[Herodotus38]

I’ll take you up on the bypass statement. :) This is an 80 yo woman, that alone would probably make me not want to put her under for bypass. Also, she had a history of paroxysmal afib and prior pulmonary embolism (they don’t state if it wad provoked or not) but is not on anticoagulation. By CHADS2-Vasc criteria she should have been on AC alone, but isn’t. She’s clearly intelligent and has no issues with access to care (engineer, has an Apple Watch) which further makes me think that her underlying health warrants a more conservative approach.

[op03]

I agree. Redoing plumbing of an 80 year old house, makes sense only under certain conditions eg- part of a living history museum.

[Herodotus38]

Plus, I don’t want to risk giving the house a stroke or cognitive injury from the risks of the operation and general anesthesia when a comparable or better outcome could be done with PCI. It’s all about risks and benefits for her.