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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One of the things that's interesting about VADS is that initially when we had a lot of adverse effects with VADS, we felt that, oh, this is because we're putting it in very sick patients.
But when VADS have been put in in less sick patients,
It didn't actually change the rate of adverse events.
So really a lot of the adverse events that are associated with VADs are just specific to the device itself rather than more patient-related factors.
Wow.
So first of all, shout out to Dan, Dan the man, and what a study, decide LVAD if you have time.
If you're interested in how patients think for any condition, you need to go read that study and that trial.
It's amazing.
Yeah, I think that, first of all, I think what we need to sort of clarify is that stopping an LVAD is not suicide, first of all.
And I know this may sound weird to this audience, but there's a sizable contingent of, and in one study, cardiologists who think that stopping an LVAD is the same as euthanasia.
And I think that that's not true at all.
In fact, one of our fellows, Katie Manning, is going to speak on that in just a couple of days at her Grand Rounds here at Farber and Brigham.
First of all, I think what we need to do is we need to tell people at the time of implantation that, you know, at some point, that this decision may come up so that we can have clarity about what a patient might want in that setting.
before someone is incapacitated, et cetera.
And so that these in fact can be stopped and that this is not suicide.
You're not a prisoner of this technology just because you do not want this therapy any longer and you decide that
you want to shut it off, that doesn't mean that you're committing suicide because just using that word, it's such a loaded term with so many cultural connotations.
I think you make a hard decision even harder.
There are two main settings where LVAD withdrawal or decommissioning an LVAD, whatever sort of term you want to use, comes up.
One is in the setting of a catastrophic complication, massive stroke, massive GI bleed, device failure, et cetera.
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