A radical idea 50 years ago to do bypass surgery on a person in the midst of a heart attack happened in Spokane for a reason, said a niece of cardiac surgeon Dr. Ralph Berg. He and other private doctors developed groundbreaking cardiac care approaches in Spokane, that by the 1970s, drew criticism for their aggressive treatment of heart attacks. The foundation was the first coronary revascularization – or bypass surgery –here in 1971 that was a foundation of the “Spokane experience,” when Spokane heart doctors continued the emergency surgeries for a decade despite peer rejection, until their body of work ushered in common practices.