Ok, here's is the verbatim note from cardiologist

The nurse let me read the cardiologist's notes from 4/7/11, the day after Bill was rescucitated. I took my computer to her computer and just copied it until she put a stop to it.

So here's verbatim notes from Dr. Watanabe:

"68 year old male with MGUS, sclerderma, complicated by ILD and Raynauds with dry bilateral hand gangrene initially admitted with increasing SOB, hospital course c/b anuric AKI requiring HD, multiple intubations for respiratory failure; G tube placement for dysphasia, now with asystole arrest (while on carvedilol) and bifascicular block and first degree AVB on EKG. The cause of patient's asytolic

arrest is unclear, it is possible that it may have been primary cardiac from worsening conduction disease, though this was exacerbated by giving carvedilol. Review of patient's telemetry strips show obitz block without higher degree AV block seen. At this time pt is a poor candidate for pacemaker placement given his overall poor prognosis from scleroderma as evidenced by multiorgan involvement and prolonged complicated hospital course. Recommend to stop coreg at this time and to avoid any AV nodal blocking agents. Continue ..." (this is where the nurse said no more copying).

Sobering..

Could anyone more savvy with medical language translate the above notes into plain English??