https://mailchi.mp/bostonglobe/they-stopped-my-heart-cold
Newsletter header that reads "Arguable with Jeff Jacoby." An
illustration of the author, Jeff Jacoby, sits at a typewriter surrounded
by stacks of books. A globe is precariously placed at the top of one
stack, while a black cat slinks by another. The author is scratching his
head in thought.
Tuesday, June 17, 2025
By Jeff Jacoby, Globe Opinion columnist
New to Arguable? Click here to subscribe.
Follow me on X
They stopped my heart cold. Then they started it again.
My heart was breaking, but not from lost love. It was failing in the
most literal sense.
In 2020, my doctor recommended that I get an echocardiogram an
ultrasound of the heart to establish a baseline against which to
monitor any changes as I aged. Though I felt perfectly fine, the image >revealed that I had developed mild aortic stenosis, a narrowing of the
valve that controls the flow of oxygen-rich blood from the hearts main >pumping chamber (the left ventricle) into the aorta, and from there to
the rest of the body.
Within a few years, the diagnosis had progressed from mild to moderate >stenosis. Further change would likely be gradual, I was told.
Intervention wouldnt be necessary unless and until the degeneration of
the valve crossed into severe territory. But an echocardiogram early
this year showed that the stenosis which is caused by a buildup of
calcium on the valve was advancing much faster than expected.
Suddenly, a heart operation wasnt a development to anticipate in some >abstract future. According to my cardiologist, it was necessary now. I
sought a second opinion, from a specialist working in a different
medical practice. He reviewed the images and the data and made the same >recommendation: Have this surgery.
And so, in late March, I found myself on a gurney, being prepped for the
most consequential medical procedure of my life (so far).
Open-heart surgery is the sort of experience you tend to regard as too
remote to even think about until it's scheduled for you. But the weeks >leading up to the procedure made it clear that there is nothing
theoretical about what is going to take place. Over a period of about a
month and a half, I had to meet with a thoracic surgeon, choose an >anesthesiologist, undergo a variety of pre-surgical imaging (X-rays, CT
scan, another ultrasound), submit to catheterization to map out my heart
and coronary arteries, and take part in pre-anesthesia testing to make >plans for sedation during the surgery and pain management afterward.
The surgeon presented me with consent forms in which I acknowledged the >serious risks involved in the surgery. On one of the forms, he had noted
in large letters that those risks included death and stroke. I asked him
how often such disasters occur. About once in 200 surgeries, he told me.
In the abstract, a 0.5 percent mortality risk seems reassuringly low. It >seems a lot less so, however, when you realize that if one of 200
patients will die, you might be the one. My wife certainly took little >comfort in the statistics.
In the 1950s, open-heart surgery had a 50 percent mortality rate.
Today it is less than 1 percent.
(Jean-Sebastien Evrard/AFP via STAT News)
In truth, during the run-up to surgery my greatest dread wasn't that I
would die or be left disabled. It was that I would wake up with a
breathing tube down my throat. That prospect freaked me out so much that
I brought it up with every doctor I encountered. They all assured me
that I would be under full anesthesia during intubation and that even if
the tube were still in when I regained consciousness, I would retain no >memory of it.
They were wrong. It is the first thing I remember about waking up in the
ICU and I remember it vividly the sense of being about to suffocate,
the restraint of being unable to speak, the panicky urge to get that
thing out of my throat. Three months later, it remains the most
nightmarish part of the whole experience. By contrast, I have no memory
at all of being wheeled into the operating room, though I know I was >conscious at the time and even waved to my wife as I was wheeled past her.
The operation itself took about four hours. What I know of it comes
mostly from my own research (instead of writing Arguable, Ive been
reading up on the history and techniques of heart surgery and watching >surgical videos), the many questions I asked, and the evidence I can see
in the mirror of the surgical teams precision.
The process was at once elegant and brutal. (Warning: some graphic >descriptions ahead.) After the anesthesia took hold, my chest was
scrubbed and all but a rectangular area in the center was covered by
sterile drapes. Using a scalpel, the surgeon made an 8-inch incision
from just below my collarbone down to the upper abdomen. The blade
sliced through skin and subcutaneous fat, revealing the flat, hard bone
of the underlying sternum.
Then he used an oscillating saw to cut through the sternum, while others >applied suction and cauterization to stem the flow of blood. A stainless >steel retractor was used to forcibly separate the two halves of my rib
cage and keep them apart, exposing the lungs and beating heart beneath.
The pericardium, the sac that encases the heart, was incised and pinned
back. The surgical field was awash in suction, cautery smoke, and the
steady hum of machines. All the while, I slept.
And then, an astonishing miracle of modern medical science took place:
My heart and lungs were taken offline, their functions outsourced to a >cardiopulmonary bypass machine that would take over their functions so
the surgery could proceed. With tubes and clamps, the surgical team
diverted my blood flow into the machine, which began to artificially >oxygenate it, then circulate it back into my body. Then an ice-cold
potassium solution, cardioplegia, was infused directly into the main
coronary arteries. My heart slackened, collapsed, and stopped beating.
There was nothing poetic about its stillness: It was clinical and eerie
and essential to giving the surgeon a chance to remove and replace my >diseased valve.
Elie Wiesel, the late Nobel peace laureate, underwent invasive heart
surgery in 2011 and afterward wrote a slim volume, Open Heart, about
the experience. I didnt know, I couldnt know, just how complicated it
is, with risks and dangers that defy imagination, he mused. For the
layman that I am, this surgery is not unlike a walk on the moon. I was >overcome with a feeling of gratitude.
Prior to surgery, I hadnt been experiencing any severe symptoms
nothing more than a mild breathlessness when walking uphill. But if the
valve wasnt removed, I learned, it would be only a matter of time
before more serious symptoms appeared. At that point, the average
survival without valve replacement is only 2 to 3 years. Aortic stenosis
is cruel in that way you can be relatively asymptomatic until one day
you collapse. In his compelling memoir Fragile Lives, the trailblazing >British heart surgeon Stephen Westaby quotes Henry Wadsworth Longfellow: >Nothing is too late / till the tired heart shall cease to palpitate.
I had mentioned to my surgeon a couple of times that after he removed my >damaged valve, I wanted to keep it as a souvenir and asked him to set it >aside for me. But when I asked about it after the surgery, he told me,
rather dismissively, that anything taken from the body had to be sent to
the pathology lab. It annoyed me to have my simple request ignored >especially when, reading Fragile Lives a few weeks later, I learned
that Westaby hadnt hesitated to honor a similar request from one of his >patients. But considering what I owed the surgeon, I wasnt about to
make a fuss over it.
In the immediate aftermath of surgery, I was full of holes. There were
tubes or puncture wounds in my neck, my abdomen, my chest, my hand, and
my thigh. And then there were the pacing wires thin wires attached
directly to the heart and brought out through my chest, a practice
invented in the 1950s by Dr. Walt Lillehei, an American pioneer of
open-heart surgery. They allow doctors to pace the heartbeat externally
if its rhythm falters. Mine were never needed, thankfully, and were
pulled out just before my discharge. The removal was surprisingly
painless, but the very idea that I had wires running from my heart to
the outside world was surreal.
I also worried about pump head a cognitive fog that can follow
surgery involving the heart-lung machine. It affects memory,
concentration, language ability, and even personality. I'd read about it
in Sandeep Jauhar's Heart: A History it can persist years after
surgery and in many cases is probably irreversible, he wrote. My >primary-care physician had also warned me that my brain might not work >properly for weeks or even months after the surgery. Considering what I
do for a living, that prospect alarmed me. But I was fortunate. My
memory, attention, and sense of self remained intact. On the other hand,
for weeks I experienced strange visual auras the kind that usually
precede a migraine but without the pain. My doctor was baffled. No one
could say for sure if it was a delayed effect of anesthesia, the
heart-lung machine, or simply my body's eccentric reaction to trauma.
The pain, at first, was unrelenting. Not just in my chest, which I had >expected, but radiating through my upper back. For weeks, I was
constantly being reminded of the violence that had been done to my body
in the name of healing. It was agonizing to cough; even more so to sneeze.
And yet, I quickly began to recover. Within a day I had been moved out
of intensive care; a day after that I was taking short walks in the
hospital corridor; less than a week after entering the hospital, I was >discharged. Once back home I figured out how to take a shower
unassisted. I climbed a flight of stairs (slowly). I even made my way to
the Starbucks around the block though the first few times I tried it,
I had to stop for periodic rests.
As I have learned from my reading, a typical human heart beats three
billion times over a lifetime, pushing blood through 100,000 miles of
vessels a network so vast it would circle the globe if laid end to
end. That mine could literally be stopped cold and started again, and a >failing valve removed and replaced with a new one, is an astonishment.
We take such surgery for granted now. But when I was born, the type of >surgery I just underwent was still unknown. The first time an aortic
valve from a human being was successfully replaced with one from an
animal was in 1965, the year I entered second grade.
Jauhar writes that until the late 19th century, the heart was considered >untouchable not just medically but metaphorically. For millennia it
was regarded as the seat of human emotion and feeling, and that
perception lives on in our language: We take heart, speak from the
heart, have a change of heart, or give our heart to another. When
Barney Clark was scheduled to receive the first permanent artificial
heart in 1982, his wife anxiously asked doctors: Will he still be able
to love me?
There is something intensely human about the vulnerability of the human >heart. Even in an age when more than 3,000 cardiac operations are
performed every day, we still think of it as sacred territory. Perhaps
it is.
For me, heart surgery was more than just a medical event. It was a >confrontation with mortality and a chance to marvel at what science and >surgery have made possible and what they still cannot fully explain.
That I am here, writing this, with a new valve pulsing away in my chest,
is a gift I do not minimize. Like Wiesel, I too am overcome with a
feeling of gratitude.
Cardiovascular disease remains the leading cause of death in America. As >Jauhar notes, nearly one in four Americans will die from it, despite all
our progress. But we have come far. In the 1950s, open-heart surgery had
a 50 percent mortality rate. Now it's often less than 1 percent. And
while cardiology may be reaching the limits of what it can achieve, it
still affords the precious chance to extend life and to reflect on its >value.
Open-heart surgery didnt make me wiser. But it did bring home to me
that the heart is not merely a pump. It is, in more ways than one, the
center of our being. And mine, once broken, beats on.
https://mailchi.mp/bostonglobe/they-stopped-my-heart-cold
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Subject: The LORD says "Blessed are you who hunger now ..."
Shame on andrew, look at his red face.
He is trying to pull a fast one. His scripture bit is found among these:
'14 Bible verses about Spiritual Hunger'
Psalms
81:10 I am the LORD thy God, which brought thee out of the land of Egypt: >open thy mouth wide, and I will fill it.
Proverbs
13:25 The righteous has enough to satisfy his appetite, But the stomach of >the wicked is in need.
Joel
2:26 And ye shall eat in plenty, and be satisfied, and praise the name of
the LORD your God, that hath dealt wondrously with you: and my
people shall never be ashamed.
Psalms
107 For he satisfies the thirsty and fills the hungry with good things.
Acts
14:17 "Yet he did not leave himself without witness, for he did good by >giving you rains from heaven and fruitful seasons, satisfying
your hearts with food and gladness."
someone eternally condemned & ever more cursed by GOD perseverated:
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Subject: a very very very simple definition of sin ...
Does andrew's "definition" agree with scripture? Let's see in 1 John:
John wrote this to christians. The greek grammer (sic) speaks of an ongoing >> status. He includes himself in that status.
1:8 If we say that we have no sin, we deceive ourselves, and the truth is
not in us.
