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A cautionary tale for those seeking cardiac intervention...

Some procedures are done without patient consent, example being in emergency situations. Ive never been in that position, but going to guess that surgeries are done without anyone's consent in order to save a patient's life. Doesn't seem like this case applies to that situation though.
 
Some procedures are done without patient consent, example being in emergency situations. Ive never been in that position, but going to guess that surgeries are done without anyone's consent in order to save a patient's life. Doesn't seem like this case applies to that situation though.

That's correct. They might be able do it in exceptional circumstances, that are fully disclosed, with transparency.

As you suggested, that didn't apply in this case as the emergency aortic valve replacement surgery that was required after the non consensual retrograde left heart catheterization wasn't performed for 4 additional days in hospital.

Further, the retrograde wasn't disclosed and medical staff lied and denied performing it after perforating the pt's aortic valve, while surreptitiously tracking it for 4 days via bun to cr readings, which showed the pt's kidney's, heart, lungs and liver swelling up like a balloon from cardiac congestion:

Recorded consult with Dr. Vyselaar:


Dr. Vyselaar: Looking at the numbers (daily lab readings), you’d tell me your blood pressure was low, you’re in (cardiogenic) shock, it would fit with the aortic valve being damaged at the time of the catheter.

I don’t know how you can say it wasn’t acute aortic valve regurgitation (valve rupture from the undisclosed procedure)

They (Dr. Paul Novak etc) had an x-ray, but if they hadn’t, they would have heard it listening to your lungs. (pulmonary congestion and ascites from aortic valve rupture immediately after the undisclosed procedure)

They should have just told you that you were getting worse and discussed why they thought that might be…they should have told you and said, we need to do surgery now for this reason.

Patient: They actually misrepresented it?

Dr. Vyselaar: As psychiatric, and not putting something in their note, and they should discuss with you as well.

Patient: They claimed it was psychiatric by withholding the diagnosis that they were surreptitiously tracking, so

it was pretty sneaky?

Dr. Vyselaar: Yea, that’s terrible.

Complications happen but you have to be transparent.


The far better thing to do, I’m sorry this has happened. It is getting worse from the (undisclosed) angiogram, and we need surgery now, and the disclosure would have saved everyone a lot of trouble
 
I'm not sure the point of this? There's not much objectivity to it. Is this a legal or medical discussion?

As @maldorf 's experience shows, bodybuilders can be predisposed to cardiac conditions.

It appears that the pt in the video's initial aortic valve injury was caused in part by heavy powerlifting, which puts a lot of strain on it.

If bodybuilders get a coronary angiogram (particularly in BC Canada), they should stick with a local anesthetic so they can ensure that the interventional cardiologist doesn't start making a cash grab and performing additional undisclosed procedures without their consent.

As noted in another thread, a study showed that this cash grab is common:


The left ventriculogram procedure involved in the study is a different procedure than the one described by Dr. Sanjay Gupta above...a 'gram' is a cardiac image, a lv ventriculogram involves injecting contrast dye into the left ventricle before taking images of it, and invasively measuring lv function.

"The biggest downside is that the catheter goes across the valve into the heart," Witteles said. "There's always a risk of dislodging a blood clot, causing a stroke. The procedure only takes five minutes, but it increases the risk of arrhythmias. And then there is the added cost. But the real big-picture issue is how often an unnecessary, invasive test is being routinely ordered."

It's not assault and battery if it's consensual...but get an echocardiogram instead without the risk of injuring your aortic valve, causing a stroke etc.
 
April 12th 2018 Consult with Dr. John Vyselaar: He confirms the cardiologist financially profited from delaying emergency aortic valve replacement surgery for 4 additional days, after arranging a catastrophic Retrograde Left Heart Cath that perforated the patient's valve.


Dr. Vyselaar: You had the findings. The key for me is that you had the development of interstitial edema on your (undisclosed Feb 17th) chest-xray (the day after the non-consensual Retrograde Left Heart Catheterization).

chest_xray_crop_2.jpg

Patient: Well, he's (Dr. Paul Novak's) claimed there were no complications resulting from the (non-consensual) cardiac cath, but he was tracking the complications?

Dr. Vyselaar: Yea, the blood work that you show, that's hard to explain otherwise

Patient: He was tracking it through the BUN to cr tests he arranged in advance (of the undisclosed cardiac procedure)?

bun_novak_crop.jpg
bun_lab_crop.jpg

Dr. Vyselaar: Yea...he would know (that the shortness of breath at rest was not psychiatric). I mean, anxiety and stress doesn't do that to your BUN. You were volume overloaded, acute renal failure and not responding to diuretics.

Patient: One of my friends is a specialist medical doctor...she said that the physical changes (increasing edema) are audible by stethoscope?

Dr. Vyslaar: Yea...yea...the changes of the fluid on the lungs and the other changes...that's hard to explain away. Well, they should have had another explanation other than 'anxiety', they should have just come and told you basically (sardonic laughter).

Patient: Well they knew?

Dr. Vyselaar: Yea

Patient: He was making money off invoicing the BC Ministry of Health for 'psychiatric services'?

Dr. Vyselaar: Right


Patient: Because had he arranged immediate surgery on the 16th (February) when I went into shortness of breath at rest (after the undisclosed cardiac procedures), he wouldn't have been able to invoice?

Dr. Vyselaar: Right
 

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