[HSF] Where are all those Gator Fans now??????

Tea Acuff tacuff at swbell.net
Fri Jan 8 07:09:44 EST 2010


Or changing the cardiac surgical "gold standard" (what we value is who we are) from angiographic to rheologic,,,
Tea

Sent from my iPhone

On Jan 8, 2010, at 4:05 AM, Michael Firstenberg <msfirst at gmail.com> wrote:

Prasanna
It is NCAA college football. Don't try to understand it. You have to experience it to have some sense. You would have better luck understanding tea's thoughts on the meaning of life.

-michael/iPhone

On Jan 8, 2010, at 2:38 AM, Prasanna Simha M <prasannasimha at gmail.com> wrote:

I honestly did not understand a thing and roll tide ? waves roll !!
Bama =Obama ? can't find any cardiac surgeons friendly with him I
thought ;)
Prasanna

2010/1/8 William M. Novick, M.D. <ichfno at aol.com>:

Roll Tide, National Champions, NCAA Football, from Beijing and the Tim's Texaz BBQ place, no Texas fans left, just me and my buddy, Jack D, also from Tennessee and a Bama fan.



William M. Novick, M.D.
Founder, Medical Director, International Children's Heart Foundation
901-869-4243 office
901-432-4243 fax
901-438-9413 cell





-----Original Message-----
From: William M. Novick, M.D. <ichfno at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Thu, Jan 7, 2010 11:28 pm
Subject: Re: [HSF] NCAA Championship in Beijing (OT)



nd of the game, with 2 minutes left, Bama 24, Texas 21, all 5/9 Texans left,
ut then there was a collective groan from them when
ama intercepted the last pass, then when Bama scored again, I could not find a
ingle Texas fan in the place. ROLL TIDE!!!!!!!!!!!!!!!!!!!!!!
CAA National Champions in Football.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!1

William M. Novick, M.D.
ounder, Medical Director, International Children's Heart Foundation
01-869-4243 office
01-432-4243 fax
01-438-9413 cell


----Original Message-----
rom: William M. Novick, M.D. <ichfno at aol.com>
o: OpenHeart-L at lists.hsforum.com
ent: Thu, Jan 7, 2010 11:15 pm
ubject: Re: [HSF] NCAA Championship in Beijing (OT)

oll Tide, University of Alabama, National Champions in Football, Rollllllllll
de!!!!!! # ! in 2009 !!!!!!!!!!!!!!!1
William M. Novick, M.D.
under, Medical Director, International Children's Heart Foundation
1-869-4243 office
1-432-4243 fax
1-438-9413 cell

----Original Message-----
om: Tea Acuff <tacuff at swbell.net>
: OpenHeart-L at lists.hsforum.com <OpenHeart-L at lists.hsforum.com>
nt: Thu, Jan 7, 2010 11:00 pm
bject: Re: [HSF] NCAA Championship in Beijing (OT)
oll Tide Roll.
ught I'd beat you to it.
grats

nt from my iPhone
Jan 7, 2010, at 10:27 PM, "William M. Novick, M.D." <ichfno at aol.com> wrote:
a;
agine being a Surgeon at Un Tn and being a Bama Grad.
lliam M. Novick, M.D.
nder, Medical Director, International Children's Heart Foundation
-869-4243 office
-432-4243 fax
-438-9413 cell
----Original Message-----
m: Tea Acuff <tacuff at swbell.net>
OpenHeart-L at lists.hsforum.com <OpenHeart-L at lists.hsforum.com>
t: Thu, Jan 7, 2010 9:59 pm
ject: Re: [HSF] NCAA Championship in Beijing (OT)
w I remember why Tennessee hates 'Bama, but got to go w/ SEC
nt from my iPhone
Jan 7, 2010, at 9:16 PM, "William M. Novick, M.D." <ichfno at aol.com> wrote:
;
is only the first half, there is more to go, ask Tim Tebow and the Gators
t the second half.
ollllll Tide!!!!!!!!!!!!!!!
l
liam M. Novick, M.D.
der, Medical Director, International Children's Heart Foundation
869-4243 office
432-4243 fax
438-9413 cell
---Original Message-----
: hgrmd at aol.com
OpenHeart-L at lists.hsforum.com
: Sun, Jan 3, 2010 1:54 am
ect: Re: [HSF] NCAA Championship in Beijing (OT)
l,
s like it's your night!  The Horns ain't hookin' nuthin' tonight.
from my Verizon Wireless BlackBerry
-Original Message-----
"William M. Novick, M.D." <ichfno at aol.com>
Thu, 07 Jan 2010 21:45:51
OpenHeart-L at lists.hsforum.com>
ct: [HSF] NCAA Championship in Beijing (OT)
im's Texas BBQ in Beijing watching the NCAA Championship with 9 Texas fans
ne Bama fan, me. Rolllll Tide!!!
liam M. Novick, M.D.
er, Medical Director, International Children's Heart Foundation
69-4243 office
32-4243 fax
38-9413 cell
--Original Message-----
Prasanna Simha M <prasannasimha at gmail.com>
penHeart-L <OpenHeart-L at lists.hsforum.com>
Thu, Jan 7, 2010 8:19 pm
ct: Re: [HSF] non significant stenoses
e are rheological studies to that effect. Not theoretical.
na
, Jan 7, 2010 at 4:42 AM, Donald Ross <donross at bigpond.com> wrote:
t that the end of a sequential should go to the highest flow/sink
el.
e is the evidence for this supposition?
arely applies to the ima T radial brigade which originated, for the most
, in Japan where routine post-op angiography
shown it not to be so.
e not seen evidence for it either in the limited number of late
ograms of our cases.
ave been routinely using a single graft for all CX and RCA branches for
ears, amounting to several thousand cases, without any evidence graft
ures attributed to your theoretical posit.
Tue, Jan 5, 2010 at 2:35 PM, Donald Ross <donross at bigpond.com> wrote:
various configurations antigrade, retrograde and the choice of three
together with the narrow and zero profile feet mean that there has,
been always a way round the problem you describe with close parallel
ries.
I usually do skip the ima to Dl on the way to lad but only if I am
inced the Dl lesion is severe. I suspect if the flow probe proved me
g I would be prepared to partially clip the native artery under flow
rol but it hasn't  happened yet.
times it is better to do the LAD first ( end to side of course ) then
p the end of the ima around and do the Dl back to front.
t it said that nobody gets angina from an ungrafted diagonel?
05/01/2010, at 7:16 PM, Prasanna Simha M wrote:
would a platypus differ or help in this situation . Basically the

