Who Is Your Favorite Cardiologist?

Guest Post by Willis Eschenbach

Well, it’s been a most unusual week on my planet. On Tuesday, I went to my doctor about some recurring chest pain I’d been having. He gave me an EKG and a complete physical. He told me that there had been some changes since my last EKG (in 1985), and then asked me something I greatly hope that not one of you ever gets asked. He asked me, who was my favorite cardiologist?

Pills

I allowed as how I didn’t know one cardiologist, and I’d never given the question a moment’s thought.

So I said that my father-in-law, who is 85, had a cardiologist I’d never met. I’d take his. My doc said go. That was Tuesday

Early Wednesday morning, I found myself in the cardiologist’s office. He turned out to be like my doctor, warm and informative. His assistant hooked me up to another more complex EKG machine. Then they gave me an “echocardiogram”, that was fascinating. I could see my heart beating, and watch the valves open and close … astounding.

However, when the cardiologist read the EKG and echocardiogram charts, he told me that I’d suffered a heart attack. He said it was an inferior myocardial infarction. Inferior? Really? I have a heart attack, and it’s second-rate?

He made an appointment with the surgeons for the next morning. He said said they would thread a tube through my veins into my heart, release some dye, and take pictures to see exactly what was going on. 

But there was more. He said they did the whole thing in one go—after the dye test, if the plumbing was clogged, they’d likely put in a stent.

stent insertion

Diagram Source

He also said that if it was really bad, they’d cut me open right there and and do bypass surgery … dangalang, that’s not the kind of thing a man wants to hear, and certainly not before 10 AM. He gave me some nitroglycerine pills to take home with me … that was Wednesday.

Thursday I checked in to the cardio unit at the local hospital, accompanied as usual by my gorgeous ex-fiancee, who is a Family Nurse Practitioner and my main medical squeeze. First thing, they shucked me out of my clothes and had me put on one of those hospital gowns, the kind I call “fundamentally drafty” because the draft is on … anyhow, the nurse was asking me all these questions and came to “Are you taking any medications on a regular basis?” I said no … she said “Really? We hardly ever see anyone in here who isn’t taking some regular medication”. 

“Not me,” sez I, “not even aspirin.”

She looked at me with a wry smile and said matter-of-factly “Well … that’s over.” 

Dang.

The surgeon came in, again a warm and encouraging man. He said if they could put the catheter in through my arm and I had to get a stent, I could go home that day. But if they went in through the groin, I’d have to stay overnight.

“OK,” I said, I was only a pawn in the game at that point.

So they took me away to the Operating Room, and I woke up with a stent in my heart. They put it in through the arm, so that same day I came home. That was Thursday.

The whole crazy sequence of events has been relatively painless, except for my arm where they put in the catheter. That still aches, but that’s minor. And I’m enjoined from pounding nails or lifing anything heavy or doing anything strenuous for a week.

So no condolences or the like are necessary. I count myself among the most fortunate of men. Heck, since I can’t work at house building, I’m free to do more research and writing, what’s not to like? …

What do I take from all of this?

Well, it sure was great to wake up after going under. And it is always good to be reminded of my mortality. It let me know that I need to keep the pedal pressed firmly to the floorboard, and that I need to produce during my days, for the night is assuredly headed my way, wherein no man can produce …

Finally, it is very strange to think that I have a piece of metal mesh in my heart … first step to being a cyborg?

I go back to see my new favorite cardiologist on Friday.

My best to everyone,

w.

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theBuckWheat
November 11, 2013 6:51 am

Back when everyone was healthy because the sustainable agriculture of the day was growing only organic food, you would be soon dead.

Andy Wehrle
November 11, 2013 7:00 am

Hang in there.

beng
November 11, 2013 7:09 am

Glad you’re OK, Willis.

Tom J
November 11, 2013 7:09 am

Despite the attitude so many people like to take in relationship to ourselves I suspect that Nature is quite satisfied in the experiment it conducted when it created humanity. What other reason could there be that we still persist as a life form on this planet in this magnificent universe. I guess the measure of our lives is in what we do to further and improve this experiment for others. Mr. Eschenbach, I suspect your measure is quite long.
Best wishes, Thomas Judd

robinedwards36
November 11, 2013 7:14 am

Like everyone else here I am concerned for you, Willis, but I note a very strong thread of optimism about the future. I’d expect nothing else, of course. All the very best for the future, and please keep us posted.
Can’t agree wholeheartedly with the great majority opinion in the thread regarding carbohydrates. I’ve not had a heart attack, but I have atrial fibrillation, starting about 18 years ago, and a leaky mitral valve. Cardioversion zapped the fibrillation, but I have to take a drug to prevent recurrence, and it seems to work perfectly for me so far. Mandatory aspirin (low dose) too, and the fashionable simvastatin, which has no side effects that I’ve noticed. So, people are different. Also I have a diet high in carbohydrates – loads of bread, delicious, home made using a machine, and a quite low saturated fats intake, no caffein, really modest alcohol, and also loads of veg and salads and fruit. and very little red meat. I don’t want to change, either! But then, I’m only 85, so may become wiser in due course.
Meanwhile, take care, and keep writing.

