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Why Is Bypass Alternative So Famous

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Neil Armstrong, the first man to walk on the moon, died in 2012 at age 82 after what should have been routine heart surgery. When nurses removed wires linked to a temporary pacemaker, he bled profusely into the membrane surrounding the heart. He died a week later.

The medical details, disclosed this week by The Times, have prompted questions from both doctors and readers. Did Mr. Armstrong need open-heart surgery in the first place? What went wrong, and why?

Here are some answers from leading heart surgeons.

Mr. Armstrong went to the hospital complaining of severe chest pain. Don’t people with chest pain from blocked arteries get stents to open them up?

It depends on what sort of blockage a person has, said Dr. Michael Mack, a heart surgeon at Baylor Scott & White The Heart Hospital — Plano.

Three major arteries feed blood into the heart. In Mr. Armstrong, the most important, the left anterior descending artery, was not blocked, according to records received by The Times. The other two, the circumflex and the right coronary artery, were blocked completely.

“You can’t put a stent in an artery that is completely occluded,” Dr. Mack said — at least, it could not have been done a few years ago. With advanced techniques, it can be done now by some expert surgeons.

Were there other options?

The blockages Mr. Armstrong had were probably not going to kill him, Dr. Mack said, but they do result in chest pain, also called angina. So treatment was not life-or-death; it was a quality-of-life issue. That raises questions about whether Mr. Armstrong should have been rushed into surgery.

There is an alternative to bypass surgery: medical therapy, which means trying to treat the condition with drugs. The medications that alleviate angina include nitrates that widen coronary arteries, beta blockers that slow the heart and calcium channel agonists, which also open arteries.

“If it was me, I would try medical therapy first, but it depends on how severe the pain is,” Dr. Mack said.

What is a temporary pacemaker, and why did Mr. Armstrong get one?

In open-heart surgery — whether to bypass a blocked artery or to insert a heart valve — surgeons usually stop the patient’s heart so they can work on it. A heart-lung machine temporarily substitutes for the heart’s functions.

To stop the heart, surgeons infuse an icy solution into it. But the cold can dampen the heart’s electrical circuitry, said Dr. Jonathan Haft, a heart surgeon at the University of Michigan. So when doctors try to wean patients off the heart-lung machine, the electrical circuits can be slow to recover and the heart may beat feebly, or not at all.

So when surgeons finish the operation, they almost always sew fine wires, not much thicker than a human hair, onto the surface of the heart. They thread the bright blue or orange wires through the chest wall and skin.

The wires are hooked to a box the size of a clunky, old-fashioned cellphone, which generates electrical impulses that control the heart’s rhythm.

Once the heart’s electrical system has recovered, a member of the medical staff gently tugs the wires. They are so fine that they almost always come right out; if they don’t, they are simply clipped at the skin’s surface and left in place.

No harm is done most of the time, as the heart’s own circuitry takes over. (Permanent pacemakers, which are not meant to come out, are placed inside the heart, Dr. Haft noted.)

What went wrong in Mr. Armstrong’s case?

Very occasionally, when a nurse or other staff member tugs on one of the pacemaker wires, it tears the heart surface and causes bleeding. That usually occurs because the wire was stitched on too tightly, or someone pulled too hard, Dr. Mack said.

At first there may be no sign of a problem, Dr. Haft said. But as bleeding continues, blood pressure drops and the heart rate rises. The condition, called tamponade, occurs because blood is pooling around the heart and starting to clot. This inhibits the heart’s ability to relax and fill with blood.

[clinicsdial]

Cardiac surgery can be highly intrusive, and recovery time might be lengthy, depending on your age, health, and other factors. Because to advances in technology and advanced techniques, cardiac surgery is becoming much more effective and better for the patient.

We’ll talk about today’s advanced cardiac surgery procedures in this article, which are minimally invasive cardiac surgery and can help heart patients in a variety of ways.

The goal of minimally invasive cardiac surgery is to be able to use new procedures and state-of-the-art equipment to reduce incisions and allow the surgeon to be more precise throughout the procedure.

Nowadays, if possible, the surgical team can operate on the patient without having to open up the chest. The cardiac surgeon employs robotically aided technology to perform minimally invasive cardiac surgery with extremely small incisions and precise control that was previously impossible to achieve by hand.

Also see: Pediatric Heart Surgeon in Chandigarh

Less than two-inch incisions can be produced during cardiac surgery, compared to a 3-5-inch incision made manually by the heart surgeon doing the procedure.

These procedures aren’t offered to everyone who needs cardiac surgery. It all relies on the patient’s individual heart condition and if minimally invasive cardiac surgery is preferable to traditional methods.

