[HSF] (no subject)

[John Schor]

Hal:
Great job!
You prove the point that we can only know so much without operating.  
Pontificating is the worst place to be. It is clear you are a Jedi  
Master; "May the force be with you".

I am currently at a place that keeps tabs on which pt's go back to the  
OR; then secret tribunals are held in order to "educate" the medical  
staff. It takes guts to take on cases like that. It's a lot easier to  
let pt's suffer than to do what is right.
I admire your efforts.
John


John Schor, MD
Verde Valley Medical Center
Cottonwood, AZ 86326


On Feb 6, 2008, at 10:03 AM, Hgrmd at aol.com wrote:

>
> Prasanna,
>
> ? Thanks.
>
>
>
> Hal
>
>
> -----Original Message-----
> From: Prasanna Simha M <prasannasimha at gmail.com>
> To: OpenHeart-L at lists.hsforum.com
> Sent: Wed, 6 Feb 2008 11:55 am
> Subject: Re: [HSF] (no subject)
>
>
>
>
> Gut instinct pays.
> Prasanna
>
> On Feb 6, 2008 10:17 PM, <hgrmd at aol.com> wrote:
>
>>
>> Ahmed,
>>
>> ? Thanks for your words.? Parenthetically, all of my partners  
>> advised me
>> not to operate.
>>
>>
>>
>> Hal
>>
>>
>> -----Original Message-----
>> From: alsadd <alsadd at ksu.edu.sa>
>> To: OpenHeart-L at lists.hsforum.com
>> Sent: Wed, 6 Feb 2008 5:33 pm
>> Subject: RE: [HSF] (no subject)
>>
>>
>>
>>
>> Congratulations Hal a job well done. It is the thing to do bite the
>> bullet.
>>
>>
>> Ahmed
>>
>> -----Original Message-----
>> From: openheart-l-bounces at lists.hsforum.com
>> [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of hgrmd at aol.com
>> Sent: Wednesday, February 06, 2008 3:21 AM
>> To: OpenHeart-L at lists.hsforum.com
>> Subject: [HSF] (no subject)
>>
>> Dear Members,
>> ? Two days ago, I reoperated on the gentleman with the stenotic and
>> thrombosed SVC.? I'm glad I did.? I femorally cannulated and went  
>> on pump
>> prior to splitting the chest (he was 3 weeks postop).? I only  
>> dissected
>> the
>> right atrium.? The adhesions were torture.? The tip of the femoral  
>> cannula
>> was advanced only into the IVC.? No effort was made to control either
>> cava.?
>> The heart stayed warm and beating.? A right atriotomy was made and
>> extended
>> across the RA-SVC junction.? It was tightly stenotic.? A large  
>> amount of
>> clot was retrieved with a 6mm Fogarty.? A large patch of bovine
>> pericardium
>> was placed.? The whole operation took less than 3 hours.?  
>> Yesterday, it
>> was
>> evident that his facial and forearm edema were markedly improved.?  
>> He's
>> already on Lovenox and Coumadin.
>>
>> Hal
>> ________________________________________________________________________
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>
>
>
> -- 
> Prasanna Simha M
> _______________________________________________
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