Steve Keohane
November 11, 2013 7:55 am

Dennis Hand says:November 10, 2013 at 7:37 pm
Thanks for your post regarding the chelation therapy. While I was not looking for that, per se,
rather, I was looking for arterial calcium removal. A slight murmur showed up in a heart valve, and looking at the electro-cardio results and the little ring of calcium on the valve, I commented, couldn’t we just lower the Ph temporarily and dissolve it?
Thanks again for WUWT, it is a wealth of resource.

Richard111
November 11, 2013 7:57 am

I was born in 1940 and am bitching about arthritis is my knees!!! Guess I’m a lucky one.
Good luck, Willis.

DirkH
November 11, 2013 8:06 am

metamars says:
November 11, 2013 at 2:20 am
“Definitely check out chelation. Also, pomegranate juice has been shown to do wonders, at least for carotid arteries. ”
Interesting to hear, thanks. Eating them regularly, but didn’t know that effect.

john another
November 11, 2013 8:09 am

Welcome to da club Willis.
Please do get religious about the statins and a good Plavix-like med for a year. Even coated stents can plug up pretty quick, but I’m sure they have gone over that with you.
Mine was referred pain in the throat. But then my wiring has never been quite right. I went through 4 docs and two months of living hell before I got a proper diagnosis.

Bob Johnston
November 11, 2013 8:26 am

I’m sorry if I’m coming off as overly passionate on this topic and promoting someone else’s blog is not my goal but Dr. Mike Eades has a new post up today that is definitely on topic with some of the items discussed in this comment section: poor medical advice based upon bad science. If you take the time to watch the video of Dr. Eades being interviewed for a recent Australian program on heart disease, see if you’re as struck by the similarities in the science behind heart disease and the science behind CAGW.
http://www.proteinpower.com/drmike/lipid-hypothesis/cholesterol-heart-disease-science/?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+drmikenutritionblog+%28The+Blog+of+Michael+R.+Eades%2C+M.D.%29

November 11, 2013 9:09 am

Hello Willis,
Hope you are coming along well.
Today is Veteran’s day in the USA and Remembrance Day in the United Kingdom and the British Commonwealth. This day is also celebrated in France, Belgium and Poland.
I suppose I am OT, but not really.
I have a great-uncle born in rural Ontario who is buried in France, who enlisted at the outset of WW1 and survived almost the entire war, but was killed in battle in the last six weeks of the conflict. I also have an uncle who was the only surviving officer of the Essex Scottish at Dieppe in WW2 – actually he was seconded to the Essex and was from another regiment, and I believe that all the other officers in his group were killed on that fire-swept Dieppe beach. My uncle picked up the ten living men of the 120 who landed, loaded them into a rowboat, and swan them out to sea – I believe they were the only survivors of the 120.
When these true patriots fought, bled and died for us they did not do so to enable the current crop of scoundrels and imbeciles to rule over us and to impose their imbecilic whims upon us.
These patriots were honorable, intelligent men with strong convictions. They would be outraged at the fraudulent nonsense we see today, as our foolish governments squander scarce global resources to “fight global warming” in a cooling world, in order to placate false “watermelon” environmentalists and fellow-travellers.
I leave you with a poem written by Lt Col. Dr. John McCrae, M.D., who also died during WW1 on January 28, 1918.
Best, Allan
In Flanders Fields
In Flanders fields the poppies blow
Between the crosses, row on row,
That mark our place; and in the sky
The larks, still bravely singing, fly
Scarce heard amid the guns below.
We are the Dead. Short days ago
We lived, felt dawn, saw sunset glow,
Loved and were loved, and now we lie
In Flanders fields.
Take up our quarrel with the foe:
To you from failing hands we throw
The torch; be yours to hold it high.
If ye break faith with us who die
We shall not sleep, though poppies grow
In Flanders fields.
– John McCrae, written near Ypres, Belgium on May 3, 1915

November 11, 2013 9:26 am

Get well soon Willis, we are looking forward to read more of your stories.

alacran
November 11, 2013 9:26 am

Hi Willis,
I was born in 1947,got my stent in 2004 after a coronary artery occlusion ,had Plavix for half a year, from then 100mg Aspirin p.d..I have had no problems since then though I am still working hard and have to at least 3 years! Instead of statins ( caused muscle pain) and Beta-blockers ( caused Hypotension ), I prefer a teaspoon of Blueberry jam, a small glass of Pomegranate juice and a spoonfull Linseed Oil a day! Don’t worry, be happy and keep writing! I’m looking forward to read much more of yours!
Good luck!

