[HSF] angiogram and Denying CABG

[Donald Ross]

It was tea!
On 11/10/2007, at 8:31 AM, Tea Acuff wrote:

> 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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