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Old March 18th, 2013 #3521
Donald E. Pauly
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Angry Read the Thread for the First Time

Quote:
Originally Posted by Bev View Post
For the newbies and Donald who is frantically trying to ignore the medical, well documented facts: umphead self repairs within six weeks of onset. *If* Steele did this, then it was not due to pumphead because the gap in between the heart surgery and the crime is too long, so "repairing" his brain is futile. There is nothing wrong with his brain as evidenced by the video taken post-arrest.

Why don't you explain what your "consulting experience" is, instead of trying to pass yourself off as Magdi Yacoub?
I have posted my experience at least twice before. Read the thread and you will learn. My heart surgery experience as a video consultant is irrelevant. All that did was make me aware that the heart lung machine could do brain damage.

I found on line that the incidence of brain damage was FAR more severe than I had realized. Heart surgeons don't want to talk about it. These days stents are used where possible for blocked coronary arteries to avoid surgery and the associated brain damage. That was impossible in Steele's case. His surgery was a hundred times more dangerous than ordinary coronary bypass surgery.
 
Old March 18th, 2013 #3522
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Quote:
Originally Posted by Donald E. Pauly View Post
I have posted my experience at least twice before. Read the thread and you will learn.
I think I might have mentioned that I have read the thread. If not, it should be obvious from my quoting and making salient replies.
Quote:
My heart surgery experience as a video consultant is irrelevant.
Thank you. Just didn't want newbies thinking you were actually a heart surgeon and had anything resembling credibility in this matter.

Quote:
I found on line that the incidence of brain damage was FAR more severe than I had realized. Heart surgeons don't want to talk about it.
Wrong. It's a million to one chance that if it occurs, repairs itself within weeks.


Quote:
These days stents are used where possible for blocked coronary arteries to avoid surgery and the associated brain damage.
Wrong again. They're actually using little sieve devices.

Quote:
Once inserted into the inferior vena cava - the wire mesh or cage is inflated and acts to catch any clots before they travel to the lungs.



http://www.dailymail.co.uk/health/ar...s-surgery.html

Huh? The lungs? It's the lungs that are affected by blood clots after surgery? And they cause death?

Oh my. Our cameraman has assured us that they go to the brain and cause homicidal urges!




Quote:
That was impossible in Steele's case. His surgery was a hundred times more dangerous than ordinary coronary bypass surgery.
Surgery, yes. Impossible internet "invented" diagnoses, no.
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Old March 18th, 2013 #3523
Donald E. Pauly
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Angry Ignorance in Spades

Quote:
Originally Posted by Bev View Post
I think I might have mentioned that I have read the thread. If not, it should be obvious from my quoting and making salient replies.

Thank you. Just didn't want newbies thinking you were actually a heart surgeon and had anything resembling credibility in this matter.

Wrong. It's a million to one chance that if it occurs, repairs itself within weeks.

Wrong again. They're actually using little sieve devices.

http://www.dailymail.co.uk/health/ar...s-surgery.html

Huh? The lungs? It's the lungs that are affected by blood clots after surgery? And they cause death?

Oh my. Our cameraman has assured us that they go to the brain and cause homicidal urges!

Surgery, yes. Impossible internet "invented" diagnoses, no.
You don't even understand the circulation of the blood. It was discovered by your countryman Harvey nearly 400 years ago. This is the second time that I have had to tell you this. Had you read the thread you would know. Blood clots from aorta surgery travel to the brain not the lungs. I have attended a live coronary artery bypass and run video on dozens. I don't have time to write a description of heart surgery and haven't found one short enough to post here.

All open heart surgery requires stopping the heart and using a heart lung machine. That requires two of the four major blood vessels of the heart to be connected thru tubes to the machine. Piercing the aorta causes microscopic particles and debris from the wall to enter the blood flow. Some of these inevitably wind up in the brain and cause microscopic strokes. Their number and seriousness is highly variable. Those that go to the other parts of the body usually cause no trouble. You can lose a few muscle cells caused by a microscopic blood clot and never know it.

Where possible these days, stents are inserted in blocked coronary arteries to widen the blockage site. This is done thru a long catheter from a femoral artery and does not require the chest to be split and the heart stopped. One of my former co-workers at a TV station had this done last November and described it in detail to me. They use shape shifting titanium alloys which expand when heated by the blood. He had only one stent installed.

