Sharing a bad mistake: My stack led me to bleeding emergency (after Septoturbinoplasty surgery)

#81

So I had to go back and think. Yep 10 years ago, my cohort were all getting calcium scores. I had an early issue with a statin 12 years ago or so and was recommended for apoB to assess need. Then they just said restart the statin when I has no risk factors but an LDL of 130. They also recommended calcium score for risk stratification but I just got on a new statin. My colleague was seeing a lipologist over 5 years ago

I live in Duke/UNC land and I am often impressed the quality of my colleagues. I’ve worked with attendings from all over and remain impressed locally. The competition is a powerful motivator.

It looks like the aortic valve improvement with aspirin is only with high lpa. I didn’t catch that.

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#82

I think there’s just massive geographic variation. In the UK you won’t get anything except a statin, and only if your LDL-C is horrendous. There’s no ApoB testing. They have no idea what Lp(a) is. Repatha is almost never prescribed. I had to bully my mother’s GP into prescribing her Ezetimibe.

I do feel that cardiologists are quite a “passive” group of people when you’re young and haven’t had any sort of cardiovascular event. But it should be getting better since AHA, ESC and others are taking stronger stances.

#83

In the UK, however, Randox a private health screening service, do a standard test with a large number of biomarkers including ApoB and Lp(a).