These are some of the benefits of obtaining these modern surgical techniques for your cardiac surgery if you are a candidate for them:

• A considerably smaller incision.

• Smaller incisions may imply a smaller scar.

• There may be a significant reduction in bleeding.

• There is significantly less pain since there is more precise control and the possibility that the chest will not be opened.

• The amount of time spent in the hospital after cardiac surgery is greatly reduced. Traditional surgery can take anywhere from a week to ten days, whereas minimally invasive cardiac surgery only takes two to six days.

To conclude, heart surgery procedures are growing more advanced by the day. If you are a candidate for these cutting-edge procedures, you will reap numerous benefits. It’s a good idea to speak with your heart surgeon to ensure that you’re getting the best surgical procedures and care possible.

Also see:

Valve Replacement Surgery

Heart Specialist in Chandigarh

Bypass Heart Surgeon in Chandigarh

Cardiologist in Chandigarh

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Why Is Bypass Alternative So Famous

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May 2020 on the left October 2021 on the right 🤯

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tw: weight loss surgery, death, su*cide

“Weight Loss” Surgery Outcomes

Will it extend your life?

4.6% die within a year (7.5% for men), 6.4% by 4 years, 15.8% by 8 years

3 out of 1000 die within 30 days

Increase mortality risks x 7 in year 1 and 250% to 363% by year 4

Will it make you thin and healthy?

2 years after 46% have regained weight and by 4 years 63%

No randomized, controlled clinical trials that have shown any long-term improvements to actual health or that lives are saved or extended

Complications

20% to 25% of gastric bypass patients develop life-threatening complications

89% of patients had at least one adverse event, one-third of them severe

56% of bariatric patients had 62 different gastrointestinal complications and abnormalities

Double the risk of substance abuse issues

4 x increase in death by suicide

Cost

Most insurance companies won’t pay for the procedure which costs 15-25K, one of the most lucrative specialties for doctors

It would be more appropriately labeled high-risk disease-inducing cosmetic surgery than a health-enhancing procedure.

-Dr. Lindo Bacon, PhD

@fierce.fatty | (source)

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In 2018, I had surgery to help myself lose weight because I almost lost my life and a big way to take back control and truly live, was to have surgery.

I never in a million years think that the surgery would truly help me all that much, as embarrassing as it is to admit, even now, I was 600 pounds and didn't think I'd lose more than hundred or so pounds.

Shockingly I did really fucking well at losing weight, the first year was absolute hell, I spent more time in the hospital for one thing or another, but I was still losing weight. So, I kept pushing.

Medically, it got a little easier. I also surpassed the amount I thought I would lose. By the end of year two, I had lost more than I could ever dream, reaching 164 pounds. From 600 pounds!

I was and am so proud of how far I've come with the weight loss but I still hate my body as much as I did when I was larger because I have so much loose skin, so I spoke with my doctor and she referred me to a plastic surgeon, to see what could be done.

To cut this a little shorter, in the past 2 and a half years I've gone through two surgeons and a pandemic to hold me back from getting surgery. But last week I met with a new (the 3rd one) surgeron, who approved the surgery and only after two days, so did my insurance.

The catch is, my insurance will only pay for a small part of what I need done and my surgery is scheduled in two months. So, in 2 months, I need to find a way to raise $5,400 to get all of the skin removed from my stomach.

As a disabled person, on disblity, I don't have high hopes and my anxiety is killing me, leaving me in a constant state of panic and I feel I have no one I can talk with who can understand, and not leaving me feeling wrong for the way I feel.

I won't be surprised if this is ignored, it's long and unrelatable to basically everyone. But I needed to rant.

I'm so tired of feeling so fucking alone.

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James Argent revealing he was 27 stone ...

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Clan Tzimisce- the fiends, dragons.

(Design available on my Redbubble, link in bio)

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Ok, so Im rereading Homestuck for the first time in Forever and I’m on page 106(Cake Surgery) and feel like there’s a few Jokes in here I’ve never seen anyone comment on.

John is bad with Data structures. This is how his inventory ended up in a cake to begin with; he tried to Merge two cakes at opposite ends of his Stack into one doubledecker cake and it merged everything in his Sylladex INTO the resulting cake. But when he goes to REMOVE the items from the cake it doesn’t occur to him to just… demerge the items at the Sylladex level. Because John is bad with Data structures(tho idk: maybe this is part of the ongoing joke about Stack being awful; Maybe Stack doesnt have that functionality; I know nothing abt programming)

John uses his Dad’s razor to “perform surgery on the CAKE”, but we dont SEE him cut into the cake, just holding the razor over it with the items removed from it, almost as if the razor grants a unique “Perform Surgery” USE Action to the Player, ala items in Adventure Games(would be much firmer if USE was capitalized in the text, I know)? More explicit is his USE of the towel; he doesn’t even equip it let alone wield it, just “take[s]” it to “clean” the items; it never even leaves his sylladex. I feel like USE Action implication is p strong here.

