|
|
| Author |
Message |
Guest
|
 Posted: Mon Jun 20, 2005 10:46 am Post subject:
surgery or stent?
|
|
|
Hello,
My dad recently got diagnosed with coronary heart disease. He is 59
yrs old, non-diabetic, wiht known case of hypertension and bronchial
asthma. His angiography are something like:
LMCA;Normal
LAD:shows plaque in midsegment including D3origin.D2
branch shows ostial 80% stenosis
LCX:Anomalous origin fromRCC shows 80% long segment
proximal segment stenosis
RCA(Dominant)shows 60%stenosis in proximal segment
followed by 80%stenosis in midsegment
What would be the next step for him? We are getting conflicting
opinions and any help will be appreciated.
Thanks,
Guru |
|
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|
 |
Jason
medicine forum Guru
Joined: 29 Apr 2005
Posts: 1120
|
| Posted: Mon Jun 20, 2005 1:31 pm Post subject:
Re: surgery or stent?
|
|
|
In article <1119271574.673942.305950@g14g2000cwa.googlegroups.com>,
guru.mandavia@gmail.com wrote:
| Quote: | Hello,
My dad recently got diagnosed with coronary heart disease. He is 59
yrs old, non-diabetic, wiht known case of hypertension and bronchial
asthma. His angiography are something like:
LMCA;Normal
LAD:shows plaque in midsegment including D3origin.D2
branch shows ostial 80% stenosis
LCX:Anomalous origin fromRCC shows 80% long segment
proximal segment stenosis
RCA(Dominant)shows 60%stenosis in proximal segment
followed by 80%stenosis in midsegment
What would be the next step for him? We are getting conflicting
opinions and any help will be appreciated.
Thanks,
Guru
|
Guru,
If possible, your dad should be examined by a cardiologist. He or she will
probably prescribe various medications to treat the problem.
Jason
--
NEWSGROUP SUBSCRIBERS MOTTO
We respect those subscribers that ask for advice or provide advice.
We do NOT respect the subscribers that enjoy criticizing people. |
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Guest
|
| Posted: Mon Jun 20, 2005 2:56 pm Post subject:
Re: surgery or stent?
|
|
|
"Jason" <jason@nospam.com> wrote in message
news:jason-2006050831150001@pm4-broad-60.snlo.dialup.fix.net...
| Quote: | In article <1119271574.673942.305950@g14g2000cwa.googlegroups.com>,
guru.mandavia@gmail.com wrote:
Hello,
My dad recently got diagnosed with coronary heart disease. He is 59
yrs old, non-diabetic, wiht known case of hypertension and bronchial
asthma. His angiography are something like:
LMCA;Normal
LAD:shows plaque in midsegment including D3origin.D2
branch shows ostial 80% stenosis
LCX:Anomalous origin fromRCC shows 80% long segment
proximal segment stenosis
RCA(Dominant)shows 60%stenosis in proximal segment
followed by 80%stenosis in midsegment
What would be the next step for him? We are getting conflicting
opinions and any help will be appreciated.
Thanks,
Guru
Guru,
If possible, your dad should be examined by a cardiologist. He or she will
probably prescribe various medications to treat the problem.
Jason
|
Jason...
you are "beyond your scope" here..
tell me...how do you think the DAd got his angiography?? By seeing a vet??
the poster asked a valid question,,,with specific details of Dad's coronary
arteries...
people like YOU should stay out of requests for opinion,,when yours counts
for sqat....
BTW...my professional opinion would be....get a second opinion....how your
Dad feels..pain...shortness of breath..exercise tolerance etc...are as
important as the numbers.....
but this is definitely the time to see a second separate cardiology..with
angiogram results in hand....SOME are way to quick to suggest surgery!!!
good luck...and keep us informed
| Quote: | --
NEWSGROUP SUBSCRIBERS MOTTO
We respect those subscribers that ask for advice or provide advice.
