| deciding to operate |
Without surgery, Eisenhower's 1956 bowel obstruction could easily have killed him (see above). Even so, the decision to operate was contentious. Eisenhower had had a serious heart attack just nine months earlier, and this made surgery risky. As you might expect, it is difficult to decide to operate on the President of the United States when he might not survive the operation. In Eisenhower's case, it took some dramatics from his personal physician to convince the consulting surgeons that they needed to operate. [3] This episode illustrates one of the cardinal perils in delivering medical care to the President. |
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Eli Ginzberg, PhD, of Columbia University recently published the following
account of the decision to operate on Eisenhower: [3]
President Eisenhower had a serious heart attack during the summer of 1955
while vacationing in Colorado. I first realized the seriousness of the
president's condition when I started to receive detailed daily letters from
his personal physician and friend, Major General Howard Snyder, MD,a close
friend of mine since World War II and who, I concluded, was sending me these
daily accounts as insurance in the event that the president failed to recover.
However, Eisenhower recovered and returned to the White House, only to
experience a severe attack of ileitis some months later, for which General
Snyder had him transported by ambulance early one morning to Walter Reed
Hospital. Tests were performed while urgent calls were made to I. V. Ravdin, MD,at the University of Pennsylvania, who had served under
General Eisenhower in Europe and Dudley White, MD,of Harvard University,
the president's cardiologist, to come as quickly as possible to Walter Reed
Hospital where the president was a patient in need of urgent diagnosis and
treatment.
As General Snyder told the story, the out-of-town experts arrived shortly
before noon and spent the next 12 hours in constant consultations and some
testing, but took no definitive action because no one wanted to operate on
the president, who might not survive. Finally, shortly after midnight,
Snyder told the consultant group that although he had not performed an
operation during the last 2 decades, he would wheel the president in to surgery
and operate on him if they failed to act within 15 minutes. That did the trick.
The operation for ileitis went smoothly.
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