And so it goes..

bbchien

Touchdown! Greaser!
Joined
Feb 13, 2005
Messages
13,157
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Bolingbrook, IL
Display Name

Display name:
Bruce C
Older senior captain whom I've been taking care of for some years, advised that the doc thinks a Coronary calcium scan is appropriate. Score comes back 1,800. Went immediatetly to cath lab. Result- a single algebraic tomographic 8.4% lesion in the LAD. How do they detect 8.4%- I can't even see it on the angiogram!

8.4. REALLY? not 8.3? not 8.434? WTH does that mean? I upload everything needed for the FAA's CAD protocol EXCEPT I do not recommend he run the treadmill. Why? The TMT in this low range of "disease" is but a proxy for the chat and the guy has the CATH!

FAA: "Well since the change in the rule...we've had many airmen enter the CAD protocol from new directions...."
ME: "We all know that CAD starts by age 12 (Wissler, et al, J. Path ~1968)...and is the even CAD?

Well, in the end he permitted the issuance.
Moral: DO NOT GET A CORONARY CALCIUM Scan. Enterprenurial medicne at its worst!
If you really want to know, run the treadmill....
 
Older senior captain whom I've been taking care of for some years, advised that the doc thinks a Coronary calcium scan is appropriate. Score comes back 1,800. Went immediatetly to cath lab. Result- a single algebraic tomographic 8.4% lesion in the LAD. How do they detect 8.4%- I can't even see it on the angiogram!

8.4. REALLY? not 8.3? not 8.434? WTH does that mean? I upload everything needed for the FAA's CAD protocol EXCEPT I do not recommend he run the treadmill. Why? The TMT in this low range of "disease" is but a proxy for the chat and the guy has the CATH!

FAA: "Well since the change in the rule...we've had many airmen enter the CAD protocol from new directions...."
ME: "We all know that CAD starts by age 12 (Wissler, et al, J. Path ~1968)...and is the even CAD?

Well, in the end he permitted the issuance.
Moral: DO NOT GET A CORONARY CALCIUM Scan. Enterprenurial medicne at its worst!
If you really want to know, run the treadmill....
Yeah, sometimes carpenters must find nails to hammer.
 
“sometimes carpenters must find nails to hammer”

This is t-shirt worthy — even poster-worthy. It explains so much, in medicine and elsewhere.
 
As someone who Bruce helped get through this calcium score mess, I will confirm…don’t do this calcium scan.
 
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