[HSF] Young Enough [OT]

Thu Dec 28 11:29:31 EST 2006

Dear Roberto 
YEEEEEEEEEESSSSSSS 
I do totally concur ... echo .. agree with you 
very young enough .... 
You have just brought Joy and fun to my heart ... 

Time is relative .... calculated according to the "system" concerned ....
meaning that time is "system" specific ... according to Einstein relativity
.... hence ... looking at "man" as a unique individual existence in this
universe ..   time is "Man" specific .... depending not on the external
events that happen "around" him ...rather to the "internal" events that
happen "inside" him .......... "man" has got his OWN pace ... 

simply that it is the internal clock that does count .... rather than the
biological clock .... looking at "time" as rather represented as a cortical
activity of the human brain ....

within that context ... surgeons, rather than physicians ... are likely to
start their actual life at the age of 35-37 ..... a "time-mark" that is
equivalent to the age of 22 of a regular university graduate ... or 18 years
of age of a high school graduate ... when starting their lives ...  we have
seen that in Obstetrics when seeing an 18 years old female ... almost twice
as older as a 22 female medical student ..!! ...
Hormonal milieu ... mediated by Hypothalamic activity ... related to
cortical representation of biological activities of the body ... in its
destined gene controlled life span ...!!!! ... simply time  represented as
cortical activity .... hahaha 

Thank you dear friend ... ou just brought joy to my "young" heart .... haha
Happy new year to you and your family .... 

Nasser  

NFA

> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of Dr. Roberto Battellini
> Sent: Thursday, December 28, 2006 8:56 AM
> To: OpenHeart-L at lists.hsforum.com
> Subject: AW: [HSF] Axillary perfusion
> 
> Nasser,
> 
> By wrapping the prosthesis with another one, you get it very tight, and by
> treating it by the Cooley method, you get it a perfect preclotting. I saw
> that visiting him in 1982, but I read before the paper in : Bulletin of
the
> Texas Heart Institute, Vol 8 Number 1, 1981 march, p. 48: A method of
> preparing woven Dacron grafts to prevent interstitial haemorrhage.
> Basically, take 50 cc of blood from the Patient and add 150 units of
> heparin. The blood is placed in a sterile tube for centrifuging at 1200
rpm.
> The plasma is suctioned off the erythrocytes and placed in a container. An
> equal amount of protamin sulphate 10-15 mg is added to the plasma, which
is
> poured onto the woven Dacron graft, and massaged. Then the graft is placed
> in a steam autoclave at 130°C foe 3-5 minutes. What I did was just putting
> the second graft on the patient´s blood (we were on pump).My case was just
> after having read this paper!
> 
> By the way, I did my residency (after general-vascular) in cardiac and
> vascular  surgery in Bonn from 1979-80-81
> I feel me young enough.
> Roberto
> 
> -----Ursprüngliche Nachricht-----
> Von: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Nasser F.
> Abou'Seada
> Gesendet: Donnerstag, 28. Dezember 2006 11:21
> An: OpenHeart-L at lists.hsforum.com
> Betreff: RE: [HSF] Axillary perfusion
> 
> Dear Roberto
> Interesting enough. We used the same technique, yet we wrapped the graft
by
> the native aorta that was closed around the de-novo prosthetic blood
> pre-clotted cooked graft, yet it did not work ..!! ..
> 
> end of 1989 .... I was assisting mark E. Lambert in my first exposure to
> Aortic Abdominal aneurysm ... ABG ... I thought that it will be a heck of
an
> operation -see Hal, I'm learning your Arkansas language style !- ........
> bleeding everywhere ..... to my surprise,.. the needle holes were not
> bleeding at all .... even at areas where the graft had to match the native
> aortic diameter ... no weeping ... no hassle ... a new invention that made
> life easy ... all other theories of single / double velour assisting
fixing
> neo-intima formation ... just gone with the wind ...
> 
> I'd be very much interested in your slides .... you can send them to me
> directly and I'll post them. still I prefer single framed pics to
"panoramic
> views" ....
> my email is nfaabouseada at gmail.com
> 
> incidentally .... 1981 ??? ..... I took it that you are much younger than
> that ..!! .. rumors in the city .. !!
> Happy new year ..
> 
> NFA
> > -----Original Message-----
> > From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> > bounces at lists.hsforum.com] On Behalf Of Dr. Roberto Battellini
> > Sent: Thursday, December 28, 2006 2:19 AM
> > To: OpenHeart-L at lists.hsforum.com
> > Subject: AW: [HSF] Axillary perfusion
> >
> > Nasser,
> > in 1981 we had a case similar to yours, I wrapped very tight the graft
> with
> > another graft which I sent to heat in patient´s blood, like Cooley wrote
> in
> > those days, and worked! I have some slides, may be I could let them scan
> if
> > somebody is interested.
> > Roberto
> >
> > -----Ursprüngliche Nachricht-----
> > Von: openheart-l-bounces at lists.hsforum.com
> > [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Nasser F.
> > Abou'Seada
> > Gesendet: Donnerstag, 28. Dezember 2006 04:54
> > An: OpenHeart-L at lists.hsforum.com
> > Betreff: RE: [HSF] Axillary perfusion
> >
> > Hal:
> > your experience echoes mine ... have only seen during training such a
> > Bentall de Bono case, bleeding to death, even after wrapping the graft
> with
> > original aortic wall .....  patient died and one was just watching ...
> > nothing could be done .....
> > Haemashield was a magnificent invention making such cases a piece of
cake
> ..
> >
> >
> > NFA
> >
> > > From: Hgrmd at aol.com
> > > Tea,
> > >   I've never seen that happen with a Hemashield graft.  However,
during
> > > training, I remember seeing a patient bleed to death during a Bental
in
> > which the
> > > graft, baked in albumin, lost its preclotting.  God that was a
horrible
> > > sight and experience.  Hemashield supposedly made problems like  that
of
> > > historical interest only.
> > >   Are you sure it was a Hemashield?  Was it a particularly long  case?
> > Have
> > > others seen Hemashield lose its preclotted  characteristics?
> > > Hal
> >
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