Quote:
http://en.wikipedia.org/wiki/Heart_lung_machine
.......
cardiopulmonary bypass

Complications

CPB is not benign and there are a number of associated problems:

Postperfusion syndrome (also known as Pumphead)

Hemolysis

Capillary leak syndrome

Clotting of blood in the circuit – can block the circuit (particularly the oxygenator) or send a clot into the patient.

Air embolism

Leakage – a patient can rapidly exsanguinate (lose blood perfusion of tissues) if a line becomes disconnected.

1.5% of patients that undergo CPB are at risk of developing Acute Respiratory Distress Syndrome.

As a consequence, CPB is only used during the several hours a cardiac surgery may take. Most oxygenators come with a manufacturer's recommendation that they are only used for a maximum of 6 hours, although they are sometimes used for up to 10 hours, with care being taken to ensure they do not clot off and stop working. For longer periods than this, an ECMO (extra-corporeal membrane oxygenation) or VAD (ventricular assist device) circuit is used, which can be in operation for up to 31 days – such as in this Taiwanese case, for 16 days, after which the patient received a heart transplant.[7]

CPB may contribute to immediate cognitive decline. The heart-lung blood circulation system and the connection surgery itself release a variety of debris into the bloodstream, including bits of blood cells, tubing, and plaque. For example, when surgeons clamp and connect the aorta to tubing, resulting emboli may block blood flow and cause mini strokes. Other heart surgery factors related to mental damage may be events of hypoxia, high or low body temperature, abnormal blood pressure, irregular heart rhythms, and fever after surgery

Last edited by Donald E. Pauly; March 18th, 2013 at 11:23 PM. Reason: typo
 
Old March 19th, 2013 #3524
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Quote:
Originally Posted by Donald E. Pauly View Post
You don't even understand the circulation of the blood. It was discovered by your countryman Harvey nearly 400 years ago. This is the second time that I have had to tell you this. Had you read the thread you would know.
I read as far as the first lie and couldn't be arsed to read the rest of your fantasy - once deliberate one lie has been spotted, it colours everything else. I did see you try to claim I had got it wrong about the new method of clot prevention, but I don't really count that as a lie. One can't expect cameramen to know anything about heart surgery and especially modern advances in it.
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Old March 19th, 2013 #3525
Donald E. Pauly
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Angry Hilarious So Called Medical Expert

You are a hoot. The pulmonary artery carries deoxygenated blood from the heart to the lungs. The aorta does NOT carry blood to the stomach first. This is almost no blood going to the stomach. Clots in the aorta go to the brain 25% of the time. You can't bust clots once the vessel is totally obstructed.

Quote:
Originally Posted by Bev View Post
Of course it's not beyond argument! I and several others (like heart surgeons in those medical sources) are arguing it.
.......
Now, unless he held his breath for those 15 minutes (which I very much doubt) his brain was fully oxygenated from the start. Yes? No mention of the pulmonary artery which carries O2 round the body being ruptured so there was oxygen in his blood.

He was seated with his heart blowing blood through the aorta. I don't know if you know what the aorta does but it carries blood from the heart and down to the stomach before pumping it round the body. So let's just assume that for those 15 minutes, he didn't sit there doing some kind of merry jig but instead remained still, with no movement.

With a hole in the main pipe from the heart and Steele sat as still as a statue, there ain't no clot fragments being forced up to the brain.

Once the med staff got hold of him, he would have been given, if deemed necessary, anticoag therapy to disperse any clots.
For the third time, You need to learn how the blood circulates.
Quote:
Originally Posted by Donald E. Pauly View Post
I hate to tell you this but your countryman discovered the circulation of the blood in 1628. See http://en.wikipedia.org/wiki/William_Harvey . You clearly haven't gotten the word. Here in the colonies we learn this at the age of 12 in 6th grade. This is an adult forum. You should be posting in the kiddie section of Stormfront.
You are the one telling all of the lies. I don't think that you can be this stupid. You are deliberately disrupting this thread.

