[HSF] RE: Fourth Hourseman and LVAD [OT]
Nasser F. Abou'Seada
nfaabouseada at gmail.com
Sat May 12 03:01:17 EDT 2007
Sorry, that is meant to be an [OT]
Thank you Tea
I never knew that. The Bible in English carries different Cryptic
References -to a non native speaker of the language like myself - than
the Bible in arabic. A point that you made me to look after and gain
more insight. BTW, would not the follower of the fourth horsman be
death itself ? I mean is LVAD before or after ? ....
thank you for your insight
"Four HorsemenThe Bible Four figures in the Four figures in the BOOK
OF REVELATION who symbolize the evils to come at the end of the world.
The figure representing conquest rides a white horse; war, a red
horse; famine, a black horse; and plague, a pale horse. They are often
called the Four Horsemen of the Apocalypse.The Bible Four figures in
the Four figures in the BOOK OF REVELATION who symbolize the evils to
come at the end of the world. The figure representing conquest rides a
white horse; war, a red horse; famine, a black horse; and plague, a
pale horse. They are often called the Four Horsemen of the
Apocalypse." "Qouted, American Heritage Dictionary"
NFA
On 5/10/07, Tea Acuff <tacuff at swbell.net> wrote:
> I will love to hear Ben's explanation.
> But since this is on HSF this is my take. This is a cryptic reference, presumbly, to the last book of the Christian Bible which is fanastical and taken either literally or not at all my many believers. The fourth horseman is named Death. One must assume that which follows the forth horseman is...LVAD.
> tea
>
>
> ----- Original Message ----
> From: Nasser F. Abou'Seada <nfaabouseada at gmail.com>
> To: OpenHeart-L at lists.hsforum.com
> Sent: Thursday, May 10, 2007 9:32:48 PM
> Subject: Re: [HSF] RE: Timing AVR/Coarctation repair
>
>
> ben
> please elaborate
>
> NFA
>
>
> On 5/10/07, Ben Bidstrup <benjamin.bidstrup at bigpond.com> wrote:
> >
> > And we all know what follows the fourth horseman.
> >
> > >No, I think it's the fourth sign of the apocalypse. M.At 04:20 PM
> > >5/10/2007, you wrote:
> > >>Is having Hal and me in the same room parallel impedances?
> > >>tea
> > >>
> > >>
> > >>----- Original Message ----
> > >>From: Ben Bidstrup <benjamin.bidstrup at bigpond.com>
> > >>To: OpenHeart-L at lists.hsforum.com
> > >>Sent: Thursday, May 10, 2007 5:21:51 AM
> > >>Subject: Re: [HSF] RE: Timing AVR/Coarctation repair
> > >>
> > >>
> > >>More likely a system of parallel resistances (or rather impedances).
> > >>
> > >>
> > >>>Maybe. I certainly am often wrong. The circulatory system is complex
> > >>>flow, to which your engineers have alluded. But isn't your
> > >>>simplifying point that we are talking resistance instead of,
> > >>>presumbly, pressure in a flowing circuit just semantics?
> > >>>tea
> > >>>
> > >>>
> > >>>----- Original Message ----
> > >>>From: prasannasimha <prasannasimha at gmail.com>
> > >>>To: OpenHeart-L at lists.hsforum.com
> > >>>Sent: Tuesday, May 8, 2007 8:02:07 PM
> > >>>Subject: Re: [HSF] RE: Timing AVR/Coarctation repair
> > >>>
> > >>>
> > >>>And not doing a possible femerotibial will give a lower patency.
> > >>>Actually Tea you are mixing apples and oranges because the highest
> > >>>"egress flow" for the lower limb is the profunda. So if you have a
> > >>>blocked distal femerol or tibial artery but a patent profunda the
> > >>>distal resistance is still lower than one with a blocked profunda and
> > >>>hence the paradox (which isn't really a paradox) since the thigh muscle
> > >>>mass is very much larger,more vascular and of lower resistance. We are
> > >>>essentially talking of flow resistances compared to just tubes .
