Seems There Is A conflict Between My Cardiologist & Surgeon?

Valve Replacement Forums

Help Support Valve Replacement Forums:

This site may earn a commission from merchant affiliate links, including eBay, Amazon, and others.

itsme2

Member
Joined
Oct 22, 2015
Messages
15
Location
Knoxville, TN
I clearly need a aortic valve replacement and maybe a LAD bypass. My cardiologist recommends the bypass because it can't be stented because of where the blockage is. Surgeon says a bypass on a LAD blocked less 60% is often not successful. I surely don't want a LAD bypass failure, The cardiologist can't see me for another 11 days so I can't discuss this issue with him..I'm trying to line up a second cardiologist opinion. In the meantime I'm very interested in Forum member comments on this issue.

Thank you.
 
I was surprised to learn that when they do a bypass they leave the blocked section that's being bypassed open. So when he says the bypass fails at less than 60% I think it's because the flow continues through the section that was meant to be bypassed and the newly installed area collapses. If it's 60% blocked and it can't be stented I can understand why you would want it done when you have the aortic valve replaced.
 
2nd opinion seems like a good idea, though I wonder if you want a Cardiologists opinion, or a surgeon's.

FWIW, it may be possible to reverse blockages, but it takes significant, permanent lifestyle changes: http://www.webmd.com/heart-disease/features/can-you-reverse-heart-disease. Such a lifestyle may seem extreme compared to the typical American diet/lifestyle, but OHS is pretty extreme too. Still, with the valve you are having surgery anyways.
 
AZ Don;n859698 said:
http://www.webmd.com/heart-disease/f...-heart-disease. Such a lifestyle may seem extreme compared to the typical American diet/lifestyle
Not wishing to be argumentative here, but the low fat diet is already dying it's death as the saviour to heart disease. Since Ancel Keys, in the 1950's, promoted the hypothesis that high saturated fat led to high cholesterol which led to heart disease peope have been encouraged to eat low fat high complex carbs. This really came in a big way in the 1970s and since then there has been a steady diabetes and obesity epidemic, which leads to atherosclerosis, as the years have passed - no one can deny that. It's now being shown that it's actually carbs, complex or refined, that can lead to inflammation which leads to atherosclerosis. There may also be other causes of atherosclerosis which have nothing to do with diet at all. I won't put in any links, I'll let anyone who wants to find out do searches becasue the thing is for some reason this subject has all get very emotive, even amoungst the medical profession ! So everyone should do their own research.

I have a Home Doctor book that I got from my parents house written in 1955 which was before the dietary advice changed to low fat high carb. It is rather instructive in the light of the diabetes and obesity epidemic we have now. I quote some of the dietary advice:

"Foods for Calories: The carbohydrates (sugar and starch) are the foods that supply most calories and little else; they are the least important foods. But as they are the cheapest and easiest to get they play too large a part in most family diets. They come from the sweet shop, the baker and the grocer. It is fatally easy to fill up on them and leave no room for the other far more important foods........"


"Food for Building and Repair: Proteins is the name given to the foods which provide the materials essential for growth and for the continual repair of the bones and body tissues. They are the most important of all foods....."


"Calories Plus Vitamins: Fats are fuel foods, but in each ounce they provide twice as many caloires as do proteins and carbohydrates. Also most of the animal fats and the vegetable oils contain two important vitamins, A and D. If you eat fat you can obtain plenty of energy from a diet that is not too bulky...."


I do have an extreme diet by many peoples' standards as I eat a high fat, moderate protein, very low carb diet which is sometimes called Paleo, hence my username. It's fantastic and I've never eaten so well, although it is expensive eating meat and fish every day (and nuts and eggs) with lots of veggies without any bread or grain foods or starchy veg or sugars.
 
Paleogirl;n859699 said:
Not wishing to be argumentative here, but the low fat diet is already dying it's death as the saviour to heart disease. Since Ancel Keys, in the 1950's, promoted the hypothesis that high saturated fat led to high cholesterol which led to heart disease peope have been encouraged to eat low fat high complex carbs. This really came in a big way in the 1970s and since then there has been a steady diabetes and obesity epidemic, which leads to atherosclerosis, as the years have passed - no one can deny that. It's now being shown that it's actually carbs, complex or refined, that can lead to inflammation which leads to atherosclerosis. There may also be other causes of atherosclerosis which have nothing to do with diet at all. I won't put in any links, I'll let anyone who wants to find out do searches becasue the thing is for some reason this subject has all get very emotive, even amoungst the medical profession ! So everyone should do their own research.

I have a Home Doctor book that I got from my parents house written in 1955 which was before the dietary advice changed to low fat high carb. It is rather instructive in the light of the diabetes and obesity epidemic we have now. I quote some of the dietary advice:

"Foods for Calories: The carbohydrates (sugar and starch) are the foods that supply most calories and little else; they are the least important foods. But as they are the cheapest and easiest to get they play too large a part in most family diets. They come from the sweet shop, the baker and the grocer. It is fatally easy to fill up on them and leave no room for the other far more important foods........"


"Food for Building and Repair: Proteins is the name given to the foods which provide the materials essential for growth and for the continual repair of the bones and body tissues. They are the most important of all foods....."


"Calories Plus Vitamins: Fats are fuel foods, but in each ounce they provide twice as many caloires as do proteins and carbohydrates. Also most of the animal fats and the vegetable oils contain two important vitamins, A and D. If you eat fat you can obtain plenty of energy from a diet that is not too bulky...."


