1. I Need a CABG!?!: One Patient’s Experience
Camille Haddad MD
Dawn Haddad RN BN MN

2. What if your patient is a Healthcare provider?
Should that change anything?

3. History Had a MI age 38 - angioplasty - started aspirin and statins
Family History
– 2 uncles – sudden cardiac death
- several cousins – angioplasty /CABG
in their 40’s and 50’s
- It is not “ if ” but “ when”

4. What happened after my MI?
Medications
Lifestyle
Stress – work

5. How I ended up back in Saint John
July 2009 – Chest heaviness while walking exercising (post flu)
Continued for 2-3 days
Positive Stress Test
Wait listed for Elective Cardiac Catheterization

6. Waiting for Call
Asked to be put on a cancellation list

7. Day of Catheterization
Informed of what to expect and timelines
Consecutive appointments that flowed from one area to the next
Everything went like clock work

8. Nearing the end of the Cardiac Catheterization
Interventionist : “ I’m almost done”
My response: “You didn’t put a stent in”
His response: Too difficult to stent”
My response: “You’re talking surgery aren’t you!?
“ YES, it is your BEST option

9. COLD SWEAT SURREAL FEELING

10. Waiting for Surgery
Went home to wait for call from Heart Centre and the surgeon

11. Patient Teaching Pre-operative session
- you are a patient not a physician
Patient Education session
- very helpful
- don’t assume Health Care Professionals know everything

12. Important point to remember:
Treat each patient the same regardless of who they are and how much you think they know
When we skip steps that is when we open ourselves to possible errors

13. The morning of the surgery
A 45 minute shaving session

14. Include the family
Meanwhile we can’t forget the family as they are getting ready too
How do we prepare them?
Waiting Time
Keeping them informed
Remember you are their advocate

15. Visiting Hours Family want to be close
Advocate for family – remind them they need their rest as they will be the caregivers at home
Do they have questions?
Let them know they can call and check
Family need to feel confident their loved ones are being cared for when they leave

16. Care was amazing Teamwork/collaboration was evident
Some nurses didn’t know I was a physician
Don’t be afraid to stand your ground
Embarrassing moments
Dignity and Respect

17. When can I go Home? 100 yards and walk up 3 steps
- Easier said than done

18. Going Home takes planning
Don’t want to assume HCP know everything
Telehealth Home Unit
Getting out of bed, opening the fridge, milk containers,
It did help to have a nurse at home

19. Has our experienced impacted our interactions with our patients?

20. Key Take Home Points
Remember not to deviate from your process- treat everyone the same
Never assume health care professionals know everything
Try to anticipate questions where possible
Have written materials available
Teamwork and collaboration is key

21. Key Take Home Points Most importantly:
Maintain a patient and family centered approach to health care delivery

22. Questions