[HSF] MVR in dilated LV [OT]

[Nasser F. Abou'Seada]

Pas de tout .... I would not be offended .... I take it as a sincere
reaction of a professional jealous surgeon on the best to be performed in
practice .... for the sake of the patient... which we all seek ....... I'm
sure we all agree with Nand about that ........  
Provided the discussion would end with the ultimate goal of exchanging
experience and concepts .... I'd expect the discussion to ultimately end in
a cup of tea "coffee with nuts in USA" with some cinnamon crisps "or at
least a promise" .... ! ... 
I certainly would not mean to offend any one ... nor be offended by a
heartly sincere honest response that I have seeked .... after all it is a
professional discussion and I'm seeking the best advise and concept ....
would expect such reaction from a sincere mentor ..... !!!

NFA

> From: hgrmd at aol.com
> Thanks Nasser.  I'm glad you weren't offended by my going off on this guy
when I
> first woke up.  One thing that we as physicians must never do is to let
guidelines
> prevent us from "being a doctor".  I can tell you that if that patient was
that surgeon's
> mother, the patient would have already been operated. Ani politely
elaborated on
> what I was thinking, but just hadn't formulated the words.
 
> From: nfaabouseada at gmail.com
> > Nand,
> >   Look, the patient is going to die if you don't get him to the OR soon.
> You are
> > mentally masturbating this case to death!  To worry if the patient's
> ventricle is too
> > large and that chordal preservation is unlikely is ridiculous.  This is
> the problem with
> > these guidelines.  It can make doctors not see the forest for the trees.
> > Hal
> 
> Dear Hal
> I'm still echoing many of your expressions and learning your styles in
> addressing an issue ..... still voting for you as elect HSF speaker  .....
> NFA