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Posts Tagged ‘the easy button’

In a disturbing story out of Maryland, the Heart.org reports that Dr.  John Chung Yee Wang, one of the doctors investigating claims of improper, and unnecessary stenting in the wake of the Mark Midei overstenting scandals has now been charged with unnecessary stenting.

Is this just a sign of how incredibly pervasive this practice is?  Is this an example of the widespread corruption of a specialty due to a lack of outside oversight or accountability – and the incredible ease of creating huge profits [by performing unneeded procedures?]

Or is it as some cardiologists suggest, a crazed witch hunt?   I don’t know – but angiography doesn’t lie, and there have been too many cases of 20% and even 10% lesions being ‘over-called’ and stented as critical disease.  This is particularly important now – as a recent study [the landmark Syntax trial] shows that stents are not the ‘miracle cure’ they’ve been touted as.  In fact – one in ten patients who receives a stent has to be re-hospitalized within 30 days.

Overstenting, stent fractures, sudden stent thrombosis* and stent deformities – in the wake of all of this – we need to stop and consider our other options; the ones that aren’t quite as easy..

* Please note that both of these sources are heavily biased in favor of interventional cardiologists.

Supervised exercise programs as effective as stents

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As I delve further into the Syntax trial, (in preparation for a presentation at work):

Mark Midei was charged with another 175 counts of unneccessary stenting this week..

The Syntax trial is a great example of the ‘big lie’ of the easy fix – and the publicity spin, as explained on this blog by (what appears to be ) one of the last honest cardiologists..  As I slosh through reams and reams of printed articles, as well as on-line stories, and links to journals on the Syntax trial and the results – it becomes readily apparent – that it is almost impossible to find an honest, and unbiased report of actual syntax results (particularly since cardiologists are doing most of the writing.)  Cardiac surgeons – listen up!!  You know the truth about outcomes with stents versus cabg (surgery) – you see it every single day.. But stop sitting there smugly, and self-assuredly, so certain that the truth will out..

The truth is out, but it’s so muddied as to be unrecognizable.  Start writing your own research papers and defend yourself (and your patients) from this watershed of biased reporting.. Stenting is EASY but it’s NOT effective, and bypass surgery remains the standard of practice and the best treatment for longevity.. No propaganda can change that – but surgeons can’t lie back and rest on their laurels..

Dr.  DeMaio escapes..

and the most infamous cardiologist in America.

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