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Politics : Politics for Pros- moderated

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To: LindyBill who wrote (341015)	1/2/2010 11:52:31 AM
From: skinowski	3 Recommendations Read Replies (1) of 793955

A little personal story - to illustrate the issue. Not long ago ago I was called to the ED to admit a patient with chest pains. He was a 39 year old man, slightly overweight, perspiring, pale. He had a history of high cholesterol, hypertension, and he was a smoker. Strong family history of heart problems. The guy was experiencing severe pressure-like pain - as if someone heavy was sitting on his chest. He felt it was hard to breath. His EKG revealed only very vague, non-specific changes. His cardiac enzymes were negative. I had to trust my instincts (based on 30+ years in the trenches). I overruled the ER doc (who later thanked me) and instead of admitting the man arranged for an emergency Angio. It turned out that he had a complete block of his proximal Anterior Descending artery (aka the Widow Maker). The man was on his way to develop a huge heart attack. I think invasive Cardiologists do amazing stuff. I've seen plenty of people who would be otherwise dead or severely damaged - go home in a day or two, after having angioplasty, practically intact.

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