We do NOT respect the subscribers that enjoy criticizing people.
|
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Bryan
medicine forum Guru Wannabe
Joined: 09 May 2005
Posts: 237
|
| Posted: Mon Jun 20, 2005 3:07 pm Post subject:
Re: surgery or stent?
|
|
|
Hawki63@sbcglobal.net wrote:
| Quote: | "Jason" <jason@nospam.com> wrote in message
news:jason-2006050831150001@pm4-broad-60.snlo.dialup.fix.net...
In article <1119271574.673942.305950@g14g2000cwa.googlegroups.com>,
guru.mandavia@gmail.com wrote:
Hello,
My dad recently got diagnosed with coronary heart disease. He is 59
yrs old, non-diabetic, wiht known case of hypertension and bronchial
asthma. His angiography are something like:
LMCA;Normal
LAD:shows plaque in midsegment including D3origin.D2
branch shows ostial 80% stenosis
LCX:Anomalous origin fromRCC shows 80% long segment
proximal segment stenosis
RCA(Dominant)shows 60%stenosis in proximal segment
followed by 80%stenosis in midsegment
What would be the next step for him? We are getting conflicting
opinions and any help will be appreciated.
Thanks,
Guru
Guru,
If possible, your dad should be examined by a cardiologist. He or she will
probably prescribe various medications to treat the problem.
Jason
Jason...
you are "beyond your scope" here..
tell me...how do you think the DAd got his angiography?? By seeing a vet??
the poster asked a valid question,,,with specific details of Dad's coronary
arteries...
people like YOU should stay out of requests for opinion,,when yours counts
for sqat....
BTW...my professional opinion would be....get a second opinion....how your
Dad feels..pain...shortness of breath..exercise tolerance etc...are as
important as the numbers.....
but this is definitely the time to see a second separate cardiology..with
angiogram results in hand....SOME are way to quick to suggest surgery!!!
good luck...and keep us informed
--
NEWSGROUP SUBSCRIBERS MOTTO
We respect those subscribers that ask for advice or provide advice.
We do NOT respect the subscribers that enjoy criticizing people.
Some ARE quick to suggest surgery, but didn't a recent study show that |
surgery has a greater long term success rate than stents?
I work on a busy cardiology floor and see both types of pt's Even if the
studies show surgery is more successful, it's got to be more stressful
to go through surgery.
I agree with the 2nd opinion from another cardiologist, good luck guru. |
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|
William Wagner
medicine forum Guru
Joined: 29 Apr 2005
Posts: 809
|
| Posted: Mon Jun 20, 2005 3:35 pm Post subject:
Re: surgery or stent?
|
|
|
In article <gJCte.2096$Q05.464@fe08.lga>,
Bryan <cyberbmcd@optonline.net> wrote:
| Quote: | Hawki63@sbcglobal.net wrote:
"Jason" <jason@nospam.com> wrote in message
news:jason-2006050831150001@pm4-broad-60.snlo.dialup.fix.net...
In article <1119271574.673942.305950@g14g2000cwa.googlegroups.com>,
guru.mandavia@gmail.com wrote:
Hello,
My dad recently got diagnosed with coronary heart disease. He is 59
yrs old, non-diabetic, wiht known case of hypertension and bronchial
asthma. His angiography are something like:
LMCA;Normal
LAD:shows plaque in midsegment including D3origin.D2
branch shows ostial 80% stenosis
LCX:Anomalous origin fromRCC shows 80% long segment
proximal segment stenosis
RCA(Dominant)shows 60%stenosis in proximal segment
followed by 80%stenosis in midsegment
What would be the next step for him? We are getting conflicting
opinions and any help will be appreciated.
Thanks,
Guru
Guru,
If possible, your dad should be examined by a cardiologist. He or she will
probably prescribe various medications to treat the problem.
Jason
Jason...
you are "beyond your scope" here..
tell me...how do you think the DAd got his angiography?? By seeing a vet??
the poster asked a valid question,,,with specific details of Dad's coronary
arteries...
people like YOU should stay out of requests for opinion,,when yours counts
for sqat....