Last edited by Donald E. Pauly; March 19th, 2013 at 10:56 AM. Reason: typo
 
Old March 19th, 2013 #3526
Donald E. Pauly
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Angry Expert on Pumphead

Since Bev has not read the thread, I repost for the second time an expert on this subject. Fred's surgery was 100 times less likely to cause brain damage and strokes than Steele's but even he was badly affected.

Quote:
Originally Posted by Fred View Post

February 20th, 2011 #1353
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I had some heart surgery last year. I even died briefly. Most of my friends and business associates have said the same thing to me. That I have changed. My memory is mot nearly as it was. I have trouble solving problems with my work. I still get them solved it just seems to take me much longer. I don't feel the same.

My surgery was quite minor compared to Edgars.
 
Old March 19th, 2013 #3527
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Quote:
Originally Posted by Donald E. Pauly View Post
You are a hoot. The pulmonary artery carries deoxygenated blood from the heart to the lungs. The aorta does NOT carry blood to the stomach first. This is almost no blood going to the stomach. Clots in the aorta go to the brain 25% of the time. You can't bust clots once the vessel is totally obstructed.



For the third time, You need to learn how the blood circulates.

You are the one telling all of the lies. I don't think that you can be this stupid. You are deliberately disrupting this thread.
Why don't you go and find the post where I apparently DID say it leads to the stomach instead of repeatedly and blatantly lying?
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Old March 19th, 2013 #3528
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Quote:
Originally Posted by Donald E. Pauly View Post
Since Bev has not read the thread, I repost for the second time an expert on this subject. Fred's surgery was 100 times less likely to cause brain damage and strokes than Steele's but even he was badly affected.
I have a little secret. I wasn't planning telling anybody - but what the hell. Now is the right time.

I have read the thread.

But you know that, don't you? Just another excuse to lie and try to make people discount the evidence I have provided.

How long did Fred get for his mass murder plot? That is one thread I confess I didn't read.
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Old March 19th, 2013 #3529
Donald E. Pauly
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Angry Read the Current Page

We are supposed to believe that you are an authority on brain damage when you think that the blood from the aorta goes to the stomach first. This is the second quote from you on this subject on this page.

Quote:
Originally Posted by Bev View Post
Why don't you go and find the post where I apparently DID say it leads to the stomach instead of repeatedly and blatantly lying?
Quote:
Originally Posted by Bev View Post
.......
He was seated with his heart blowing blood through the aorta. I don't know if you know what the aorta does but it carries blood from the heart and down to the stomach before pumping it round the body.
.....
 
Old March 19th, 2013 #3530
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Quote:
Originally Posted by Donald E. Pauly View Post
We are supposed to believe that you are an authority on brain damage when you think that the blood from the aorta goes to the stomach first. This is the second quote from you on this subject on this page.
So you were lying when you claimed I said that! As anyone reading that quote and the subsequent post from me can see:

Quote:
down to the stomach and then off round the body, carrying oxygen as it goes
clearly shows that I did not state the aorta connected to the stomach but that it points down toward the stomach. So where would the blood leaking from the aorta have gone, kiddies? Up to the brain or down to the stomach?

I am no authority on brain damage any more than you are, which I why I relied on the testimony of experts who all state that pumphead is a million to one occurrence and self=repairs within six weeks. You just can't explain that, can you? It doesn't fit your demonstrable twisted agenda.

Your partner in slime even admitted he invented the diagnosis! Would either or both of you be saying it if Steel was out of prison and able to slam your asses in court for this sustained and vicious slime campaign? WTF did the family ever do to you?
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Old March 19th, 2013 #3531
Donald E. Pauly
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Smile Bev's Curious Beliefs on Blood Circulation

Bev fancies herself an expert on heart surgery induced stroke damage but she has some very curious beliefs on blood circulation. She thinks that the pulmonary artery carries oxygen around the body. She also believes that the aorta carries blood to the stomach first and then around to the rest of the body. She clearly is a specialist in heart surgery in disguise.

Quote:
Originally Posted by Bev View Post
.......
No mention of the pulmonary artery which carries O2 round the body being ruptured so there was oxygen in his blood.
.......
I don't know if you know what the aorta does but it carries blood from the heart and down to the stomach before pumping it round the body.
.......
It seems to me that this is proof that Bev is NOT a Jewish Princess. No Jewish Princess can possibly be this dumb.