1:9 If we confess our sins, he is faithful and just to forgive us our sins, >> and to cleanse us from all unrighteousness.
1:10 If we say that we have not sinned, we make him a liar, and his word is >> not in us.
ReplyPermalinkMangina, you and Loose Cannon are just jealous of him.
Post by Loose Cannon
Nobody gives a shit about the jew plagiarist or his health problems.Right. Fuck him.
Michael Ejercito wrote:
https://mailchi.mp/bostonglobe/they-stopped-my-heart-cold
Newsletter header that reads "Arguable with Jeff Jacoby." An
illustration of the author, Jeff Jacoby, sits at a typewriter surrounded
by stacks of books. A globe is precariously placed at the top of one
stack, while a black cat slinks by another. The author is scratching his
head in thought.
Tuesday, June 17, 2025
By Jeff Jacoby, Globe Opinion columnist
New to Arguable? Click here to subscribe.
Follow me on X
They stopped my heart cold. Then they started it again.
My heart was breaking, but not from lost love. It was failing in the
most literal sense.
In 2020, my doctor recommended that I get an echocardiogram — an
ultrasound of the heart — to establish a baseline against which to
monitor any changes as I aged. Though I felt perfectly fine, the image
revealed that I had developed mild aortic stenosis, a narrowing of the
valve that controls the flow of oxygen-rich blood from the heart’s main
pumping chamber (the left ventricle) into the aorta, and from there to
the rest of the body.
Within a few years, the diagnosis had progressed from mild to moderate
stenosis. Further change would likely be gradual, I was told.
Intervention wouldn’t be necessary unless and until the degeneration of
the valve crossed into “severe” territory. But an echocardiogram early >> this year showed that the stenosis — which is caused by a buildup of
calcium on the valve — was advancing much faster than expected.
Suddenly, a heart operation wasn’t a development to anticipate in some
abstract future. According to my cardiologist, it was necessary now. I
sought a second opinion, from a specialist working in a different
medical practice. He reviewed the images and the data and made the same
recommendation: Have this surgery.
And so, in late March, I found myself on a gurney, being prepped for the
most consequential medical procedure of my life (so far).
Open-heart surgery is the sort of experience you tend to regard as too
remote to even think about — until it's scheduled for you. But the weeks >> leading up to the procedure made it clear that there is nothing
theoretical about what is going to take place. Over a period of about a
month and a half, I had to meet with a thoracic surgeon, choose an
anesthesiologist, undergo a variety of pre-surgical imaging (X-rays, CT
scan, another ultrasound), submit to catheterization to map out my heart
and coronary arteries, and take part in “pre-anesthesia testing” to make >> plans for sedation during the surgery and pain management afterward.
The surgeon presented me with consent forms in which I acknowledged the
serious risks involved in the surgery. On one of the forms, he had noted
in large letters that those risks included death and stroke. I asked him
how often such disasters occur. About once in 200 surgeries, he told me.
In the abstract, a 0.5 percent mortality risk seems reassuringly low. It
seems a lot less so, however, when you realize that if one of 200
patients will die, you might be the one. My wife certainly took little
comfort in the statistics.
In the 1950s, open-heart surgery had a 50 percent mortality rate.
Today it is less than 1 percent.
(Jean-Sebastien Evrard/AFP via STAT News)
In truth, during the run-up to surgery my greatest dread wasn't that I
would die or be left disabled. It was that I would wake up with a
breathing tube down my throat. That prospect freaked me out so much that
I brought it up with every doctor I encountered. They all assured me
that I would be under full anesthesia during intubation and that even if
the tube were still in when I regained consciousness, I would retain no
memory of it.
They were wrong. It is the first thing I remember about waking up in the
ICU and I remember it vividly — the sense of being about to suffocate,
the restraint of being unable to speak, the panicky urge to get that
thing out of my throat. Three months later, it remains the most
nightmarish part of the whole experience. By contrast, I have no memory
at all of being wheeled into the operating room, though I know I was
conscious at the time and even waved to my wife as I was wheeled past her. >>
The operation itself took about four hours. What I know of it comes
mostly from my own research (instead of writing Arguable, I’ve been
reading up on the history and techniques of heart surgery and watching
surgical videos), the many questions I asked, and the evidence I can see
in the mirror of the surgical team’s precision.
The process was at once elegant and brutal. (Warning: some graphic
descriptions ahead.) After the anesthesia took hold, my chest was
scrubbed and all but a rectangular area in the center was covered by
sterile drapes. Using a scalpel, the surgeon made an 8-inch incision
from just below my collarbone down to the upper abdomen. The blade
sliced through skin and subcutaneous fat, revealing the flat, hard bone
of the underlying sternum.
Then he used an oscillating saw to cut through the sternum, while others
applied suction and cauterization to stem the flow of blood. A stainless
steel retractor was used to forcibly separate the two halves of my rib
cage and keep them apart, exposing the lungs and beating heart beneath.
The pericardium, the sac that encases the heart, was incised and pinned
back. The surgical field was awash in suction, cautery smoke, and the
steady hum of machines. All the while, I slept.
And then, an astonishing miracle of modern medical science took place:
My heart and lungs were taken offline, their functions “outsourced” to a >> cardiopulmonary bypass machine that would take over their functions so
the surgery could proceed. With tubes and clamps, the surgical team
diverted my blood flow into the machine, which began to artificially
oxygenate it, then circulate it back into my body. Then an ice-cold
potassium solution, cardioplegia, was infused directly into the main
coronary arteries. My heart slackened, collapsed, and stopped beating.
There was nothing poetic about its stillness: It was clinical and eerie
— and essential to giving the surgeon a chance to remove and replace my
diseased valve.
Elie Wiesel, the late Nobel peace laureate, underwent invasive heart
surgery in 2011 and afterward wrote a slim volume, “Open Heart,” about >> the experience. “I didn’t know, I couldn’t know, just how complicated it
is, with risks and dangers that defy imagination,” he mused. “For the
layman that I am, this surgery is not unlike a walk on the moon. … I was >> overcome with a feeling of gratitude.”
Prior to surgery, I hadn’t been experiencing any severe symptoms —
nothing more than a mild breathlessness when walking uphill. But if the
valve wasn’t removed, I learned, it would be only a matter of time
before more serious symptoms appeared. At that point, the average
survival without valve replacement is only 2 to 3 years. Aortic stenosis
is cruel in that way — you can be relatively asymptomatic until one day
you collapse. In his compelling memoir “Fragile Lives,” the trailblazing >> British heart surgeon Stephen Westaby quotes Henry Wadsworth Longfellow:
“Nothing is too late / till the tired heart shall cease to palpitate.” >>
I had mentioned to my surgeon a couple of times that after he removed my
damaged valve, I wanted to keep it as a souvenir and asked him to set it
aside for me. But when I asked about it after the surgery, he told me,
rather dismissively, that anything taken from the body had to be sent to
the pathology lab. It annoyed me to have my simple request ignored —
especially when, reading “Fragile Lives” a few weeks later, I learned
that Westaby hadn’t hesitated to honor a similar request from one of his >> patients. But considering what I owed the surgeon, I wasn’t about to
make a fuss over it.
In the immediate aftermath of surgery, I was full of holes. There were
tubes or puncture wounds in my neck, my abdomen, my chest, my hand, and
my thigh. And then there were the pacing wires — thin wires attached
directly to the heart and brought out through my chest, a practice
invented in the 1950s by Dr. Walt Lillehei, an American pioneer of
open-heart surgery. They allow doctors to pace the heartbeat externally
if its rhythm falters. Mine were never needed, thankfully, and were
pulled out just before my discharge. The removal was surprisingly
painless, but the very idea that I had wires running from my heart to
the outside world was surreal.
I also worried about “pump head” — a cognitive fog that can follow
surgery involving the heart-lung machine. It affects memory,
concentration, language ability, and even personality. I'd read about it
in Sandeep Jauhar's “Heart: A History” — it can “persist years after >> surgery and in many cases is probably irreversible,” he wrote. My
primary-care physician had also warned me that my brain might not work
properly for weeks or even months after the surgery. Considering what I
do for a living, that prospect alarmed me. But I was fortunate. My
memory, attention, and sense of self remained intact. On the other hand,
for weeks I experienced strange visual auras — the kind that usually
precede a migraine but without the pain. My doctor was baffled. No one
could say for sure if it was a delayed effect of anesthesia, the
heart-lung machine, or simply my body's eccentric reaction to trauma.
The pain, at first, was unrelenting. Not just in my chest, which I had
expected, but radiating through my upper back. For weeks, I was
constantly being reminded of the violence that had been done to my body
in the name of healing. It was agonizing to cough; even more so to sneeze. >>
And yet, I quickly began to recover. Within a day I had been moved out
of intensive care; a day after that I was taking short walks in the
hospital corridor; less than a week after entering the hospital, I was
discharged. Once back home I figured out how to take a shower
unassisted. I climbed a flight of stairs (slowly). I even made my way to
the Starbucks around the block — though the first few times I tried it,
I had to stop for periodic rests.
As I have learned from my reading, a typical human heart beats three
billion times over a lifetime, pushing blood through 100,000 miles of
vessels — a network so vast it would circle the globe if laid end to
end. That mine could literally be stopped cold and started again, and a
failing valve removed and replaced with a new one, is an astonishment.
We take such surgery for granted now. But when I was born, the type of
surgery I just underwent was still unknown. The first time an aortic
valve from a human being was successfully replaced with one from an
animal was in 1965, the year I entered second grade.
Jauhar writes that until the late 19th century, the heart was considered
untouchable — not just medically but metaphorically. For millennia it
was regarded as the seat of human emotion and feeling, and that
perception lives on in our language: We “take heart,” “speak from the >> heart,” “have a change of heart,” or “give our heart” to another. When
Barney Clark was scheduled to receive the first permanent artificial
heart in 1982, his wife anxiously asked doctors: “Will he still be able
to love me?”
There is something intensely human about the vulnerability of the human
heart. Even in an age when more than 3,000 cardiac operations are
performed every day, we still think of it as sacred territory. Perhaps
it is.
For me, heart surgery was more than just a medical event. It was a
confrontation with mortality and a chance to marvel at what science and
surgery have made possible — and what they still cannot fully explain.
That I am here, writing this, with a new valve pulsing away in my chest,
is a gift I do not minimize. Like Wiesel, I too am “overcome with a
feeling of gratitude.”
Cardiovascular disease remains the leading cause of death in America. As
Jauhar notes, nearly one in four Americans will die from it, despite all
our progress. But we have come far. In the 1950s, open-heart surgery had
a 50 percent mortality rate. Now it's often less than 1 percent. And
while cardiology may be reaching the limits of what it can achieve, it
still affords the precious chance to extend life — and to reflect on its >> value.
Open-heart surgery didn’t make me wiser. But it did bring home to me
that the heart is not merely a pump. It is, in more ways than one, the
center of our being. And mine, once broken, beats on.
COVID-19 infection is not benign for the heart and may have been a contributing factor for Mr. Jacoby's rapidly progressing aortic
valvular disease that was initially only mild in 2020:
"Patients with corona virus disease (COVID)-19 are prone to a variety
of myocardial and vascular complications. Recent studies suggest that
cardiac valves are also potential targets for the Severe Acute
Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Calcific aortic valve stenosis (CAVS) is the most common valvular heart disease. Severe
COVID-19 has been associated with main risk factors for CAVS,
including male sex, older age, cardiovascular co-morbidities, obesity, hypertension, diabetes, and chronic kidney disease. Prognostic
implications for concomitant CAVS and SARS-CoV-2 infection have been reported. Changes in CAVS diagnostic, interventional, and follow-up
clinical processes have occurred during the COVID-19 pandemic.