John “perform[s] surgery on the CAKE”; specifically he performs a series of “-ectomies”, -ectomy being a surgical jargon suffix for “removal”. One could say he “Ectomizes” the items, which reminds me of “ectobiology”. Running with the “Doctor” theme he had early in the webcomic, could his “ectobiologist” title also be a sly&subtle pun to his role as a remover of objects from the Session(such as The Tumor)? “Ecto-” as a prefix means “outside” btw, so “ectobiologist” quite literally means “outside-biologist”, which doesnt take much pushing to read as “Remover-Biologist”. Idk if it was intended that way to begin with but it certainly works in hindsight. AND gaining the ability to exist OUTSIDE of Canon and act upon any point of it from that remove becomes vital later on too, so John is an “ectobiologist” is numerous ways. Of course, Jade’s as much of an “ectobiologist” as he is, given that she Removes the Lands, Denizens, Consorts, herself, John, and Davesprite from their Session at the end. She’s just always getting stiffed >:(

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Hello, Really love your writing and I'm really sorry of this is to personal please just ignore the f out of it. I sawvthe tag about having your tubes removed and I'm thinking of doing the same just wanted to ask if it was over all worth it or if there is anything you wish you knew before doing it? Again please trash if to personal wish you all the best take care and have a great day.

No worries at all friend, I'm pretty openly I Do Not Wish To Have Tiny Humans in real life so I don't mind answering!

First, enjoy the cake my parents made for me after I got spayed, because it's hysterical and I'll never stop sharing it:

Honestly? It's been 100% worth it for me. I'd been trying to get something like that done for ages since kids weren't something I'd ever really wanted. (Me at 5, essentially: 'I want to be a ZOO VET or a DINOSAUR SCIENTIST or tell STORIES when I grow up!' Teacher: 'Wouldn't you like to have babies too???' Me: 'I mean if I have to but I would rather find a new dinosaur or treat tigers or tell stories about tiger dinosaurs.')

good news, young me: smilodons exist and you are writing, now you just need to write about smilodons

Since I got it done, it's been this huge worry that I could finally just... let go, in a way. I don't have to worry about pregnancy at all, which is huge as someone who's somewhat tokophobic and as someone with chronic health issues. No more worrying about which array of side effects I'd rather deal with when it comes to the pill versus IUD. On top of that, the surgeon yeeting them out of my body entirely means a huge reduction in ovarian cancer risk, so that's a nice bonus. So all that added up to an excellent choice for me!

I'm not sure if there's anything I'd do different to be honest. Logistically, the surgery was super easy, in and out in a few hours, quick recovery. Emotionally, I had to jump through so many hoops and get past so many doctor denials over the course of years to get it done, so I had a lot of time to consider just how much I wanted this done. That's probably what I would have told past me: 'getting this done is going to be more of a marathon than a sprint, so pace yourself.' That's generally what I tell most tube-havers trying to get this done, too. Sometimes you get lucky with a surgeon, but most of us who've had this done had to dig past a lot of duds first. If you're ever struggling to find a doctor who'll work with you on it, consider using this list of friendly doctors from reddit. That's how I finally found mine. ❤️

To quote my surgeon at my consultation, "the person best qualified to make this decision about your body is you." So I wish you all the luck in the world! It's definitely been a huge relief to me personally.

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Herz mit vierfachem Bypass (Heart with quadruple bypass), Foto: Christoph Weber. From the Berlin Museum of Medical History at the Charité

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Neil Armstrong, the first man to walk on the moon, died in 2012 at age 82 after what should have been routine heart surgery. When nurses removed wires linked to a temporary pacemaker, he bled profusely into the membrane surrounding the heart. He died a week later.

The medical details, disclosed this week by The Times, have prompted questions from both doctors and readers. Did Mr. Armstrong need open-heart surgery in the first place? What went wrong, and why?

Here are some answers from leading heart surgeons.

Mr. Armstrong went to the hospital complaining of severe chest pain. Don’t people with chest pain from blocked arteries get stents to open them up?

It depends on what sort of blockage a person has, said Dr. Michael Mack, a heart surgeon at Baylor Scott & White The Heart Hospital — Plano.

Three major arteries feed blood into the heart. In Mr. Armstrong, the most important, the left anterior descending artery, was not blocked, according to records received by The Times. The other two, the circumflex and the right coronary artery, were blocked completely.

“You can’t put a stent in an artery that is completely occluded,” Dr. Mack said — at least, it could not have been done a few years ago. With advanced techniques, it can be done now by some expert surgeons.

