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Doctor insights on: Off Pump Vs On Pump Surgery

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Baclofen pump placement surgery incisions does to you back?

Baclofen pump placement surgery incisions does to you back?

Yes for a reason: Baclfen or opioid pump delivers medications into intrathecal space of spinal cord , small amount of medication is directly delivered , ideal to have a small catheter from pump to the space to have less of catheter problems , than longer catheters if it is not in the back. ...Read more

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Is it possible to become dependent on proton pump inhibitors after regular use?

Is it possible to become dependent on proton pump inhibitors after regular use?

Probably not: If symptoms continually recur, see your doctor and have him/her refer you to a GI specialist to evaluate you for underlying causes. ...Read more

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Is the fda planning on approving the implantable insulin pump or artificial pancreas soon?

Is the fda planning on approving the implantable insulin pump or artificial pancreas soon?

Being studied: The artificial pancreas is still being studies. Probably the first form that will be approved will be a pump that automatically turns off if the glucose sensor detects a low blood sugar. ...Read more

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Are cardiac bypass patients usually put on a vent?

Are cardiac bypass patients usually put on a vent?

During surgery: During surgery, yes. And sometimes for a short period after surgery. ...Read more

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Where is an insulin pump placed on the body?

Where is an insulin pump placed on the body?

Insulin pump: It is worn on the outside of your body. Patients can clip it on a belt, put it in their pocket, put it in their bra, and there are even underwear or clothes with pump pockets built in. It is attached to an infusion set on your ABD skin by tubing. Go check out one of the pump websites. One of the best pumps is still the Medtronic pump. Check out this website: www.medtronicdiabetes.com/compare ...Read more

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How often robotic assisted coronary artery bypass surgery used and advantage co or pro over the regular bypass. ?

How often robotic assisted coronary artery bypass surgery used and advantage co or pro over the regular bypass.
?

It depends: In the hands of some surgeons, robotic results may not be as good as for others. Choose your surgeon and medical center well. ...Read more

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40yr. Old male 3 months out from hybrid maze ablation surgery for afib with pvc's 13% of the time , is it safe to lift heavy & resume road bicycling ?

40yr. Old male 3 months out from hybrid maze ablation surgery for afib with pvc's 13% of the time , is it safe to lift heavy & resume road  bicycling ?

Should be fine: Since you went through a significant procedure, you should ask your cardiologist. The pvcs likely do dot represent a big risk. Perhaps they will get better. If not, they can be left alone, treated with mess or ablated. In the end you went through this so you could have a normal life. I'd say you should do what you can to get back to it. ...Read more

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What alternative surgeries exist for non diabetic ulcer on sole of the foot vs skin graft. I'm offloading in cam Walker daily for 5 years. need help?

What alternative surgeries exist for non diabetic ulcer on sole of the foot vs skin graft.  I'm offloading in cam Walker daily for 5 years.  need help?

Depend: it is really depend on the size of the ulcer, and the depth and the staging of the ulcer, and last if the ulcer is necrotic,or infected. Debridment of the necrotic and infected tissues is essential for the ulcer to heal. Skin coverage could varies to many options including skin graft. You can discuss the different options with your surgeon,general,vascular,foot,or orthopedist ...Read more

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Replacing batteries on a pacemaker how long it takes and restrictions after the procedure?

Replacing batteries on a pacemaker how long it takes and restrictions after the procedure?

Same day: Same day out patient procedure especially if there are no lead changes usual restriction if for wound healing for battery change. ...Read more

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What are the requirements to install a baclofen pump?

What are the requirements to install a baclofen pump?

Positive test: If the pump deemed clinically necessary a test dose is injected via lumbar puncture and physical therapist performs functional assessment. If spasticity decreased the pump will be indicated. ...Read more

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How risky is a pacemaker and cables replacement procedure when the cables are 13 years old?

How risky is a pacemaker and cables replacement procedure when the cables are 13 years old?

It depends: If they are only replacing the pacemaker and leaving the old wires alone, not very risky. If they are going to remove the old wires there is additional risk, although many centers are quite good at that. Not every place that puts in pacemakers is set up to remove old wires. Discuss this with your physician. ...Read more

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Dr. Laura Pak Dr. Pak
2 doctors agreed:
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Is it required to shut down a mature av fistula for surgery on the same side?

Dr. Laura Pak Dr. Pak
2 doctors agreed:
Is it required to shut down a mature av fistula for surgery on the same side?

Usually yes: If there are 2 functioning av accesses on the same side, there is higher risk of access steal (not enough blood flow to the hand, producing hand pain and sometimes gangrene of the fingers). If the mature access is having problems (pseudo aneurysms, stenosis), most times we can repair it rather than sacrifice it to place another access. ...Read more

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What is a baclofen pump and how installed?

What is a baclofen pump and how installed?

Infusion pump: The pump is placed in the abdominal wall and the catheter is placed intrathecally in the spine. It delivers the drug according to the needs of the patient. ...Read more

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Is it ok to vaporize marijuana within 24 hrs of being put under from ACL surgery ?

Is it ok to vaporize marijuana within 24 hrs of being put under from ACL surgery ?

Marijuana: After any surgical procedure you should refrain from drug use that is not followed closely by a physician as you need to cognitively be able to report any problems with the surgery. Rest and physical therapy as well as pain management is the key to recovery post operatively. ...Read more

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After the open heart surgery how long to continue dilzem, storevas, clopivas, and reconia?

After the open heart surgery how long to continue dilzem, storevas, clopivas, and reconia?

Probably long-term: Most people with heart surgery require some degree of medication for life following the surgery. I'm not too familiar with the particular medications you are listing, but people with heart surgery for blocked arteries ("bypass" surgery) typically require blood pressure, heart, and cholesterol medications indefinitely, along with an aspirin. ...Read more