SARS-CoV-2 may damage aortic valves via both direct injury and
indirect mechanisms that include hyperinflammation, oxidative stress,
and valve thrombosis. The injury is often acute but may be
irreversible and thus favor future CAVS development. Rheumatic heart
disease, which develops as a sequel of rheumatic fever, is one example
of a possible relation between an acute infection and chronic valvular
heart disease. A persistent prothrombotic state, prolonged endothelial dysfunction, and incomplete resolution of inflammation after COVID-19 convalescence may expose the aortic valves to chronic stimulation
toward CAVS. Priority of CAVS management in COVID-19 includes avoiding treatment delay and managing underlying pathophysiological state that promotes CAVS."
Abstract source: https://journals.lww.com/cardioplus/fulltext/2022/03000/calcific_aortic_valve_stenosis_and_covid_19_.2.aspx
In the interim, we are 100% prepared/protected in the "full armor of
GOD" (Ephesians 6:11) which we put on as soon as we use Apostle Paul's
secret (Philippians 4:12). Though masking is less protective, it helps
us avoid the appearance of doing the evil of spreading airborne
pathogens while there are people getting sick because of not being
100% protected. It is written that we're to "abstain from **all**
appearance of doing evil" (1 Thessalonians 5:22 w/**emphasis**).
Meanwhile, the only *perfect* (Matt 5:47-8 ) way to eradicate the
COVID-19 virus, thereby saving lives, in the UK & elsewhere is by
rapidly (i.e. use the "Rapid COVID-19 Test" ) finding out at any given moment, including even while on-line, who among us are unwittingly
contagious (i.e pre-symptomatic or asymptomatic) in order to
"convince it forward" (John 15:12) for them to call their doctor and self-quarantine per their doctor in hopes of stopping this pandemic.
Thus, we're hoping for the best while preparing for the worse-case
scenario of the Alpha lineage mutations and others like the Omicron,
Gamma, Beta, Epsilon, Iota, Lambda, Mu & Delta lineage mutations
combining via slip-RNA-replication to form hybrids like "Deltamicron"
that may render current COVID vaccines/monoclonals/medicines/pills no
longer effective.
Indeed, I am wonderfully hungry ( https://groups.google.com/g/sci.med.cardiology/c/6ZoE95d-VKc/m/14vVZoyOBgAJ
) and hope you, Michael, also have a healthy appetite too.
So how are you ?
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Michael Ejercito wrote:
https://mailchi.mp/bostonglobe/they-stopped-my-heart-cold
Newsletter header that reads "Arguable with Jeff Jacoby." An
illustration of the author, Jeff Jacoby, sits at a typewriter surrounded >>> by stacks of books. A globe is precariously placed at the top of one
stack, while a black cat slinks by another. The author is scratching his >>> head in thought.
Tuesday, June 17, 2025
By Jeff Jacoby, Globe Opinion columnist
New to Arguable? Click here to subscribe.
Follow me on X
They stopped my heart cold. Then they started it again.
My heart was breaking, but not from lost love. It was failing in the
most literal sense.
In 2020, my doctor recommended that I get an echocardiogram an
ultrasound of the heart to establish a baseline against which to
monitor any changes as I aged. Though I felt perfectly fine, the image
revealed that I had developed mild aortic stenosis, a narrowing of the
valve that controls the flow of oxygen-rich blood from the hearts main
pumping chamber (the left ventricle) into the aorta, and from there to
the rest of the body.
Within a few years, the diagnosis had progressed from mild to moderate
stenosis. Further change would likely be gradual, I was told.
Intervention wouldnt be necessary unless and until the degeneration of
the valve crossed into severe territory. But an echocardiogram early
this year showed that the stenosis which is caused by a buildup of
calcium on the valve was advancing much faster than expected.
Suddenly, a heart operation wasnt a development to anticipate in some
abstract future. According to my cardiologist, it was necessary now. I
sought a second opinion, from a specialist working in a different
medical practice. He reviewed the images and the data and made the same
recommendation: Have this surgery.
And so, in late March, I found myself on a gurney, being prepped for the >>> most consequential medical procedure of my life (so far).
Open-heart surgery is the sort of experience you tend to regard as too
remote to even think about until it's scheduled for you. But the weeks >>> leading up to the procedure made it clear that there is nothing
theoretical about what is going to take place. Over a period of about a
month and a half, I had to meet with a thoracic surgeon, choose an
anesthesiologist, undergo a variety of pre-surgical imaging (X-rays, CT
scan, another ultrasound), submit to catheterization to map out my heart >>> and coronary arteries, and take part in pre-anesthesia testing to make >>> plans for sedation during the surgery and pain management afterward.
The surgeon presented me with consent forms in which I acknowledged the
serious risks involved in the surgery. On one of the forms, he had noted >>> in large letters that those risks included death and stroke. I asked him >>> how often such disasters occur. About once in 200 surgeries, he told me. >>> In the abstract, a 0.5 percent mortality risk seems reassuringly low. It >>> seems a lot less so, however, when you realize that if one of 200
patients will die, you might be the one. My wife certainly took little
comfort in the statistics.
In the 1950s, open-heart surgery had a 50 percent mortality rate.
Today it is less than 1 percent.
(Jean-Sebastien Evrard/AFP via STAT News)
In truth, during the run-up to surgery my greatest dread wasn't that I
would die or be left disabled. It was that I would wake up with a
breathing tube down my throat. That prospect freaked me out so much that >>> I brought it up with every doctor I encountered. They all assured me
that I would be under full anesthesia during intubation and that even if >>> the tube were still in when I regained consciousness, I would retain no
memory of it.
They were wrong. It is the first thing I remember about waking up in the >>> ICU and I remember it vividly the sense of being about to suffocate,
the restraint of being unable to speak, the panicky urge to get that
thing out of my throat. Three months later, it remains the most
nightmarish part of the whole experience. By contrast, I have no memory
at all of being wheeled into the operating room, though I know I was
conscious at the time and even waved to my wife as I was wheeled past her. >>>
The operation itself took about four hours. What I know of it comes
mostly from my own research (instead of writing Arguable, Ive been
reading up on the history and techniques of heart surgery and watching
surgical videos), the many questions I asked, and the evidence I can see >>> in the mirror of the surgical teams precision.
The process was at once elegant and brutal. (Warning: some graphic
descriptions ahead.) After the anesthesia took hold, my chest was
scrubbed and all but a rectangular area in the center was covered by
sterile drapes. Using a scalpel, the surgeon made an 8-inch incision >>>from just below my collarbone down to the upper abdomen. The blade
sliced through skin and subcutaneous fat, revealing the flat, hard bone
of the underlying sternum.
Then he used an oscillating saw to cut through the sternum, while others >>> applied suction and cauterization to stem the flow of blood. A stainless >>> steel retractor was used to forcibly separate the two halves of my rib
cage and keep them apart, exposing the lungs and beating heart beneath.
The pericardium, the sac that encases the heart, was incised and pinned
back. The surgical field was awash in suction, cautery smoke, and the
steady hum of machines. All the while, I slept.
And then, an astonishing miracle of modern medical science took place:
My heart and lungs were taken offline, their functions outsourced to a >>> cardiopulmonary bypass machine that would take over their functions so
the surgery could proceed. With tubes and clamps, the surgical team
diverted my blood flow into the machine, which began to artificially
oxygenate it, then circulate it back into my body. Then an ice-cold
potassium solution, cardioplegia, was infused directly into the main
coronary arteries. My heart slackened, collapsed, and stopped beating.
There was nothing poetic about its stillness: It was clinical and eerie
and essential to giving the surgeon a chance to remove and replace my
diseased valve.
Elie Wiesel, the late Nobel peace laureate, underwent invasive heart
surgery in 2011 and afterward wrote a slim volume, Open Heart, about
the experience. I didnt know, I couldnt know, just how complicated it >>> is, with risks and dangers that defy imagination, he mused. For the
layman that I am, this surgery is not unlike a walk on the moon. I was >>> overcome with a feeling of gratitude.
Prior to surgery, I hadnt been experiencing any severe symptoms
nothing more than a mild breathlessness when walking uphill. But if the
valve wasnt removed, I learned, it would be only a matter of time
before more serious symptoms appeared. At that point, the average
survival without valve replacement is only 2 to 3 years. Aortic stenosis >>> is cruel in that way you can be relatively asymptomatic until one day
you collapse. In his compelling memoir Fragile Lives, the trailblazing >>> British heart surgeon Stephen Westaby quotes Henry Wadsworth Longfellow: >>> Nothing is too late / till the tired heart shall cease to palpitate.
I had mentioned to my surgeon a couple of times that after he removed my >>> damaged valve, I wanted to keep it as a souvenir and asked him to set it >>> aside for me. But when I asked about it after the surgery, he told me,
rather dismissively, that anything taken from the body had to be sent to >>> the pathology lab. It annoyed me to have my simple request ignored
especially when, reading Fragile Lives a few weeks later, I learned
that Westaby hadnt hesitated to honor a similar request from one of his >>> patients. But considering what I owed the surgeon, I wasnt about to
make a fuss over it.
In the immediate aftermath of surgery, I was full of holes. There were
tubes or puncture wounds in my neck, my abdomen, my chest, my hand, and
my thigh. And then there were the pacing wires thin wires attached
directly to the heart and brought out through my chest, a practice
invented in the 1950s by Dr. Walt Lillehei, an American pioneer of
open-heart surgery. They allow doctors to pace the heartbeat externally
if its rhythm falters. Mine were never needed, thankfully, and were
pulled out just before my discharge. The removal was surprisingly
painless, but the very idea that I had wires running from my heart to
the outside world was surreal.
I also worried about pump head a cognitive fog that can follow
surgery involving the heart-lung machine. It affects memory,
concentration, language ability, and even personality. I'd read about it >>> in Sandeep Jauhar's Heart: A History it can persist years after
surgery and in many cases is probably irreversible, he wrote. My
primary-care physician had also warned me that my brain might not work
properly for weeks or even months after the surgery. Considering what I
do for a living, that prospect alarmed me. But I was fortunate. My
memory, attention, and sense of self remained intact. On the other hand, >>> for weeks I experienced strange visual auras the kind that usually
precede a migraine but without the pain. My doctor was baffled. No one
could say for sure if it was a delayed effect of anesthesia, the
heart-lung machine, or simply my body's eccentric reaction to trauma.
The pain, at first, was unrelenting. Not just in my chest, which I had
expected, but radiating through my upper back. For weeks, I was
constantly being reminded of the violence that had been done to my body
in the name of healing. It was agonizing to cough; even more so to sneeze. >>>
And yet, I quickly began to recover. Within a day I had been moved out
of intensive care; a day after that I was taking short walks in the
hospital corridor; less than a week after entering the hospital, I was
discharged. Once back home I figured out how to take a shower
unassisted. I climbed a flight of stairs (slowly). I even made my way to >>> the Starbucks around the block though the first few times I tried it,
I had to stop for periodic rests.
As I have learned from my reading, a typical human heart beats three
billion times over a lifetime, pushing blood through 100,000 miles of
vessels a network so vast it would circle the globe if laid end to
end. That mine could literally be stopped cold and started again, and a
failing valve removed and replaced with a new one, is an astonishment.
We take such surgery for granted now. But when I was born, the type of
surgery I just underwent was still unknown. The first time an aortic
valve from a human being was successfully replaced with one from an
animal was in 1965, the year I entered second grade.