BTW...my professional opinion would be....get a second opinion....how your
Dad feels..pain...shortness of breath..exercise tolerance etc...are as
important as the numbers.....
but this is definitely the time to see a second separate cardiology..with
angiogram results in hand....SOME are way to quick to suggest surgery!!!
good luck...and keep us informed
--
NEWSGROUP SUBSCRIBERS MOTTO
We respect those subscribers that ask for advice or provide advice.
We do NOT respect the subscribers that enjoy criticizing people.
Some ARE quick to suggest surgery, but didn't a recent study show that
surgery has a greater long term success rate than stents?
I work on a busy cardiology floor and see both types of pt's Even if the
studies show surgery is more successful, it's got to be more stressful
to go through surgery.
I agree with the 2nd opinion from another cardiologist, good luck guru.
|
Surgery is very stressful. However the stent way that fails in about
3-4 years is stressful too. Just about 9/14/01 I had CABG and my friend
Ralph had a couple of stents implanted. He kidded me about all I went
through (Had no choice) as four were 90 + closed. However 3 years later
he was back for more stent work. I am not out of harms way but I'm
going for setting a new record of 20 years with CABG. So in a way is it
an easy decision. A lot of stress up front or long term lower level
stress. Depends on who we read and the health of the individual and and
and. Not clear cut for sure. I'm sure one stent and never see a surgeon
again is possible too.
All this is tough on extended family as well . Scares everyone.
Anecdotal as usual.
Wish you the best!
Bill
--
Garden Shade Zone 5 in a Japanese Jungle manner.
FAIR USE NOTICE: This may contain copyrighted ((C) ) material the use of
which has not always been specifically authorized by the copyright
owner. Such material is made available for educational purposes, to
advance understanding of human rights, democracy, scientific, moral,
ethical, and social justice issues, etc. It is believed that this
constitutes a 'fair use' of any such copyrighted material as provided
for in Title 17 U.S.C. section 107 of the US Copyright Law. This
material is distributed without profit. |
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|
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Guest
|
| Posted: Mon Jun 20, 2005 5:20 pm Post subject:
Re: surgery or stent?
|
|
|
"William Wagner" <b2wagner@snip.net> wrote in message
news:b2wagner-9925A7.13354420062005@news.snip.net...
| Quote: | In article <gJCte.2096$Q05.464@fe08.lga>,
Bryan <cyberbmcd@optonline.net> wrote:
Hawki63@sbcglobal.net wrote:
"Jason" <jason@nospam.com> wrote in message
news:jason-2006050831150001@pm4-broad-60.snlo.dialup.fix.net...
In article <1119271574.673942.305950@g14g2000cwa.googlegroups.com>,
guru.mandavia@gmail.com wrote:
Hello,
My dad recently got diagnosed with coronary heart disease. He is 59
yrs old, non-diabetic, wiht known case of hypertension and bronchial
asthma. His angiography are something like:
LMCA;Normal
LAD:shows plaque in midsegment including D3origin.D2
branch shows ostial 80% stenosis
LCX:Anomalous origin fromRCC shows 80% long segment
proximal segment stenosis
RCA(Dominant)shows 60%stenosis in proximal segment
followed by 80%stenosis in midsegment
What would be the next step for him? We are getting conflicting
opinions and any help will be appreciated.
Thanks,
Guru
Guru,
If possible, your dad should be examined by a cardiologist. He or she
will
probably prescribe various medications to treat the problem.
Jason
Jason...
you are "beyond your scope" here..
tell me...how do you think the DAd got his angiography?? By seeing a
vet??
the poster asked a valid question,,,with specific details of Dad's
coronary
arteries...
people like YOU should stay out of requests for opinion,,when yours
counts
for sqat....
