[HSF] Just say no?

[Nasser F. Abou'Seada]

"survived the Nazis in eastern Russia"
......... ????
Were there NAZIs in EASTERN .... and ... RUSSIA ???

NFA



On Feb 13, 2008 6:45 AM, <Hgrmd at aol.com> wrote:

> Michael,
>  In considering an AVR/CABG in a 92 yo man with a broken hip, it is
> imperative that you do a lot of research before making a decision.  What
>  was the
> patient's quality of life prior to the accident?  Was he driving,  living
> alone,
> shopping, playing cards, etc., or was he mainly vegetating in  front of a
> TV
> not recalling what he had for breakfast?  Good kidneys?   Good lungs?  Is
> the
> family committed to him getting well?  Are they  likely to pull the plug
> if he
> isn't sitting in a chair eating pork chops on  POD#1?
>  I've done quite a few nonagenarians in my career with reasonable
>  results.
> I would suspect my overall mortality rate with them is  15-20%.  The last
> one
> I did was 3 months ago.  He was a 96 yo man with  critical a.s., severe
> MR,
> severe TR, chronic AF, and previous CABG with a patent  LIMA.  I did 3
> valves,
> a graft to the RCA, and a Cox-maze.  He was  intubated for 2 weeks and
> needed
> several days of dialysis.  However, he  pulled through and is now back at
> home, off dialysis, doing reasonably  well.  One of the things that went
> into my
> decision to operate was the fact  that he was a Jew who survived the Nazis
> in
> eastern Russia.  I knew he was  a tough old bird.
>
> Hal
>
>
>
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