William Astley
November 11, 2013 9:32 am

There is 20 years of research (hundreds of peer reviewed papers and clinical studies) that supports the assertion that roughly 80% of Western diseases including atherosclerosis, breast cancer, prostate cancer, diabetes type 1 and 2, arthritis, and so on are due to diet. Collin Campbell and John McDougall are two of the pioneers in the field of stopping disease by changing diet.
Collin Campbell was the director the largest and longest dietary study into the connection between disease and diet ever done; the China Cornell Oxford project that examined the diets, lifestyle and disease characteristics of 6,500 people in 65 rural Chinese counties, comparing the prevalence of disease characteristics for more than twenty years. The study included blood work so it was possible to monitor the change of people’s health with time. Campbell has written a book the ‘China Study’ that summarize the China study results and other research to support that assertion that 80% of Western diseases are due to diet.
McDougall’s books include a summary of the research (hundreds of peer reviewed papers) and explains the mechanisms in detailed to explain why the Western diet causes diseases. McDougall has successfully treated 1000s of people who have varies degrees of Western diseases by changing their diet.
The movie “Forks over Knifes”explains some of the concepts and issues.
http://en.wikipedia.org/wiki/The_China_Study
http://en.wikipedia.org/wiki/T._Colin_Campbell
http://en.wikipedia.org/wiki/John_A._McDougall
http://en.wikipedia.org/wiki/Forks_over_Knives
http://www.telegraph.co.uk/news/worldnews/northamerica/usa/8038801/Bill-Clintons-new-diet-nothing-but-beans-vegetables-and-fruit-to-combat-heart-disease.html
http://web.archive.org/web/20090223222003/http://www.nutrition.cornell.edu/ChinaProject/
http://en.wikipedia.org/wiki/China%E2%80%93Cornell%E2%80%93Oxford_Project

Ken Cole
November 11, 2013 9:43 am

Take all the spare parts offered to you Willis. I have 2 replacement hips, two replacement knees, plus a pacemaker and at 90 years of age I am very glad to have them all.
Wishing you we’ll. we need yor good humour.

richardscourtney
November 11, 2013 9:44 am

Allan MacRae:
re your post at November 11, 2013 at 9:09 am.
Yes, I agree that today being Remembrance Day is pertinent to this thread: they died that we may live.
You mention that your uncle was one of the few who survived the Dieppe Raid. The heroes of the Dieppe Raid left from here in Falmouth, and they must have known few of them would return from the raid. The dock they left from has a memorial and its surface is inlaid with bronze plates engraved with statements about those who were awarded VCs and with quotations from others involved in the raid. It is a moving experience to walk over the dock and to read the engravings. One quotation is a comment of the Captain of the Essex: upon his having managed the astonishing task of ramming the ship onto the lock gates he then said he was “4 minutes late” according to the schedule. The heroes of Dieppe demonstrated by their sacrifice that it was not possible to capture and to hold an enemy harbour so a portable harbour would need to be invented and transported to Normandy if the D-Day landings were to be a success. The heroes of the Dieppe Raid sacrificed themselves so the losses of the D-day battles would be reduced by thousands: you are truly honoured to be related to one of them.
Similarly, we are honoured to be acquainted with those who fight to overcome life-threatening illnesses.
Richard

Sigmundb
November 11, 2013 9:51 am

Have a good recovery. If you have some downs after this untimely reminder of your mortality just remember that getting older isn’t all fun but a lot better than the alternative. 🙂
Looking forward to see you back on WUWT!

November 11, 2013 10:15 am

One good thing about being old and retired is that I have time to follow the writings of thinkers like you. So hang in there, Willis – you are an essential part of my continuing education.

James at 48
November 11, 2013 10:20 am

Plumbing in the nether regions is now having the usual and customary issues, hoping that’s all in that department and not anything worse. Other typical issues, touch wood, have not yet started up. But based on DNA I’m a walking time bomb. Every day is a gift and I am only around the half century point, hoping to reach 60. Everything after that would be a double bonus.

Wyguy
November 11, 2013 10:25 am

Stay well Willis, had my balloon job 20 years ago, no stent, still kicking, so I know you’ll be just fine.

HorshamBren
November 11, 2013 10:33 am

You take care now, Willis !
Best wishes

RoyMc
November 11, 2013 10:51 am

Willis, I wish you a speedy recovery.
A little while ago I had the pleasure of listening to Dean Kamen give a talk ( http://www.dekaresearch.com/founder.shtml ). Amongst other things he was relating his role in the development of the stent. The engineering challenges in getting the right alloy, shape, surface finishing and heat treatment so that its flexible going in, then work hardens as the balloon expands it were remarkable.
He’s now working on another issue close to your heart (ahem) of how to bring reliable electricity and water purification to off grid villages.

November 11, 2013 10:53 am

Glucose spikes in the arteries are deadly. The resulting inflammation being the cause of plaque.
Must see:
Sugar, the Bitter Truth

http://www.thincs.org
98 Year Old Lipid Researcher Reports that Cholesterol is Good for your Heart
http://healthimpactnews.com/2013/98-year-old-lipid-researcher-reports-that-cholesterol-is-good-for-your-heart/
See also:
http://alethonews.wordpress.com/2013/03/02/the-great-cholesterol-con/

Robin Hewitt
November 11, 2013 11:00 am

Sounds like we forget to warn you about English food before your recent trip.
oops!

666timerw
November 11, 2013 11:13 am

Seriously skeptical treatment of the statin craze:
http://people.csail.mit.edu/seneff/why_statins_dont_really_work.html