BTW...my professional opinion would be....get a second opinion....how
your
Dad feels..pain...shortness of breath..exercise tolerance etc...are as
important as the numbers.....
but this is definitely the time to see a second separate
cardiology..with
angiogram results in hand....SOME are way to quick to suggest
surgery!!!
good luck...and keep us informed
--
NEWSGROUP SUBSCRIBERS MOTTO
We respect those subscribers that ask for advice or provide advice.
We do NOT respect the subscribers that enjoy criticizing people.
Some ARE quick to suggest surgery, but didn't a recent study show that
surgery has a greater long term success rate than stents?
I work on a busy cardiology floor and see both types of pt's Even if the
studies show surgery is more successful, it's got to be more stressful
to go through surgery.
I agree with the 2nd opinion from another cardiologist, good luck guru.
Surgery is very stressful. However the stent way that fails in about
3-4 years is stressful too. Just about 9/14/01 I had CABG and my friend
Ralph had a couple of stents implanted. He kidded me about all I went
through (Had no choice) as four were 90 + closed. However 3 years later
he was back for more stent work. I am not out of harms way but I'm
going for setting a new record of 20 years with CABG. So in a way is it
an easy decision. A lot of stress up front or long term lower level
stress. Depends on who we read and the health of the individual and and
and. Not clear cut for sure. I'm sure one stent and never see a surgeon
again is possible too.
All this is tough on extended family as well . Scares everyone.
Anecdotal as usual.
Wish you the best!
Bill
|
I agree with your premise..."why not have CABG instead of stents,,,as stents
are 40% likely to occlude somewhere down the road"
However...this guy's Dad had no more than 80% occlusion..not knowing his
symptoms...well..I would go for stents EVEN knowing that they may
occlude...one can be restented..plus the new drug eluting stents are SAID to
occlude a lot less"
not to mention that the mortality(death) during CABG plus risk of "bubble
head" are more as compared to stents...which are done without
anesthesia...whenever one is put under...the risks are more..
another ancedote...my hubby had 90% occluded LAD,,had major MI,,was treated
immediately with thromblytics,,and then stented.....two years later a
"routine" stress echo showed the stents to be occluded (NO pain...this guy
is either very tuf or too dumb (kidding) to notice!!)....he then had
CABG....beating heart type..out of hospital in 72 hours and now spends his
time wrecking houses for Habitat for Humanity!!! just turned 65....looks
better than since I met him at age 30
knowing what we know now...would he have chosen CABG right off the bat??
doubtful....he spent his career in medical devices used in CABG..always said
he didn't mind selling it..but didn't want to use it!!!
long story short...I agree stents are becoming less the pancea than we once
thought....but surely are to be included in the long list
we have a good friend...cardiac arrest at age 42 playing baseball...luckily
was one of the first to receive thrombolytics,,,,then a stent....then
another stent...20 years later...still no CABG..still playing baseball..
go figure...
| Quote: | Garden Shade Zone 5 in a Japanese Jungle manner.
FAIR USE NOTICE: This may contain copyrighted ((C) ) material the use of
which has not always been specifically authorized by the copyright
owner. Such material is made available for educational purposes, to
advance understanding of human rights, democracy, scientific, moral,
ethical, and social justice issues, etc. It is believed that this
constitutes a 'fair use' of any such copyrighted material as provided
for in Title 17 U.S.C. section 107 of the US Copyright Law. This
material is distributed without profit.
|
|
|
| Back to top |
|
|
Jason
medicine forum Guru
Joined: 29 Apr 2005
Posts: 1120
|
| Posted: Mon Jun 20, 2005 6:02 pm Post subject:
Re: surgery or stent?
|
|
|
In article <0zCte.31039$J12.26675@newssvr14.news.prodigy.com>,
<Hawki63@sbcglobal.net> wrote:
| Quote: | "Jason" <jason@nospam.com> wrote in message
news:jason-2006050831150001@pm4-broad-60.snlo.dialup.fix.net...
