Re: considering using Dr. Kolb

[Guest guest]

Hi Allyson,

I guess you have to go with your gut and determine which is best for

you. My understanding is that sometimes the implants have faulty

valves, so I don't know if an implant with a faulty valve would

drain as nicely as the one in the doctor's office. You might want

to inquire about that. I think with implant and explant surgery,

the risk of damaging the nerve probably always exists. Also, did

the doctor say that he would remove the capsule, or leave it in?

Apparently the capsule contains some of the same stuff that our

bodies react to, so if it's left behind, we could continue to have

symptoms. I don't know if it's always possible to get every single

fragment of the capsule out, however the more that's removed the

better, so you want to make sure that whoever performs the surgery

is willing to go the extra mile to get the capsule out.

Sis

>

> Hello there ladies,

> I have met with Dr. Kolb in December and I am considering having

her

> do my explant. However I have also seen someone not on the list

> closer to my home here in Virgina. I'm having a difficult time

with

> making a decision. The man Dr, Schnars I really liked his bedside

> manner and he is a reconstuctive dr. with impressive work. He

noted a

> few things though that I was wondering if anyone has more info or

> experience with. I know how everyone here is stressing the enbloc

> method and I do understand the importance of this so that no

contents

> leak into the cavity.However Dr. Schnars mentioned that there may

be

> some risk in this and nerve damage and mentioned that if the

implant

> was deflated into the tube from the valve that is locks in placeit

> will not leak. He actually showed how it hooks up onto an full

> implant with the tube and I pushed on it and sqweezed it and

nothing

> come out from the valve. So my question to anyone who may have

some

> info here to share is how sure are we or is there any info out

there

> stating that if the implant is deflated with the valve that there

> will be leakage. Is this enbloc more important in silicone cases

> verses saline. I'm just really confused because when I pushed

hard

> on the valvle no Saline came out. So if this method deflating the

> saline in the implants did not leak then should I risk nearve

damage.

> Dr. Kolb said that there is not risk of nerve damage, but Dr.

Schnars

> says that there may be some risk due to the that fact that the

> implant is large and must go throug a tiny hole. The other thing

I'm

> wondering is there any info on if a small amout of capsule is

left

> because it may be difficult to get it all will the body absorb

this.

> How sure are we that all of the capsule can be removed. I ask all

> these questions because I'mn having a difficult time deciding what

> doctor to choose. I know doc. Kold knows her stuff, but she is

twice

> as much as Dr. Schnars and alot farther from me. Not that would

stop

> me from choosing her if I felt like the enbloc method should be

the

> only way to remove the saline, but after I saw and what I did, it

got

> me wondering if it was not leaking then why would I risk the

chance

> of nerve damage.And if Dr. schnars could do this by deflating it

into

> the tube without spilling into cavity then should I pay the price

of

> an enbloc procedure which looks to be more risky. Dr. schnars

> explanted that silcone gel implant do not have a valve like saline

> and they have to be remove enbloc where as with saline the vavle

hook

> air tight to the tubing and the contents can be emptied with out

> leaking. I know some of you have used Dr. Kolb...if you could

also

> respond to my email. (I have spoke to two of you Jenna one of them

> about Dr. Kolb.) Thanks so much.

>

>

> Allyson

>

[Guest guest]

Allyson, I know you are confronted with a difficult decision. I am not sure of nerve damage with the enbloc procedure. I had Dr. Feng for my explant and she never talked about any nerve damage. She did have to make a much larger incision than what was made by the implanting surgeon. How many explants has this Dr.Shnars done? Respectfully speaking...he seems inexperienced if he thinks he has to use the same size hole taking them out as the one used to put them in. I have no nerve damage from the surgery and my recovery has been much easier than I thought. As far as leaking is concerned, I was under the impression that saline implants after many years inside the body can deteriorate. This means they may have tiny microscopic holes that leak fluid inside the capsule, and allowing pathogens in. This fluid may leak into the chest cavity if the capsule is cut into. Whether or not you have

this problem can only be determined after they are out and examined. Do you want to risk the possibility of further contamination? Also, my recovery was amazingly easier because Dr.Feng used drains after surgery. Did Dr. Schnars say anything about using drainage tubes? If not I would ask him about this. Just remember when making your decision with a surgeon, listen to your inner voice. allysonallysonkrick <adkrick@...> wrote: Hello there ladies, I have met with Dr. Kolb in December and I am considering having her do my explant. However I have also seen someone not on the list closer to my home here in Virgina. I'm having a difficult time with making a decision. The man Dr, Schnars I really liked his bedside manner and he is a reconstuctive dr. with impressive work. He noted a few