Last edited by Donald E. Pauly; March 19th, 2013 at 08:36 PM. Reason: typo
 
Old March 19th, 2013 #3532
Donald E. Pauly
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Smile Fred Had a Tiny Dose

Quote:
Originally Posted by Bev View Post
I have a little secret. I wasn't planning telling anybody - but what the hell. Now is the right time.

I have read the thread.

But you know that, don't you? Just another excuse to lie and try to make people discount the evidence I have provided.

How long did Fred get for his mass murder plot? That is one thread I confess I didn't read.
Multiply Fred's dose by 100 and you will have another Jack the Ripper as you would understand it. Steele may have gotten a 1,000 to 1 dose.

Last edited by Donald E. Pauly; March 19th, 2013 at 01:15 PM. Reason: typo
 
Old March 19th, 2013 #3533
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Quote:
Originally Posted by Donald E. Pauly View Post
Bev fancies herself an expert on heart surgery induced stroke damage but she has some very curious beliefs on blood circulation. She thinks that the pulmonary artery carries oxygen around the body.

The artery carries de-oxygenated blood - it's the vein that carries oxygenated blood.

Quote:
She also believes that the aorta carries blood to the stomach first and then around to the rest of the body.

Lying a-f*cking-gain. I did NOT say that. The aorta is angled - pointed - directioned DOWN TOWARDS the stomach you lying, spinning twat.

Quote:
The aorta (pron.: /eɪˈɔrtə/; from Greek ἀορτή - aortē, from ἀείρω - aeirō "I lift, raise")[1] is the largest artery in the body, originating from the left ventricle of the heart and extending down to the abdomen
Aorta Aorta

The significance? The location of any blood and clots from it leaking. Hint: D-O-W-N. Not up.



Quote:
She clearly is a specialist in heart surgery in disguise.
No, but I have the ability to read and make a dispassionate judgment based on medical evidence, not on a lying twisted agenda set by ?? and carried out by you on an admitted "invented" diagnosis.

Pumphead clears itself up within six weeks.
Pumphead clears itself up within six weeks.
Pumphead clears itself up within six weeks.
Pumphead clears itself up within six weeks.
Pumphead clears itself up within six weeks.
Pumphead clears itself up within six weeks.
Pumphead clears itself up within six weeks.
Pumphead clears itself up within six weeks.
Pumphead clears itself up within six weeks.

You HATE that line, don't you? I bet you're sobbing and beating your fists against the keyboard as you read it.

Pumphead clears itself up within six weeks.

It destroys any possibility that Steele is insane from his heart op.


Quote:
It seems to me that this is proof that Bev is NOT a Jewish princess. No Jewish princess can possibly be this dumb.

No, I'm not dumb at all, Donald. You've already made the mistake of assuming I'm dumb once this week. Haven't you?
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Old March 19th, 2013 #3534
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PS: Pumphead clears itself up within six weeks.
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Old March 19th, 2013 #3535
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Quote:
Originally Posted by Donald E. Pauly View Post
Multiply Fred's dose by 100 and you will have another Jack the Ripper as you would understand it. Steele may have gotten a 1,000 to 1 dose.
Pumphead clears itself up within six weeks. Your agenda setter forgot to tell you that.
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Old March 19th, 2013 #3536
Donald E. Pauly
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Smile Bev the Anatomy Expert

Here again are Bev's curious beliefs about the circulation of the blood.

Quote:
Originally Posted by Bev View Post
.......
No mention of the pulmonary artery which carries O2 round the body being ruptured so there was oxygen in his blood.
.......
I don't know if you know what the aorta does but it carries blood from the heart and down to the stomach before pumping it round the body.
.......
 
Old March 19th, 2013 #3537
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Originally Posted by Donald E. Pauly View Post
Here again are Bev's curious beliefs about the circulation of the blood.
Nice try, but that's already been explained several times. The aorta points down.

What exactly is it that you are trying to distract from, Donald?


That the diagnosis was "invented" - this was admitted on this very forum by its inventor?

Pumphead clears itself up within six weeks?

Why you have a twisted agenda against the Steele family?

The question about what the Steele family has ever done to you?

Why you assumed I was dumb?

Why you continually and demonstrably lie and twist?

