Lyle,
Thanks for the good wishes, and I am very happy that your brother is doing well with medication. There are always reasons that medication is chosen over invasive procedures --and certainly life style is very important. Yes, there is some controversary that too many angioplasties and bypasses are done. One is always weighing the odds.
Even though I am a board certified Internist, I don't manage my own health care--I choose who I feel are the best speciality physicians available and take their advice. I am also sending a CD of my cath to several cardiologists who also taught at UCLA and my bypass surgeon (which also gives him a follow up on the bypasses which he did 18 years ago and are are still functioning perfectly--a rarity). I am asking for their advice. Marie was a Vice President of Nursing at a large hospital, so she looks out for me--the first thing when she met the surgeon we have been referred to, was to quiz him on his qualifications, his training, the number of cases he did a year and his statistics. (He trained at Texas Heart Institute under Denton Cooley, and was on the faculity there for a few years)--I also went to Baylor Med and my cardiovascular surgery rotation was on Dr Cooley's service.
The disadvantage of being a physician is that I read my own films during the cath--I watched the Xrays during the procedure and commented on the changes. The stenosis went from 60% in 2000, to 90% currently despite a very good diet, medication and exercise. Each of us is different, but I only have about 35% of left ventricular function as a result of my first heart attack 20 years ago. My life was saved 20 years ago by cardiac intervention. If I were to loose another 5 to 10% my quality of life would detiorrate radically. The other disadvantage is knowning all of the complications of any actions.
Yes, The 70's can be a good time in life, but there can also be some serious challanges from health issues. We gave up sailing about 10 years ago because of medical problems. I'll never give up boating, but it takes different forms during the years. I the 70's struck me hardest last year when I shoveled a spade full of dirt on one of my best friend's caskets. He died of cardiac disease at age 72.
The best time in life? The 20's and 30's.....