In article <1119271574.673942.305950@g14g2000cwa.googlegroups.com>,
guru.mandavia@gmail.com wrote:
Hello,
My dad recently got diagnosed with coronary heart disease. He is 59
yrs old, non-diabetic, wiht known case of hypertension and bronchial
asthma. His angiography are something like:
LMCA;Normal
LAD:shows plaque in midsegment including D3origin.D2
branch shows ostial 80% stenosis
LCX:Anomalous origin fromRCC shows 80% long segment
proximal segment stenosis
RCA(Dominant)shows 60%stenosis in proximal segment
followed by 80%stenosis in midsegment
What would be the next step for him? We are getting conflicting
opinions and any help will be appreciated.
Thanks,
Guru
Guru,
If possible, your dad should be examined by a cardiologist. He or she will
probably prescribe various medications to treat the problem.
Jason
Jason...
you are "beyond your scope" here..
tell me...how do you think the DAd got his angiography?? By seeing a vet??
the poster asked a valid question,,,with specific details of Dad's coronary
arteries...
people like YOU should stay out of requests for opinion,,when yours counts
for sqat....
BTW...my professional opinion would be....get a second opinion....how your
Dad feels..pain...shortness of breath..exercise tolerance etc...are as
important as the numbers.....
but this is definitely the time to see a second separate cardiology..with
angiogram results in hand....SOME are way to quick to suggest surgery!!!
good luck...and keep us informed
|
Hello,
You must have ESP. I read the original post again and failed to see the word
cardiologist mentioned in his post. Believe it or not, GPs do arrange for
various tests to be done before they refer patients to specialists. I told
the person that his dad should see a cardiologist in case he had not yet
seen a cardiologist. I think that the son is intelligent enough to know
that if he was already being treated by one cardiologist that he should
see another one for a second opinion. I don't have ESP.
Jason
--
NEWSGROUP SUBSCRIBERS MOTTO
We respect those subscribers that ask for advice or provide advice.
We do NOT respect the subscribers that enjoy criticizing people. |
|
| Back to top |
|
|
Guest
|
| Posted: Mon Jun 20, 2005 9:20 pm Post subject:
Re: surgery or stent?
|
|
|
"Jason" <jason@nospam.com> wrote in message
news:jason-2006051302100001@pm4-broad-4.snlo.dialup.fix.net...
| Quote: | In article <0zCte.31039$J12.26675@newssvr14.news.prodigy.com>,
Hawki63@sbcglobal.net> wrote:
"Jason" <jason@nospam.com> wrote in message
news:jason-2006050831150001@pm4-broad-60.snlo.dialup.fix.net...
In article <1119271574.673942.305950@g14g2000cwa.googlegroups.com>,
guru.mandavia@gmail.com wrote:
Hello,
My dad recently got diagnosed with coronary heart disease. He is 59
yrs old, non-diabetic, wiht known case of hypertension and bronchial
asthma. His angiography are something like:
LMCA;Normal
LAD:shows plaque in midsegment including D3origin.D2
branch shows ostial 80% stenosis
LCX:Anomalous origin fromRCC shows 80% long segment
proximal segment stenosis
RCA(Dominant)shows 60%stenosis in proximal segment
followed by 80%stenosis in midsegment
What would be the next step for him? We are getting conflicting
opinions and any help will be appreciated.
Thanks,
Guru
Guru,
If possible, your dad should be examined by a cardiologist. He or she
will
probably prescribe various medications to treat the problem.
Jason
Jason...
you are "beyond your scope" here..
tell me...how do you think the DAd got his angiography?? By seeing a
vet??
the poster asked a valid question,,,with specific details of Dad's
coronary
arteries...
people like YOU should stay out of requests for opinion,,when yours
counts
for sqat....
