General fitness, health and nutrition · Public discussion

stents

Started by Balsey · · Last activity · 28 posts · 1,480 views

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General fitness, health and nutrition
Published
8 December 2003
Last activity
11 December 2003
Original author
Balsey
Posts
28
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  1. Hi every body , please only answer if you can help all you others [ mahara
    chung] go away . have just come home from 3 weeks in hospital was waiting
    for results of angiogram dr.wanted to do a triple by-pass but because of
    radiation treament to left breast through cancer the arteries in the chest
    are damaged and they couldn't use them , so I have had the new Texus stent
    in the left arterery which was 98% blocked and the texus stent and the old
    stent in the main artery in front of heart 2 in all as artery was calcified
    and started to break away , also have stent in right artery , so that gives
    me 4 stents . I am a little worried with all this what are your thoughts on
    so many stents , I thought you could only have 3 all up. Take Care Balsey

  2. "Balsey" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Hi every body , please only answer if you can help all you others [ mahara
    chung] go away . have just come home from 3 weeks in hospital was waiting
    for results of angiogram dr.wanted to do a triple by-pass but because of
    radiation treament to left breast through cancer the arteries in the chest
    are damaged and they couldn't use them , so I have had the new Texus stent
    in the left arterery which was 98% blocked and the texus stent and the old
    stent in the main artery in front of heart 2 in all as artery was calcified
    and started to break away , also have stent in right artery , so that gives
    me 4 stents . I am a little worried with all this what are your thoughts on
    so many stents , I thought you could only have 3 all up. Take Care Balsey

    I think theoretically you can have as many stents as will fit. You may have
    been thinking about a reluctance to do 3 or more simultaneous angioplasties
    because of the high probability of restenosous. But with the new drug eluting
    stents that may even be going by the boards. However, so many stents indicates
    underlying problems causing these difficulties and that is likely to continue
    unless the underlying problems are dealt with. Also, I'm not sure what took 3
    weeks.

    BTW though he certainly inflames passions on some subjects, I have found Dr.
    Chung's medical advice to be consistently sound.

    Bill - not a Dr.

  3. Many people have more than 3 stents. I have 6.

    --

    Herb
    Boulder, CO

    "Balsey" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Hi every body , please only answer if you can help all you others [


    mahara

    Quoted message said:

    chung] go away . have just come home from 3 weeks in hospital was


    waiting

    Quoted message said:

    for results of angiogram dr.wanted to do a triple by-pass but because


    of

    Quoted message said:

    radiation treament to left breast through cancer the arteries in the


    chest

    Quoted message said:

    are damaged and they couldn't use them , so I have had the new Texus


    stent

    Quoted message said:

    in the left arterery which was 98% blocked and the texus stent and the


    old

    Quoted message said:

    stent in the main artery in front of heart 2 in all as artery was


    calcified

    Quoted message said:

    and started to break away , also have stent in right artery , so that


    gives

    Quoted message said:

    me 4 stents . I am a little worried with all this what are your


    thoughts on

    Quoted message said:

    so many stents , I thought you could only have 3 all up. Take Care


    Balsey

    Quoted message said:


  4. Herb said:

    Many people have more than 3 stents. I have 6.

    The problem is not that it cannot be done with drug eluting stents (DES),
    the problems are:

    1. The present Medicare reimbursement formula for the drug eluting stents
    is based upon the use of 1.5 stents per patient. That figure evolved out
    of the clinical trials where roughly 1.7 to 1.8 stents were used on
    average per patient. Thus, if you get one stent, the hospital makes a
    little money. If you get two or more stents, the hospital loses money.
    The loss increases as the number of stents goes up, because the
    reimbursement does not, it is fixed. The hospital essentially has to hope
    that there are enough 1 stent patients to make up for those who get two or
    more stents in order to "break even" financially. Under the current
    formula, high volume hospitals have projected loses in the millions of
    dollars until such time as competition drives down pricing. Keep in mind
    also that the use of DES is increasingly at the expense of doing more
    profitable CAB surgery, so the hospital loses financially on two levels as
    CAB volume declines.

    2. There is no substantive data at this point to understand what happens
    when patients get a high number of drug eluting stents with respect to the
    actual dosages of the drugs released by the stents. The trials
    demonstrated safety for the doses delivered by 1 and 2 stents. There is no
    hard data that I have seen yet published on potential drug related adverse
    events when multiple (>2) drug eluting stents are used. In fact, the
    present product labeling for the stents raises this issue as an unknown.

