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To: Texas Songwriter

" and therefore I do not believe this represents an infectuous process, but rather an effusion of pleural fluid which cannot, under normal physiological processes, be absorbed because of the small area of fluid accummulation."

"Infectious", not "infectuous".

"Pleural effusion", not "effusion of pleural fluid".

"pericardium" not "pericardia"

The patient's pericardium would have been resected in the OR during bypass. The pericardium is incised during surgery and can not be repaired; it is removed. A standard bypass patient such as Mr. Clinton no longer has a pericardium, post-op.


"Pleuracentesis" not "pleurocentesis."

The usual term used for a procedure of this sort is is "thoracentesis" or "thoracocentesis" not "pleuracentesis". Pleuracentesis would be a procedure to remove fluid from between the pleuras, not in the chest cavity.


"Pleurodesis", not "pleuredesis".

Have you read a report that he is to undergo pleurodesis? The reports I have read ( and I note that medical reports on the web and/or given by television reporters are notorious for being full of factual error - they don't seem to have a clue) say the pocket of fluid is in the left chest cavity, not in the lung and not between the pleuras.

Pleurodesis is indicated when there is a recurrent fluid accumulation between the pleuras, not in the chest cavity. It is in his left chest cavity, which means it is outside of his lung, according to this report:

"WASHINGTON Former President Bill Clinton will undergo surgery on Thursday to remove fluid and scar tissue from his left chest cavity, some six months after he had a quadruple bypass operation, Clinton and his doctors said on Tuesday."


This is a loculation, an adhesion that has a small effusion inside. The adhesion will be resected and the fluid will be drained.
That would be called: thoracotomy ( incision into the chest) with decortication ( removal of a small part of the covering of the lung) and possibly thoracentesis ( draining fluid out of the chest cavity).

If you want to play a doctor on the Internet, at least get your anatomy and terminology straight


672 posted on 03/08/2005 11:08:17 PM PST by ItCanHappenToYou
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To: ItCanHappenToYou

Shoot...Now I'm really confused. Where did you read a coherent report?


677 posted on 03/09/2005 12:49:48 AM PST by lainde ( ...We are NOT European, we are American, and we have different principles!")
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To: ItCanHappenToYou; Texas Songwriter
"PUMP YOUR BLOOD" SONG - VERSE ONE

Pump, pump, pumps your Blood.

The right atrium's where the process begins, where the CO2 Blood enters the heart.
Through the tricuspid valve, to the right ventricle, the pulmonary artery, and lungs.
Once inside the lungs, it dumps its carbon dioxide and picks up its oxygen supply.
Then it's back to the heart through the pulmonary vein, through the atrium and left ventricle.
Pump, pump, pumps your Blood.

"PUMP YOUR BLOOD" SONG - VERSE TWO

Pump, pump, pumps your Blood.

The aortic valve's, where the Blood leaves the heart, then it's channeled to the rest of the bod.
The arteries, arterioles, and capillaries too bring the oxygenated Blood to the cells.
The tissues and the cells trade off waste and CO2, which is carried through the venules and the veins
Through the larger vena cava to the atrium and lungs, and we're back to where we started in the heart."

Tah Dah!!!

682 posted on 03/09/2005 7:12:51 AM PST by spectre (Spectre's wife)
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