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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. Where's Kim?

Where's Kim?

Scheduled Pinned Locked Moved General Discussion
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  • taiwan_girlT Offline
    taiwan_girlT Offline
    taiwan_girl
    wrote on last edited by taiwan_girl
    #23

    AN article I was reading in local press was that he was in for a procedure to install a stent, which should(?) only take a minute or two.

    But the doctor was so nervous, that it took much much longer and Premier Kim was without oxygen for a longer period, and is suffering the effects of that and is in a vegetable state.

    Our forum doctors can probably say if the above is realistic or not.

    As with any news about DPRK, it is mostly guessing.

    L 1 Reply Last reply
    • X Offline
      X Offline
      xenon
      wrote on last edited by
      #24

      Mu first thought:

      Link to video

      1 Reply Last reply
      • X Offline
        X Offline
        xenon
        wrote on last edited by
        #25

        So how long can they do a weekend at Bernie’s. 6 months? 1 year?

        George KG 1 Reply Last reply
        • taiwan_girlT taiwan_girl

          AN article I was reading in local press was that he was in for a procedure to install a stent, which should(?) only take a minute or two.

          But the doctor was so nervous, that it took much much longer and Premier Kim was without oxygen for a longer period, and is suffering the effects of that and is in a vegetable state.

          Our forum doctors can probably say if the above is realistic or not.

          As with any news about DPRK, it is mostly guessing.

          L Offline
          L Offline
          Loki
          wrote on last edited by
          #26

          @taiwan_girl said in Where's Kim?:

          AN article I was reading in local press was that he was in for a procedure to install a stent, which should(?) only take a minute or two.

          But the doctor was so nervous, that it took much much longer and Premier Kim was without oxygen for a longer period, and is suffering the effects of that and is in a vegetable state.

          Our forum doctors can probably say if the above is realistic or not.

          As with any news about DPRK, it is mostly guessing.

          So I believe a team of doctors from China came, whether or not he is in a vegetative state is probably the speculative part.

          1 Reply Last reply
          • George KG Offline
            George KG Offline
            George K
            wrote on last edited by
            #27

            Putting in a stent is not a trivial affair, by any means. It involves getting a wire into a coronary artery from a remote location (groin, wrist or arm artery). Then a balloon with the stent is placed over the wire. The balloon is inflated, unclogging the artery, and the stent is then deployed to keep the artery open.

            There are many dangerous parts of the procedure: inserting the wire through an obstruction can send debris down the artery causing ischemia farther down. The artery can be ruptured by the inflation of the balloon, or the inflation can send debris distally as well. Putting a wire into the heart can cause all kinds of heart arrythmias, some potentially lethal. The patient is sedated, potentially causing all kinds of anesthesia issues (airway, inadequate breathing, etc). The last thing I'd want to do is have to intubate that fat little guy.

            So, it's not simple, doesn't take "a minute," etc. Certainly, if the anatomy is favorable, it's a far better thing than open heart surgery, but that's a judgment call by the cardiologist as to whether to stent or refer to a surgeon. If you recall, Jolly's anatomy dictated a CABG, not a stent.

            Lots of things can go south, and when they do, it's a disaster. I hated catastrophes in the cath lab. Under best of circumstances, when that happens, you rush the patient to the OR for CABG. However, just transporting, getting an OR ready, etc takes time - precious time.

            "Now look here, you Baltic gas passer... " - Mik, 6/14/08

            The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

            L 1 Reply Last reply
            • X xenon

              So how long can they do a weekend at Bernie’s. 6 months? 1 year?

              George KG Offline
              George KG Offline
              George K
              wrote on last edited by
              #28

              @xenon said in Where's Kim?:

              So how long can they do a weekend at Bernie’s. 6 months? 1 year?

              FB-IMG-1587842447373.jpg

              "Now look here, you Baltic gas passer... " - Mik, 6/14/08

              The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

              1 Reply Last reply
              • George KG George K

                Putting in a stent is not a trivial affair, by any means. It involves getting a wire into a coronary artery from a remote location (groin, wrist or arm artery). Then a balloon with the stent is placed over the wire. The balloon is inflated, unclogging the artery, and the stent is then deployed to keep the artery open.