    3. In conjunction with number 2 above, there is no hard data yet with
    respect to what issues may arise when different drug eluting stents may be
    used in the same patient. In other words, what happens if you should get a
    Cypher stent (which uses sirolimus) and a Taxus stent (which uses
    paclitaxel) at the same time. The recent preliminary decision by the FDA
    to recommend the approval of the Taxus stent raised this issue, since
    Taxus will be the second approved DES on the market.

    4. There are general guidelines on the use of DES with respect to
    lesion length, vessel diameter, de novo (new) lesions, the location of the
    lesions and so forth. The use of DES will not be appropriate for all
    lesion types.

    The knowledge base on the use of DES is still evolving, both with respect
    to the trial data and with respect to the post market surveillance of
    general use outside of controlled trials.

    Hope that helps,

    Marc

  5. "Bill" <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:

    "Balsey" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Hi every body , please only answer if you can help all you others [ mahara
    chung] go away . have just come home from 3 weeks in hospital was waiting
    for results of angiogram dr.wanted to do a triple by-pass but because of
    radiation treament to left breast through cancer the arteries in the chest
    are damaged and they couldn't use them , so I have had the new Texus stent
    in the left arterery which was 98% blocked and the texus stent and the old
    stent in the main artery in front of heart 2 in all as artery was calcified
    and started to break away , also have stent in right artery , so that gives
    me 4 stents . I am a little worried with all this what are your thoughts on
    so many stents , I thought you could only have 3 all up. Take Care Balsey

    I think theoretically you can have as many stents as will fit.

    Correct.

    Quoted message said:

    You may have
    been thinking about a reluctance to do 3 or more simultaneous angioplasties
    because of the high probability of restenosous. But with the new drug eluting
    stents that may even be going by the boards. However, so many stents indicates
    underlying problems causing these difficulties and that is likely to continue
    unless the underlying problems are dealt with. Also, I'm not sure what took 3
    weeks.

    Smells like a fake post. Even if the internal mammary artery in the
    left breast were unusable, the right one should be (not to mention the
    veins in the legs).

    Quoted message said:

    BTW though he certainly inflames passions on some subjects, I have found Dr.
    Chung's medical advice to be consistently sound.

    Thank you for writing truthfully :-)

    Quoted message said:

    Bill - not a Dr.

    Don't have to be a doctor to write truthfully. Perhaps the peanut
    gallery will learn (probably not).

    Humbly,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

  6. I have 5.

  7. Sorry not a fake post if only it wasn't all true but i guess breast cancer
    in the right breast would put a stop to them using the artery in the right
    side also was told they couldnt use the veins in the leg . Have had double
    mastecomy with radiation, 2 heart attacks 4 stents all true , that's why I
    asked for only those that could help me Thank you Balsey"Dr. Andrew B.
    Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    "Bill" <[email hidden]> wrote in message


    news:<[email hidden]>...

    Quoted message said:
    Quoted message said:

    "Balsey" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Hi every body , please only answer if you can help all you others [


    mahara

    Quoted message said:
    Quoted message said:
    Quoted message said:

    chung] go away . have just come home from 3 weeks in hospital was


    waiting

    Quoted message said:
    Quoted message said:
    Quoted message said:

    for results of angiogram dr.wanted to do a triple by-pass but because


    of

    Quoted message said:
    Quoted message said:
    Quoted message said:

    radiation treament to left breast through cancer the arteries in the


    chest

    Quoted message said:
    Quoted message said:
    Quoted message said:

    are damaged and they couldn't use them , so I have had the new Texus


    stent

    Quoted message said:
    Quoted message said:
    Quoted message said:

    in the left arterery which was 98% blocked and the texus stent and the


    old

    Quoted message said:
    Quoted message said:
    Quoted message said:

    stent in the main artery in front of heart 2 in all as artery was


    calcified

    Quoted message said:
    Quoted message said:
    Quoted message said:

    and started to break away , also have stent in right artery , so that


    gives

    Quoted message said:
    Quoted message said:
    Quoted message said:

    me 4 stents . I am a little worried with all this what are your


    thoughts on

    Quoted message said:
    Quoted message said:
    Quoted message said:

    so many stents , I thought you could only have 3 all up. Take Care


    Balsey

    Quoted message said:
    Quoted message said:
    Quoted message said:


    I think theoretically you can have as many stents as will fit.

