From: Ryan Gill (rmgill@mindspring.com)
Date: Wed Feb 01 2006 - 16:33:41 PST
At 3:33 AM -0500 2/17/06, Henry J. Fackovec wrote:
>Hey all:
>
>Ron was transferred to the Lahey Clinic in Mass this AM, and is
>undergoing the procedure, He went into the O.R. after 10AM, and as of a
>few minutes ago was still in surgery, so I am not sure what is up. He
>had told me that it was to be about 2 hours to do the stints, so maybe
>they needed to do the full bypass.
>
>I am not sure what's going on, but I am going to head over to the
>hospital in about an hour to kick some butt and make sure the MDs are
>not doing any non warranty work to drive the bill up.
Thing is, when they cut open the femoral artery
to get access to the heart, they insert this
little sheath thing. Call it a non-standard
inspection port. Its kind of like popping a
freeze plug on an engine while it's running, then
running a little wire through the block to get a
look at the water pump. The catheter and the
stints and all that may only take a little while
to do, but the prep and especially the part where
they pull the sheath is tricky. At Emory U
Hospital, protocol was for a Doctor (not a nurse
or a technician) to remove the sheath and that
he'd be certain that the artery was sealed
afterward. More or less, after a few stitches,
they'd stand there with their leg on your crotch
for around 20 minutes or more waiting for the
blood to clot and to be sure you didn't spring a
leak. You can bleed out through that artery in
less that 5 minutes. So a groggy patient needs to
be watched constantly after a cath session.
Those additional logistics could have been part of the delay...
--
--
Ryan Gill rmgill@SPAMmindspring.com
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