Should I go with the second opinion

Posted by winproc @winproc, May 6 6:07am

I have been diagnosed with severe ostial LAD desease and was having an angiogram with a view to fitting stent(s) Following the procedure my cardiologist told me NONE were fitted. Last June I was told I was "Too bad for stents" I was told i was to stay on medication untill the angina pains became more severe and would then be given a bye pass surgery. After being advised to seek a second opinion ,with 9 months gone by and nearing my 80th birthday, I have had a second opinion and been told by another recommended cardiologist.
I have examined all your scans etc. everything is in good order except the LAD. Have the bye pass operation NOW before your health and age catch up. Shall I take his advice and offer of an operation at the foremost hospital in the country.

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Well, it seems like both doctors think you need or will need the by-pass surgery. Given that, I would do it do now rather than later. You may not be able to withstand the surgery if you wait.

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Time and deterioration are not going to be in your back pocket on this one. I feel the opinion saying to undergo the procedure now, while you may be in the best position you'll ever be, the most robust and capable of rehab working for you, is the most reasonable one. You'll just continue to decline just on the basis of the passing months, let alone anything else lurking that you don't know about. Why not jump at the best opportunity you may ever have?

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Profile picture for gloaming @gloaming

Time and deterioration are not going to be in your back pocket on this one. I feel the opinion saying to undergo the procedure now, while you may be in the best position you'll ever be, the most robust and capable of rehab working for you, is the most reasonable one. You'll just continue to decline just on the basis of the passing months, let alone anything else lurking that you don't know about. Why not jump at the best opportunity you may ever have?

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@gloaming Many thanks for your confidence promoting reply.
I am just a little frightened of this, I think the most serious of procedures and needed some back up that it is the best way to grasp the nettle now.

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Profile picture for winproc @winproc

@gloaming Many thanks for your confidence promoting reply.
I am just a little frightened of this, I think the most serious of procedures and needed some back up that it is the best way to grasp the nettle now.

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@winproc it is scary, but the alternatives could be even more scary…it is a deeply personal decision…wishing you the best !

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Profile picture for winproc @winproc

@gloaming Many thanks for your confidence promoting reply.
I am just a little frightened of this, I think the most serious of procedures and needed some back up that it is the best way to grasp the nettle now.

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@winproc
Both my mother and father had bypass surgery in their 80s. Both lived much better lives into their mid-90s. Dad went at 95, mom at 93. Do it now while you are as young as you are going to get :).
All the best!

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Many thanks for this reply which has made my day.
I am now going into this with the knowledge that my 80th is not the problem I had been anticipating.
Very Best Wishes

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Profile picture for nycmusic @nycmusic

@winproc it is scary, but the alternatives could be even more scary…it is a deeply personal decision…wishing you the best !

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@nycmusic Many Thanks for your reply and concern.

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I would seek by-pass surgery at THE BEST facility, even if you have to travel, and with THE BEST cardiac surgeon! LAD is nothing to play around with and there is no advantage to waiting. I would go for it. Best of luck! And certainly let us know how you are after your surgery.

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Many thanks for your encouraging reply. My second opinion cardiologist who, on second appointment, virtually forced me into a decision there and then, has now organised an appointment at the best regarded facility in the UK.
Now also an appointment with its clinical lead surgeon with the intention of an early bye pass operation.
I am very glad I listened to the advice about going the second opinion route, after being happy to accept the comtinued medication situation I have been on for the last year, since the severe ostial LAD was diagnosed.
I will be happy to reply after surgery.
Best Regards

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