Jauhar writes that until the late 19th century, the heart was considered >>> untouchable not just medically but metaphorically. For millennia it
was regarded as the seat of human emotion and feeling, and that
perception lives on in our language: We take heart, speak from the
heart, have a change of heart, or give our heart to another. When
Barney Clark was scheduled to receive the first permanent artificial
heart in 1982, his wife anxiously asked doctors: Will he still be able
to love me?
There is something intensely human about the vulnerability of the human
heart. Even in an age when more than 3,000 cardiac operations are
performed every day, we still think of it as sacred territory. Perhaps
it is.
For me, heart surgery was more than just a medical event. It was a
confrontation with mortality and a chance to marvel at what science and
surgery have made possible and what they still cannot fully explain.
That I am here, writing this, with a new valve pulsing away in my chest, >>> is a gift I do not minimize. Like Wiesel, I too am overcome with a
feeling of gratitude.
Cardiovascular disease remains the leading cause of death in America. As >>> Jauhar notes, nearly one in four Americans will die from it, despite all >>> our progress. But we have come far. In the 1950s, open-heart surgery had >>> a 50 percent mortality rate. Now it's often less than 1 percent. And
while cardiology may be reaching the limits of what it can achieve, it
still affords the precious chance to extend life and to reflect on its >>> value.
Open-heart surgery didnt make me wiser. But it did bring home to me
that the heart is not merely a pump. It is, in more ways than one, the
center of our being. And mine, once broken, beats on.
COVID-19 infection is not benign for the heart and may have been a
contributing factor for Mr. Jacoby's rapidly progressing aortic
valvular disease that was initially only mild in 2020:
"Patients with corona virus disease (COVID)-19 are prone to a variety
of myocardial and vascular complications. Recent studies suggest that
cardiac valves are also potential targets for the Severe Acute
Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Calcific aortic valve
stenosis (CAVS) is the most common valvular heart disease. Severe
COVID-19 has been associated with main risk factors for CAVS,
including male sex, older age, cardiovascular co-morbidities, obesity,
hypertension, diabetes, and chronic kidney disease. Prognostic
implications for concomitant CAVS and SARS-CoV-2 infection have been
reported. Changes in CAVS diagnostic, interventional, and follow-up
clinical processes have occurred during the COVID-19 pandemic.
SARS-CoV-2 may damage aortic valves via both direct injury and
indirect mechanisms that include hyperinflammation, oxidative stress,
and valve thrombosis. The injury is often acute but may be
irreversible and thus favor future CAVS development. Rheumatic heart
disease, which develops as a sequel of rheumatic fever, is one example
of a possible relation between an acute infection and chronic valvular
heart disease. A persistent prothrombotic state, prolonged endothelial
dysfunction, and incomplete resolution of inflammation after COVID-19
convalescence may expose the aortic valves to chronic stimulation
toward CAVS. Priority of CAVS management in COVID-19 includes avoiding
treatment delay and managing underlying pathophysiological state that
promotes CAVS."
Abstract source:
https://journals.lww.com/cardioplus/fulltext/2022/03000/calcific_aortic_valve_stenosis_and_covid_19_.2.aspx
In the interim, we are 100% prepared/protected in the "full armor of
GOD" (Ephesians 6:11) which we put on as soon as we use Apostle Paul's
secret (Philippians 4:12). Though masking is less protective, it helps
us avoid the appearance of doing the evil of spreading airborne
pathogens while there are people getting sick because of not being
100% protected. It is written that we're to "abstain from **all**
appearance of doing evil" (1 Thessalonians 5:22 w/**emphasis**).
Meanwhile, the only *perfect* (Matt 5:47-8 ) way to eradicate the
COVID-19 virus, thereby saving lives, in the UK & elsewhere is by
rapidly (i.e. use the "Rapid COVID-19 Test" ) finding out at any given
moment, including even while on-line, who among us are unwittingly
contagious (i.e pre-symptomatic or asymptomatic) in order to
"convince it forward" (John 15:12) for them to call their doctor and
self-quarantine per their doctor in hopes of stopping this pandemic.
Thus, we're hoping for the best while preparing for the worse-case
scenario of the Alpha lineage mutations and others like the Omicron,
Gamma, Beta, Epsilon, Iota, Lambda, Mu & Delta lineage mutations
combining via slip-RNA-replication to form hybrids like "Deltamicron"
that may render current COVID vaccines/monoclonals/medicines/pills no
longer effective.
Indeed, I am wonderfully hungry (
https://groups.google.com/g/sci.med.cardiology/c/6ZoE95d-VKc/m/14vVZoyOBgAJ >> ) and hope you, Michael, also have a healthy appetite too.
So how are you ?
I am wonderfully hungry!
ReplyPermalinkOn Tue, 17 Jun 2025 20:01:40 -0700, NOT Michael EjercitoWrong, for I suck no anus!
Mangina, you and Loose Cannon are just jealous of him.Gook, you just want to zsuckle his fat jew anus.
Nithing, that would be better than being a Nazi nithing.You are a Nazi.You are a gook.
You are a nithing- homo sapiens by birth, subhuman BY CHOICE. TheAs a Nazi, you are, above all elseAs a craven gook who zsuckles jew ani, you are, below all else
Michael Ejercito wrote:
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Michael Ejercito wrote:
https://mailchi.mp/bostonglobe/they-stopped-my-heart-cold
Newsletter header that reads "Arguable with Jeff Jacoby." An
illustration of the author, Jeff Jacoby, sits at a typewriter surrounded >>>> by stacks of books. A globe is precariously placed at the top of one
stack, while a black cat slinks by another. The author is scratching his >>>> head in thought.
Tuesday, June 17, 2025
By Jeff Jacoby, Globe Opinion columnist
New to Arguable? Click here to subscribe.
Follow me on X
They stopped my heart cold. Then they started it again.
My heart was breaking, but not from lost love. It was failing in the
most literal sense.
In 2020, my doctor recommended that I get an echocardiogram — an
ultrasound of the heart — to establish a baseline against which to
monitor any changes as I aged. Though I felt perfectly fine, the image >>>> revealed that I had developed mild aortic stenosis, a narrowing of the >>>> valve that controls the flow of oxygen-rich blood from the heart’s main >>>> pumping chamber (the left ventricle) into the aorta, and from there to >>>> the rest of the body.
Within a few years, the diagnosis had progressed from mild to moderate >>>> stenosis. Further change would likely be gradual, I was told.
Intervention wouldn’t be necessary unless and until the degeneration of >>>> the valve crossed into “severe” territory. But an echocardiogram early >>>> this year showed that the stenosis — which is caused by a buildup of >>>> calcium on the valve — was advancing much faster than expected.
Suddenly, a heart operation wasn’t a development to anticipate in some >>>> abstract future. According to my cardiologist, it was necessary now. I >>>> sought a second opinion, from a specialist working in a different
medical practice. He reviewed the images and the data and made the same >>>> recommendation: Have this surgery.
And so, in late March, I found myself on a gurney, being prepped for the >>>> most consequential medical procedure of my life (so far).
Open-heart surgery is the sort of experience you tend to regard as too >>>> remote to even think about — until it's scheduled for you. But the weeks >>>> leading up to the procedure made it clear that there is nothing
theoretical about what is going to take place. Over a period of about a >>>> month and a half, I had to meet with a thoracic surgeon, choose an
anesthesiologist, undergo a variety of pre-surgical imaging (X-rays, CT >>>> scan, another ultrasound), submit to catheterization to map out my heart >>>> and coronary arteries, and take part in “pre-anesthesia testing” to make
plans for sedation during the surgery and pain management afterward.
The surgeon presented me with consent forms in which I acknowledged the >>>> serious risks involved in the surgery. On one of the forms, he had noted >>>> in large letters that those risks included death and stroke. I asked him >>>> how often such disasters occur. About once in 200 surgeries, he told me. >>>> In the abstract, a 0.5 percent mortality risk seems reassuringly low. It >>>> seems a lot less so, however, when you realize that if one of 200
patients will die, you might be the one. My wife certainly took little >>>> comfort in the statistics.
In the 1950s, open-heart surgery had a 50 percent mortality rate.
Today it is less than 1 percent.
(Jean-Sebastien Evrard/AFP via STAT News)
In truth, during the run-up to surgery my greatest dread wasn't that I >>>> would die or be left disabled. It was that I would wake up with a
breathing tube down my throat. That prospect freaked me out so much that >>>> I brought it up with every doctor I encountered. They all assured me
that I would be under full anesthesia during intubation and that even if >>>> the tube were still in when I regained consciousness, I would retain no >>>> memory of it.
They were wrong. It is the first thing I remember about waking up in the >>>> ICU and I remember it vividly — the sense of being about to suffocate, >>>> the restraint of being unable to speak, the panicky urge to get that
thing out of my throat. Three months later, it remains the most
nightmarish part of the whole experience. By contrast, I have no memory >>>> at all of being wheeled into the operating room, though I know I was
conscious at the time and even waved to my wife as I was wheeled past her. >>>>
The operation itself took about four hours. What I know of it comes
mostly from my own research (instead of writing Arguable, I’ve been
reading up on the history and techniques of heart surgery and watching >>>> surgical videos), the many questions I asked, and the evidence I can see >>>> in the mirror of the surgical team’s precision.
The process was at once elegant and brutal. (Warning: some graphic
descriptions ahead.) After the anesthesia took hold, my chest was
scrubbed and all but a rectangular area in the center was covered by
sterile drapes. Using a scalpel, the surgeon made an 8-inch incision
from just below my collarbone down to the upper abdomen. The blade
sliced through skin and subcutaneous fat, revealing the flat, hard bone >>>> of the underlying sternum.
Then he used an oscillating saw to cut through the sternum, while others >>>> applied suction and cauterization to stem the flow of blood. A stainless >>>> steel retractor was used to forcibly separate the two halves of my rib >>>> cage and keep them apart, exposing the lungs and beating heart beneath. >>>> The pericardium, the sac that encases the heart, was incised and pinned >>>> back. The surgical field was awash in suction, cautery smoke, and the
steady hum of machines. All the while, I slept.
And then, an astonishing miracle of modern medical science took place: >>>> My heart and lungs were taken offline, their functions “outsourced” to a
cardiopulmonary bypass machine that would take over their functions so >>>> the surgery could proceed. With tubes and clamps, the surgical team
diverted my blood flow into the machine, which began to artificially
oxygenate it, then circulate it back into my body. Then an ice-cold
potassium solution, cardioplegia, was infused directly into the main
coronary arteries. My heart slackened, collapsed, and stopped beating. >>>> There was nothing poetic about its stillness: It was clinical and eerie >>>> — and essential to giving the surgeon a chance to remove and replace my >>>> diseased valve.
Elie Wiesel, the late Nobel peace laureate, underwent invasive heart
surgery in 2011 and afterward wrote a slim volume, “Open Heart,” about >>>> the experience. “I didn’t know, I couldn’t know, just how complicated it
is, with risks and dangers that defy imagination,” he mused. “For the >>>> layman that I am, this surgery is not unlike a walk on the moon. … I was >>>> overcome with a feeling of gratitude.”
