Comments on: http://www.kevinmd.com/blog/2006/02/first-doctor-who-treated-cheney.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2006/02/first-doctor-who-treated-cheney.html#comment-59360 Anonymous Thu, 16 Feb 2006 02:31:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20044.html#comment-59360 flea,<br/><br/>From just what I have heard on the radio, I don't know the specifics or if he really had a heart attack. I have seen cases where buckshot has been able to enter the venous system and embolized at a later time. Theoretically, if there was a patent foramen ovale it can enter the left side and embolize to a coronary artery?? flea,

From just what I have heard on the radio, I don’t know the specifics or if he really had a heart attack. I have seen cases where buckshot has been able to enter the venous system and embolized at a later time. Theoretically, if there was a patent foramen ovale it can enter the left side and embolize to a coronary artery??

]]> By: SarahWhttp://www.kevinmd.com/blog/2006/02/first-doctor-who-treated-cheney.html#comment-59325 SarahW Wed, 15 Feb 2006 21:39:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20044.html#comment-59325 Anonymous, apparently they did all those things. They said the metallic BB, however, causes an image artifact which prevents it's precise localization. Anonymous, apparently they did all those things. They said the metallic BB, however, causes an image artifact which prevents it’s precise localization.

]]> By: SarahWhttp://www.kevinmd.com/blog/2006/02/first-doctor-who-treated-cheney.html#comment-59324 SarahW Wed, 15 Feb 2006 21:37:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20044.html#comment-59324 Flea, my understanding is that the foreign body irritated the tissue and caused atrial fibrillation. Flea, my understanding is that the foreign body irritated the tissue and caused atrial fibrillation.

]]> By: Fleahttp://www.kevinmd.com/blog/2006/02/first-doctor-who-treated-cheney.html#comment-59319 Flea Wed, 15 Feb 2006 20:37:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20044.html#comment-59319 I'm just a stupid pediatrician, so could one of you smart guys out there explain to me how a piece of buckshot that "migrates to the heart" causes a heart attack?<br/><br/>It's not DM to do a thorough survey on a 78 -year old who's just been shot.<br/><br/>Flea I’m just a stupid pediatrician, so could one of you smart guys out there explain to me how a piece of buckshot that “migrates to the heart” causes a heart attack?

It’s not DM to do a thorough survey on a 78 -year old who’s just been shot.

Flea

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/02/first-doctor-who-treated-cheney.html#comment-59309 Anonymous Wed, 15 Feb 2006 18:13:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20044.html#comment-59309 I would probably have ordered a CT of head , neck, chest, abdomen and pelvis and this would have taken only a few minutes. Had this been done, they would have realized that there is a pellet in his heart that resulted in a "minor heart attack". Not that it would have changed the outcome. One more good reason to practice defensive medicine. I would probably have ordered a CT of head , neck, chest, abdomen and pelvis and this would have taken only a few minutes. Had this been done, they would have realized that there is a pellet in his heart that resulted in a “minor heart attack”. Not that it would have changed the outcome. One more good reason to practice defensive medicine.

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