Occlusive atherosclerotic coronary disease in diabetics. - sci.med.cardiology

Message from discussion Occlusive atherosclerotic coronary disease in diabetics.

Andrew B. Chung, MD/PhD

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More options Jun 2 2006, 1:29 am

Newsgroups: alt.support.diabetes, sci.med.cardiology, sci.med, alt.christnet.christianlife

From: "Andrew B. Chung, MD/PhD" <and...@heartmdphd.com>

Date: 1 Jun 2006 22:29:43 -0700

Local: Fri, Jun 2 2006 1:29 am

Subject: Occlusive atherosclerotic coronary disease in diabetics.

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guy wrote:
> On 1 Jun 2006 16:36:30 -0700, "Andrew B. Chung, MD/PhD"
> <and...@heartmdphd.com> wrote:

> >As long as you don't injure yourself in the process.

> >Reminds me of the following observation:

> >You don't pay a surgeon to cut you with a scalpel. Anyone could do
> >that.

> >You pay him/her because s/he knows where to cut.

> The surgeon,' work turned out very well. I asked him to be aggressive
> and to get all of the bad areas.

This would be one reason why you did not lose the limb.

> The surgery was a bear for the gal handling my vitals. The heart
> tried to stop. That was the reason for a dye injection test. All four
> coronary arteries were over 90% clogged.

Such blockages increase the risk of a cardiac event from induced
myocardial ischemia either during or immediately after surgery.

> The heart surgery has lasted for over six years but the side
> issues did not go so well.

I suspect your kidneys have been one of the side issues since you
mention being a brittle diabetic.

> Dr Chung, an old country doc said it would been better for us
> to go home and forget this type of surgery.

It does not sound like that was a viable option. Raging infection in a
limb with osteomyelitis plus the additional stress of surgical
debridement and post-op recovery from same would have increased risk of
prolonged periods of induced myocardial ischemia in someone with
severely occlusive multivessel coronary disease.

> At our age and condition
> we had developed natural bypasses.

If the natural bypasses were sufficient, your heart would not have
tried to stop during the surgical debridement.

> I will say there is a quality
> life and "a life." I am very unsure if I would have the surgery if
> I had it to do.over.

It is possible that you would not be here now if the coronary
revascularization were not done.

> I ask you to take the time to think this over and
> give me an honest answer. i have no fear of bad
> news. I do have a fear of reentering a famous Houston
> heart hospital. I would prefer to drop out trying to cut
> down a tree.

Understandably.

One non-surgical way to boost up the size and number of natural
bypasses so that they might become more sufficient is by receiving
enhanced external counterpulsation (EECP). This is a non-invasive
treatment clinically proven to be effective in managing angina
pectoris. A recent study published in the Journal of Internal Medicine
demonstrated this:

http://tinyurl.com/n2z6t

This reference can also be used to pull up all the other studies that
have demonstrated clinical efficacy for EECP.

> Your comments would be appreciated..

You are welcome, Guy.

All thanks and praises redirected to LORD GOD Almighty, Who is the
source of all knowledge and wisdom.

> Added Mona's first husband died during bypass
> surgery early and she was left with two very
> young boys. I still see her sad sometimes.
> People have said the young mavericks killed him.
> This surgery was very new then and to loss of patients was very
> common..

It would be my choice to refrain from judging others. Often find it
difficult to love those whom I have judged. Really don't want to
disappoint my LORD and Savior.

> This is your area and I hope you might offer us some
> opinions.

Yes, this is how my LORD has shaped me. May the information in this
post help you.

> She worked and sent both boys through college.
> Both are doing well and her two grandchildren
> both finished college, the last this year.

Many praises to LORD GOD Almighty.

> Some say the surgery should not have ever happened.
> Any comments.

Hindsight is 20-20.

> A friend's surgeon kept him alive from age 38
> until he was 69. He negated a suggest surgery.
> in the friends mid years.

Different person. Different plan.

> This brash old specialist used to say if a
> patient died leaving his office, they were
> to turn the client around so it would seems like
> t hey were coming in. I like him and he
> was respected by all.

Sounds like he had a sense of humor.

> I sure could use a lot of sensible unbiased
> info .

Again, hope the above helps you.

My apologies in advance for the fallout you will receive for
participating in this discussion with me.

Reminds me of something I witnessed some years ago:

There was once this beautiful golden eagle, graceful in flight,
majestic in carriage, quite a sight to behold. It perched high and on
the lower branches there were a group of black grackles making heckling
sounds but the eagle ignored them.

I have observed this heckling in the avian kingdom for other eagles and
hawks. The more majestic and powerful the raptor, the larger the
number of hecklers.

The beautiful golden eagle reminded me of LORD Jesus Christ.

Maranatha !

Still praying for you, dear Guy.

Prayerfully in Christ's amazing love,

Andrew
http://tinyurl.com/jjl29

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