Chapter 25
May
23rd,
2012
Zurich
“I appreciate you have taken
some time to see me, Dr. van Horn,” Konrad said as he sat in the
cardiologist's elegant office. For a brief instant his eyes got lost
in the lake's glistening waters, visible from the large window.
“My Griffin, I have to thank
you for coming so promptly.”
“I imagine what you have to
tell me are not good news.” Konrad preferred to go directly to the
point.
“Partly. We performed several
tests on Guntram and we still have to do some more. His general
condition is worse than before,” the old doctor said and Konrad
closed his eyes because of the pain. “Nevertheless his heart
condition is stable much to my surprise.”
“I don't understand you.”
“I'm shocked with the success of
his intervention. I would have never believed that an ABS could do so
much for him. As I told you before, this is an experimental procedure
still and not performed in young people like Guntram, but in his
case, he reacted very well to it. Adding an ICD as a prophylactic
measure has significantly reduced his risk of sudden cardiac death.”
“But?”
“He is well below his weight,
suffers from high blood pressure and probably the heart tissue is
scared. He felt much better after his intervention and didn't pay
much attention to his heart, dropping his medications, especially the
beta blockers. It's acceptable for older people to do this, but in
his case, it poses a serious risk. He's not cured and with all the
tension he has been subjected to, the arrhythmia is back. We still
need to check with the defibrillator's results. We will return to a
treatment with ACE inhibitors and beta-blockers.”
“Is that not what we had
before?”
“Yes, it is but he's
underweight, his catecholamines levels are on the roof, suffers
anaemia and the reduction of the intra-ventricular gradient is less
than you would achieve by performing the same procedure to an older
person. He needs to return to his medications, rest as much as he
can, gain weight and see a psychiatrist.”
“Will he become better?”
Konrad asked in disbelief. “Is he not going to die?”
“Everything points in that
direction, although I can't approve the risk that he underwent by
accepting this. Considering his original condition, his chances of
dying during the intervention were over 40%, sir. Too high in my
opinion. It's a miracle he's alive, but once we stabilize him, his
life quality will significantly improve.”