things though that I was wondering if anyone has more info or experience with. I know how everyone here is stressing the enbloc method and I do understand the importance of this so that no contents leak into the cavity.However Dr. Schnars mentioned that there may be some risk in this and nerve damage and mentioned that if the implant was deflated into the tube from the valve that is locks in placeit will not leak. He actually showed how it hooks up onto an full implant with the tube and I pushed on it and sqweezed it and nothing come out from the valve. So my question to anyone who may have some info here to share is how sure are we or is there any info out there stating that if the implant is deflated with the valve that there will be leakage. Is this enbloc more important in silicone cases verses saline. I'm just really confused because when I pushed hard on the valvle no Saline came out. So if this method deflating the

saline in the implants did not leak then should I risk nearve damage. Dr. Kolb said that there is not risk of nerve damage, but Dr. Schnars says that there may be some risk due to the that fact that the implant is large and must go throug a tiny hole. The other thing I'm wondering is there any info on if a small amout of capsule is left because it may be difficult to get it all will the body absorb this. How sure are we that all of the capsule can be removed. I ask all these questions because I'mn having a difficult time deciding what doctor to choose. I know doc. Kold knows her stuff, but she is twice as much as Dr. Schnars and alot farther from me. Not that would stop me from choosing her if I felt like the enbloc method should be the only way to remove the saline, but after I saw and what I did, it got me wondering if it was not leaking then why would I risk the chance of nerve damage.And if Dr. schnars could do

this by deflating it into the tube without spilling into cavity then should I pay the price of an enbloc procedure which looks to be more risky. Dr. schnars explanted that silcone gel implant do not have a valve like saline and they have to be remove enbloc where as with saline the vavle hook air tight to the tubing and the contents can be emptied with out leaking. I know some of you have used Dr. Kolb...if you could also respond to my email. (I have spoke to two of you Jenna one of them about Dr. Kolb.) Thanks so much. Allyson

Relax. virus scanning helps detect nasty viruses!

[Guest guest]

Sis,

Thanks for your reply. Yes that makes sense about the valve in my

implant may not be intact. I guess that could be risky not knowing

the condition on mine. How silly of me I did not think of that. I

feel pretty silly now . I have more questions for Dr. Schnars, but

this has helped me to think of things to discuss with him. I will be

making a decision on which doctor to use this weekend I hope if i get

to talk with him tonight. He did say he would remove the capsule, but

I got the feeling he would leave some in when he said that if it was

embedded to the ribs or muscle then removing embedded material could

cause damage. So, I'm not quit sold on his skills in removing the

capsule. Dr. kiolb said if she could not remove it all enbloc then

she would burn or destroy what was left in to kill off any living

mold. I know she is good, she is very skilled. Well, thanks again

for you thoughts. It really helps to have people to talk to about

this. It is so scarry. I've been researching it since this summer and

I finally got the loan. I have a date sceduled already with Dr. Kolb

in April, but I may need to wait until the end of June. I'm a teacher

and we will be out of school and I'm thinking this will be better, so

I can actually rest after the surgery. Anyhow, how are you doing? I

had read some of you postings and I know you have been having some

ups and downs.

Allyson

In , " auntsisnj " <auntsisnj@...> wrote:

>

> Hi Allyson,

>

> I guess you have to go with your gut and determine which is best

for

> you. My understanding is that sometimes the implants have faulty

> valves, so I don't know if an implant with a faulty valve would

> drain as nicely as the one in the doctor's office. You might want

> to inquire about that. I think with implant and explant surgery,

> the risk of damaging the nerve probably always exists. Also, did

> the doctor say that he would remove the capsule, or leave it in?

> Apparently the capsule contains some of the same stuff that our

> bodies react to, so if it's left behind, we could continue to have

> symptoms. I don't know if it's always possible to get every single

> fragment of the capsule out, however the more that's removed the

> better, so you want to make sure that whoever performs the surgery

> is willing to go the extra mile to get the capsule out.

>

> Sis

>

>

> >

> > Hello there ladies,

> > I have met with Dr. Kolb in December and I am considering having

> her

> > do my explant. However I have also seen someone not on the list

> > closer to my home here in Virgina. I'm having a difficult time

> with

> > making a decision. The man Dr, Schnars I really liked his bedside

> > manner and he is a reconstuctive dr. with impressive work. He

> noted a

> > few things though that I was wondering if anyone has more info or

> > experience with. I know how everyone here is stressing the enbloc

> > method and I do understand the importance of this so that no

> contents

> > leak into the cavity.However Dr. Schnars mentioned that there may

> be

> > some risk in this and nerve damage and mentioned that if the

> implant

> > was deflated into the tube from the valve that is locks in

placeit

> > will not leak. He actually showed how it hooks up onto an full

> > implant with the tube and I pushed on it and sqweezed it and

> nothing

> > come out from the valve. So my question to anyone who may have

> some

> > info here to share is how sure are we or is there any info out

> there

> > stating that if the implant is deflated with the valve that there

> > will be leakage. Is this enbloc more important in silicone cases

> > verses saline. I'm just really confused because when I pushed

> hard

> > on the valvle no Saline came out. So if this method deflating the

> > saline in the implants did not leak then should I risk nearve

> damage.

