...

We went ahead with the angiography via the right radial approach. She was extremely sensitive to even having a paper drape put over her legs to the point that it struck me this might be psychiatric.

Our progedure was performed without difficulty and she tollerated it well. She has absolutly normal coronaries.

Left ventricular and diastolic 8.
Left ventricular size and wall motion is normal.

This lady has no evidence of any cardiac problem here and I think the MIBI scan is incorrect.

I have tried to reassure her that her problem is not her heart and I think she can stop her liptor, asprin, plavix and metoprolol. She May go home today and she is to follow up with Dr howard.

She believes she has something called "complex regional pain syndrome". This is something I have never heard of before but of cource it has it's own web page and I think long before she gets treated with any medication which may cause her long term addiction and sideline her from the mainstream potential of life she should have a pstchiatric consultation and at least a second opinion from a neurologist well versed in this syndrome if it even realy exists.

[ this was from the head of he cardiology department in a major hospital too ]