Haider Warraich
speaker
683 appearances
3 recordings
1 series
first heard Oct 2020
last heard Dec 2021
Haider Warraich’s voice in public audio — every appearance, attributed to the second.
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Appearances
We do know and we have robust data that VADs will increase survival and that median survival in patients with VADs is increasing.
And so one of the areas that we're seeing a lot of growth is in the older patients with
with heart failure.
So someone say in your 70s.
So once you're past 70 and your body is not entirely perfect, you have some renal dysfunction or some lung issue, et cetera, et cetera, transplant becomes a less favorable option.
And a lot of these patients are now getting VADs.
And I think that how I frame it to them is that this is a really burdensome therapy.
I think patients need to know it's probably much more burdensome than a transplant is, for example.
But if they go in eyes wide open, and I think that's really what the goal for my discussions with patients is.
And I think that's especially true for what I think palliative care can do for these patients.
the subspecialty palliative care specialist can do is not so much, is to really have them go into this really intensive lifelong therapy with a sort of full set of, with broad knowledge about what to expect on the other end.
And so the way I the way I frame it is that we know that it makes people's heart failure much better.
But there are other issues that are related to that complications such as bleeding, hospitalization for issues, infection.
but, but, um, but I find that the patient who, who is interested in a VAD, uh, is just phenotypically very different patient from someone who says, I want nothing to do with this.
And that those patients just their risk averseness and their tolerability of risk.
And there is just very, very different because, you know, um, the people who, who, who, who, you know, who'll see the infomercials for VAD and be like, yep, that's me.
I want a VAD are just a, are just very, very different, um,
And I find that their risk aversion is low.
And part of it is because they're just struggling with heart failure and they're just sick of it.
And they would essentially do anything to overcome it.
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