BTW...my professional opinion would be....get a second opinion....how
your
Dad feels..pain...shortness of breath..exercise tolerance etc...are as
important as the numbers.....
but this is definitely the time to see a second separate cardiology..with
angiogram results in hand....SOME are way to quick to suggest surgery!!!
good luck...and keep us informed
Hello,
You must have ESP. I read the original post again and failed to see the
word
cardiologist mentioned in his post. Believe it or not, GPs do arrange for
various tests to be done before they refer patients to specialists. I told
the person that his dad should see a cardiologist in case he had not yet
seen a cardiologist. I think that the son is intelligent enough to know
that if he was already being treated by one cardiologist that he should
see another one for a second opinion. I don't have ESP.
Jason
--
NEWSGROUP SUBSCRIBERS MOTTO
We respect those subscribers that ask for advice or provide advice.
We do NOT respect the subscribers that enjoy criticizing people.
sorry...you are still missing the point |
Dad had angiography!!!!!!! now who do you think does these?? again...the
local vet
yeah...his internist obviously referred him...obviously also is that he WAS
seen by a cardiologist...guys that do angios ARE cardiologists...
primary care guys do NOT simply write "angiogram" on a slip of paper (like
chest xray)....angiograms are ONLY done by cardiologists..
so please think of another excuse for your "advice" |
|
| Back to top |
|
|
listener
medicine forum Guru
Joined: 05 May 2005
Posts: 617
|
| Posted: Mon Jun 20, 2005 10:24 pm Post subject:
Re: surgery or stent?
|
|
|
<Hawki63@sbcglobal.net> wrote in
news:8bIte.31192$J12.20363@newssvr14.news.prodigy.com:
| Quote: |
"Jason" <jason@nospam.com> wrote in message
news:jason-2006051302100001@pm4-broad-4.snlo.dialup.fix.net...
In article <0zCte.31039$J12.26675@newssvr14.news.prodigy.com>,
Hawki63@sbcglobal.net> wrote:
"Jason" <jason@nospam.com> wrote in message
news:jason-2006050831150001@pm4-broad-60.snlo.dialup.fix.net...
In article
1119271574.673942.305950@g14g2000cwa.googlegroups.com>,
guru.mandavia@gmail.com wrote:
Hello,
My dad recently got diagnosed with coronary heart disease. He
is 59
yrs old, non-diabetic, wiht known case of hypertension and
bronchial asthma. His angiography are something like:
LMCA;Normal
LAD:shows plaque in midsegment including D3origin.D2
branch shows ostial 80% stenosis
LCX:Anomalous origin fromRCC shows 80% long segment
proximal segment stenosis
RCA(Dominant)shows 60%stenosis in proximal segment
followed by 80%stenosis in midsegment
What would be the next step for him? We are getting conflicting
opinions and any help will be appreciated.
Thanks,
Guru
Guru,
If possible, your dad should be examined by a cardiologist. He or
she will
probably prescribe various medications to treat the problem.
Jason
Jason...
you are "beyond your scope" here..
tell me...how do you think the DAd got his angiography?? By seeing a
vet??
the poster asked a valid question,,,with specific details of Dad's
coronary
arteries...
people like YOU should stay out of requests for opinion,,when yours
counts
for sqat....
BTW...my professional opinion would be....get a second
opinion....how your
Dad feels..pain...shortness of breath..exercise tolerance etc...are
as important as the numbers.....
but this is definitely the time to see a second separate
cardiology..with angiogram results in hand....SOME are way to quick
to suggest surgery!!!
good luck...and keep us informed
Hello,
You must have ESP. I read the original post again and failed to see
the word
cardiologist mentioned in his post. Believe it or not, GPs do arrange
for various tests to be done before they refer patients to
specialists. I told the person that his dad should see a cardiologist
in case he had not yet seen a cardiologist. I think that the son is
intelligent enough to know that if he was already being treated by
one cardiologist that he should see another one for a second opinion.
I don't have ESP. Jason
--
NEWSGROUP SUBSCRIBERS MOTTO
We respect those subscribers that ask for advice or provide advice.
