgery?
> 
> 
> Tomas
> 
> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of
> wftjrtyler at aol.com
> Sent: Tuesday, December 05, 2006 8:30 AM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] how others will see us
> 
> Hal.....there IS consensus mitral valve repair is superior to
> replacement but NOT everyone is doing it.....Although no consensus re:
> superiority of OPCAB evidence continues to mount......OPCAB IS more
> difficult to perform requiring a different "mindset"and
> experience,perserverance,and patience to overcome learning curve(ala
> mitral repair)........bill turner
> 
> 
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> -----Original Message-----
> From:
> 
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> 
> Hgrmd at aol.com
> To: OpenHeart-L at lists.hsforum.com
> Sent: Tue, 5 Dec 2006 6:07 AM
> Subject: Re: [HSF] how others will see us
> 
> 
> Tea,
>   Whew!  Take a breath!  All I can tell you is that there is  no
> consensus in
> the surgical community that OPCAB is superior.  Otherwise,  everybody
> would
> be doing it.  I happen to like it for the right p
> atient,  because I think the
> pump is inherently bad for the brain.  However, you  have to admit that
> the
> evidence is not overwhelming.  They've been debating  this for years at
> the
> national meetings.
> Hal
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