[HSF] angiogram and Denying CABG

[Tea Acuff]

Obviously a referring doctor always shows at least some wisdom in choosing you for consultation. However, if over a series of cases he/she demonstates that this is the only sign that he/she has judgement, it is better for everyone that you start sharing your opinion. Either they get smarter or you lose a big head ache. Sounds like a win/ win to me.

 

tea


----- Original Message ----
From: Donald Ross <donross at bigpond.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Wednesday, October 10, 2007 4:28:01 PM
Subject: Re: [HSF] angiogram and Denying CABG


You have to be careful, years ago, I refused to operate on an alleged  
LM stenosis which I thought was an artefact and the cardiologist  
never spoke to me again.
Don
On 11/10/2007, at 7:13 AM, Michael Firstenberg wrote:

> 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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