[HSF] Endocarditis , Septic shock, Drug addict

[Nasser F. Abou'Seada]

"So I always hold off on the moral social
judgements -------------------------- - and even still, everyone has a
Mother."

Michael:
You and Hal do speak our minds ..
still
I have to confess I was deeply touched - for the first time :-) - by your
expression .... IMHO that would have convinced most of those endorsing the
opposite thoughts ! .

NFA



On 4/18/08, Michael Firstenberg <msfirst at gmail.com> wrote:
>
> When I was a fellow, I got called emergently to the MICU on a Sunday
> morning
> for a similar situation - 21 year/old male, tatoos all over the place,
> track
> marks up/down his arm, florid septic shock, wide open AI, complete heart
> block, bacteremic, renal failure, coma.  Took him to the OR for the big
> wack
> - was the sickest patient in the hospital for a month, lost a few toes,
> dialysis, the jaundice - you name it.
>
> But, he got better - but the point of this post is that we all assumed
> that
> he was a IV drug abuser - turned out he was doing missionary work for some
> organization (like CARE, HOPE, etc) building bridges and schools on the
> east
> coast of Africa (i.e. The Lord's work), got malaria was treated with IV
> agents and got infected from dirty needles and was flown home when we was
> getting sick and ended up in our MICU about a week after getting back to
> the
> states.  So I always hold off on the moral social judgements until I know
> the entire story - and even still, everyone has a Mother.
>
>
> -michael
>
> On 4/18/08, Ani Anyanwu <anianyanwu at hotmail.com> wrote:
> >
> > James How long was this process of deliberation? Had any prior attempts
> > been made to treat his addiction? Was this the first major complication
> of
> > addiction he suffered? Also which country do you work and who pays for
> > healthcare (self-pay, taxation, insurance, government)?  Ani
> >
> > > Date: Fri, 18 Apr 2008 02:19:06 -0700> From: jamesle2007 at yahoo.com>
> To:
> > OpenHeart-L at lists.hsforum.com> CC: > Subject: [HSF] Endocarditis ,
> Septic
> > shock, Drug addict> > > We had a 30 yrs old Drug addict, admitted with
> > aortic valve endocarditis severe AR in septic schock , recent frontal
> infact
> > and pneumonia .He died as we were deliberating about his surgery.> > Is
> it
> > unethical to deny surgery to such patients on assumption that they and
> their
> > families continue to suffer with his condition of addiction and it is ok
> if
> > he is allowed to die in paece on ventilator . > > > >
> > ---------------------------------> Be a better friend, newshound, and
> > know-it-all with Yahoo! Mobile. Try it now.>
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