Prior to surgery, I hadn’t been experiencing any severe symptoms — >>>> nothing more than a mild breathlessness when walking uphill. But if the >>>> valve wasn’t removed, I learned, it would be only a matter of time
before more serious symptoms appeared. At that point, the average
survival without valve replacement is only 2 to 3 years. Aortic stenosis >>>> is cruel in that way — you can be relatively asymptomatic until one day >>>> you collapse. In his compelling memoir “Fragile Lives,” the trailblazing
British heart surgeon Stephen Westaby quotes Henry Wadsworth Longfellow: >>>> “Nothing is too late / till the tired heart shall cease to palpitate.” >>>>
I had mentioned to my surgeon a couple of times that after he removed my >>>> damaged valve, I wanted to keep it as a souvenir and asked him to set it >>>> aside for me. But when I asked about it after the surgery, he told me, >>>> rather dismissively, that anything taken from the body had to be sent to >>>> the pathology lab. It annoyed me to have my simple request ignored — >>>> especially when, reading “Fragile Lives” a few weeks later, I learned >>>> that Westaby hadn’t hesitated to honor a similar request from one of his >>>> patients. But considering what I owed the surgeon, I wasn’t about to >>>> make a fuss over it.
In the immediate aftermath of surgery, I was full of holes. There were >>>> tubes or puncture wounds in my neck, my abdomen, my chest, my hand, and >>>> my thigh. And then there were the pacing wires — thin wires attached >>>> directly to the heart and brought out through my chest, a practice
invented in the 1950s by Dr. Walt Lillehei, an American pioneer of
open-heart surgery. They allow doctors to pace the heartbeat externally >>>> if its rhythm falters. Mine were never needed, thankfully, and were
pulled out just before my discharge. The removal was surprisingly
painless, but the very idea that I had wires running from my heart to
the outside world was surreal.
I also worried about “pump head” — a cognitive fog that can follow >>>> surgery involving the heart-lung machine. It affects memory,
concentration, language ability, and even personality. I'd read about it >>>> in Sandeep Jauhar's “Heart: A History” — it can “persist years after
surgery and in many cases is probably irreversible,” he wrote. My
primary-care physician had also warned me that my brain might not work >>>> properly for weeks or even months after the surgery. Considering what I >>>> do for a living, that prospect alarmed me. But I was fortunate. My
memory, attention, and sense of self remained intact. On the other hand, >>>> for weeks I experienced strange visual auras — the kind that usually >>>> precede a migraine but without the pain. My doctor was baffled. No one >>>> could say for sure if it was a delayed effect of anesthesia, the
heart-lung machine, or simply my body's eccentric reaction to trauma.
The pain, at first, was unrelenting. Not just in my chest, which I had >>>> expected, but radiating through my upper back. For weeks, I was
constantly being reminded of the violence that had been done to my body >>>> in the name of healing. It was agonizing to cough; even more so to sneeze. >>>>
And yet, I quickly began to recover. Within a day I had been moved out >>>> of intensive care; a day after that I was taking short walks in the
hospital corridor; less than a week after entering the hospital, I was >>>> discharged. Once back home I figured out how to take a shower
unassisted. I climbed a flight of stairs (slowly). I even made my way to >>>> the Starbucks around the block — though the first few times I tried it, >>>> I had to stop for periodic rests.
As I have learned from my reading, a typical human heart beats three
billion times over a lifetime, pushing blood through 100,000 miles of
vessels — a network so vast it would circle the globe if laid end to >>>> end. That mine could literally be stopped cold and started again, and a >>>> failing valve removed and replaced with a new one, is an astonishment. >>>> We take such surgery for granted now. But when I was born, the type of >>>> surgery I just underwent was still unknown. The first time an aortic
valve from a human being was successfully replaced with one from an
animal was in 1965, the year I entered second grade.
Jauhar writes that until the late 19th century, the heart was considered >>>> untouchable — not just medically but metaphorically. For millennia it >>>> was regarded as the seat of human emotion and feeling, and that
perception lives on in our language: We “take heart,” “speak from the
heart,” “have a change of heart,” or “give our heart” to another. When
Barney Clark was scheduled to receive the first permanent artificial
heart in 1982, his wife anxiously asked doctors: “Will he still be able >>>> to love me?”
There is something intensely human about the vulnerability of the human >>>> heart. Even in an age when more than 3,000 cardiac operations are
performed every day, we still think of it as sacred territory. Perhaps >>>> it is.
For me, heart surgery was more than just a medical event. It was a
confrontation with mortality and a chance to marvel at what science and >>>> surgery have made possible — and what they still cannot fully explain. >>>> That I am here, writing this, with a new valve pulsing away in my chest, >>>> is a gift I do not minimize. Like Wiesel, I too am “overcome with a
feeling of gratitude.”
Cardiovascular disease remains the leading cause of death in America. As >>>> Jauhar notes, nearly one in four Americans will die from it, despite all >>>> our progress. But we have come far. In the 1950s, open-heart surgery had >>>> a 50 percent mortality rate. Now it's often less than 1 percent. And
while cardiology may be reaching the limits of what it can achieve, it >>>> still affords the precious chance to extend life — and to reflect on its >>>> value.
Open-heart surgery didn’t make me wiser. But it did bring home to me >>>> that the heart is not merely a pump. It is, in more ways than one, the >>>> center of our being. And mine, once broken, beats on.
COVID-19 infection is not benign for the heart and may have been a
contributing factor for Mr. Jacoby's rapidly progressing aortic
valvular disease that was initially only mild in 2020:
"Patients with corona virus disease (COVID)-19 are prone to a variety
of myocardial and vascular complications. Recent studies suggest that
cardiac valves are also potential targets for the Severe Acute
Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Calcific aortic valve
stenosis (CAVS) is the most common valvular heart disease. Severe
COVID-19 has been associated with main risk factors for CAVS,
including male sex, older age, cardiovascular co-morbidities, obesity,
hypertension, diabetes, and chronic kidney disease. Prognostic
implications for concomitant CAVS and SARS-CoV-2 infection have been
reported. Changes in CAVS diagnostic, interventional, and follow-up
clinical processes have occurred during the COVID-19 pandemic.
SARS-CoV-2 may damage aortic valves via both direct injury and
indirect mechanisms that include hyperinflammation, oxidative stress,
and valve thrombosis. The injury is often acute but may be
irreversible and thus favor future CAVS development. Rheumatic heart
disease, which develops as a sequel of rheumatic fever, is one example
of a possible relation between an acute infection and chronic valvular
heart disease. A persistent prothrombotic state, prolonged endothelial
dysfunction, and incomplete resolution of inflammation after COVID-19
convalescence may expose the aortic valves to chronic stimulation
toward CAVS. Priority of CAVS management in COVID-19 includes avoiding
treatment delay and managing underlying pathophysiological state that
promotes CAVS."
Abstract source:
https://journals.lww.com/cardioplus/fulltext/2022/03000/calcific_aortic_valve_stenosis_and_covid_19_.2.aspx
In the interim, we are 100% prepared/protected in the "full armor of
GOD" (Ephesians 6:11) which we put on as soon as we use Apostle Paul's
secret (Philippians 4:12). Though masking is less protective, it helps
us avoid the appearance of doing the evil of spreading airborne
pathogens while there are people getting sick because of not being
100% protected. It is written that we're to "abstain from **all**
appearance of doing evil" (1 Thessalonians 5:22 w/**emphasis**).
Meanwhile, the only *perfect* (Matt 5:47-8 ) way to eradicate the
COVID-19 virus, thereby saving lives, in the UK & elsewhere is by
rapidly (i.e. use the "Rapid COVID-19 Test" ) finding out at any given
moment, including even while on-line, who among us are unwittingly
contagious (i.e pre-symptomatic or asymptomatic) in order to
"convince it forward" (John 15:12) for them to call their doctor and
self-quarantine per their doctor in hopes of stopping this pandemic.
Thus, we're hoping for the best while preparing for the worse-case
scenario of the Alpha lineage mutations and others like the Omicron,
Gamma, Beta, Epsilon, Iota, Lambda, Mu & Delta lineage mutations
combining via slip-RNA-replication to form hybrids like "Deltamicron"
that may render current COVID vaccines/monoclonals/medicines/pills no
longer effective.
Indeed, I am wonderfully hungry (
https://groups.google.com/g/sci.med.cardiology/c/6ZoE95d-VKc/m/14vVZoyOBgAJ >>> ) and hope you, Michael, also have a healthy appetite too.
So how are you ?
I am wonderfully hungry!
While wonderfully hungry in the Holy Spirit, Who causes (Deuteronomy
8:3) us to hunger, I note that you, Michael, are rapture ready (Luke
17:37 means no COVID just as eagles circling over their food have no
COVID) and pray (2 Chronicles 7:14) that our Everlasting (Isaiah 9:6)
Father in Heaven continues to give us "much more" (Luke 11:13) Holy
Spirit (Galatians 5:22-23) so that we'd have much more of His Help to
always say/write that we're "wonderfully hungry" in **all** ways
including especially caring to "convince it forward" (John 15:12) with
all glory (Psalm112:1) to GOD (aka HaShem, Elohim, Abba, DEO), in
the name (John 16:23) of LORD Jesus Christ of Nazareth. Amen.
Laus DEO !
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Michael Ejercito wrote:
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Michael Ejercito wrote:
https://mailchi.mp/bostonglobe/they-stopped-my-heart-cold
Newsletter header that reads "Arguable with Jeff Jacoby." An
illustration of the author, Jeff Jacoby, sits at a typewriter surrounded >>>>> by stacks of books. A globe is precariously placed at the top of one >>>>> stack, while a black cat slinks by another. The author is scratching his >>>>> head in thought.
Tuesday, June 17, 2025
By Jeff Jacoby, Globe Opinion columnist
New to Arguable? Click here to subscribe.
Follow me on X
They stopped my heart cold. Then they started it again.
My heart was breaking, but not from lost love. It was failing in the >>>>> most literal sense.
In 2020, my doctor recommended that I get an echocardiogram an
ultrasound of the heart to establish a baseline against which to
monitor any changes as I aged. Though I felt perfectly fine, the image >>>>> revealed that I had developed mild aortic stenosis, a narrowing of the >>>>> valve that controls the flow of oxygen-rich blood from the hearts main >>>>> pumping chamber (the left ventricle) into the aorta, and from there to >>>>> the rest of the body.
Within a few years, the diagnosis had progressed from mild to moderate >>>>> stenosis. Further change would likely be gradual, I was told.
Intervention wouldnt be necessary unless and until the degeneration of >>>>> the valve crossed into severe territory. But an echocardiogram early >>>>> this year showed that the stenosis which is caused by a buildup of >>>>> calcium on the valve was advancing much faster than expected.
Suddenly, a heart operation wasnt a development to anticipate in some >>>>> abstract future. According to my cardiologist, it was necessary now. I >>>>> sought a second opinion, from a specialist working in a different
medical practice. He reviewed the images and the data and made the same >>>>> recommendation: Have this surgery.
And so, in late March, I found myself on a gurney, being prepped for the >>>>> most consequential medical procedure of my life (so far).
Open-heart surgery is the sort of experience you tend to regard as too >>>>> remote to even think about until it's scheduled for you. But the weeks >>>>> leading up to the procedure made it clear that there is nothing
theoretical about what is going to take place. Over a period of about a >>>>> month and a half, I had to meet with a thoracic surgeon, choose an
anesthesiologist, undergo a variety of pre-surgical imaging (X-rays, CT >>>>> scan, another ultrasound), submit to catheterization to map out my heart >>>>> and coronary arteries, and take part in pre-anesthesia testing to make >>>>> plans for sedation during the surgery and pain management afterward. >>>>>
The surgeon presented me with consent forms in which I acknowledged the >>>>> serious risks involved in the surgery. On one of the forms, he had noted >>>>> in large letters that those risks included death and stroke. I asked him >>>>> how often such disasters occur. About once in 200 surgeries, he told me. >>>>> In the abstract, a 0.5 percent mortality risk seems reassuringly low. It >>>>> seems a lot less so, however, when you realize that if one of 200
patients will die, you might be the one. My wife certainly took little >>>>> comfort in the statistics.
