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In a message dated 12/20/2000 10:58:16 PM Eastern Standard Time,

LMinella@... writes:

<< I remember posted

suggestions that you should use an orthopedic surgeon instead of a

podiatrist, but since the cost is right and he has exhibited a great

deal of knowledge on CMT, I'm going with him and I will put my faith

in the Lord that all will go well. >>

I hope everything goes well with your surgery. For my lst foot surgery, I

used an orthopedic, he was a good surgeon but a lousy bedside manner. He

didn't care about me at all. Let me have stress fractures 8 months after my

triple. He done absolutely nothing to help. Swore I would never go back to

him. Found an excellent orthopedic to replace the first one, he told me that

he would take care of anything above the ankle for me, but his office had a

podiatrist to take care of the foot. He did my 2nd surgery a year ago.

Excellent work. They are trained for all problems with the foot. I'm sure he

will do a good job for you. Congratulations on having one to care enough to

do the surgery for free. What is he going to do to your foot?

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In a message dated 12/20/00 10:58:25 PM Eastern Standard Time,

LMinella@... writes:

<< I remember posted

suggestions that you should use an orthopedic surgeon instead of a

podiatrist, >>

Hi Larry,

Merry Christmas to you also. When I had my foot operated on (ankle

fusion), I was given recommendations for some of Boston's best doctors. The

first recommendation was a Podiatrist. He was so busy, he was not taking on

any new patients, so I found a top notch orthopedic doctor. The secret

is(:-), they are foot doctors, they only operate on feet. I know your

operations will be as successful as mine was. A walk in the Park my friend

(:-), but I do understand the your apprehension. It goes with the job do to

speak.

E

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  • 1 month later...

wrote:

Hope you won't mind me asking an off-topic question too much . . .

I'll be having surgery in late March. Do you know anything I can do right

now in order to perpare for speedy healing and recovery? It will be

outpatient surgery, but requires general anesthesia.

Thanks,

,

I have had one major surgery and here is what helped:

- Be in the best possible physical shape: keep exercising or start now.

- Learn how to deeply relax via one of the many methods available like yoga,

mediation, deep muscle relaxation, visualization, etc.

- I don't know the effect of CR on surgery.

I wish you the best,

S Pollock

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  • 11 months later...

Regarding Debra's question about my surgery:

I was referred to that doctor because this was the surgery he did most and he

had learned it in the United States. My mother had her gallbladder removed in

the 1950's and has only a

small diagonal scar on her right side. I thought mine would be that, at worst.

I had read news articles about advances in the surgery and how it was done with

small incisions, and blah

blah blah. I felt like a gutted deer when I woke up. Anyway, that's what

happened. Never assume anything. He didn't go into details about the incision,

and I didn't ask because I

thought I already knew.

Janet

D B wrote:

> >>I felt devastated when I woke up from the surgery and realized how much

> >>I'd been cut open.

> Coming from the States, I thought it would be laparoscopic<<

>

> Unbelievable!! How could they not have informed you beforehand? Thaat is

> just awful.

>

> Debra

>

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from:

http://www.gihealth.com/html/education/photo/ercpStones.html

This is a young woman who presented to the Emergency Department with new onset

acute abdominal pain. Blood tests showed an elevation in her liver enzymes. An

abdominal sonogram test found that her gallbladder was full of gallstones. She

was scheduled for urgent gallbladder surgery. But, there was a problem. The

sonogram also showed that the bile ducts that normally drain the liver were

blocked by a cluster of many small stones. This is a serious condition which

can cause damage to the liver and pancreas. This blockage also makes surgical

removal of the gallbladder more difficult and dangerous. Her surgeon requested

that an ERCP examination first be done to clear out the stones in the bile

duct.

Here is a photo taken in the duodenum during the ERCP. You can see the opening

of the bile duct in the duodenum - called the Ampulla of Vater.

During the ERCP, a small catheter was introduced into the Ampulla and up into

the bile duct. X-ray contrast dye was injected into the ducts to make them

visible on the X-ray machine. This confirmed the presence of many gallstones

lodged in the bile duct blocking the flow of bile. A special wire loop was used

to cut and enlarge the opening of the Ampulla. This allowed the stones to drain

out of the bile duct and relieve the blockage. In this photo take just after

the " cut, " you can see one small yellow stone emerging from the new opening.

The large stone in the foreground was removed using a small basket. Once this

was accomplished,a flood of many small gallstones (arrow) followed through the

newly enlarged opening and flooded the duodenum. In this photo you can see

numerous small gallstones in the duodenum. This relieved the blockage of the

bile ducts and the patient was able to safely undergo sugical removal of the

gallbladder. She did well afterward and was discharged from the hospital the

following day. About 20 million Americans (twice as many women as men) suffer

from gallstones, and more than 500,000 a year undergo surgical gallbladder

removal. This is an example of how ERCP can be used to help some of those

patients.

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