pinto
Forum Replies Created
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Dr. Towfigh, if given that a CT machine and an MRI machine are both have the latest technology, which machine would give the clearest pictures of the IH?
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Thank you, Doctors! An excellent question, which I am sure many people have had.
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Doctor, you confused me with someone else, but thank you for the reply.
I really though would like anyone to reply to my original question:
Is there a range of size that allows for “watchful waiting”? -
“I think a device such as an Impella will always be underutilized until there is a randomized controlled trial which shows improvements in hard clinical outcomes.”
Bravo, Dr. Warraich! (And reply to his comment: That is, if doctors critically evaluate such devices.)
Doctors (being human) are not necessarily scientists, so some may overlook required elements for scientific research. And of course, even if a study uses the gold standard of research (randomized double-blind trials), pitfalls in the methodology can otherwise disqualify it.
I know from personal experience–recently meeting two general surgeons who were so enamored with use of mesh that they appeared naive about its complications. How can a doctor use a device without imagining that “stuff happens”? This could be just the tip of the iceberg because mesh so dominates IH medical practice that mesh is all they know. And hardly therefore can we expect such doctors to critically evaluate their own practice, let alone new devices or technology.
Good intentions, thanks for the post. Warraich’s article was heartening and informative. Europe’s previous failed oversight system offers insight forward.
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Dr. Brown, thank you. Would “small” be 1cm≤ in size and would larger the size, the more likely to become symptomatic? While I sort out how to ultimately get repaired, I am concerned how to live with it. It seems I must do trial-an-error about my living activities, etc. I have been out hip hop dancing a few times and do fitness training with no apparent damage but unsure about practicing golf swings. I don’t even think about playing basketball. Yet fearful to stoop picking things up from the floor. I fear making my situation worse while I eventually make repair plans.
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Dr. Towfigh, wow, surprising to hear that. Do body types get different amount of pain killers? I heard of Americans unhappy in Japan unable to get the same dosage of their regularly used medicine in the States (due to regulations placed on physicians). Americans, tending to be heavier than Asians, might need heavier dosages. Correct?
Would success of surgery have any relation to patient body weight? Thin, medium, heavy have different advantages?
Thank you for your kind attention! -
@Dr Towfigh
Given what you and Good Intentions point out about lightweight, would East Asians necessarily have higher rates of complications than Westerners given their slighter builds? Studies might not be found for that. In your own experience, might this difference happen?Also would thin patients be easier to operate on than obese ones? A surgeon recently gave me that idea. If so, I wonder if matters of pain and complications follow suit.
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ok by personal experience. Recently diagnosed w/ inguinal hernia. Previously had self-diagnosed as such and unsuccessfully scoured the internet with your same question. The only doctors’ statement found was that it was high risk–being caught in midair in case of serious complication–so they nixed the matter.
From necessity I had to fly doing two 2-hour flights, then a day later, a 13-hour flight followed by its return. Before the first 13-hour flight, I consulted with the only doctor I could but one with my CT scan (for a separate issue). He advised my long flight would be ok (though he was not convinced I had a hernia). After all my flights I had an MRI that confirmed my fear of having one.
I find driving a car more unsettling than flying. I don’t remember any discomfort in the air. (And in my car, not much but only sometimes.)
Please though be careful about handling baggage.