[HSF] Nonagenarians

[Nasser F. Abou'Seada]

Dear Ed ..
Wonderful Job ..
may be the CBO can be published under "believe it or not" ..!!

NFA
> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of Edward Bender
> Sent: Thursday, November 23, 2006 1:29 PM
> To: OpenHeart-L
> Subject: [HSF] Nonagenarians
> 
> Speaking of nonagenarians, Early this morning I saw a 95 year old
> male who, earlier this past evening, was on the roof of his house
> fixing a leak, and he had to get down because his legs were becoming
> weak.  He developed inability to feel or move his legs and had no
> pulses at the femoral arteries and below.  A CT scan of the chest and
> abdomen without contrast done at another hospital showed a 6 cm infra-
> renal abdominal aortic aneurysm without rupture.  I took the guy to
> the operating room and found an intact AAA, but upon opening the
> aorta, there was an aortic dissection.  The intimal flap was such
> that it had torn free except for the posterior portion acting as a
> hinge, causing the intima to act as a trap door, completely covering
> both iliac artery orifices.  Fixed with tube graft.
> 
> The patient told me that he had just been to a cardiologist and had a
> normal echocardiogram, but that the cardiologist had scheduled this
> completely asymptomatic 95 year old for a STRESS TEST!  Please!  If
> this is not a pure CBO (Cardiology Billing Opportunity), I don't know
> what is.
> 
> Ed Bender, MD
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