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CARDIOVASCULAR CONSULTANTS, INC.

ADULT AND PEDIATRIC CARDIOVASCULAR DISEASE

JAMES E. CROCKETT, M.D. 410 MEDICAL PLAZA

BEN D. MCCALLISTER, M.D. 4320 WORNALL ROAD
DAVID R. MCCONAHAY, M.D. Kansas City, Mo. 64111
ROBERT D. CONN, M.D.

BARRY D. RUTHERFORD, M.D. December 4, 1979 (B18) SATLIOLS

WARREN L. JOHNSON, JR., M.D.

Byron W. Walters, M.D. a
1030 Avalon Road
Lawrence, Kansas 66044

RE: James W. Bee
Dear Doctor Walters:

It was our pleasure to dismiss Mr. Bee from St. Luke's Hospital in Kansas
City on ‘December 4, 1979 following his myocardial revascularization. As you
know, he had undergone a double aortocoronary saphenous vein bypass graft with
one saphenous vein graft to the right coronary artery (50 cc per minute flow)
and a second saphenous vein graft to the left anterior descending coronary
artery (75 cc per minute flow) by Dr. Arnold Killen on November 23. His maximal
SGOT post operatively rose to only 70 MIU/ml and there was no CPK MB isoenzyme
present consistent with the absence of intraoperative myocardial necrosis. With
the exception of paroxysmal atrial fibrillation responding to digitalization and
the addition of Quinidine, his course post operatively was uneventful. We have
dismissed him on Lanoxin 0.25 mgs daily and Quinidex 300 mgs qid and would suggest
discontinuing these in approximately 4 to 5 weeks since the likelihood of a
recurrence of his atrial fibrillation would be greatly lessened by that time
and this would eliminate any spurious effect of his Lanoxin on his electrocardiogram
with subsequent treadmill stress testing at the time of his followup visit here.
We have arranged to see him in six weeks with Dr. Killen for followup evaluation
and have outlined a graduated walking program for him in the interim. He has
been formally instructed by our dietitians in a 2-gram sodium hypolipid diet
and I have enclosed a copy of a post operative electrocardiogram for your records.
Mr. Bee weighed 156 pounds at the time of his discharge and it was a great pleasure
to be involved in this fine man's care.

Yours truly,

Bax VI Cinchag,

David R. McConahay, M.D.

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