26/7/2018
Dear Dr Ilir
I have had previous discussion with you regarding my PCI and timing and cost of my second PCI.
I have been in discussion with the hospital regarding a request to waiver the cost of the second PCI however due to hospital protocol they have refused.

I still feel strongly that my case should warrant more consideration and I thought I might ask your opinion again.
Their reply is enclosed however there are a few areas that are not correct. Also they make in their initial paragraph that I was “dissatisfied with the services provided”… this is not true as I am very grateful for the two cardiologists who performed my PCI…my complaint was the charge.

My biggest concern is that they say my condition was not critical or life threatening hence the reason for payment. Is it possible to be 100% certain that my condition was not life threatening if I still had 70% blockage in two LAD artery. With angina and high blood pressure would it not be possible for a clot to form and cause full occlusion of the artery.
I think we had discussed the possibility of my condition being an extension of my acute attack. It seems a matter of contention with my second admission that there was no ST changes and therefore the hospital protocol is upheld.
Not all infarction have ST elevations…is that correct??

Anyway Dr I would like your opinion again as I feel the need to continue my plight to have the fee waived.

Regards Gavin