Were there other options?

The blockages Mr. Armstrong had were probably not going to kill him, Dr. Mack said, but they do result in chest pain, also called angina. So treatment was not life-or-death; it was a quality-of-life issue. That raises questions about whether Mr. Armstrong should have been rushed into surgery.

There is an alternative to bypass surgery: medical therapy, which means trying to treat the condition with drugs. The medications that alleviate angina include nitrates that widen coronary arteries, beta blockers that slow the heart and calcium channel agonists, which also open arteries.

“If it was me, I would try medical therapy first, but it depends on how severe the pain is,” Dr. Mack said.

What is a temporary pacemaker, and why did Mr. Armstrong get one?

In open-heart surgery — whether to bypass a blocked artery or to insert a heart valve — surgeons usually stop the patient’s heart so they can work on it. A heart-lung machine temporarily substitutes for the heart’s functions.

To stop the heart, surgeons infuse an icy solution into it. But the cold can dampen the heart’s electrical circuitry, said Dr. Jonathan Haft, a heart surgeon at the University of Michigan. So when doctors try to wean patients off the heart-lung machine, the electrical circuits can be slow to recover and the heart may beat feebly, or not at all.

So when surgeons finish the operation, they almost always sew fine wires, not much thicker than a human hair, onto the surface of the heart. They thread the bright blue or orange wires through the chest wall and skin.

The wires are hooked to a box the size of a clunky, old-fashioned cellphone, which generates electrical impulses that control the heart’s rhythm.

Once the heart’s electrical system has recovered, a member of the medical staff gently tugs the wires. They are so fine that they almost always come right out; if they don’t, they are simply clipped at the skin’s surface and left in place.

No harm is done most of the time, as the heart’s own circuitry takes over. (Permanent pacemakers, which are not meant to come out, are placed inside the heart, Dr. Haft noted.)

What went wrong in Mr. Armstrong’s case?

Very occasionally, when a nurse or other staff member tugs on one of the pacemaker wires, it tears the heart surface and causes bleeding. That usually occurs because the wire was stitched on too tightly, or someone pulled too hard, Dr. Mack said.

At first there may be no sign of a problem, Dr. Haft said. But as bleeding continues, blood pressure drops and the heart rate rises. The condition, called tamponade, occurs because blood is pooling around the heart and starting to clot. This inhibits the heart’s ability to relax and fill with blood.

[clinicsdial]

Cardiac surgery can be highly intrusive, and recovery time might be lengthy, depending on your age, health, and other factors. Because to advances in technology and advanced techniques, cardiac surgery is becoming much more effective and better for the patient.

We’ll talk about today’s advanced cardiac surgery procedures in this article, which are minimally invasive cardiac surgery and can help heart patients in a variety of ways.

The goal of minimally invasive cardiac surgery is to be able to use new procedures and state-of-the-art equipment to reduce incisions and allow the surgeon to be more precise throughout the procedure.

Nowadays, if possible, the surgical team can operate on the patient without having to open up the chest. The cardiac surgeon employs robotically aided technology to perform minimally invasive cardiac surgery with extremely small incisions and precise control that was previously impossible to achieve by hand.

Also see: Pediatric Heart Surgeon in Chandigarh

Less than two-inch incisions can be produced during cardiac surgery, compared to a 3-5-inch incision made manually by the heart surgeon doing the procedure.

These procedures aren’t offered to everyone who needs cardiac surgery. It all relies on the patient’s individual heart condition and if minimally invasive cardiac surgery is preferable to traditional methods.

These are some of the benefits of obtaining these modern surgical techniques for your cardiac surgery if you are a candidate for them:

• A considerably smaller incision.

• Smaller incisions may imply a smaller scar.

• There may be a significant reduction in bleeding.

• There is significantly less pain since there is more precise control and the possibility that the chest will not be opened.

• The amount of time spent in the hospital after cardiac surgery is greatly reduced. Traditional surgery can take anywhere from a week to ten days, whereas minimally invasive cardiac surgery only takes two to six days.

To conclude, heart surgery procedures are growing more advanced by the day. If you are a candidate for these cutting-edge procedures, you will reap numerous benefits. It’s a good idea to speak with your heart surgeon to ensure that you’re getting the best surgical procedures and care possible.

Also see:

Valve Replacement Surgery

Heart Specialist in Chandigarh

Bypass Heart Surgeon in Chandigarh

Cardiologist in Chandigarh

[clinicsdial]

redpop

Why Is Bypass Alternative So Famous

[clinicsdial]

redpop

Clan Tzimisce- the fiends, dragons.

(Design available on my Redbubble, link in bio)