In the 1950s, open-heart surgery had a 50 percent mortality rate. >>>>> Today it is less than 1 percent.
(Jean-Sebastien Evrard/AFP via STAT News)
In truth, during the run-up to surgery my greatest dread wasn't that I >>>>> would die or be left disabled. It was that I would wake up with a
breathing tube down my throat. That prospect freaked me out so much that >>>>> I brought it up with every doctor I encountered. They all assured me >>>>> that I would be under full anesthesia during intubation and that even if >>>>> the tube were still in when I regained consciousness, I would retain no >>>>> memory of it.
They were wrong. It is the first thing I remember about waking up in the >>>>> ICU and I remember it vividly the sense of being about to suffocate, >>>>> the restraint of being unable to speak, the panicky urge to get that >>>>> thing out of my throat. Three months later, it remains the most
nightmarish part of the whole experience. By contrast, I have no memory >>>>> at all of being wheeled into the operating room, though I know I was >>>>> conscious at the time and even waved to my wife as I was wheeled past her.
The operation itself took about four hours. What I know of it comes
mostly from my own research (instead of writing Arguable, Ive been
reading up on the history and techniques of heart surgery and watching >>>>> surgical videos), the many questions I asked, and the evidence I can see >>>>> in the mirror of the surgical teams precision.
The process was at once elegant and brutal. (Warning: some graphic
descriptions ahead.) After the anesthesia took hold, my chest was
scrubbed and all but a rectangular area in the center was covered by >>>>> sterile drapes. Using a scalpel, the surgeon made an 8-inch incision
from just below my collarbone down to the upper abdomen. The blade
sliced through skin and subcutaneous fat, revealing the flat, hard bone >>>>> of the underlying sternum.
Then he used an oscillating saw to cut through the sternum, while others >>>>> applied suction and cauterization to stem the flow of blood. A stainless >>>>> steel retractor was used to forcibly separate the two halves of my rib >>>>> cage and keep them apart, exposing the lungs and beating heart beneath. >>>>> The pericardium, the sac that encases the heart, was incised and pinned >>>>> back. The surgical field was awash in suction, cautery smoke, and the >>>>> steady hum of machines. All the while, I slept.
And then, an astonishing miracle of modern medical science took place: >>>>> My heart and lungs were taken offline, their functions outsourced to a >>>>> cardiopulmonary bypass machine that would take over their functions so >>>>> the surgery could proceed. With tubes and clamps, the surgical team
diverted my blood flow into the machine, which began to artificially >>>>> oxygenate it, then circulate it back into my body. Then an ice-cold
potassium solution, cardioplegia, was infused directly into the main >>>>> coronary arteries. My heart slackened, collapsed, and stopped beating. >>>>> There was nothing poetic about its stillness: It was clinical and eerie >>>>> and essential to giving the surgeon a chance to remove and replace my >>>>> diseased valve.
Elie Wiesel, the late Nobel peace laureate, underwent invasive heart >>>>> surgery in 2011 and afterward wrote a slim volume, Open Heart, about >>>>> the experience. I didnt know, I couldnt know, just how complicated it >>>>> is, with risks and dangers that defy imagination, he mused. For the >>>>> layman that I am, this surgery is not unlike a walk on the moon. I was >>>>> overcome with a feeling of gratitude.
Prior to surgery, I hadnt been experiencing any severe symptoms
nothing more than a mild breathlessness when walking uphill. But if the >>>>> valve wasnt removed, I learned, it would be only a matter of time
before more serious symptoms appeared. At that point, the average
survival without valve replacement is only 2 to 3 years. Aortic stenosis >>>>> is cruel in that way you can be relatively asymptomatic until one day >>>>> you collapse. In his compelling memoir Fragile Lives, the trailblazing >>>>> British heart surgeon Stephen Westaby quotes Henry Wadsworth Longfellow: >>>>> Nothing is too late / till the tired heart shall cease to palpitate. >>>>>
I had mentioned to my surgeon a couple of times that after he removed my >>>>> damaged valve, I wanted to keep it as a souvenir and asked him to set it >>>>> aside for me. But when I asked about it after the surgery, he told me, >>>>> rather dismissively, that anything taken from the body had to be sent to >>>>> the pathology lab. It annoyed me to have my simple request ignored >>>>> especially when, reading Fragile Lives a few weeks later, I learned >>>>> that Westaby hadnt hesitated to honor a similar request from one of his >>>>> patients. But considering what I owed the surgeon, I wasnt about to >>>>> make a fuss over it.
In the immediate aftermath of surgery, I was full of holes. There were >>>>> tubes or puncture wounds in my neck, my abdomen, my chest, my hand, and >>>>> my thigh. And then there were the pacing wires thin wires attached >>>>> directly to the heart and brought out through my chest, a practice
invented in the 1950s by Dr. Walt Lillehei, an American pioneer of
open-heart surgery. They allow doctors to pace the heartbeat externally >>>>> if its rhythm falters. Mine were never needed, thankfully, and were
pulled out just before my discharge. The removal was surprisingly
painless, but the very idea that I had wires running from my heart to >>>>> the outside world was surreal.
I also worried about pump head a cognitive fog that can follow
surgery involving the heart-lung machine. It affects memory,
concentration, language ability, and even personality. I'd read about it >>>>> in Sandeep Jauhar's Heart: A History it can persist years after >>>>> surgery and in many cases is probably irreversible, he wrote. My
primary-care physician had also warned me that my brain might not work >>>>> properly for weeks or even months after the surgery. Considering what I >>>>> do for a living, that prospect alarmed me. But I was fortunate. My
memory, attention, and sense of self remained intact. On the other hand, >>>>> for weeks I experienced strange visual auras the kind that usually >>>>> precede a migraine but without the pain. My doctor was baffled. No one >>>>> could say for sure if it was a delayed effect of anesthesia, the
heart-lung machine, or simply my body's eccentric reaction to trauma. >>>>>
The pain, at first, was unrelenting. Not just in my chest, which I had >>>>> expected, but radiating through my upper back. For weeks, I was
constantly being reminded of the violence that had been done to my body >>>>> in the name of healing. It was agonizing to cough; even more so to sneeze.
And yet, I quickly began to recover. Within a day I had been moved out >>>>> of intensive care; a day after that I was taking short walks in the
hospital corridor; less than a week after entering the hospital, I was >>>>> discharged. Once back home I figured out how to take a shower
unassisted. I climbed a flight of stairs (slowly). I even made my way to >>>>> the Starbucks around the block though the first few times I tried it, >>>>> I had to stop for periodic rests.
As I have learned from my reading, a typical human heart beats three >>>>> billion times over a lifetime, pushing blood through 100,000 miles of >>>>> vessels a network so vast it would circle the globe if laid end to >>>>> end. That mine could literally be stopped cold and started again, and a >>>>> failing valve removed and replaced with a new one, is an astonishment. >>>>> We take such surgery for granted now. But when I was born, the type of >>>>> surgery I just underwent was still unknown. The first time an aortic >>>>> valve from a human being was successfully replaced with one from an
animal was in 1965, the year I entered second grade.
Jauhar writes that until the late 19th century, the heart was considered >>>>> untouchable not just medically but metaphorically. For millennia it >>>>> was regarded as the seat of human emotion and feeling, and that
perception lives on in our language: We take heart, speak from the >>>>> heart, have a change of heart, or give our heart to another. When >>>>> Barney Clark was scheduled to receive the first permanent artificial >>>>> heart in 1982, his wife anxiously asked doctors: Will he still be able >>>>> to love me?
There is something intensely human about the vulnerability of the human >>>>> heart. Even in an age when more than 3,000 cardiac operations are
performed every day, we still think of it as sacred territory. Perhaps >>>>> it is.
For me, heart surgery was more than just a medical event. It was a
confrontation with mortality and a chance to marvel at what science and >>>>> surgery have made possible and what they still cannot fully explain. >>>>> That I am here, writing this, with a new valve pulsing away in my chest, >>>>> is a gift I do not minimize. Like Wiesel, I too am overcome with a
feeling of gratitude.
Cardiovascular disease remains the leading cause of death in America. As >>>>> Jauhar notes, nearly one in four Americans will die from it, despite all >>>>> our progress. But we have come far. In the 1950s, open-heart surgery had >>>>> a 50 percent mortality rate. Now it's often less than 1 percent. And >>>>> while cardiology may be reaching the limits of what it can achieve, it >>>>> still affords the precious chance to extend life and to reflect on its >>>>> value.
Open-heart surgery didnt make me wiser. But it did bring home to me >>>>> that the heart is not merely a pump. It is, in more ways than one, the >>>>> center of our being. And mine, once broken, beats on.
COVID-19 infection is not benign for the heart and may have been a
contributing factor for Mr. Jacoby's rapidly progressing aortic
valvular disease that was initially only mild in 2020:
"Patients with corona virus disease (COVID)-19 are prone to a variety
of myocardial and vascular complications. Recent studies suggest that
cardiac valves are also potential targets for the Severe Acute
Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Calcific aortic valve >>>> stenosis (CAVS) is the most common valvular heart disease. Severe
COVID-19 has been associated with main risk factors for CAVS,
including male sex, older age, cardiovascular co-morbidities, obesity, >>>> hypertension, diabetes, and chronic kidney disease. Prognostic
implications for concomitant CAVS and SARS-CoV-2 infection have been
reported. Changes in CAVS diagnostic, interventional, and follow-up
clinical processes have occurred during the COVID-19 pandemic.
SARS-CoV-2 may damage aortic valves via both direct injury and
indirect mechanisms that include hyperinflammation, oxidative stress,
and valve thrombosis. The injury is often acute but may be
irreversible and thus favor future CAVS development. Rheumatic heart
disease, which develops as a sequel of rheumatic fever, is one example >>>> of a possible relation between an acute infection and chronic valvular >>>> heart disease. A persistent prothrombotic state, prolonged endothelial >>>> dysfunction, and incomplete resolution of inflammation after COVID-19
convalescence may expose the aortic valves to chronic stimulation
toward CAVS. Priority of CAVS management in COVID-19 includes avoiding >>>> treatment delay and managing underlying pathophysiological state that
promotes CAVS."
Abstract source:
https://journals.lww.com/cardioplus/fulltext/2022/03000/calcific_aortic_valve_stenosis_and_covid_19_.2.aspx
In the interim, we are 100% prepared/protected in the "full armor of
GOD" (Ephesians 6:11) which we put on as soon as we use Apostle Paul's >>>> secret (Philippians 4:12). Though masking is less protective, it helps >>>> us avoid the appearance of doing the evil of spreading airborne
pathogens while there are people getting sick because of not being
100% protected. It is written that we're to "abstain from **all**
appearance of doing evil" (1 Thessalonians 5:22 w/**emphasis**).
Meanwhile, the only *perfect* (Matt 5:47-8 ) way to eradicate the
COVID-19 virus, thereby saving lives, in the UK & elsewhere is by
rapidly (i.e. use the "Rapid COVID-19 Test" ) finding out at any given >>>> moment, including even while on-line, who among us are unwittingly
contagious (i.e pre-symptomatic or asymptomatic) in order to
"convince it forward" (John 15:12) for them to call their doctor and
self-quarantine per their doctor in hopes of stopping this pandemic.
Thus, we're hoping for the best while preparing for the worse-case
scenario of the Alpha lineage mutations and others like the Omicron,
Gamma, Beta, Epsilon, Iota, Lambda, Mu & Delta lineage mutations
combining via slip-RNA-replication to form hybrids like "Deltamicron"
that may render current COVID vaccines/monoclonals/medicines/pills no
longer effective.