We do NOT respect the subscribers that enjoy criticizing people.
sorry...you are still missing the point
Dad had angiography!!!!!!! now who do you think does these??
again...the local vet
yeah...his internist obviously referred him...obviously also is that
he WAS seen by a cardiologist...guys that do angios ARE
cardiologists...
primary care guys do NOT simply write "angiogram" on a slip of paper
(like chest xray)....angiograms are ONLY done by cardiologists..
so please think of another excuse for your "advice"
|
I've been following the "jason" threads here and elsewhere....do you get
an odd feeling about him? Like he's an adult child?
L. |
|
| Back to top |
|
|
Guest
|
| Posted: Tue Jun 21, 2005 12:30 am Post subject:
Re: surgery or stent?
|
|
|
"listener" <listener@nospam.net> wrote in message
news:Xns967BCF864B52Csome1outthere@38.144.126.67...
| Quote: | Hawki63@sbcglobal.net> wrote in
news:8bIte.31192$J12.20363@newssvr14.news.prodigy.com:
"Jason" <jason@nospam.com> wrote in message
news:jason-2006051302100001@pm4-broad-4.snlo.dialup.fix.net...
In article <0zCte.31039$J12.26675@newssvr14.news.prodigy.com>,
Hawki63@sbcglobal.net> wrote:
"Jason" <jason@nospam.com> wrote in message
news:jason-2006050831150001@pm4-broad-60.snlo.dialup.fix.net...
In article
1119271574.673942.305950@g14g2000cwa.googlegroups.com>,
guru.mandavia@gmail.com wrote:
Hello,
My dad recently got diagnosed with coronary heart disease. He
is 59
yrs old, non-diabetic, wiht known case of hypertension and
bronchial asthma. His angiography are something like:
LMCA;Normal
LAD:shows plaque in midsegment including D3origin.D2
branch shows ostial 80% stenosis
LCX:Anomalous origin fromRCC shows 80% long segment
proximal segment stenosis
RCA(Dominant)shows 60%stenosis in proximal segment
followed by 80%stenosis in midsegment
What would be the next step for him? We are getting conflicting
opinions and any help will be appreciated.
Thanks,
Guru
Guru,
If possible, your dad should be examined by a cardiologist. He or
she will
probably prescribe various medications to treat the problem.
Jason
Jason...
you are "beyond your scope" here..
tell me...how do you think the DAd got his angiography?? By seeing a
vet??
the poster asked a valid question,,,with specific details of Dad's
coronary
arteries...
people like YOU should stay out of requests for opinion,,when yours
counts
for sqat....
BTW...my professional opinion would be....get a second
opinion....how your
Dad feels..pain...shortness of breath..exercise tolerance etc...are
as important as the numbers.....
but this is definitely the time to see a second separate
cardiology..with angiogram results in hand....SOME are way to quick
to suggest surgery!!!
good luck...and keep us informed
Hello,
You must have ESP. I read the original post again and failed to see
the word
cardiologist mentioned in his post. Believe it or not, GPs do arrange
for various tests to be done before they refer patients to
specialists. I told the person that his dad should see a cardiologist
in case he had not yet seen a cardiologist. I think that the son is
intelligent enough to know that if he was already being treated by
one cardiologist that he should see another one for a second opinion.
I don't have ESP. Jason
--
NEWSGROUP SUBSCRIBERS MOTTO
We respect those subscribers that ask for advice or provide advice.
We do NOT respect the subscribers that enjoy criticizing people.
sorry...you are still missing the point
Dad had angiography!!!!!!! now who do you think does these??
again...the local vet
yeah...his internist obviously referred him...obviously also is that
he WAS seen by a cardiologist...guys that do angios ARE
cardiologists...
primary care guys do NOT simply write "angiogram" on a slip of paper
(like chest xray)....angiograms are ONLY done by cardiologists..
so please think of another excuse for your "advice"
I've been following the "jason" threads here and elsewhere....do you get
an odd feeling about him? Like he's an adult child?
