This volume also touch greatly on hospiBatista procedure From Wikipedia, the free encyclopedia
The Batista procedure (also called a reduction left ventriculoplasty) was an experimental cardiac surgical procedure that aimed to reverse the effects of remodeling in cases of end-stage dilated cardiomyopathy refractory to conventional medical therapy. In spite of promising initial results, the method was soon found to be of little if any benefit, and it is no longer considered a recommended treatment for the disease.
The Batista procedure was invented by Brazilian surgeon Randas Batista in 1994 for use in patients with non-ischemic dilated cardiomyopathy. It involves removal of a portion of viable tissue from the left ventricle to reduce its size (partial left ventriculectomy), with or without repair or replacement of the mitral valve.[1]
Although several studies showed benefits from this surgery, studies at the Cleveland Clinic concluded that this procedure was associated with a high early and late failure rate. At 3 years only 26 percent were event-free and survival rate was only 60 percent.[2] Most hospitals have abandoned this operation and it is no longer included in heart failure guidelines.[3]
This surgical procedure is the basis of this series. Get a team together of unique medical staff, that can pull off the Batista,. Asada is the talent brought into the university hospital, to make it work, He also brought humanity humility, and empathy, These all missing at the hospital. These volume covers stories for cancer patient, care of the repeat suicidal patient in the ER, and the uninsured trauma patient. Most trauma patient in the US now, do not have insurance-for the uninsured tend to enjoy more high-risk activities. Like drunk driving , etc.
The suicidal story line really touched home for me-for in my ER, we see repeaters all the time. It is wearing in the medical staff emotionally, especially after 2 decades in the department. How do you instill hope to the hopeless?