Indeed, I am wonderfully hungry (
https://groups.google.com/g/sci.med.cardiology/c/6ZoE95d-VKc/m/14vVZoyOBgAJ
) and hope you, Michael, also have a healthy appetite too.
So how are you ?
I am wonderfully hungry!
While wonderfully hungry in the Holy Spirit, Who causes (Deuteronomy
8:3) us to hunger, I note that you, Michael, are rapture ready (Luke
17:37 means no COVID just as eagles circling over their food have no
COVID) and pray (2 Chronicles 7:14) that our Everlasting (Isaiah 9:6)
Father in Heaven continues to give us "much more" (Luke 11:13) Holy
Spirit (Galatians 5:22-23) so that we'd have much more of His Help to
always say/write that we're "wonderfully hungry" in **all** ways
including especially caring to "convince it forward" (John 15:12) with
all glory (Psalm112:1) to GOD (aka HaShem, Elohim, Abba, DEO), in
the name (John 16:23) of LORD Jesus Christ of Nazareth. Amen.
Laus DEO !
Thank you for noting that I have no COVID.
ReplyPermalinkOn Wed, 18 Jun 2025 08:31:56 -0700, NOT Michael EjercitoIt is immoral for you to call people gooks.
Post by Michael EjercitoGook, being a gook is worse than being almost anything except being a
Ron 'I'm not some fucking jew' Jacobsohnabout 2 hours ago
You are a gook.Nithing, that would be better than being a Nazi nithing.
jew.
HeartDoc Andrew wrote:
< DELETE INANE GOOK IDIOCY>
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Subject: The LORD says "Blessed are you who hunger now ..."
Shame on andrew, look at his red face.
He is trying to pull a fast one. His scripture bit is found among these:
'14 Bible verses about Spiritual Hunger'
Psalms
81:10 I am the LORD thy God, which brought thee out of the land of Egypt: >open thy mouth wide, and I will fill it.
Proverbs
13:25 The righteous has enough to satisfy his appetite, But the stomach of >the wicked is in need.
Joel
2:26 And ye shall eat in plenty, and be satisfied, and praise the name of
the LORD your God, that hath dealt wondrously with you: and my
people shall never be ashamed.
Psalms
107 For he satisfies the thirsty and fills the hungry with good things.
Acts
14:17 "Yet he did not leave himself without witness, for he did good by >giving you rains from heaven and fruitful seasons, satisfying
your hearts with food and gladness."
someone eternally condemned & ever more cursed by GOD perseverated:
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Subject: a very very very simple definition of sin ...
Does andrew's "definition" agree with scripture? Let's see in 1 John:
John wrote this to christians. The greek grammer (sic) speaks of an ongoing >> status. He includes himself in that status.
1:8 If we say that we have no sin, we deceive ourselves, and the truth is
not in us.
1:9 If we confess our sins, he is faithful and just to forgive us our sins, >> and to cleanse us from all unrighteousness.
1:10 If we say that we have not sinned, we make him a liar, and his word is >> not in us.
Ron 'I'm not some fucking jew' Jacobsohnabout an hour ago
ReplyPermalinkOn Wed, 18 Jun 2025 08:31:56 -0700, NOT Michael EjercitoIt is immoral for you to call people gooks.
Post by Michael EjercitoGook, being a gook is worse than being almost anything except being a
Ron 'I'm not some fucking jew' Jacobsohnabout 2 hours ago
You are a gook.Nithing, that would be better than being a Nazi nithing.
jew.
The following article explains your pathology.
<DELETE PLAGIARIZED KIKE BULLSHIT>
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Subject: The LORD says "Blessed are you who hunger now ..."
Shame on andrew, look at his red face.
He is trying to pull a fast one. His scripture bit is found among these:
'14 Bible verses about Spiritual Hunger'
Psalms
81:10 I am the LORD thy God, which brought thee out of the land of Egypt: >open thy mouth wide, and I will fill it.
Proverbs
13:25 The righteous has enough to satisfy his appetite, But the stomach of >the wicked is in need.
Joel
2:26 And ye shall eat in plenty, and be satisfied, and praise the name of
the LORD your God, that hath dealt wondrously with you: and my
people shall never be ashamed.
Psalms
107 For he satisfies the thirsty and fills the hungry with good things.
Acts
14:17 "Yet he did not leave himself without witness, for he did good by >giving you rains from heaven and fruitful seasons, satisfying
your hearts with food and gladness."
someone eternally condemned & ever more cursed by GOD perseverated:
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Subject: a very very very simple definition of sin ...
Does andrew's "definition" agree with scripture? Let's see in 1 John:
John wrote this to christians. The greek grammer (sic) speaks of an ongoing >> status. He includes himself in that status.
1:8 If we say that we have no sin, we deceive ourselves, and the truth is
not in us.
1:9 If we confess our sins, he is faithful and just to forgive us our sins, >> and to cleanse us from all unrighteousness.
1:10 If we say that we have not sinned, we make him a liar, and his word is >> not in us.
<DELETE NONSENSICAL CHINK CHATTER>
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Subject: The LORD says "Blessed are you who hunger now ..."
Shame on andrew, look at his red face.
He is trying to pull a fast one. His scripture bit is found among these:
'14 Bible verses about Spiritual Hunger'
Psalms
81:10 I am the LORD thy God, which brought thee out of the land of Egypt: >open thy mouth wide, and I will fill it.
Proverbs
13:25 The righteous has enough to satisfy his appetite, But the stomach of >the wicked is in need.
Joel
2:26 And ye shall eat in plenty, and be satisfied, and praise the name of
the LORD your God, that hath dealt wondrously with you: and my
people shall never be ashamed.
Psalms
107 For he satisfies the thirsty and fills the hungry with good things.
Acts
14:17 "Yet he did not leave himself without witness, for he did good by >giving you rains from heaven and fruitful seasons, satisfying
your hearts with food and gladness."
someone eternally condemned & ever more cursed by GOD perseverated:
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Subject: a very very very simple definition of sin ...
Does andrew's "definition" agree with scripture? Let's see in 1 John:
John wrote this to christians. The greek grammer (sic) speaks of an ongoing >> status. He includes himself in that status.
1:8 If we say that we have no sin, we deceive ourselves, and the truth is
not in us.
1:9 If we confess our sins, he is faithful and just to forgive us our sins, >> and to cleanse us from all unrighteousness.
1:10 If we say that we have not sinned, we make him a liar, and his word is >> not in us.
On Wed, 18 Jun 2025 16:21:27 -0700, Michael Ejercito
<MEjercit@HotMail.com> wrote:
Ron 'I'm not some fucking jew' Jacobsohnabout an hour ago
ReplyPermalinkOn Wed, 18 Jun 2025 08:31:56 -0700, NOT Michael EjercitoIt is immoral for you to call people gooks.
Post by Michael EjercitoGook, being a gook is worse than being almost anything except being a
Ron 'I'm not some fucking jew' Jacobsohnabout 2 hours ago
You are a gook.Nithing, that would be better than being a Nazi nithing.
jew.
He's not calling people gooks, he's calling sub-human cretins gooks
On Wed, 18 Jun 2025 08:28:03 -0700, Michael EjercitoWhere are they going?
<MEjercit@HotMail.com> wrote:
HeartDoc Andrew wrote:
< DELETE INANE GOOK IDIOCY>
There's nowhere to hide, gooks. You're going!
https://postimg.cc/0r8NkFQy
Goodbye gooks!
<Jeff> 06/20/25 Loose/KK tragically vainjangling (1 Tim 1:6) ...
https://groups.google.com/g/sci.med.cardiology/c/4tIJn_I167w/m/bKWQRUarAgAJ
Link to post explicating vainjangling by the eternally condemned: https://groups.google.com/d/msg/sci.med.cardiology/O23NguTslhI/-xLGqnNjAAAJ
"Like a moth to flame, the eternally condemned tragically return to be
ever more cursed by GOD."
Behold in wide-eyed wonder and amazement at the continued fulfillment
of this prophecy as clearly demonstrated within the following USENET
threads:
(1) Link to thread titled "LORD Jesus Christ of Nazareth is our #1
Example of being wonderfully hungry;"
https://groups.google.com/g/sci.med.cardiology/c/_iVmOb7q3_Q/m/E8L7TNNtAgAJ
(2) Link to thread titled "Being wonderfully hungry;"
https://groups.google.com/forum/#!topic/sci.med.cardiology/uCPb3ldOv5M
(3) Link to thread titled "A very very very simple definition of sin;"
https://groups.google.com/forum/#!topic/alt.bible.prophecy/xunFWhan_AM
(4) Link to thread titled "The LORD says 'Blessed are you who hunger
now;'"
https://groups.google.com/forum/#!topic/alt.bible.prophecy/e4sW8dr44rM
(5) Link to thread titled "Being wonderfully hungry like LORD Jesus;"
https://groups.google.com/d/msg/alt.bible.prophecy/xPY1Uzl-ZNk/QeKLDNCpCwAJ
... for the continued benefit (Romans 8:28) of those of us who are http://WonderfullyHungry.org like GOD ( http://bit.ly/Lk2442 ) with
all glory ( http://bit.ly/Psalm112_1 ) to the LORD.
Source: https://groups.google.com/d/msg/sci.med.cardiology/O23NguTslhI/pIZcsOCJBwAJ
Laus DEO !
While wonderfully hungry ( http://bit.ly/Philippians4_12 ) in the Holy Spirit, Who causes (Deuteronomy 8:3) me to hunger right now (Luke
6:21a), I pray (2 Chronicles 7:14) that GOD continues to curse
(Jeremiah 17:5) you, who are eternally condemned (Mark 3:29), more
than ever in the name of Jesus Christ of Nazareth. Amen.
Laus DEO ! ! !
Bottom line: https://groups.google.com/d/msg/sci.med.cardiology/O23NguTslhI/h5lE-mr0DAAJ
HeartDoc Andrew wrote:
<Jeff> 06/20/25 Loose/KK tragically vainjangling (1 Tim 1:6) ...Indeed, they are so pathetic.
https://groups.google.com/g/sci.med.cardiology/c/4tIJn_I167w/m/bKWQRUarAgAJ >>
Link to post explicating vainjangling by the eternally condemned:
https://groups.google.com/d/msg/sci.med.cardiology/O23NguTslhI/-xLGqnNjAAAJ >>
"Like a moth to flame, the eternally condemned tragically return to be
ever more cursed by GOD."
Behold in wide-eyed wonder and amazement at the continued fulfillment
of this prophecy as clearly demonstrated within the following USENET
threads:
(1) Link to thread titled "LORD Jesus Christ of Nazareth is our #1
Example of being wonderfully hungry;"
https://groups.google.com/g/sci.med.cardiology/c/_iVmOb7q3_Q/m/E8L7TNNtAgAJ >>
(2) Link to thread titled "Being wonderfully hungry;"
https://groups.google.com/forum/#!topic/sci.med.cardiology/uCPb3ldOv5M
(3) Link to thread titled "A very very very simple definition of sin;"
https://groups.google.com/forum/#!topic/alt.bible.prophecy/xunFWhan_AM
(4) Link to thread titled "The LORD says 'Blessed are you who hunger
now;'"
https://groups.google.com/forum/#!topic/alt.bible.prophecy/e4sW8dr44rM
(5) Link to thread titled "Being wonderfully hungry like LORD Jesus;"
https://groups.google.com/d/msg/alt.bible.prophecy/xPY1Uzl-ZNk/QeKLDNCpCwAJ >>
... for the continued benefit (Romans 8:28) of those of us who are
http://WonderfullyHungry.org like GOD ( http://bit.ly/Lk2442 ) with
all glory ( http://bit.ly/Psalm112_1 ) to the LORD.