    Correct.

    Quoted message said:

    You may have
    been thinking about a reluctance to do 3 or more simultaneous


    angioplasties

    Quoted message said:
    Quoted message said:

    because of the high probability of restenosous. But with the new drug


    eluting

    Quoted message said:
    Quoted message said:

    stents that may even be going by the boards. However, so many stents


    indicates

    Quoted message said:
    Quoted message said:

    underlying problems causing these difficulties and that is likely to


    continue

    Quoted message said:
    Quoted message said:

    unless the underlying problems are dealt with. Also, I'm not sure what


    took 3

    Quoted message said:
    Quoted message said:

    weeks.

    Smells like a fake post. Even if the internal mammary artery in the
    left breast were unusable, the right one should be (not to mention the
    veins in the legs).

    Quoted message said:

    BTW though he certainly inflames passions on some subjects, I have found


    Dr.

    Quoted message said:
    Quoted message said:

    Chung's medical advice to be consistently sound.

    Thank you for writing truthfully :-)

    Quoted message said:

    Bill - not a Dr.

    Don't have to be a doctor to write truthfully. Perhaps the peanut
    gallery will learn (probably not).

    Humbly,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

  8. Bill , Have to tell you why it took 3 weeks they couldn't make up ther mind
    between triple by- pass or stents also had to pay for my stents a few
    thousand dollars up front . Angiograms are only done 2 days a week so if you
    come in on thursday like me had to wait until tuesday for first one, then
    wait until dr. made up there mind about op. another week finally 3rd week
    stents Balsey
    "Bill" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:


    "Balsey" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Hi every body , please only answer if you can help all you others [


    mahara

    Quoted message said:
    Quoted message said:

    chung] go away . have just come home from 3 weeks in hospital was


    waiting

    Quoted message said:
    Quoted message said:

    for results of angiogram dr.wanted to do a triple by-pass but because of
    radiation treament to left breast through cancer the arteries in the


    chest

    Quoted message said:
    Quoted message said:

    are damaged and they couldn't use them , so I have had the new Texus


    stent

    Quoted message said:
    Quoted message said:

    in the left arterery which was 98% blocked and the texus stent and the


    old

    Quoted message said:
    Quoted message said:

    stent in the main artery in front of heart 2 in all as artery was


    calcified

    Quoted message said:
    Quoted message said:

    and started to break away , also have stent in right artery , so that


    gives

    Quoted message said:
    Quoted message said:

    me 4 stents . I am a little worried with all this what are your thoughts


    on

    Quoted message said:
    Quoted message said:

    so many stents , I thought you could only have 3 all up. Take Care


    Balsey

    Quoted message said:
    Quoted message said:


    I think theoretically you can have as many stents as will fit. You may


    have

    Quoted message said:

    been thinking about a reluctance to do 3 or more simultaneous


    angioplasties

    Quoted message said:

    because of the high probability of restenosous. But with the new drug


    eluting

    Quoted message said:

    stents that may even be going by the boards. However, so many stents


    indicates

    Quoted message said:

    underlying problems causing these difficulties and that is likely to


    continue

    Quoted message said:

    unless the underlying problems are dealt with. Also, I'm not sure what


    took 3

    Quoted message said:

    weeks.

    BTW though he certainly inflames passions on some subjects, I have found


    Dr.

    Quoted message said:

    Chung's medical advice to be consistently sound.

    Bill - not a Dr.

  9. Thank you Marc , I think the fact that I have diabetes makes the use of DES
    appropriate as front artery was calcified, while the other stents have a 30%
    chance of calcification the new stents only have 2 % thanks for your help
    Balsey
    "Marc Schwartz" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    Herb said:

    Many people have more than 3 stents. I have 6.

    The problem is not that it cannot be done with drug eluting stents (DES),
    the problems are:

    1. The present Medicare reimbursement formula for the drug eluting stents
    is based upon the use of 1.5 stents per patient. That figure evolved out
    of the clinical trials where roughly 1.7 to 1.8 stents were used on
    average per patient. Thus, if you get one stent, the hospital makes a
    little money. If you get two or more stents, the hospital loses money.
    The loss increases as the number of stents goes up, because the
    reimbursement does not, it is fixed. The hospital essentially has to hope
    that there are enough 1 stent patients to make up for those who get two or
    more stents in order to "break even" financially. Under the current
    formula, high volume hospitals have projected loses in the millions of
    dollars until such time as competition drives down pricing. Keep in mind
    also that the use of DES is increasingly at the expense of doing more
    profitable CAB surgery, so the hospital loses financially on two levels as
    CAB volume declines.

