[HSF] Re: Follow up to the New York Times article Stents vs. CABG (OT)

[Tea Acuff]

My Mexican wife informs me that "coohonies" is hill billy (both Arkansan and Tennessean) for "cajones". I better defer on this one.
tea


----- Original Message ----
From: "rowlesjohn at aol.com" <rowlesjohn at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Tuesday, March 6, 2007 1:02:06 PM
Subject: Re: [HSF] Re: Follow up to the New York Times article Stents vs. CABG (OT)


That is too funny Tea!


-----Original Message-----
From: tacuff at swbell.net
To: OpenHeart-L at lists.hsforum.com
Sent: Tue, 6 Mar 2007 7:31 AM
Subject: Re: [HSF] Re: Follow up to the New York Times article Stents vs. CABG


Wow! Imagine thinking you are signing up for a little straighter penis and end 
up with two huge coohonies.
tea


----- Original Message ----
From: Michael Firstenberg <msfirst at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Sunday, March 4, 2007 3:26:29 PM
Subject: Re: [HSF] Re: Follow up to the New York Times article Stents vs. CABG


Not to play "one-up-man-ship" but I took care of a relatively young  
male (55 or so) - who stopped his "cardiac medications" for a penile  
implant and without going into the gory details, ended up with  
emergent BiVads.

I think we are only seeing the very tip of an ugly iceberg.

-michael


On Feb 28, 2007, at 6:55 PM, Edward Bender wrote:

> Let me also add a case.  75 year old male with previous CABG and  
> subsequent DES to RCA vein graft feeding a hyperdominant RCA.  He  
> has a small skin cancer from his arm that needs to be removed.   
> Plavix stopped for 5 days, gets a skin cancer about the size of a  
> dime removed, and has a huge infarct immediately after surgery.    
> He required redo CABG, but did well after prolonged hospital stay.   
> We have hundreds of thousands of Plavix "junkies"  out there.  I  
> smell multiple class action lawsuits in the making.
>
> Ed Bender, MD
>
>
> On Feb 28, 2007, at 5:26 PM, hgrmd at aol.com wrote:
>
>> Cary,
>>   Thanks for sharing this unfortunate case.  I've heard and seen  
>> similar.  It's slowly dawning on the interventionalists that they  
>> really screwed up, and that these DES patients are analogous to  
>> those with mechanical valves.  The lawyers will soon be in another  
>> feeding frenzy.
>> Hal
>>
>> -----Original Message-----
>> From: CSPassik at aol.com
>> To: OpenHeart-L at lists.hsforum.com
>> Sent: Wed, 28 Feb 2007 5:26 PM
>> Subject: [HSF] Re: Follow up to the New York Times article Stents  
>> vs. CABG
>>
>>
>> HSF'ers,
>>
>> I would like to share for your mutual interest an unfortunate case  
>> I  saw
>> yesterday. 51 yo man, active, skinny in good shape.  He  presented  
>> with an MI
>> 7/05 and underwent multiple drug-eluting stents to his LAD  and CX  
>> for 2-v CAD.
>>
>> Big vessels, good angiographic result and good  residual  LV  
>> function. Newly
>> diagnosed with early stage prostate CA  and was scheduled for a  
>> robotic
>> Davinci prostatectomy. His  Plavix and ASA  was thus  stopped two  
>> weeks ago.
>> Cardiology workup included  stress testing  which was somewhat  
>> equivocal so he
>> was
>> cathed last  Friday. Stents all looked widely patent. Cardiologist  
>> thus said
>> "low risk for  heart problems"-start his antiplatelet meds ASAP  
>> post-op.  He was
>>
>> about 2/3  of the way through his port access prostate yesterday  
>> when he had
>> ST segment  changes and therafter coded/CPR. Operation aborted- 
>> with an open
>> bladder leaking  into the belly and a cath lab visit-- occluded  
>> stents in both
>> vessels-successfully opened but poor reflow and expired.
>> In summary, these drug coated stents are, IMHO, going to turn out  
>> to be a
>> disaster for the  patients who ever need anything done at any time  
>> in the
>> future that will require stopping their Plavix. They have created  
>> a new
>> disease! I
>> suspect we will all be seeing and hearing  more of these  cases,  
>> and I also
>> suspect the stent manufacturer's will try to tell us that this  is  
>> just one
>> case,not reaching statistical significance, blah, blah blah. Too  
>> bad  this poor
>> man  didn't have a nice 2V CABG in 05.
>> Cary Passik
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