Source:
https://groups.google.com/d/msg/sci.med.cardiology/O23NguTslhI/pIZcsOCJBwAJ >>
Laus DEO !
While wonderfully hungry ( http://bit.ly/Philippians4_12 ) in the Holy
Spirit, Who causes (Deuteronomy 8:3) me to hunger right now (Luke
6:21a), I pray (2 Chronicles 7:14) that GOD continues to curse
(Jeremiah 17:5) you, who are eternally condemned (Mark 3:29), more
than ever in the name of Jesus Christ of Nazareth. Amen.
Laus DEO ! ! !
Bottom line:
https://groups.google.com/d/msg/sci.med.cardiology/O23NguTslhI/h5lE-mr0DAAJ >>
Let us count the ways.
- They call us gooks
- They defame the Judenvolk
- They are obsessed with rectums, ani, and shit
- They feel that White is supreme
- They deny the Holocaust
- They fantasize about our deportation
- they call Christopher Charles Morton an ape
- They blame rape victims for their rapes
- They accuse David Bowie and Doutzen Kroes of bestiality
- They deny the Lord Jesus Christ and St. Mary were Jewish
- They celebrate the October 7, 2023 attacks by Hamas
- They call the kidnapping, captivity, and repeated rapes of then
14-year-old Elizabeth Smart a sexual adventure
- They support strangling babies
Loose Cannon wrote:
On Wed, 18 Jun 2025 08:28:03 -0700, Michael EjercitoWhere are they going?
<MEjercit@HotMail.com> wrote:
HeartDoc Andrew wrote:
< DELETE INANE GOOK IDIOCY>
There's nowhere to hide, gooks. You're going!
https://postimg.cc/0r8NkFQy
Goodbye gooks!
You sure have hostility against people merely because of the shape
of their eyes.
That is pathetic.
Michael
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Subject: The LORD says "Blessed are you who hunger now ..."
Shame on andrew, look at his red face.
He is trying to pull a fast one. His scripture bit is found among these:
'14 Bible verses about Spiritual Hunger'
Psalms
81:10 I am the LORD thy God, which brought thee out of the land of Egypt: >open thy mouth wide, and I will fill it.
Proverbs
13:25 The righteous has enough to satisfy his appetite, But the stomach of >the wicked is in need.
Joel
2:26 And ye shall eat in plenty, and be satisfied, and praise the name of
the LORD your God, that hath dealt wondrously with you: and my
people shall never be ashamed.
Psalms
107 For he satisfies the thirsty and fills the hungry with good things.
Acts
14:17 "Yet he did not leave himself without witness, for he did good by >giving you rains from heaven and fruitful seasons, satisfying
your hearts with food and gladness."
someone eternally condemned & ever more cursed by GOD perseverated:
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Subject: a very very very simple definition of sin ...
Does andrew's "definition" agree with scripture? Let's see in 1 John:
John wrote this to christians. The greek grammer (sic) speaks of an ongoing >> status. He includes himself in that status.
1:8 If we say that we have no sin, we deceive ourselves, and the truth is
not in us.
1:9 If we confess our sins, he is faithful and just to forgive us our sins, >> and to cleanse us from all unrighteousness.
1:10 If we say that we have not sinned, we make him a liar, and his word is >> not in us.
On Fri, 20 Jun 2025 22:10:01 -0400, HeartDoc Andrew
<disciple@T3WiJ.com> wrote:
<DELETE NONSENSICAL CHINK CHATTER>
Where's your proof that you have a license. Here's my proof that you
don't.
https://gcmb.mylicense.com/verification
Name: Andrew Ben-Hua Chung
Designation: MD
Lic #: 40347
Profession: Physician
Subtype: Full
Status: Lapsed
Issued: 8/3/1995
Expires: 7/31/2017
Street Address: **********
MABLETON GA 30126
County: Cobb
Country: United States
Public Document 04-40347
ORDER OF THE BOARD:
Comes now, the Georgia Composite Medical Board and hereby enters an
Order after reviewing the Initial Decision in the above styled case.
After hearing the argument and testimony of the Appellant herein,
Andrew Ben-Hua Chung, M.D., the Board finds as follows after
deliberation:
FINDINGS OF FACT: The Board agrees with the initial decision.
CONCLUSIONS OF LAW
The Board agrees with the initial decision regarding conclusions of
law.
CONCLUSION
The Board Orders that the respondent's license is revoked instanter.
This the 9th day of March 2017.
(Jeff) 06/18/25 Again praying w/ MichaelE here ...
https://postimg.cc/mhpmTPQz
Loose Cannon wrote:
On Fri, 20 Jun 2025 22:10:01 -0400, HeartDoc AndrewEven if his license was revoked, he still has his doctorate, as the
<disciple@T3WiJ.com> wrote:
<DELETE NONSENSICAL CHINK CHATTER>
Where's your proof that you have a license. Here's my proof that you
don't.
https://gcmb.mylicense.com/verification
Name: Andrew Ben-Hua Chung
Designation: MD
Lic #: 40347
Profession: Physician
Subtype: Full
Status: Lapsed
Issued: 8/3/1995
Expires: 7/31/2017
Street Address: **********
MABLETON GA 30126
County: Cobb
Country: United States
Public Document 04-40347
ORDER OF THE BOARD:
Comes now, the Georgia Composite Medical Board and hereby enters an
Order after reviewing the Initial Decision in the above styled case.
After hearing the argument and testimony of the Appellant herein,
Andrew Ben-Hua Chung, M.D., the Board finds as follows after
deliberation:
FINDINGS OF FACT: The Board agrees with the initial decision.
CONCLUSIONS OF LAW
The Board agrees with the initial decision regarding conclusions of
law.
CONCLUSION
The Board Orders that the respondent's license is revoked instanter.
This the 9th day of March 2017.
Peeler pointed out!
Michael
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Subject: The LORD says "Blessed are you who hunger now ..."
Shame on andrew, look at his red face.
He is trying to pull a fast one. His scripture bit is found among these:
'14 Bible verses about Spiritual Hunger'
Psalms
81:10 I am the LORD thy God, which brought thee out of the land of Egypt: >open thy mouth wide, and I will fill it.
Proverbs
13:25 The righteous has enough to satisfy his appetite, But the stomach of >the wicked is in need.
Joel
2:26 And ye shall eat in plenty, and be satisfied, and praise the name of
the LORD your God, that hath dealt wondrously with you: and my
people shall never be ashamed.
Psalms
107 For he satisfies the thirsty and fills the hungry with good things.
Acts
14:17 "Yet he did not leave himself without witness, for he did good by >giving you rains from heaven and fruitful seasons, satisfying
your hearts with food and gladness."
someone eternally condemned & ever more cursed by GOD perseverated:
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
Subject: a very very very simple definition of sin ...
Does andrew's "definition" agree with scripture? Let's see in 1 John:
John wrote this to christians. The greek grammer (sic) speaks of an ongoing >> status. He includes himself in that status.
1:8 If we say that we have no sin, we deceive ourselves, and the truth is
not in us.
1:9 If we confess our sins, he is faithful and just to forgive us our sins, >> and to cleanse us from all unrighteousness.
1:10 If we say that we have not sinned, we make him a liar, and his word is >> not in us.
On Sun, 22 Jun 2025 09:10:00 -0700, Michael EjercitoICE has no reason to be after me, for I am an American citizen!
<MEjercit@HotMail.com> wrote:
Loose Cannon wrote:
On Wed, 18 Jun 2025 08:28:03 -0700, Michael EjercitoWhere are they going?
<MEjercit@HotMail.com> wrote:
HeartDoc Andrew wrote:
< DELETE INANE GOOK IDIOCY>
There's nowhere to hide, gooks. You're going!
If you self-deport now, you can go back home and still be able to
re-apply. If not, ICE is hot on your tail
I am an American.
https://postimg.cc/0r8NkFQy
Goodbye gooks!
You sure have hostility against people merely because of the shape
of their eyes.
That is pathetic.
That is patriotic. America for Americans, gooks to whatever Asiatic
shithole they come from.
<Jeff> 06/28/25 Loose/KK tragically vainjangling (1 Tim 1:6) ...Strip away the racism, the Judenhass, the Holocaust denial, the
https://groups.google.com/g/sci.med.cardiology/c/4tIJn_I167w/m/bKWQRUarAgAJ
Link to post explicating vainjangling by the eternally condemned: https://groups.google.com/d/msg/sci.med.cardiology/O23NguTslhI/-xLGqnNjAAAJ
"Like a moth to flame, the eternally condemned tragically return to be
ever more cursed by GOD."
Behold in wide-eyed wonder and amazement at the continued fulfillment
of this prophecy as clearly demonstrated within the following USENET
threads:
(1) Link to thread titled "LORD Jesus Christ of Nazareth is our #1
Example of being wonderfully hungry;"
https://groups.google.com/g/sci.med.cardiology/c/_iVmOb7q3_Q/m/E8L7TNNtAgAJ
(2) Link to thread titled "Being wonderfully hungry;"
https://groups.google.com/forum/#!topic/sci.med.cardiology/uCPb3ldOv5M
(3) Link to thread titled "A very very very simple definition of sin;"
https://groups.google.com/forum/#!topic/alt.bible.prophecy/xunFWhan_AM
(4) Link to thread titled "The LORD says 'Blessed are you who hunger
now;'"
https://groups.google.com/forum/#!topic/alt.bible.prophecy/e4sW8dr44rM
(5) Link to thread titled "Being wonderfully hungry like LORD Jesus;"
https://groups.google.com/d/msg/alt.bible.prophecy/xPY1Uzl-ZNk/QeKLDNCpCwAJ
... for the continued benefit (Romans 8:28) of those of us who are http://WonderfullyHungry.org like GOD ( http://bit.ly/Lk2442 ) with
all glory ( http://bit.ly/Psalm112_1 ) to the LORD.
Source: https://groups.google.com/d/msg/sci.med.cardiology/O23NguTslhI/pIZcsOCJBwAJ
Laus DEO !
While wonderfully hungry ( http://bit.ly/Philippians4_12 ) in the Holy Spirit, Who causes (Deuteronomy 8:3) me to hunger right now (Luke
6:21a), I pray (2 Chronicles 7:14) that GOD continues to curse
(Jeremiah 17:5) you, who are eternally condemned (Mark 3:29), more
than ever in the name of Jesus Christ of Nazareth. Amen.
Laus DEO ! ! !
AmenYou sure keep asserting that Dr. Chung and I are illegal aliens and
https://postimg.cc/0r8NkFQy
Goodbye gooks!
On Wed, 18 Jun 2025 12:53:44 -0400, HeartDoc Andrew <achung@EmoryCardiology.com> wrote:
(Jeff) 06/18/25 Again praying w/ MichaelE here ...
https://postimg.cc/mhpmTPQz
The two of you are disgusting!
(Jeff) 08/01.25 Again praying w/ MichaelE here ...
https://narkive.com/mtscU1mj.7
HeartDoc Andrew, in the Holy Spirit, boldly wrote:
(Jeff) 08/01.25 Again praying w/ MichaelE here ...
https://narkive.com/mtscU1mj.7
Let us pray!
ReplyPermalinkOn Fri, 1 Aug 2025 10:37:56 -0700, NOT Michael EjercitoDr. Chung and I are American citizens.
Let us pray!Pray to superseded jew g-d haShit (Piss Be Upon him) that the ICE
Five-0 don't rapture you two gooks!
WE are praying to the real g-d that they DO.
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