[HSF] A Bridge that leads to nowhere?

[hgrmd at aol.com]

Ani,
  I don't believe it's all that different.  A lot of these patients would be heading to hospice if I turned them down.  I'm referring to the wasted, ancient, patient with 3vd and multivalvular disease who is breathing 30 something times a minute on a nonrebreather.  I've done tons of those type patients with a much better salvage rate of 10-20%.
Hal 
 
 
-----Original Message-----
From: anianyanwu at hotmail.com
To: OpenHeart-L at lists.hsforum.com
Sent: Wed, 29 Nov 2006 6:56 AM
Subject: Re: [HSF] A Bridge that leads to nowhere?


But Hal that is unfair - how can you compare your elective case with the most 
moribound of patients having VAD therapy? LVADs placed postcardiotomy are akin 
to raising the dead - at that stage it is usually far too late. These are 
usually patients who have suffered, usually by the time the VAD goes in 
irreversibly, because of a surgical misadventure - are by and large, for all 
intents and purposes, already dead. I know you guys expect a lot from our VADs 
but surely asking us to resurrect the dead is going a bit to far?

Ani
  ----- Original Message ----- 
  From: Hgrmd at aol.com<mailto:Hgrmd at aol.com> 
  To: OpenHeart-L at lists.hsforum.com<mailto:OpenHeart-L at lists.hsforum.com> 
  Sent: Wednesday, November 29, 2006 5:55 AM
  Subject: Re: [HSF] A Bridge that leads to nowhere?


  Ani,
    I'd take my nonagenarian survival statistics over most LVAD series  that 
  I've read.  Yours may be different, but LVAD's placed for intraop  cardiogenic 

  shock generally have less than a 10-20% one year survival.  Has  this 
  appreciably changed?
  Hal
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