I’ll take you up on the bypass statement. :) This is an 80 yo woman, that alone would probably make me not want to put her under for bypass. Also, she had a history of paroxysmal afib and prior pulmonary embolism (they don’t state if it wad provoked or not) but is not on anticoagulation. By CHADS2-Vasc criteria she should have been on AC alone, but isn’t. She’s clearly intelligent and has no issues with access to care (engineer, has an Apple Watch) which further makes me think that her underlying health warrants a more conservative approach.