[HSF] Bologna meeting (OT)

[Michael Firstenberg]

I wouldn't recommend playing the piano with golf clubs

-michael/iPhone

On Dec 1, 2009, at 3:38 PM, hgrmd at aol.com wrote:

> Prasanna,
>  Your frustration with the piano is similar to mine with the golf  
> club.
>
> Hal
> Sent from my Verizon Wireless BlackBerry
>
> -----Original Message-----
> From: Prasanna Simha M <prasannasimha at gmail.com>
> Date: Tue, 1 Dec 2009 21:20:50
> To: <OpenHeart-L at lists.hsforum.com>
> Subject: Re: [HSF] Bologna meeting
>
> I am looking forward to hearing you play though I finally gave up  
> the piano
> out of frustration. My fingers dont want to move like what my mind  
> wants to
> !!
> Prasanna
>
> On Tue, Dec 1, 2009 at 9:19 PM, <hgrmd at aol.com> wrote:
>
>> Prasanna,
>> I'm thinking about attending El Khoury's meeting in Belgium next  
>> summer
>> while I'm already there for ISMICS in Berlin.  I like the way he  
>> applies
>> Carpentier's principles to the aortic valve.
>> BTW, remember the Goldberg Variations which we discussed several  
>> months
>> ago?  In preparations for being in Bach's hometown, Leipzig, once  
>> again,
>> I've learned the 28th variation fairly well.  Hopefully, I'll get a  
>> chance
>> for you to hear it.
>>
>> Hal
>> Sent from my Verizon Wireless BlackBerry
>>
>> -----Original Message-----
>> From: Prasanna Simha M <prasannasimha at gmail.com>
>> Date: Tue, 1 Dec 2009 21:08:46
>> To: OpenHeart-L<OpenHeart-L at lists.hsforum.com>
>> Subject: [HSF] Bologna meeting
>>
>> Today we saw a repair done by Gebrain El Khoury (bicuspid aortic  
>> valve9 and
>> he did an excellent job as usual including decalcification of a focal
>> nodule
>> and goretx suspennsion of the free margin. I did get to discuss  
>> with him
>> some points which had been irking me.There were a lot of TEVAR  
>> discussions
>> and Coselli gave some good talk. <I realized the dichotomy  of  
>> adult versus
>> pediatric practice and there were some GUCH (Grown up congenital  
>> Heart) in
>> some presnetations which were managed in ways which would have the  
>> surgeons
>> dealing with congenital hearts red !!. I did lead the group ;) and I
>> realised that "adult" cardiac surgeons should not be people dealing  
>> with
>> GUCH unless they have dealt with  or deal with children too. I saw  
>> some
>> really nnecessary hybrid procedures etc done for coarctation which  
>> were
>> just
>> not needed (and in fact dangerously done) and very amenable to  
>> conventional
>> surgery , well in the scope of an average cardiac surgeon dealing  
>> with
>> pediatric cases (let alone complex ones). It makes me think that
>> superspecialistic approach can actually be a detriment in a way as  
>> people
>> were not conversant with some currently standard techniques because  
>> they
>> have restricted their practice to a particular group.
>> There were some insightful new techniques  and multiple branched  
>> grafts
>> being used in innovative ways.Some real world problems were  
>> discussed and
>> it
>> was in general a nice meeting.
>> I saw a new Cardioplegia which is popular in Switzerlland called  
>> Cardiplex
>> which is still not in the market and involves a single shot of 100 ml
>> cardioplegia given by syringe (2 50 ml syringe) and the heart  
>> unbeleivabley
>> stopsimmediately. The person presenting it Dr Czerny said that he  
>> (He had
>> come from a different institution) could not believe it when he  
>> first saw
>> it  but seems to work well for at least one hour before  additional  
>> shots
>> are required. It doesnt requioe prolonged  administration like  
>> Custodiol
>> (Bretschneiders solution) and was an interwsting thing to watch..
>> Prasanna Simha M
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>
>
>
> -- 
> Prasanna Simha M
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