[HSF] Sympathy anyone.......
Tea Acuff
tacuff at swbell.net
Thu May 1 11:06:28 EDT 2008
I think you picked up on an important point. Not only might it be better for the patient, it might be easier for the care givers and perhaps family. The audacity of hope, perhaps.
tea
----- Original Message ----
From: "Jbflegejr at aol.com" <Jbflegejr at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Thursday, May 1, 2008 8:09:13 AM
Subject: Re: [HSF] Sympathy anyone.......
Having already survived for four days since the onset of the dissection, I
would think that the risk of waiting a few more days up to a week would be
smaller than proceeding to operation while he is coagulopathic. In Wheat's
report of treating Type A dissections without operation, 40% survived to leave the
hospital. In a recent report derived from the International Registry there
were about 160 patients who were not operated for one reason or another, mostly
severe comorbidities or refusal, and 40% left the hospital alive. Both of
these groups included patients from the outset of the dissection. Since the
risk of dying from the dissection decreases with time, the risk your patient
faces after surviving the high risk days is probably less than if you proceeded
with operation now. John Flege
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