Which is it, Donald?

Which of these facts upset you so much that you have to keep lying and twisting?
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Old March 19th, 2013 #3538
Donald E. Pauly
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Angry Pumphead Is Like a Diamond

Quote:
Originally Posted by Bev View Post
PS: Pumphead clears itself up within six weeks.
Tell that to Fred. He says that it lasts well over a year.
 
Old March 19th, 2013 #3539
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Originally Posted by Donald E. Pauly View Post
Tell that to Fred. He says that it lasts well over a year.
Eminent heart surgeons suggest otherwise and with all due respect to Fred, I trust a number of concurring medical opinions over an anecdotal experience.

I believe Fred was suffering from the very real after-effects of coming face to face with his own mortality - this does have many varied effects and his post fits the classic ones to a T.
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Old March 19th, 2013 #3540
Donald E. Pauly
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Angry Hysterical Bev

Pumphead, like a diamond, is forever. My money says that all of these patients were like Fred. NONE of them had ruptured aortas with 11 days on the respirator.

Quote:
http://heartdisease.about.com/cs/byp...a/pumphead.htm

A study from Duke University, published in the New England Journal of Medicine in February, 2001, confirms what many doctors have suspected, but have been reluctant to discuss with their patients: A substantial proportion of patients after coronary artery bypass surgery experience measurable impairment in their mental capabilities. In the surgeons’ locker room, this phenomenon (not publicized for obvious reasons) has been referred to as "pump head."

In the Duke study, 261 patients having bypass surgery were tested for their cognitive capacity (i.e. mental ability) at four different times: before surgery, six weeks, six months, and five years after bypass surgery. Patients were deemed to have significant impairment if they had a 20% decrease in test scores.

This study had three major findings

Cognitive impairment does indeed occur after bypass surgery. This study should move the existence of this phenomenon from the realm of locker room speculation to the realm of fact. The incidence of cognitive impairment was greater than most doctors would have predicted. In this study, 42% of patients had at least a 20% drop in test scores after surgery. The impairment was not temporary, as many doctors have claimed (or at least hoped). The decrease in cognitive capacity persisted for 5 years.

The mental impairment was not due to the patients' age (which averaged 61). The results from the Duke study were compared to results from a similar study among patients of the same age who did not have bypass surgery. The decline in mental capacity in those who had bypass surgery was 2 -3 times higher over five years than in patients who did not have surgery.

The authors could not say what, exactly, caused the impairment in mental capacity. The most common speculation is that the mental changes are due to the showering of the brain with tiny particles (microemboli) related to the use of the bypass pump (the heart/lung machine, that oxygenates and pumps the blood while the heart is stopped during surgery.) If this is the case, then newer surgical techniques such as “beating heart surgery” (in which the bypass pump is not used) should help to minimize the problem. The Duke study was completed prior to the use of such procedures.

Doctors have reacted to the Duke study with mixed feelings. While most believe the Duke study was extremely well designed, many criticize it saying that "in my hospital we don't see this," or that surgical techniques have improved in the 5 years since this study was done, or that publicizing this study will discourage patients from getting necessary surgery.

What should patients think about this study?

When making major decisions – such as whether or not to have a major procedure like coronary artery bypass grafting – you want a doctor who will take into account all the potential risks and benefits.

The Duke study is the best information available right now, and must be taken into account. So when considering bypass surgery, make sure you have the answers to the following questions:

Is the surgery likely to prolong my survival, or is it being done electively, simply to relieve symptoms?

Are there any other viable alternatives, such as medication, angioplasty, or stenting? (This question is becoming particularly relevant, with stent technology advancing as rapidly as it is.)

If I must have bypass surgery, is there any reason I can’t have some form of minimally invasive surgery where the bypass pump is avoided? (While it is not proven that the bypass pump causes the cognitive problem, it does seem to be the leading suspect at this point.)

If you do need to have bypass surgery, keep in mind that the majority of patients in the Duke Study had no significant deterioration their mental capacity, and further, of the ones who did, many never noticed it in their day-to-day lives.

Nonetheless, if you are told you ought to have bypass surgery, unless it is vital that bypass surgery be performed immediately, the Duke study ought to provide one more reason to seek a second opinion before choosing this option.
 
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