I do have an extreme diet by many peoples' standards as I eat a high fat, moderate protein, very low carb diet which is sometimes called Paleo, hence my username. It's fantastic and I've never eaten so well, although it is expensive eating meat and fish every day (and nuts and eggs) with lots of veggies without any bread or grain foods or starchy veg or sugars.

Before my stroke I worked out with a trainer who was a bog paleo fan and I borrowed bits and pieces and it wasn't too bad and seemed much healthier than my previous diet. I moderated the fat but did sneak in the things I like. Some call that cheating...
 
Paleogirl;n859699 said:
Not wishing to be argumentative here, but the low fat diet is already dying it's death as the saviour to heart disease. Since Ancel Keys, in the 1950's, promoted the hypothesis that high saturated fat led to high cholesterol which led to heart disease peope have been encouraged to eat low fat high complex carbs. This really came in a big way in the 1970s and since then there has been a steady diabetes and obesity epidemic, which leads to atherosclerosis, as the years have passed - no one can deny that. It's now being shown that it's actually carbs, complex or refined, that can lead to inflammation which leads to atherosclerosis. There may also be other causes of atherosclerosis which have nothing to do with diet at all. I won't put in any links, I'll let anyone who wants to find out do searches becasue the thing is for some reason this subject has all get very emotive, even amoungst the medical profession ! So everyone should do their own research.

I have a Home Doctor book that I got from my parents house written in 1955 which was before the dietary advice changed to low fat high carb. It is rather instructive in the light of the diabetes and obesity epidemic we have now. I quote some of the dietary advice:

"Foods for Calories: The carbohydrates (sugar and starch) are the foods that supply most calories and little else; they are the least important foods. But as they are the cheapest and easiest to get they play too large a part in most family diets. They come from the sweet shop, the baker and the grocer. It is fatally easy to fill up on them and leave no room for the other far more important foods........"


"Food for Building and Repair: Proteins is the name given to the foods which provide the materials essential for growth and for the continual repair of the bones and body tissues. They are the most important of all foods....."


"Calories Plus Vitamins: Fats are fuel foods, but in each ounce they provide twice as many caloires as do proteins and carbohydrates. Also most of the animal fats and the vegetable oils contain two important vitamins, A and D. If you eat fat you can obtain plenty of energy from a diet that is not too bulky...."


I do have an extreme diet by many peoples' standards as I eat a high fat, moderate protein, very low carb diet which is sometimes called Paleo, hence my username. It's fantastic and I've never eaten so well, although it is expensive eating meat and fish every day (and nuts and eggs) with lots of veggies without any bread or grain foods or starchy veg or sugars.


Great diet. The medical community loves to create fear around catch phrases 'BLOOD PRESSURE!', 'SATURATED FATS!'. The fact is, they generally do not have a good understanding of nutrition and its effect on the body.
 
Anne,
Sigh... I make a simple suggestion and you state that you don't want to argue, then proceed to hijack the thread and argue. And although I posted a link to WebMD supporting my point, you provide none. I do agree with the point that others should do their own research so I'll stop now and just suggest others do the same, but to be mindful of those spouting theories vs. those reporting on facts based on scientific research. One site I like is NutritionFacts.org.

If you would like to discuss further, please start a new thread.
 
Hi AZ - sorry if I've upset you. I didn't think I was off topic from what you wrote about lifestyle changes to reverse blockages, atherosclerosis being the name for blockages. I do think that once there is a blockage though it's pretty difficult to reverse, though sometimes the body does something called "collateral circulation" which is when, in effect, it makes it's own bypass !
 
I think it's relevant. In the interest of health, what would you choose...grass fed beef or grain fed beef? Hmmm....

Heart surgeon speaks out on what really causes heart disease:

Let me repeat that: The injury and inflammation in our blood vessels is caused by the low fat diet recommended for years by mainstream medicine.

What does all this have to do with inflammation? Blood sugar is controlled in a very narrow range. Extra sugar molecules attach to a variety of proteins that in turn injure the blood vessel wall. This repeated injury to the blood vessel wall sets off inflammation. When you spike your blood sugar level several times a day, every day, it is exactly like taking sandpaper to the inside of your delicate blood vessels.

http://www.sott.net/article/242516-H...-heart-disease
 
Hi AZ - sorry if I've upset you. I didn't think I was off topic from what you wrote about lifestyle changes to reverse blockages, atherosclerosis being the name for blockages. I do think that once there is a blockage though it's pretty difficult to reverse, though sometimes the body does something called "collateral circulation" which is when, in effect, it makes it's own bypass !
The discussion was about a blockage and so I pointed out that a lifestyle change can reverse a blockage. The link I posted says up front:
You can undo some, but probably not all, of the damage, if you're willing to make big, lasting changes to your lifestyle.
Now this is from WebMD. If that isn't reliable enough a source, I can dig up the double blind study Ornish did years ago that proved that heart disease could be reversed through diet. I've seen no such studies about Paleo nor by Dr. Lundell that MethodAir mentions (though I find a reference to him on Quackwatch) so I don't think that Paleo, or the cause of heart disease is really relevant to the OP's question. I would be happy to discuss these things with you or MethodAir or anyone else, but please start a separate thread for it.
 
The Greenland Eskimos study dispelled the myth about low fat diets a long time ago:

But here was a population with almost no heart disease and high blood levels of saturated fats, and very low blood levels of PUFA’s (omega-6).

http://www.docsopinion.com/2013/09/2...heart-disease/

itsme2...low carb is a healthier choice for keeping your arteries in good shape in the future.
 
Back
Top