    2. There is no substantive data at this point to understand what happens
    when patients get a high number of drug eluting stents with respect to the
    actual dosages of the drugs released by the stents. The trials
    demonstrated safety for the doses delivered by 1 and 2 stents. There is no
    hard data that I have seen yet published on potential drug related adverse
    events when multiple (>2) drug eluting stents are used. In fact, the
    present product labeling for the stents raises this issue as an unknown.

    3. In conjunction with number 2 above, there is no hard data yet with
    respect to what issues may arise when different drug eluting stents may be
    used in the same patient. In other words, what happens if you should get a
    Cypher stent (which uses sirolimus) and a Taxus stent (which uses
    paclitaxel) at the same time. The recent preliminary decision by the FDA
    to recommend the approval of the Taxus stent raised this issue, since
    Taxus will be the second approved DES on the market.

    4. There are general guidelines on the use of DES with respect to
    lesion length, vessel diameter, de novo (new) lesions, the location of the
    lesions and so forth. The use of DES will not be appropriate for all
    lesion types.

    The knowledge base on the use of DES is still evolving, both with respect
    to the trial data and with respect to the post market surveillance of
    general use outside of controlled trials.

    Hope that helps,

    Marc

  10. Ivetriedhard declared:

    Quoted message said:

    I have 5.

    I have2, but I'm working on more...
    LOL
    --
    You can't have it all....
    Where would you put it anyway ??

  11. now now dont get greedy I only have 4 LOL Balsey
    "Bigjon" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Ivetriedhard declared:

    Quoted message said:

    I have 5.

    I have2, but I'm working on more...
    LOL
    --
    You can't have it all....
    Where would you put it anyway ??

  12. Balsey said:

    Sorry not a fake post if only it wasn't all true but i guess breast cancer
    in the right breast would put a stop to them using the artery in the right
    side also was told they couldnt use the veins in the leg .

    Why are the veins not usable?

    Quoted message said:

    Have had double
    mastecomy with radiation,

    You did not mention that in your original post. You only described a left
    masectomy and left breast XRT.

    Quoted message said:

    2 heart attacks 4 stents all true , that's why I
    asked for only those that could help me

    According to your Google history, you appear to have an anti-Christian bias. Is
    this true?

    Quoted message said:

    Thank you Balsey

    You are welcome.

    Even if you are anti-Christian, I would still be inclined to try to help you.
    However, the quality of that help will depend on your being forthcoming with the
    pertinent issues in your condition.

    Humbly,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

    Quoted message said:

    "Dr. Andrew B.
    Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    "Bill" <[email hidden]> wrote in message


    news:<[email hidden]>...

    Quoted message said:
    Quoted message said:

    "Balsey" <[email hidden]> wrote in message
    news:[email hidden]...
    > Hi every body , please only answer if you can help all you others [


    mahara

    Quoted message said:
    Quoted message said:

    > chung] go away . have just come home from 3 weeks in hospital was


    waiting

    Quoted message said:
    Quoted message said:

    > for results of angiogram dr.wanted to do a triple by-pass but because


    of

    Quoted message said:
    Quoted message said:

    > radiation treament to left breast through cancer the arteries in the


    chest

    Quoted message said:
    Quoted message said:

    > are damaged and they couldn't use them , so I have had the new Texus


    stent

    Quoted message said:
    Quoted message said:

    > in the left arterery which was 98% blocked and the texus stent and the


    old

    Quoted message said:
    Quoted message said:

    > stent in the main artery in front of heart 2 in all as artery was


    calcified

    Quoted message said:
    Quoted message said:

    > and started to break away , also have stent in right artery , so that


    gives

    Quoted message said:
    Quoted message said:

    > me 4 stents . I am a little worried with all this what are your


    thoughts on

    Quoted message said:
    Quoted message said:

    > so many stents , I thought you could only have 3 all up. Take Care


    Balsey

    Quoted message said:
    Quoted message said:

    >
    >

    I think theoretically you can have as many stents as will fit.

    Correct.