> > Dr. Kolb said that there is not risk of nerve damage, but Dr.

> Schnars

> > says that there may be some risk due to the that fact that the

> > implant is large and must go throug a tiny hole. The other thing

> I'm

> > wondering is there any info on if a small amout of capsule is

> left

> > because it may be difficult to get it all will the body absorb

> this.

> > How sure are we that all of the capsule can be removed. I ask all

> > these questions because I'mn having a difficult time deciding

what

> > doctor to choose. I know doc. Kold knows her stuff, but she is

> twice

> > as much as Dr. Schnars and alot farther from me. Not that would

> stop

> > me from choosing her if I felt like the enbloc method should be

> the

> > only way to remove the saline, but after I saw and what I did, it

> got

> > me wondering if it was not leaking then why would I risk the

> chance

> > of nerve damage.And if Dr. schnars could do this by deflating it

> into

> > the tube without spilling into cavity then should I pay the price

> of

> > an enbloc procedure which looks to be more risky. Dr. schnars

> > explanted that silcone gel implant do not have a valve like

saline

> > and they have to be remove enbloc where as with saline the vavle

> hook

> > air tight to the tubing and the contents can be emptied with out

> > leaking. I know some of you have used Dr. Kolb...if you could

> also

> > respond to my email. (I have spoke to two of you Jenna one of

them

> > about Dr. Kolb.) Thanks so much.

> >

> >

> > Allyson

> >

>

[Guest guest]

,

Thans also for your reply. Dr. Schnars says he had done the enbloc

explant hundreads of times. He is a cancer reconstructive surgeon and

I have seen picture of his work. He appears to be very skilled. He

had great beadside manner and did a great job answering many

questions for me. He says he always uses drains. But he's looking

like he may not pass my test on the enbloc method and I'm not sure

yet on his skills in making sure that most all of the capsule is

removed. I will interview him some more on these issues and

hopefully be able to make my decdision this weekend. I know in my gut

that Dr. kolb is the best one, but I wanted to try one dr. in my

provider HMO book just incase I could try to see if there was chance

they would help with the explant. I know it was a long shot but I

wanted to try to follow the correcct chains. I guess I could try to

have my primary Dr. write a letter to the insurance company sating

that nonw of the Dr. on in the provider book were skilled enough to

do the job. I know that it will not matter though. Oh well I got

myself into this I guess I knwen the risks and now I have to deal

with the end result. Paying 10,000 to have my implant removed and to

reconstruct what will be left of my breasts. Anyhow thanks for your

thoughts. How are you doing after your explant?

Allyson

> Hello there ladies,

> I have met with Dr. Kolb in December and I am considering having

her

> do my explant. However I have also seen someone not on the list

> closer to my home here in Virgina. I'm having a difficult time with

> making a decision. The man Dr, Schnars I really liked his bedside

> manner and he is a reconstuctive dr. with impressive work. He noted

a

> few things though that I was wondering if anyone has more info or

> experience with. I know how everyone here is stressing the enbloc

> method and I do understand the importance of this so that no

contents

> leak into the cavity.However Dr. Schnars mentioned that there may

be

> some risk in this and nerve damage and mentioned that if the

implant

> was deflated into the tube from the valve that is locks in placeit

> will not leak. He actually showed how it hooks up onto an full

> implant with the tube and I pushed on it and sqweezed it and

nothing

> come out from the valve. So my question to anyone who may have some

> info here to share is how sure are we or is there any info out

there

> stating that if the implant is deflated with the valve that there

> will be leakage. Is this enbloc more important in silicone cases

> verses saline. I'm just really confused because when I pushed hard

> on the valvle no Saline came out. So if this method deflating the

> saline in the implants did not leak then should I risk nearve

damage.

> Dr. Kolb said that there is not risk of nerve damage, but Dr.

Schnars

> says that there may be some risk due to the that fact that the

> implant is large and must go throug a tiny hole. The other thing

I'm

> wondering is there any info on if a small amout of capsule is left

> because it may be difficult to get it all will the body absorb

this.

