[HSF] Another Victory for the LAD Stent.....

[Michael Firstenberg]

many people (included my parents up until recently) do not know the  
difference between a cardiologist and a cardiac surgeon.


-michael


On Feb 8, 2008, at 3:50 PM, Ben Bidstrup wrote:

> A surgeon is a physician who operates (UK terminology).
> A good surgeon knows when not to operate.
>
> (Where does the cardiologist fit in here ?) In many countries a PCI  
> is called heart surgery.
>
>
> All we know about this guy, we got from his driver's license.
>> 59 year/old - called EMS from a local hotel with chest pain.
>>
>> Found in obvious respiratory distress with severe C.P.
>> Scooped and run to our ED - intubated in ED instantly, then taken  
>> to cath
>> lab...... very quick door to needle time.
>>
>> Cath - multiple LAD stents - occluded prox.  unable to pass a wire
>>      Circ - occluded,  severe RCA disease
>>   Has ICD
>>
>> tachycardic to 120-150's
>> mild hypotension
>>
>> echo in cath lab ----> almost dead heart.
>>
>> severe pulm edema, severe respiratory acidosis (ph: 6.9  pCO2=90  
>> sats in
>> 70's)
>> given lasix, heparin, reopro
>>
>> we are called........
>>
>>
>>
>> I guess he has not read the recent studies..............
>>
>>
>>
>> -michael
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>
>
> -- 
> Ben Bidstrup FRACS FRCSEd FEBCTS
> Consultant Cardiothoracic Surgeon
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