                There are many dangerous parts of the procedure: inserting the wire through an obstruction can send debris down the artery causing ischemia farther down. The artery can be ruptured by the inflation of the balloon, or the inflation can send debris distally as well. Putting a wire into the heart can cause all kinds of heart arrythmias, some potentially lethal. The patient is sedated, potentially causing all kinds of anesthesia issues (airway, inadequate breathing, etc). The last thing I'd want to do is have to intubate that fat little guy.

                So, it's not simple, doesn't take "a minute," etc. Certainly, if the anatomy is favorable, it's a far better thing than open heart surgery, but that's a judgment call by the cardiologist as to whether to stent or refer to a surgeon. If you recall, Jolly's anatomy dictated a CABG, not a stent.

                Lots of things can go south, and when they do, it's a disaster. I hated catastrophes in the cath lab. Under best of circumstances, when that happens, you rush the patient to the OR for CABG. However, just transporting, getting an OR ready, etc takes time - precious time.

                L Offline
                L Offline
                Loki
                wrote on last edited by
                #29

                @George-K said in Where's Kim?:

                Putting in a stent is not a trivial affair, by any means. It involves getting a wire into a coronary artery from a remote location (groin, wrist or arm artery). Then a balloon with the stent is placed over the wire. The balloon is inflated, unclogging the artery, and the stent is then deployed to keep the artery open.

                There are many dangerous parts of the procedure: inserting the wire through an obstruction can send debris down the artery causing ischemia farther down. The artery can be ruptured by the inflation of the balloon, or the inflation can send debris distally as well. Putting a wire into the heart can cause all kinds of heart arrythmias, some potentially lethal. The patient is sedated, potentially causing all kinds of anesthesia issues (airway, inadequate breathing, etc). The last thing I'd want to do is have to intubate that fat little guy.

                So, it's not simple, doesn't take "a minute," etc. Certainly, if the anatomy is favorable, it's a far better thing than open heart surgery, but that's a judgment call by the cardiologist as to whether to stent or refer to a surgeon. If you recall, Jolly's anatomy dictated a CABG, not a stent.

                Lots of things can go south, and when they do, it's a disaster. I hated catastrophes in the cath lab. Under best of circumstances, when that happens, you rush the patient to the OR for CABG. However, just transporting, getting an OR ready, etc takes time - precious time.

                So you are saying you can create a credible rumor by merely saying he had a stent put in?

                I still give it less than a coin toss odds. Parlor game right now...or he’s dead and there is lots of planning around what’s next before it’s announced. China would have a huge mess on its hands and could use the time. On the other hand Kim might be enjoying a sequel to his first head fake.

                George KG 1 Reply Last reply
                • L Loki

                  @George-K said in Where's Kim?:

                  Putting in a stent is not a trivial affair, by any means. It involves getting a wire into a coronary artery from a remote location (groin, wrist or arm artery). Then a balloon with the stent is placed over the wire. The balloon is inflated, unclogging the artery, and the stent is then deployed to keep the artery open.

                  There are many dangerous parts of the procedure: inserting the wire through an obstruction can send debris down the artery causing ischemia farther down. The artery can be ruptured by the inflation of the balloon, or the inflation can send debris distally as well. Putting a wire into the heart can cause all kinds of heart arrythmias, some potentially lethal. The patient is sedated, potentially causing all kinds of anesthesia issues (airway, inadequate breathing, etc). The last thing I'd want to do is have to intubate that fat little guy.

                  So, it's not simple, doesn't take "a minute," etc. Certainly, if the anatomy is favorable, it's a far better thing than open heart surgery, but that's a judgment call by the cardiologist as to whether to stent or refer to a surgeon. If you recall, Jolly's anatomy dictated a CABG, not a stent.

                  Lots of things can go south, and when they do, it's a disaster. I hated catastrophes in the cath lab. Under best of circumstances, when that happens, you rush the patient to the OR for CABG. However, just transporting, getting an OR ready, etc takes time - precious time.