    Quoted message said:

    You may have
    been thinking about a reluctance to do 3 or more simultaneous


    angioplasties

    Quoted message said:
    Quoted message said:

    because of the high probability of restenosous. But with the new drug


    eluting

    Quoted message said:
    Quoted message said:

    stents that may even be going by the boards. However, so many stents


    indicates

    Quoted message said:
    Quoted message said:

    underlying problems causing these difficulties and that is likely to


    continue

    Quoted message said:
    Quoted message said:

    unless the underlying problems are dealt with. Also, I'm not sure what


    took 3

    Quoted message said:
    Quoted message said:

    weeks.

    Smells like a fake post. Even if the internal mammary artery in the
    left breast were unusable, the right one should be (not to mention the
    veins in the legs).

    Quoted message said:

    BTW though he certainly inflames passions on some subjects, I have found


    Dr.

    Quoted message said:
    Quoted message said:

    Chung's medical advice to be consistently sound.

    Thank you for writing truthfully :-)

    Quoted message said:

    Bill - not a Dr.

    Don't have to be a doctor to write truthfully. Perhaps the peanut
    gallery will learn (probably not).

    Humbly,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

  13. I really dont know why I bothered asking something of this group , tell me
    Dr. Chung where on earth did you get your information concerning my religion
    no I am not anti christian but what has that got to do with me asking about
    my stents. I really didn't want to tell every body that I have had breast
    cancer in both breasts, as this is a cardiology group and the fact that I
    have been to hell in the last 2 years battling cancer and wondering when
    will I have another heart attack seems to be irrelevant to you all , if
    there is anything else you would like to know just ask in the meantime thank
    you to those that have helped and I hope and pray that you or some-one close
    to you doesn't go through what I have .
    Balsey Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote
    in message news:[email hidden]...

    Quoted message said:
    Balsey said:

    Sorry not a fake post if only it wasn't all true but i guess breast


    cancer

    Quoted message said:
    Quoted message said:

    in the right breast would put a stop to them using the artery in the


    right

    Quoted message said:
    Quoted message said:

    side also was told they couldnt use the veins in the leg .

    Why are the veins not usable?

    Quoted message said:

    Have had double
    mastecomy with radiation,

    You did not mention that in your original post. You only described a left
    masectomy and left breast XRT.

    Quoted message said:

    2 heart attacks 4 stents all true , that's why I
    asked for only those that could help me

    According to your Google history, you appear to have an anti-Christian


    bias. Is

    Quoted message said:

    this true?

    Quoted message said:

    Thank you Balsey

    You are welcome.

    Even if you are anti-Christian, I would still be inclined to try to help


    you.

    Quoted message said:

    However, the quality of that help will depend on your being forthcoming


    with the

    Quoted message said:

    pertinent issues in your condition.

    Humbly,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

    Quoted message said:

    "Dr. Andrew B.
    Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    "Bill" <[email hidden]> wrote in message


    news:<[email hidden]>...

    Quoted message said:

    > "Balsey" <[email hidden]> wrote in message
    > news:[email hidden]...
    > > Hi every body , please only answer if you can help all you others


    [

    Quoted message said:
    Quoted message said:

    mahara

    Quoted message said:

    > > chung] go away . have just come home from 3 weeks in hospital was


    waiting

    Quoted message said:

    > > for results of angiogram dr.wanted to do a triple by-pass but


    because

    Quoted message said:
    Quoted message said:

    of

    Quoted message said:

    > > radiation treament to left breast through cancer the arteries in


    the

    Quoted message said:
    Quoted message said:

    chest

    Quoted message said:

    > > are damaged and they couldn't use them , so I have had the new


    Texus

    Quoted message said:
    Quoted message said:

    stent

    Quoted message said:

    > > in the left arterery which was 98% blocked and the texus stent and


    the

    Quoted message said:
    Quoted message said:

    old

    Quoted message said:

    > > stent in the main artery in front of heart 2 in all as artery was


    calcified

    Quoted message said:

    > > and started to break away , also have stent in right artery , so


    that

    Quoted message said:
    Quoted message said:

    gives

    Quoted message said:

    > > me 4 stents . I am a little worried with all this what are your


    thoughts on

    Quoted message said:

    > > so many stents , I thought you could only have 3 all up. Take Care


    Balsey

    Quoted message said:

    > >
    > >
    >
    > I think theoretically you can have as many stents as will fit.

    Correct.