L.
|
don't know if I would add the "adult" adjective!!!
it gripes me to read him over and over give "medical advice"..then
supposedly justify it with a "but do see your doctor" add on...
school's out for summer |
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Bill
medicine forum Guru
Joined: 06 May 2005
Posts: 849
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| Posted: Tue Jun 21, 2005 12:56 am Post subject:
Re: surgery or stent?
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<guru.mandavia@gmail.com> wrote in message
news:1119271574.673942.305950@g14g2000cwa.googlegroups.com...
| Quote: | Hello,
My dad recently got diagnosed with coronary heart disease. He is 59
yrs old, non-diabetic, wiht known case of hypertension and bronchial
asthma. His angiography are something like:
LMCA;Normal
LAD:shows plaque in midsegment including D3origin.D2
branch shows ostial 80% stenosis
LCX:Anomalous origin fromRCC shows 80% long segment
proximal segment stenosis
RCA(Dominant)shows 60%stenosis in proximal segment
followed by 80%stenosis in midsegment
What would be the next step for him? We are getting conflicting
opinions and any help will be appreciated.
Thanks,
Guru
|
I am not qualified to suggest the best procedure medically. Even if someone
here were, I do not think they would without seeing everything about the case.
As others have suggested, you should seek more opinions. If two cardiologists
giving different opinions are people who do bypass and angioplasty you should
seek one who does neither. You should ask about the risk vs. benefits of each
option. You may wish to get a third party Dr., such as his usual Dr., to call
the others and try to sort it out. I see you have your father involved. That's
good and any other helpful family members too.
Bill |
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Bill
medicine forum Guru
Joined: 06 May 2005
Posts: 849
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| Posted: Tue Jun 21, 2005 2:20 am Post subject:
Re: surgery or stent?
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Incidently, and obviously I'm just guessing, part of the controversy may be
the somewhat new drug eluting stents. They have been proven better than the
old (bare metal) stents. But I don't think there have been very many head to
head trials vs. bypass. But, again, I'm guessing.
Bill |
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Guest
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| Posted: Tue Jun 21, 2005 12:15 pm Post subject:
Re: surgery or stent?
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Thank you guys for all your input. Just to clarify, both opinions were
from cardiologists. I do think we need some other doctor's opinion on
this. I don't however see a reason for different cardiologists
recommending different solutions after looking at the same set of
results. If I get any more info on this, I will post it here.
Thx everyone,
Guru |
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Guest
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| Posted: Tue Jun 21, 2005 2:46 pm Post subject:
Re: surgery or stent?
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<guru.mandavia@gmail.com> wrote in message
news:1119363336.092392.241130@z14g2000cwz.googlegroups.com...
| Quote: | Thank you guys for all your input. Just to clarify, both opinions were
from cardiologists. I do think we need some other doctor's opinion on
this. I don't however see a reason for different cardiologists
recommending different solutions after looking at the same set of
results. If I get any more info on this, I will post it here.
|
Guru....what you say is valid....but not always real world..
stents are put in by "interventional cardiologists"....bypass surgery by
cardiovascular surgeons....so yes..each is protecting their turf..
surgeons like to cut!!!
perhaps seeing a local CV surgeon will help..
good luck..
bottom line (in my mind)...there is NO comparision in the risks of CABG vs
stenting......just my h.o.
and yes...the new drug eluting stents ARE "supposed" to be better...
hard to do a clinical trial testing one against another....
| Quote: | Thx everyone,
Guru
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Patrick B
medicine forum beginner
Joined: 21 Jun 2005
Posts: 1
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| Posted: Tue Jun 21, 2005 3:56 pm Post subject:
Re: surgery or stent?
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<Hawki63@sbcglobal.net> wrote:
| Quote: | hard to do a clinical trial testing one against another....
|
It has been done, and it is not that hard: compare a group of patients
with metal stents to a group of patients with drug eluting stents.
The results are clearly in favor of drug eluting stents !
Patrick |
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