[DeTomaso] Larry Stock on the mend "Cardiac Advice"

Paul A. Rimov rimov at charter.net
Tue Nov 20 09:47:48 EST 2007


Clay, and I assume you have a Panera but it truly amazes me how many 
otherwise intelligent educated people are seduced by the dark side of 
Pantera ownership.

Paul
----- Original Message ----- 
From: "clay willmott" <claywillmott at hotmail.com>
To: <mikeldrew at aol.com>; <detomaso at realbig.com>
Sent: Monday, November 19, 2007 7:12 PM
Subject: Re: [DeTomaso] Larry Stock on the mend "Cardiac Advice"


>
> Mike, glad he is okay.
>
> Thats either the Left Main or Left Anterior Descending artery (both are 
> nick named "widow makers").  He is very lucky he only had flow related 
> demand issues (ischemia) manifesting as dyspnea and went to see the doctor 
> before an myocardial infarction happened.  The collaterals develop very 
> slowly and are usually quite small to bypass native blockages and a small 
> plaque rupture would have occluded the entire flow to the LV wall which in 
> essence is your entire ejection fraction.
>
> The *good news* is with no infarct and re-vascularization left ventricular 
> function will likely normalize (hibernating myocardium) and he will be 
> cured and have normal cardiac life expectancy and be possibly as fit as 
> his kids after cardiac rehabilitation.
>
> Hope he does well and he did the right thing to go in.  Chest pain 
> equivalents include the following (especially in Females):
> -Dyspnea (short of breath)-Ischemic heart muscle does not relax properly 
> and and backs up blood/fluid into lungs causing pulmonary edema
> -Nausea/Vomiting
> -Arm/Shoulder "referred pain" from small autonomic nerve fibers
> -Diaphoresis
>
> And of course the classic chest pain is tightness, substernal with any of 
> the above.  If that happens do NOT drive but call an ambulance as most 
> deaths are from acute cardiac rhythm disturbance from ischemia and the 
> ambulance has a defibrillator.
>
> If this is old news to most of you I apologize. However, if I had a dollar 
> from every patient I saw that came in late to the ER with atypical chest 
> pain I would get a GT5-S. Time equals muscle.
>
> Clay (Critical Care MD)
>
>
>
>
>
>
>
>
>> From: MikeLDrew at aol.com
>> Date: Mon, 19 Nov 2007 20:52:47 -0500
>> To: detomaso at realbig.com
>> Subject: [DeTomaso] Larry Stock on the mend
>>
>> Hi guys,
>>
>> I just got off the phone with Larry Stock, who is lying in a hospital bed
>> with all sorts of tubes going into him.
>>
>> A few weeks ago, he found he was having trouble keeping up with his kids 
>> on a
>> hiking trip, so he went to the doctor.   There he discovered that he had 
>> a
>> 100% blockage of the main artery going to the heart (!), but luckily (and
>> freakily), his body grew a natural bypass which went around the blockage, 
>> and
>> enabled him to continue to live.   However, this bypass was substantially 
>> smaller
>> than the blocked artery, so he still had problems.
>>
>> They gave him a double bypass operation on Friday, and he came through it
>> just fine (other than a bout of post-operation hiccups which caused them 
>> to keep
>> him a day or two longer than originally planned, as there was concern it 
>> might
>> have interfered with the healing process).
>>
>> The funny thing is, he never stopped working.   He had the 1-800-DETOMASO
>> phone forwarded to his cell phone, and has been answering customer calls 
>> and
>> selling Pantera parts from his hospital bed, which drives the hospital 
>> staff nuts
>> as you can imagine!
>>
>> He also has wireless internet access, so you can send him your get-well
>> wishes to LarryS at panteraparts.com
>>
>> He hopes to be home in a few days, and back in the office next week....
>>
>> Mike
>>
>>
>> **************************************
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