[HSF] angiogram and Denying CABG

[Michael Firstenberg]

why did you turn him down?

Is this going to compromise your relationship with the Cardiologist?


-michael


On 10/10/07, Jbflegejr at aol.com <Jbflegejr at aol.com> wrote:
>
> I turned down a patient today. 72y male,moderately severe mitral
> insufficience (which the cardiologist said did not need attention because
> it would improve
> with medical RX?) LV ejection fraction 20%+/-, moderate lesions in LAD,
> Circ
> & RCA, and severe stenosis in a medium sized intermediate and syptom is
> exertional dyspnea. 5 months ago he had a Whipple procedure for biliary
> duct
> carcinoma with 3 of 8 lymph nodes containing cancer. John Flege
>
>
>
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