                  So you are saying you can create a credible rumor by merely saying he had a stent put in?

                  I still give it less than a coin toss odds. Parlor game right now...or he’s dead and there is lots of planning around what’s next before it’s announced. China would have a huge mess on its hands and could use the time. On the other hand Kim might be enjoying a sequel to his first head fake.

                  George KG Offline
                  George KG Offline
                  George K
                  wrote on last edited by George K
                  #30

                  @Loki said in Where's Kim?:

                  So you are saying you can create a credible rumor by merely saying he had a stent put in?

                  No, I'm saying that I've seen more than a handful of patients have catastrophes while on the cath table during a stent placement. Not many, but more than a handful in 35 years of being on the heart surgery team. If Kim had a stent put in, it is within the realms of possibility that things didn't go well. I have no idea how talented the cardiologists in North Korea are, but I would not go there for my procedure.

                  It happens, and when you add complicating factors, like obesity, smoking, etc., the risks escalate.

                  In the early days of doing this (I'm talking late 1980s to early 1990s, every time the cath lab was going to place a stent, or do an angioplasty, everyone on the heart surgery team was required to be in-house during the procedure, lest things go pear-shaped. As the cardiologists got better at it, that requirement was dropped. What do you think the skills of North Korean cardiologists are? How commonly do they place stents/do angioplasty. My guess is rare. With experience comes expertise. With expertise, complications go down.

                  "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                  The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                  1 Reply Last reply
                  • George KG Offline
                    George KG Offline
                    George K
                    wrote on last edited by
                    #31

                    https://www.tmz.com/2020/04/25/north-korea-dictator-kim-jong-un-dead-dies-heart-surgery-reports/

                    North Korea's Supreme Leader/dictator Kim Jong-un has reportedly died, or is on his death bed with no hope for recuperation -- according to media outlets in China and Japan.

                    Amid reports China has sent a medical team to their communist neighbors this week to check in/advise on Kim, a Hong Kong-backed news channel's vice director -- who's apparently the niece of a Chinese foreign minister -- blasted out the news herself ... he's dead. TMZ has not confirmed that.

                    The woman put the report on a social media app called Weibo for her nearly 15 million followers to read, citing a "very solid source" about the claim Kim had, in fact, perished. A Japanese magazine reports he's in a "vegetative state" after a heart surgery gone wrong.

                    The outlet reports -- citing a Chinese medical expert privy to the situation -- that Kim had clutched his chest in early April and fell down while visiting the countryside there. He needed a stent procedure done, but apparently ... it either wasn't done rapidly enough, or it was botched completely by the surgeon -- with some reports saying he had shaky hands.

                    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                    ImprovisoI 1 Reply Last reply
                    • MikM Offline
                      MikM Offline
                      Mik
                      wrote on last edited by
                      #32

                      Maybe he's with dad.

                      alt text

                      “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                      1 Reply Last reply
                      • L Offline
                        L Offline
                        Loki
                        wrote on last edited by
                        #33

                        If more outlets are citing the same two sources it doesn’t mean the odds have gone up that he is in fact dead. What we need to know is whether there are new and unique sources.

                        1 Reply Last reply
                        • MikM Offline
                          MikM Offline
                          Mik
                          wrote on last edited by
                          #34

                          He might just be miffed that COVID is getting all the attention.

                          'What if you fire off a ballistic missile and no one cared?'

                          “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                          1 Reply Last reply
                          • 89th8 Offline
                            89th8 Offline
                            89th
                            wrote on last edited by
                            #35

                            Maybe he injected bleach?

                            LarryL 1 Reply Last reply
                            • Aqua LetiferA Offline
                              Aqua LetiferA Offline
                              Aqua Letifer
                              wrote on last edited by
                              #36

                              Jackass, you don't inject bleach. You inhale it.

                              Please love yourself.

                              1 Reply Last reply
                              • 89th8 89th

                                Maybe he injected bleach?

