PDF-(BOOK)-Coronary: A True Story of Medicine Gone Awry

A chilling reallife medical thriller Coronary chronicles the story of two highly respected heart doctors who violated the most sacred principle of their profession First do no harm In the summer of 2002 fiftyfiveyearold John Corapi a Catholic priest with a colorful background visited Dr Chae Hyun Moon a celebrated cardiologist in Redding California Corapi had been suffering from exhaustion and shortness of breath and although a physical examination and a conventional stress test revealed nothing abnormal Moon insisted that the calcium level in Corapis coronary arteries called for a highly invasive diagnostic test an angiogram A chainsmoking Korean immigrant known for his gruff bedside manner Moon performed the procedure briskly and immediately handed down a devastating diagnosis Im sorry there is nothing I can do for you You need a triple bypass tomorrow morning He then abruptly left the room Several hours later however Moon inexplicably decided the surgery could wait until Corapi returned from a previously scheduled crosscountry trip Unnerved by the dire diagnosis and also by Moons inconsistent statements Corapi sought other opinions To his amazement a second third and fourth doctor found that his heart was perfectly healthy In fact for a man his age Corapis arteries were remarkably free of disease Sensing a cause more disturbing than human error Corapi took his story to the FBI As local agent Mike Skeen soon discovered Corapi was one of a number of people who had suspicions about Moon and Moons goto cardiac surgeon Dr Fidel Realyvasquez an equally respected member of the closeknit northern California community Working at a hospital owned by Tenet Healthcare Moon would make the diagnoses and Realyvasquez would perform the surgeries Together these leaders of the Redding medical establishment put hundreds of healthy people at risk some of whom never recovered Soon Skeen launched a major investigation interviewing numerous doctors and patients and forty federal agents raided the hospital where the doctors worked A timely and provocative dissection of Americas medicalindustrial complex Coronary lays bare the financial structures that drive the American healthcare system and which precipitated Moons and Realyvasquezs actions In a scheme that placed the demands of Wall Street above the lives of its patients Tenet Healthcare rewarded doctors based on how much revenue they generated for the corporation A meticulous threeyear FBI investigation and hundreds of civil suits culminated in no criminal charges but a series of settlements with Tenet Healthcare and the doctors that totaled more than 450 million and likely put an end to Moons and Realyvasquezs medical careers The cases every twist and turn is documented here A riveting characterrich narrative and a masterpiece of longform journalism Coronary is as powerful as it is alarming This is a hairraising story of the hundreds of men and women who went under the knife not in the name of medicine but of profit and prestige Brilliantly told Stephen Klaidmans Coronary is a cautionary tale in the age of miracle medicine and a shocking reminder to always get a second opinion. A Disease of Affluence . Lesson Objectives. I understand what CHD is. I understand what ‘affluence’ factors contribute to CHD. I know what the distribution of CHD is within the world and the UK. I know what the effects of CHD are . Herbie. Yung MD. 1. Lindsey Kowalski DO. 2. Eric . Anish. MD. 2. University of Pittsburgh Medical Center Department of Physical Medicine and Rehabilitation. University of Pittsburgh Medical Center Department of Internal Medicine . (True;fa;b;cg)(False;fa;b;cg)(False;fa;bg)(True;fa;bg)(False;fa;cg)(True;fb;cg)(True;fa;cg)(True;;)(False;;)(False;fb;cg)(True;fbg)(True;fcg)(False;fcg)(False;fbg)(False;fag)(True;fag)ModelFormulasBas Formula Condition Answer Comment '=b true true '=a true true doesnotdependonandistherefore false false vacuouslytrueiniffistrue '=a^b false false doesnotdependon true;btrue true dependson :' istrue fa Ray P. . Aswat. , M.D.. Adult Cardiology Fellow. Background. Coronary Artery Bypass Graft (CABG) is recommended for patients with left main disease and the preferred revascularization strategy for patients with multi-vessel coronary disease, with depressed systolic function, Left Ventricular Ejection Fraction (LVEF) < 50%, and diabetes.. bypass grafting in treatment of unprotected left . main stenosis. Nordic–Baltic–British . left main . revascularisation study . (NOBLE. ). A . prospective, randomised, open-label. , non-inferiority trial. Giuseppe . Biondi-Zoccai. , MD. Sapienza University . of. . Rome. , Italy. giuseppe.biondizoccai@uniroma1.it. Learning. . goals. Scope . of. the . problem. Rationale. . for. . emergency. . coronary. Yes my sins are gone! . Now my soul is free and in my heart's a song! . Buried in the deepest sea, . Yes, that's good enough for me! . I shall live eternally - . Praise God, my sins are gone!. 1/1. ccli 132991. Dr. Ahmed . Refaey. MBBCh. , MS, FRCR. Format of the lecture. Normal anatomy of coronary arteries. MSCT coronary . angio. Clinical application of CTA. Illustrated cases. Coronary arteries anatomy. LCA “ left coronary artery “. “Battle Royale”. Choose Your Own. Concepts to be Learned: . Main focus-- 1. . . Genre and Text Structure- . What elements make up an effective short story? What is the structure used within the short story? How does diction and syntax play an integral part in creating atmosphere, mood, and/or tone. &. Angiographic VISUALIZATION. . Coronary arterial anatomy. 1. st. anatomical drawings- Leonardo da Vinci. Oblique inverted crown. The coronary arteries and their major branches are sub-epicardially located. A . semiquantitative. visual score that will help us to be aware of the anatomical complexity and to anticipate procedural difficulties. One drawback in these comparisons is that there is . heterogencity. Coronary Heart Disease. Affects 16 million people. Causes more than 600,000 death annually. Caused by impaired blood flow to the myocardium. Accumulation of atherosclerotic plaque in the coronary arteries usual cause.. John Puskas, MD. Icahn School of Medicine at Mount Sinai, New York. For the NHLBI Cardiothoracic Surgical Trials Network. Disclosures. Consultation agreements with Medtronic for OPCAB training. Royalty payments from .