> > >>>Prasanna
> > >>>Tea Acuff wrote:
> > >>>> Clearly one has to have some outflow to a graft, but an
> > >>>>aortofemoral is warranted before a distal femtib for two level
> > >>>>stenoses.
> > >>>> tea
> > >>>>
> > >>>>
> > >>>> ----- Original Message ----
> > >>>> From: prasannasimha <prasannasimha at gmail.com>
> > >>>> To: OpenHeart-L at lists.hsforum.com
> > >>>> Sent: Tuesday, May 8, 2007 10:37:36 AM
> > >>>> Subject: Re: [HSF] RE: Timing AVR/Coarctation repair
> > >>>>
> > >>>>
> > >>>> Even there it is still true - if you just improve inflow and do not
> > have
> > >>>> an egress you will still get nowhere.I think we always check the
> > >>>> graftability of the femorals first before doing a an
> > aortobifemoral.
> > >>>> Prasanna
> > >>>> Tea Acuff wrote:
> > >>>>
> > >>>>> Not a truism. It is opposite for periperal vascular disease.
> > >>>>>Always improve inflow first in PVD.
> > >>>>> tea
> > >>>>>
> > >>>>>
> > >>>>> ----- Original Message ----
> > >>>>> From: prasannasimha <prasannasimha at gmail.com>
> > >>>>> To: OpenHeart-L at lists.hsforum.com
> > >>>>> Sent: Tuesday, May 8, 2007 6:41:50 AM
> > >>>>> Subject: Re: [HSF] RE: Timing AVR/Coarctation repair
> > >>>>>
> > >>>>>
> > >>>>> This is a standard MCh case.
> > >>>>> Relieve the distal stenosis first and then you can turn around and
> > do an
> > >>>>> AVR.
> > >>>>> In tandem stenoses -always relieve the distal one first- be it gut
> > or
> > >>>>> vascular otherwise relieving the proximal one doesn't help.
> > >>>>> Prasanna
> > >>>>> Antonio Laudito wrote:
> > >>>>>
> > >>>>>
> > >>>>>> Dear Members,
> > >>>>>>
> > >>>>>> A 50 yr old pt show up to your office with a dx of severe AS (EF
> > OK, no
> > >>>>>> CAD)and severe coarctation ( MRI with a few mm lumen). What would
> > be
> > >>>>>> your recomended surgical strategy?
> > >>>>>> Thanks
> > >>>>>> Antonio Laudito,MD
> > >>>>>>
> > >>>>>>
> > >>>>>>
> > >>>>>>>>> hgrmd at aol.com 07/05/07 16:25 >>>
> > >>>>>>>>>
> > >>>>>>>>>
> > >>>>>>>>>
> > >>>>>> Dear Members,
> > >>>>>> One of the senior members of my group and I were discussing
> > >>>>>>the merits
> > >>>>>> of using a PA vent versus an LA vent when encountering LV
> > distension
> > >>>>>> just after releasing the clamp. Typically, it is due to mild or
> > >>>>>> moderate AI. Personally, I prefer using the main PA as the vent
> > site.
> > >>>>>> It's quick and easy, and I've always found that it decompressed
> > the LV
> > >>>>>> nicely. In contrast, my friend says that it's better to use an
> > LV vent
> > >>>>>> so as to avoid pulling all of that blood through the capillary
> > beds and
> > >>>>>> risking acute pulmonary injury. I've never read that, and it
> > sounds
> > >>>>>> like theoretical crap to me. What do you think?
> > >>>>>> Hal
> >
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> > >>
> > >>--
> > >>Ben Bidstrup FRACS FRCSEd FEBCTS
> > >>Consultant Cardiothoracic Surgeon
> > >>_______________________________________________
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> > --
> > Ben Bidstrup FRACS FRCSEd FEBCTS
> > Consultant Cardiothoracic Surgeon
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>
> --
> Nasser F. Abou'Seada,
> MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
> FICS,FISCVS,FSSRCTS,FHMS,MESC
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--
Nasser F. Abou'Seada,
MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
FICS,FISCVS,FSSRCTS,FHMS,MESC
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