tag:blogger.com,1999:blog-18943510.post6853388464868312253..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: ICD Therapy: Oversold or Underutilized?DrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-18943510.post-30949483892429600692006-11-16T18:42:00.000-06:002006-11-16T18:42:00.000-06:00thanks for the cogent presentation. i was accoste...thanks for the cogent presentation. i was accosted in the hallway with this quote from a colleague who read lws's quote on heart.org. fortunately, having read your blog i was all prepared to educate my referring physician.<br />:)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-19127650174022330222006-11-14T18:39:00.000-06:002006-11-14T18:39:00.000-06:00When you are lying in the hospital with an enlarge...When you are lying in the hospital with an enlarged heart and an EF below 10 it's hard to make a rational decision about whether you should have an ICD implanted or not. Especially when the doctor mentions heart transplant list and/or ICD in the same sentence. Your only concern is 'will I be alive at this time tomorrow'. The answers for most patients in these types of circumstances is simple, do Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-8046199747032444852006-11-14T09:39:00.000-06:002006-11-14T09:39:00.000-06:00I struggle with the decision for ICD referral when...I struggle with the decision for ICD referral when the patient has other significant co-morbid criteria -e.g., hx of CVA w/ hemiparesis, COPD, CKD in addition to cardiomyopathy w/ low EF.<br />Our referral site is 2-3 hours away and not at all convenient for patients. We recently referred a pt with comorbid conditions for Bi-V due to wide QRS and EF<30 with recent CHF admission and the EP doc CardioNPhttps://www.blogger.com/profile/04687799459429903374noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-28213025776044266162006-11-14T02:39:00.000-06:002006-11-14T02:39:00.000-06:00A friend's husband just had his ICD removed after ...A friend's husband just had his ICD removed after developing a site infection that was resistant to antibiotic therapy. <br /><br />He's not planning to have it replaced. He's young (early 40's) and has several young children. <br /><br />Scary stuff all the way around. I don't know what I'd do in his place, but there's a cardiologist in Loma Linda I'd like to discuss it with if one was Judyhttps://www.blogger.com/profile/08237756183010257014noreply@blogger.com