Doctor insights on:
Is It Harder To Become A Brain Or Heart Surgeon
80yr.Has a cerebrovascular event in the early perioperative stage of an open heart surgery operation. Abort operation or go on ? The surgeon choose not to abort the operation to assess for the severity of injuries to the brain. The outcome of the operatio
I : I do not believe any physician reviewing this comment will be able to appreciate the condition of this patient going into surgery to assess the risk factors, rationale and options for treatment. I doubt that the surgeon would have known the patient was having a stroke during the cardiac procedure. It is not the usual practice of monitoring brain activity during cardiopulmonary bypass. Clearly there was significant cardiac problems, if indeed this patient required two valve repair/replacement, coronary artery bypass grafting and thromboendarterectomy. The fact that the patient suffered multiorgan system failure (as you suggest with the comment that there was "sustained irreversible vital organs damage"), suggests that the pump time was perhaps longer than usual, but understanding also that the organs of an 80 year old patient are fragile to start with. The finding of bilateral strokes on post-op day 3 would be consistent with events that occurred during or shortly after surgery, but likely not known during surgery. So unless there were other indications for the surgeon to abort, then continuing with the operation was understandable. I suggest you make an appointment with the surgeon to discuss your concerns and questions personally, to iron out any confusion or misunderstandings that exist and to bring closure to this case. ...Read moreSee 1 more doctor answer
I've been having fatigue, left arm pain and foggy brain to the point where I have a hard time putting a sentence together. Can this be some sort of heart problem?
Yes, but...: If you're 24, it's very unlikely for this to be a heart attack or stroke. If you were 60, and this just started 10 minutes ago, i'd be very worried and would recommend the er immediately via ambulance (911). If you are 24 years old and this has been going on for a few days, schedule an appointment with your doctor to get checked out. ...Read moreSee 1 more doctor answer
I have chest pain around heart. Behind the heart . That is back pain. My neck is very hard. I feel slow blood circulation to brain. My left is week?
Vertigo w/ standing, then i feel in a funny state of mind, my heart beats harder and then goes away? Cardio check was normal. What could it be?
Vertigo is not heart: Vertigo, a rotational feeling of dizziness, is not a cardiac condition. Vertigo typically indicates a problem with the inner ear semicircular canals. Vertigo can be due to a labyrinthitis, benign positional vertigo, or perhaps a more nefarious cause. Sometimes an MRI is done to rule out a tumor. Positional lightheadedness is orthostatic hypotension- common with dehydration or medications. ...Read more
Cardiac surgeon: You first need a steady brain to be able to learn what you need to learn. The physical dexterity needs lots of practice and repetition like training for a sport. ...Read more
I am about to go to go to college.How should I prepare myself in the courses to take, when trying to become a heart surgeon as a profession.
Preparing 4 Medicine: Here are a few things to know. You will change you mind and that is okay. Physicians are often artists or attracted to the arts. No matter where you want to go in medicine you should be having a full life, with lots of experience with other humans. Travel if you can. Volunteer to help someone that is less fortunate then you are. Get to know people with different stories than yours. Study well. ...Read more
Usually 12+ years: Four years of medical school, five years of surgical residency, additional three years of subspecialty cardiac surgery. Then add more time for any research or sub-subspecialty work. Some special tracks may allow some consolidation of training. But it also matters where they got their training, not just how long. ...Read more
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