    > You may have
    > been thinking about a reluctance to do 3 or more simultaneous


    angioplasties

    Quoted message said:

    > because of the high probability of restenosous. But with the new


    drug

    Quoted message said:
    Quoted message said:

    eluting

    Quoted message said:

    > stents that may even be going by the boards. However, so many stents


    indicates

    Quoted message said:

    > underlying problems causing these difficulties and that is likely to


    continue

    Quoted message said:

    > unless the underlying problems are dealt with. Also, I'm not sure


    what

    Quoted message said:
    Quoted message said:

    took 3

    Quoted message said:

    > weeks.

    Smells like a fake post. Even if the internal mammary artery in the
    left breast were unusable, the right one should be (not to mention the
    veins in the legs).

    > BTW though he certainly inflames passions on some subjects, I have


    found

    Quoted message said:
    Quoted message said:

    Dr.

    Quoted message said:

    > Chung's medical advice to be consistently sound.

    Thank you for writing truthfully :-)

    > Bill - not a Dr.

    Don't have to be a doctor to write truthfully. Perhaps the peanut
    gallery will learn (probably not).

    Humbly,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

  14. This info is true. My cardio would only put 1 medicated stent in. He
    said the community does not have enough info on what the med would do
    to a person. I take the med, Rapamune orally, to stop the growth of
    scar tissue inside my arteries and veins. nasty stuff so far
    but......I PRAY it works. Good luck. I have 8 stents, 7 reg and 1
    medicated.Please and thanx, Bogie

    Marc Schwartz <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:
    Herb said:

    Many people have more than 3 stents. I have 6.

    The problem is not that it cannot be done with drug eluting stents (DES),
    the problems are:

    1. The present Medicare reimbursement formula for the drug eluting stents
    is based upon the use of 1.5 stents per patient. That figure evolved out
    of the clinical trials where roughly 1.7 to 1.8 stents were used on
    average per patient. Thus, if you get one stent, the hospital makes a
    little money. If you get two or more stents, the hospital loses money.
    The loss increases as the number of stents goes up, because the
    reimbursement does not, it is fixed. The hospital essentially has to hope
    that there are enough 1 stent patients to make up for those who get two or
    more stents in order to "break even" financially. Under the current
    formula, high volume hospitals have projected loses in the millions of
    dollars until such time as competition drives down pricing. Keep in mind
    also that the use of DES is increasingly at the expense of doing more
    profitable CAB surgery, so the hospital loses financially on two levels as
    CAB volume declines.

    2. There is no substantive data at this point to understand what happens
    when patients get a high number of drug eluting stents with respect to the
    actual dosages of the drugs released by the stents. The trials
    demonstrated safety for the doses delivered by 1 and 2 stents. There is no
    hard data that I have seen yet published on potential drug related adverse
    events when multiple (>2) drug eluting stents are used. In fact, the
    present product labeling for the stents raises this issue as an unknown.

    3. In conjunction with number 2 above, there is no hard data yet with
    respect to what issues may arise when different drug eluting stents may be
    used in the same patient. In other words, what happens if you should get a
    Cypher stent (which uses sirolimus) and a Taxus stent (which uses
    paclitaxel) at the same time. The recent preliminary decision by the FDA
    to recommend the approval of the Taxus stent raised this issue, since
    Taxus will be the second approved DES on the market.

    4. There are general guidelines on the use of DES with respect to
    lesion length, vessel diameter, de novo (new) lesions, the location of the
    lesions and so forth. The use of DES will not be appropriate for all
    lesion types.

    The knowledge base on the use of DES is still evolving, both with respect
    to the trial data and with respect to the post market surveillance of
    general use outside of controlled trials.

    Hope that helps,

    Marc

  15. Balsey said:

    I really dont know why I bothered asking something of this group , tell me
    Dr. Chung where on earth did you get your information concerning my religion

    Don't take it personally. Chung is our resident paranoid, and sees
    anti christians everywhere. He gets information about your religion by
    making it up. When challenged, he says he "knows the truth." Logic or
    other information will not sway his beliefs, even when they are wrong.
    Only HE knows the truth. Just ask him. <grin>

    Please don't judge the group be the behavior of Chung.

    Quoted message said:

    no I am not anti christian but what has that got to do with me asking about
    my stents.

    Nothing, unless you're Chung.

    Quoted message said:

    I really didn't want to tell every body that I have had breast
    cancer in both breasts, as this is a cardiology group

    You really didn't have to do that. Chung asks many people to reveal
    very personal information, much of which, like your religion, is not
    relevant.