                                LarryL Offline
                                LarryL Offline
                                Larry
                                wrote on last edited by
                                #37

                                @89th said in Where's Kim?:

                                Maybe he injected bleach?

                                Nah. Only Trump bashers believe in that.

                                1 Reply Last reply
                                • George KG George K

                                  https://www.tmz.com/2020/04/25/north-korea-dictator-kim-jong-un-dead-dies-heart-surgery-reports/

                                  North Korea's Supreme Leader/dictator Kim Jong-un has reportedly died, or is on his death bed with no hope for recuperation -- according to media outlets in China and Japan.

                                  Amid reports China has sent a medical team to their communist neighbors this week to check in/advise on Kim, a Hong Kong-backed news channel's vice director -- who's apparently the niece of a Chinese foreign minister -- blasted out the news herself ... he's dead. TMZ has not confirmed that.

                                  The woman put the report on a social media app called Weibo for her nearly 15 million followers to read, citing a "very solid source" about the claim Kim had, in fact, perished. A Japanese magazine reports he's in a "vegetative state" after a heart surgery gone wrong.

                                  The outlet reports -- citing a Chinese medical expert privy to the situation -- that Kim had clutched his chest in early April and fell down while visiting the countryside there. He needed a stent procedure done, but apparently ... it either wasn't done rapidly enough, or it was botched completely by the surgeon -- with some reports saying he had shaky hands.

                                  ImprovisoI Offline
                                  ImprovisoI Offline
                                  Improviso
                                  wrote on last edited by
                                  #38

                                  @George-K said in Where's Kim?:

                                  or it was botched completely by the surgeon -- with some reports saying he had shaky hands.

                                  If as a surgeon, a patient said to me, "I die,you die", I'd have shaky hands too.

                                  We have the freedom to choose our actions, but we do not get to choose our consequences.
                                  Yes, there are two paths you can go by, but in the long run, there's still time to change the road you're on.

                                  HoraceH 1 Reply Last reply
                                  • jon-nycJ Offline
                                    jon-nycJ Offline
                                    jon-nyc
                                    wrote on last edited by
                                    #39

                                    Any closer to resolution, or is this still Schrödinger's dictator?

                                    Only non-witches get due process.

                                    • Cotton Mather, Salem Massachusetts, 1692
                                    L brendaB 2 Replies Last reply
                                    • ImprovisoI Improviso

                                      @George-K said in Where's Kim?:

                                      or it was botched completely by the surgeon -- with some reports saying he had shaky hands.

                                      If as a surgeon, a patient said to me, "I die,you die", I'd have shaky hands too.

                                      HoraceH Offline
                                      HoraceH Offline
                                      Horace
                                      wrote on last edited by
                                      #40

                                      @Improviso said in Where's Kim?:

                                      @George-K said in Where's Kim?:

                                      or it was botched completely by the surgeon -- with some reports saying he had shaky hands.

                                      If as a surgeon, a patient said to me, "I die,you die", I'd have shaky hands too.

                                      Kim was not in such a low position in the hierarchy that he'd need to say that. Making threats is for the little people.

                                      Education is extremely important.

                                      1 Reply Last reply
                                      • jon-nycJ jon-nyc

                                        Any closer to resolution, or is this still Schrödinger's dictator?

                                        L Offline
                                        L Offline
                                        Loki
                                        wrote on last edited by
                                        #41

                                        @jon-nyc said in Where's Kim?:

                                        Any closer to resolution, or is this still Schrödinger's dictator?

                                        He remains alive at least until people have some narrative (thought experiment) around what life looks like after he is not alive.

                                        1 Reply Last reply
                                        • jon-nycJ jon-nyc

                                          Any closer to resolution, or is this still Schrödinger's dictator?

                                          brendaB Offline
                                          brendaB Offline
                                          brenda
                                          wrote on last edited by
                                          #42

                                          @jon-nyc said in Where's Kim?:

                                          Any closer to resolution, or is this still Schrödinger's dictator?

                                          Love this!

                                          Thanks, jon!

                                          jon-nycJ 1 Reply Last reply
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