Topochico
Forum Replies Created
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@drtowfigh thank you so much for your prompt reply. Is there a specific protocol for ultrasound that needs to be requested?
After using the the search feature, I found this thread[0] which describes a protocol used for MRI of occult hernias. Unfortunately the image you posted back then (of the protocol) is blurry. Is there anywhere else I can view the MRI protocol?
Lastly, do you/does your practice deal with many occult hernia patients?
MRI – Protocol in radiology language for putting codes into the MRI machine
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[USER=”2373″]active_runner[/USER] the indirect vs direct does make sense to me. As I mentioned earlier he does appear to claim that roughly half of his surgeries are performed on hernias vs sports hernias.
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[USER=”2029″]Good intentions[/USER] somewhat agree. But the data shows that surgeons with more experience, who regularly perform these types of repairs, have a better (lower %) chronic pain/recurrence rate. There is a good video where Dr Ramshaw highlights this fact. It’s common sense of course, but certainly picking a surgeon with decades of experience, who performs 100s of similar surgeries a year is preferable to walking into the local ER and getting it operated on by your run of the mill general surgeon. This is irrespective of the technique or if they use mesh. I do agree with your sentiment that mesh isn’t all that great, and I will certainly be staying away from it!
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Based on the whole ejaculation relieving it. I echo dr towfigh… please see a urologist!
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Start sleeping on your back now. Consider it practice for after your surgery. At least, that’s what I would do
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Hey I’m in Austin too. Dr abikhaled does a very good physical checking for hernias and I see a lot of positive reviews about him (for hernia repair). Unfortunately he is mesh only. If I were you I’d look for no mesh repair surgeons. If you want mesh dr abikhaled will be good, dr ramshaw out of state likely better. Great no mesh options are dr Brown in California or dr busconi and litwin at UMass. Do lots of research and ask lots of questions, regardless of who you pick!
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Nothing to add or answer to your post and not trying to hijack. But I had the same thing as you – increased pain drastically after a physical checking for a hernia (I too was told to take pain meds that didn’t help!)
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I am also in Texas.
I don’t know if you have already been diagnosed or not. But Austin surgeons in Austin have a number of surgeons that focus on hernias. dr abikhaled with them does a very good physical exam checking for hernias. However, I have not found a groin pain specialist in Texas yet. It’s been very much a “no bulge nothing wrong with you” sort of deal. To add to that even the imaging has been subpar – with a place claiming dynamic MRI is not a thing/doesn’t exist. As crazy as this sounds, your best bet is to take a short break and fly to California. See 2-3 doctors there for diagnosis/consultation (brown, towfigh, and maybe Chen (I think)). Sounds overkill, I know.
For surgery youd need to think about mesh vs no mesh. Then pick a surgeon from there. If you think you want mesh dr abikhaled in Austin gets good reviews from what I’ve seen. If you want an even better mesh surgeon go to Dr Ramshaw out of state.
Personally, I’m anti mesh. So I’d suggest looking at dr Brown in California, or Busconi and litwin at UMass. I’d recommend dr towfigh too, but I just haven’t looked into her techniques/ex patients yet to be comfortable suggesting her at this time. What I can say is she seems like a groin expert who is very knowledgeable and responsive.
I realize this is a long post and I’ve not given you the information you seek. But as of right now I’m in a similar boat, and have not found a specialtist in Texas who I feel is in the class of the others I mentioned above.
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[USER=”2486″]Physiqz[/USER] hey, I’ve seen your YouTube channel. Decent content. Was wondering what type of surgery you had done and which surgeon you had it with? You seem like a success story so sharing this information would definitely help myself and others! Keep up the great work.
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EDIT:
found a couple of dissatisfied customers:
http://www.wasatchandbeyond.com/2014…ery-2.html?m=1EDIT 2:
found the runners blog who had surgery with dr Brown:
http://alansmiles.blogspot.com/search?updated-max=2008-12-04T09:58:00-08:00&max-results=12&start=120&by-date=false&m=1I believe I read that dr brown claims he does 50/50 hernia/sports hernia repairs. I don’t know of many doctors that tailor repairs to the patient, sounds cool but also worrying. I read some press release from his office that he does 200 repairs a year, so if half of those are hernias and he had multiple repairs to choose from. What happens if he does one of the lesser used repairs on you?
food for thought. I haven’t seen any concrete bad things about him. He’s very nice, very responsive. I can’t remember the forum but I’ve seen 1 person say his wife had a bad surgery with dr Brown. And another forum a person mentioned they had heard from 2 of his previous patients to not bother with him. I can’t say if any of that is true, and have no info on what procedures they had done.
To me, Dr Brown seems like one of the best choices in the US for hernia/groin surgery. I would personally ask him more about how he will treat you if you do get chronic pain from surgery (many don’t want anything to do with you afterwards) and id probably ask him about the multiple technique approach and raise the concern mentioned earlier.
Like I said Dr Brown seems great. No mesh, experienced surgeon, focused on the groin, believe he is a BC vascular surgeon too. Many more positives than negatives. Oh and to add to that there was a long blog series by a patient of his (sorry no link handy). The guy got back to running A LOT and recovered tremendously