> How sure are we that all of the capsule can be removed. I ask all

> these questions because I'mn having a difficult time deciding what

> doctor to choose. I know doc. Kold knows her stuff, but she is

twice

> as much as Dr. Schnars and alot farther from me. Not that would

stop

> me from choosing her if I felt like the enbloc method should be the

> only way to remove the saline, but after I saw and what I did, it

got

> me wondering if it was not leaking then why would I risk the chance

> of nerve damage.And if Dr. schnars could do this by deflating it

into

> the tube without spilling into cavity then should I pay the price

of

> an enbloc procedure which looks to be more risky. Dr. schnars

> explanted that silcone gel implant do not have a valve like saline

> and they have to be remove enbloc where as with saline the vavle

hook

> air tight to the tubing and the contents can be emptied with out

> leaking. I know some of you have used Dr. Kolb...if you could also

> respond to my email. (I have spoke to two of you Jenna one of them

> about Dr. Kolb.) Thanks so much.

>

>

> Allyson

>

>

>

>

>

>

> Opinions expressed are NOT meant to take the place of advice given

by licensed health care professionals. Consult your physician or

licensed health care professional before commencing any medical

treatment.

>

> " Do not let either the medical authorities or the politicians

mislead you. Find out what the facts are, and make your own decisions

about how to live a happy life and how to work for a better world. " -

Linus ing, two-time Nobel Prize Winner (1954, Chemistry; 1963,

Peace)

>

> See our photos website! Enter " implants " for access at this link:

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>

>

[Guest guest]

Allyson,

Good luck in making your decision. In the end I went with what felt

right, and I went with Dr. Feng. I've definitely had some ups and

downs, good days and bad days. I know the implants made me sick,

what I don't know is how long it will take me to get better - but my

mental state is much better now that I don't have the implants in my

body. I felt claustrophobic with them, every day I would say to

myself " I just want these things out of my body " . I hated them so

much.

Sis

> > >

> > > Hello there ladies,

> > > I have met with Dr. Kolb in December and I am considering

having

> > her

> > > do my explant. However I have also seen someone not on the

list

> > > closer to my home here in Virgina. I'm having a difficult time

> > with

> > > making a decision. The man Dr, Schnars I really liked his

bedside

> > > manner and he is a reconstuctive dr. with impressive work. He

> > noted a

> > > few things though that I was wondering if anyone has more info

or

> > > experience with. I know how everyone here is stressing the

enbloc

> > > method and I do understand the importance of this so that no

> > contents

> > > leak into the cavity.However Dr. Schnars mentioned that there

may

> > be

> > > some risk in this and nerve damage and mentioned that if the

> > implant

> > > was deflated into the tube from the valve that is locks in

> placeit

> > > will not leak. He actually showed how it hooks up onto an full

> > > implant with the tube and I pushed on it and sqweezed it and

> > nothing

> > > come out from the valve. So my question to anyone who may have

> > some

> > > info here to share is how sure are we or is there any info out

> > there

> > > stating that if the implant is deflated with the valve that

there

> > > will be leakage. Is this enbloc more important in silicone

cases

> > > verses saline. I'm just really confused because when I pushed

> > hard

> > > on the valvle no Saline came out. So if this method deflating

the

> > > saline in the implants did not leak then should I risk nearve

> > damage.

> > > Dr. Kolb said that there is not risk of nerve damage, but Dr.

> > Schnars

> > > says that there may be some risk due to the that fact that the

> > > implant is large and must go throug a tiny hole. The other

thing

> > I'm

> > > wondering is there any info on if a small amout of capsule is

> > left

> > > because it may be difficult to get it all will the body absorb

> > this.

> > > How sure are we that all of the capsule can be removed. I ask

all

> > > these questions because I'mn having a difficult time deciding

> what

> > > doctor to choose. I know doc. Kold knows her stuff, but she is

> > twice

> > > as much as Dr. Schnars and alot farther from me. Not that

would

> > stop

> > > me from choosing her if I felt like the enbloc method should

be

> > the

> > > only way to remove the saline, but after I saw and what I did,

it

> > got

> > > me wondering if it was not leaking then why would I risk the

> > chance

> > > of nerve damage.And if Dr. schnars could do this by deflating

it

> > into

> > > the tube without spilling into cavity then should I pay the

price

> > of

> > > an enbloc procedure which looks to be more risky. Dr. schnars

> > > explanted that silcone gel implant do not have a valve like

> saline

> > > and they have to be remove enbloc where as with saline the

vavle

> > hook

> > > air tight to the tubing and the contents can be emptied with

out

> > > leaking. I know some of you have used Dr. Kolb...if you could

> > also

> > > respond to my email. (I have spoke to two of you Jenna one of

> them

> > > about Dr. Kolb.) Thanks so much.

> > >

> > >

> > > Allyson

> > >

> >

>