be the obstructive element isn't it ?
anna
Tue, Jan 5, 2010 at 11:12 AM, Donald Ross <donross at bigpond.com>
e:
ha,
should have bought a Platypus all those years ago.
05/01/2010, at 3:15 PM, Prasanna Simha M wrote:
often do membersintentionally cut open a stenosis and overlay graft

a retired colleague  who used to do it routinely and I got the
ession it had a lowere patency if it was the only stenosis. Could
t the overlay patch actually in increased competitive flow if there
her tandem lesion ?
n aside from the OPCAB Guru's , the last 3 OPCAB's that I did all
same uncomfortable scenario, Diagonal and LAD close and parrallel
ry
not do a D1 LAD sequential) with graftable areas close by, I
ed
LIMA to LAD and after finishing other grafts came back to the D1
h
a little dificult to do (place the pods of the octopus etc)
sue
proximity of the LIMA and its anastomosis. Managed by some
ical
ocation of the heart to allow the IMA to loop and fall away a bit
ening the pods to enclose both LIMA and Diagonal but it wasn't
tly
but doable and uneventful.Tips/tricks. Doing the D1 first  would

icate the problem with the LAD .
anna
0/1/5 Prasanna Simha M <prasannasimha at gmail.com>
ld it have been more appropriate to graft distal to that stenosis ?

d not have had competitive flow. And why ligate the IMA ? if it
ing flow competition  it would either close down/string by itself
oretically if stringed could reopen hopefully like how Acar
sntrated
the  radial.
sanna
0/1/5 Donald Ross <donross at bigpond.com>
s is all your fault Thomas because you shamed me into using the

be and I figure there is no point in having the extra information

t act on it.
mid stenosis was really tight, the 1.2 mm shunt would not pass

incised the long shunt fell into the distal artery.
05/01/2010, at 7:08 AM, Salerno, Tomas wrote:
m concerned that this LIMA was anastomosed to an area of the LAD
ximal to the lesion.  Regardless, I would insert a vein
ally,
ld not tie off the LIMA
---Original Message-----
: openheart-l-bounces at lists.hsforum.com [mailto:
heart-l-bounces at lists.hsforum.com] On Behalf Of Donald Ross
: Monday, January 04, 2010 2:58 PM
OpenHeart-L at lists.hsforum.com
ect: Re: [HSF] non significant stenoses
interpretation is that she had only one really significant
on,
mid LAD which was treated by the overlay anastomosis.
usual finding is no flow and if it responds to clamping the
nary I do not redo the anastomosis.
ima will close as physiological response.
his case however because I used it for the SVG inflow, the LAD
me the provider of the low but consistent flow down the SVG
h
d have caused the main proximal ima segment to close and if the
imal LAD lesion worsened the two coronaries on the SVG would be
romised.
only logical course therefore is to tie of the ima to the
....... which I did.
had put the SVG onto the aorta the eventual result would have
the same and there would have been the extra risk of aortic
pulation and the daggy bit of vein I was able to excise would

on line.

4/01/2010, at 10:48 PM, Ani Anyanwu wrote:
new there was some witchcraft in that flow measurement
ness...
that point or later I presume you went to have another look at
data? What is the final verdict on the angiogram and clinical
nosis considering also what has been observed in the operation
far? At this point there has to something wrong with the
nosis or with interpretation of the angiogram - if not then
thing wrong with the surgery - if not then is a curiosity and
going round in circle (clinical diagnosis - angiogram -
ery) till the culprit is found. Solution of course depends on
culprit.

m: donross at bigpond.com
OpenHeart-L at lists.hsforum.com
ect: Re: [HSF] non significant stenoses
: Mon, 4 Jan 2010 17:55:06 +1100
re is another non significant conundrum:
r ,42 BMI, COAD , presented with SOBE and ostensibly a +ve
imibi, 40% EF on echo.
: hazy 80% prox LAD and calcified mid LAD lesion. Significant
ing Cx & RCA lesions, anteo-apical hypo K
al no good,
to lad across tight mid lesion... Zero flow unless proximal
mped.
to high pressure PDA and Cx with the vein pulsating with back
.
those who don't do opcab this is an indication that the
nary
on is not significant)
T to ima ( thought I may as well use it for something
hwhile.) ...flow down SVG 12 ml/min
in IMA distal to T ...minus 12ml..... flow in IMA trunk
s1ml
+12ml when ima to lad clamped
would you do?
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-- 
Prasanna Simha M
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