The Flight

Nassir A. Azimi Cardiologist La Mesa, CA

Dr. Nassir A. Azimi is a top cardiologist in La Mesa, CA. He is board-certified in cardiovascular disease and interventional cardiology. His mother was an inspirational woman who went to medical school despite challenges and became a successful physician. Since the age of nine, Dr. Azimi hasn't entertained any other career.... more

As an interventional cardiologist, I routinely perform risk-laden procedures on patients. Coronary angiograms, angioplasty, and stenting are to name some. These procedures have inherent risks including bleeding, infection, perforation, heart attack (ironically), stroke, kidney failure, limb loss, and even death. These risks are rare with risks ranging from 1% to 1:10,000.

Akin to taking a flight that has inherent risks of being late, engine failure, landing in water, crashing into a mountain, and even death, there is always an alternative which is not flying in the first place. However, sometimes one needs to fly regardless of the plane's mechanical condition, regardless of the weather, and regardless of risks beyond one's control. What risks an individual takes to proceed are really up to the individual.

I liken the patient to the plane and myself to the pilot and my team to the crew. No one wants a failed or complicated flight as no one wants a procedural complication. No one wants a plane crash as no one wants the patient to suffer. However, there are inherent risks. Even the best pilot and plane can hit birds and end up in the Hudson.

We try to optimize risk by taking extreme measures but despite this, we can not negate risk to zero. One thing that remains certain, when risk-benefit is calculated appropriately and the indications and alternatives are explained, flying remains the safest mode of transportation.