    Quoted message said:

    and the fact that I
    have been to hell in the last 2 years battling cancer and wondering when
    will I have another heart attack seems to be irrelevant to you all ,

    No it's not. Some of us truly care about our fellow humans. Chung
    claims very loudly that he cares, but in fact treats those who he does
    not like quite badly, as you are starting to learn from your
    interaction with him.

    Quoted message said:

    in the meantime thank
    you to those that have helped and I hope and pray that you or some-one close
    to you doesn't go through what I have .

    I would hope so too. I do hope things will get better for you.
    Matt

  16. "Balsey" <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:

    I really dont know why I bothered asking something of this group , tell me
    Dr. Chung where on earth did you get your information concerning my religion

    From Google:

    http://tinyurl.com/yg2s

    Quoted message said:

    no I am not anti christian but what has that got to do with me asking about
    my stents.

    It helps me understand your motive and bias. It also helps me
    understand why you did not want me to respond to your questions.

    Quoted message said:

    I really didn't want to tell every body that I have had breast
    cancer in both breasts,

    This is Usenet. You could always use an anonymous Usenet account if
    you value your privacy.

    Quoted message said:

    as this is a cardiology group and the fact that I
    have been to hell in the last 2 years battling cancer and wondering when
    will I have another heart attack seems to be irrelevant to you all ,

    Your emotions are understandable.

    Quoted message said:

    if
    there is anything else you would like to know just ask

    I have. For example, I did ask "Why are the leg veins unusable?"

    Quoted message said:

    in the meantime thank
    you to those that have helped and I hope and pray that you or some-one close
    to you doesn't go through what I have .

    What are your risk factors for having another heart attack?

    Humbly,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

    Quoted message said:

    Balsey Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote
    in message news:[email hidden]...

    Quoted message said:
    Balsey said:

    Sorry not a fake post if only it wasn't all true but i guess breast


    cancer

    Quoted message said:
    Quoted message said:

    in the right breast would put a stop to them using the artery in the


    right

    Quoted message said:
    Quoted message said:

    side also was told they couldnt use the veins in the leg .

    Why are the veins not usable?

    Quoted message said:

    Have had double
    mastecomy with radiation,

    You did not mention that in your original post. You only described a left
    masectomy and left breast XRT.

    Quoted message said:

    2 heart attacks 4 stents all true , that's why I
    asked for only those that could help me

    According to your Google history, you appear to have an anti-Christian


    bias. Is

    Quoted message said:

    this true?

    Quoted message said:

    Thank you Balsey

    You are welcome.

    Even if you are anti-Christian, I would still be inclined to try to help


    you.

    Quoted message said:

    However, the quality of that help will depend on your being forthcoming


    with the

    Quoted message said:

    pertinent issues in your condition.

    Humbly,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

    Quoted message said:

    "Dr. Andrew B.
    Chung, MD/PhD" <[email hidden]> wrote in message
    news:[email hidden]...
    > "Bill" <[email hidden]> wrote in message


    news:<[email hidden]>...

    Quoted message said:
    Quoted message said:

    > > "Balsey" <[email hidden]> wrote in message
    > > news:[email hidden]...
    > > > Hi every body , please only answer if you can help all you others


    [
    mahara

    Quoted message said:
    Quoted message said:

    > > > chung] go away . have just come home from 3 weeks in hospital was


    waiting

    Quoted message said:
    Quoted message said:

    > > > for results of angiogram dr.wanted to do a triple by-pass but


    because
    of

    Quoted message said:
    Quoted message said:

    > > > radiation treament to left breast through cancer the arteries in


    the
    chest

    Quoted message said:
    Quoted message said:

    > > > are damaged and they couldn't use them , so I have had the new


    Texus
    stent

    Quoted message said:
    Quoted message said:

    > > > in the left arterery which was 98% blocked and the texus stent and


    the
    old

    Quoted message said:
    Quoted message said:

    > > > stent in the main artery in front of heart 2 in all as artery was


    calcified

    Quoted message said:
    Quoted message said:

    > > > and started to break away , also have stent in right artery , so


    that
    gives

    Quoted message said:
    Quoted message said:

    > > > me 4 stents . I am a little worried with all this what are your


    thoughts on

    Quoted message said:
    Quoted message said:

    > > > so many stents , I thought you could only have 3 all up. Take Care


    Balsey

    Quoted message said:
    Quoted message said:

    > > >
    > > >
    > >
    > > I think theoretically you can have as many stents as will fit.
    >
    > Correct.
    >
    > > You may have
    > > been thinking about a reluctance to do 3 or more simultaneous


    angioplasties

    Quoted message said:
    Quoted message said:

    > > because of the high probability of restenosous. But with the new


    drug
    eluting

    Quoted message said:
    Quoted message said:

    > > stents that may even be going by the boards. However, so many stents


    indicates

    Quoted message said:
    Quoted message said:

    > > underlying problems causing these difficulties and that is likely to


    continue

    Quoted message said:
    Quoted message said:

    > > unless the underlying problems are dealt with. Also, I'm not sure


    what
    took 3

    Quoted message said:
    Quoted message said:

    > > weeks.
    >
    > Smells like a fake post. Even if the internal mammary artery in the
    > left breast were unusable, the right one should be (not to mention the
    > veins in the legs).
    >
    > > BTW though he certainly inflames passions on some subjects, I have


    found
    Dr.

    Quoted message said:
    Quoted message said:

    > > Chung's medical advice to be consistently sound.
    >
    > Thank you for writing truthfully :-)
    >
    > > Bill - not a Dr.
    >
    > Don't have to be a doctor to write truthfully. Perhaps the peanut
    > gallery will learn (probably not).
    >
    > Humbly,
    >
    > Andrew
    >
    > --
    > Dr. Andrew B. Chung, MD/PhD
    > Board-Certified Cardiologist
    > http://www.heartmdphd.com

  17. Quoted message said:
    Balsey said:

    I really dont know why I bothered asking something of this group , tell me
    Dr. Chung where on earth did you get your information concerning my religion

    <anti-christian hissing from the peanut gallery snipped>

    You'll know the truth when you die, neighbor.

    Humbly,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

  18. MD/PhD said:
    Quoted message said:
    Balsey said:

    I really dont know why I bothered asking something of this group , tell me
    Dr. Chung where on earth did you get your information concerning my religion

    <anti-christian hissing from the peanut gallery snipped>

    I'm a devout christian. Looks like you got two out of two wrong just
    in this one thread.

    Quoted message said:

    You'll know the truth when you die, neighbor.

    I know absolute truth, just as well as you do.

    Quoted message said:

    Humbly,

    Using some Chunglish here, no doubt. <grin>
    Matt

  19. Quoted message said:
    MD/PhD said:
    Quoted message said:

    On Tue, 09 Dec 2003 07:49:40 GMT, "Balsey" <[email hidden]> wrote:

    >I really dont know why I bothered asking something of this group , tell me
    >Dr. Chung where on earth did you get your information concerning my religion

    <anti-christian hissing from the peanut gallery snipped>

    I'm a devout christian.

    Would know it from your writings.

    Quoted message said:

    Looks like you got two out of two wrong just
    in this one thread.

    I write truthfully.

    Quoted message said:


    Quoted message said:

    You'll know the truth when you die, neighbor.

    I know absolute truth, just as well as you do.

    Have you accepted Christ into your heart as your Lord and Savior?

    Quoted message said:


    Quoted message said:

    Humbly,

    Using some Chunglish here, no doubt. <grin>
    Matt

    If you say so... it is your language.

    Humble servant of Christ,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

  20. MD/PhD said:
    Quoted message said:
    MD/PhD said:

    [email hidden] wrote:

    > On Tue, 09 Dec 2003 07:49:40 GMT, "Balsey" <[email hidden]> wrote:
    >
    > >I really dont know why I bothered asking something of this group , tell me
    > >Dr. Chung where on earth did you get your information concerning my religion
    >
    > <anti-christian hissing from the peanut gallery snipped>

    I'm a devout christian.

    Would know it from your writings.

    Good. I'm glad you agree that I'm a devout christian. "I'm a devout
    christian." WAS my writing.

    Quoted message said:
    Quoted message said:

    Looks like you got two out of two wrong just
    in this one thread.

    I write truthfully.

    So do I. I know absolute truth, just as well as you do.

    Quoted message said:
    Quoted message said:
    Quoted message said:

    You'll know the truth when you die, neighbor.

    I know absolute truth, just as well as you do.

    Have you accepted Christ into your heart as your Lord and Savior?

    I'm a devout christian. Going beyond that is off topic for this group.
    I will NOT feed your troll on this.

    Quoted message said:
    Quoted message said:
    Quoted message said:

    Humbly,

    Using some Chunglish here, no doubt. <grin>
    Matt

    If you say so...

    Good. I'm glad you agree that it's Chunglish.
    Matt

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