Doctor insights on:
Vns Implantation Devices
One common meaning refers to the process by which an embryo attaches to the uterus of a woman so that she is pregnant. Many think of it as 'sticking.' implantation in humans always occurs when the embryo is between 6-7 days old. A very popular concept on the internet now in 2012, 'implantation bleeding, ' is speculative ...Read more
Yes and yes: While there have been specific manufacturer recalls of various leads and devices, overall implantable cardiac defibrillators are among some of the safest medical devices implanted. They are extraordinarily effective at terminating the potentially fatal heart rhythms they are implanted to treat. ...Read moreSee 1 more doctor answer
How does bystander lightning (not a direct strike) affect implanted pacemakers, defibrillators, vagus nerve stimulators, etc...?
Usually no effect.: The lightning strike (even as a bystander - it travels through the soil & can pop up at distances far from the original strike) can have deleterious effects on your heart (causing arrhythmia) or brain (causing unconsciousness) but these are just as likely with or without an implanted device. All electronic implants have a floating ground, which means they cannot short out because of an external ch ...Read moreSee 1 more doctor answer
Risks of ablation: Mostly the risks are the same as for other procedures, including infection and bleeding, but also rhythm disturbances of the heart and the development of fluid around the heart. In addition, the risks for pacemakers include pneumothorax or the presence of air around the lung. These are usually safe procedures which are performed by trained cardiologists. ...Read more
Confused: Are you asking is you can use the dynatron if you have a scs? You can use it, but i would turn the scs off while using the dynatron. The dynatron is used to treat sympathetic pain (like the scs). I would question why you needed it however, as it seems to me to be a duplication of therapy. ...Read more
Yes but not directly: The fda requires approval for marketing of devices that monitor, treat, or diagnose medical problems. They do not directly test the devices but have approved third party companies that can verify the function and accuracy of devices and may require clinical trial data or some types of devices (ie. Those used to diagnose, monitor or treat serious conditions). ...Read more
Not much: Common household appliances and cellular phones are generally safe to use near an implantable defibrillator. It is best to avoid sources of significant electric current. For example, you should keep your icd 2 feet from an arc welder. You should not lean over your car engine while it is running. It is best to also keep large magnets off your device as well since this can affect its performance. ...Read moreSee 3 more doctor answers
Paralysis patients: If i'm understanding the question, that's a treatment for individuals either partially or completely paralyzed below the waist, used to maintain muscle tone. ...Read more
Nothing is perfect: Nothing is perfect, and these devices are certainly not. It is amazing that usually, if the situation calls for defibrillation they correctly deliver the shock, and usually do not shock inappropriately. Unfortunately, due to the patient's disease status, defibrillation will not always succeed. ...Read moreSee 1 more doctor answer
Any doctors out there who have tried sleep/activity/etc. Tracking devices and services (e.G., jawbone's up, fitbit, nike+ fuelband)? Thoughts?
I use fitbit: I've been using fitbit daily for over 2 years. During the day it shows my activity patterns, and allows me to use that feedback to modify the behavior. For example if I have not met my step goal by dinner time a postrprandial walk becomes more attractive. At night, the fitbit can provide useful information regarding quality of sleep. The web software allows for tracking of calorie intake andweight. ...Read moreSee 2 more doctor answers
VP/AICD: Yes.Get a more detailed answer ›
What percentage of epilepsy patients are good candidates for vagus nerve stimulation (vns) therapy?
VNS candidates: must be at least 12 years old (in the US) and have seizures that are known to respond to VNS ( eg. focal seizures, secondarily generalized seizures ) and have failed to achieve adequate seizure control with at least two anticonvulsants (with documented therapeutic levels) or a combination of medications. Typically they are not good epilepsy surgery candidates. In my practice: about 1/3 patients. ...Read more
Great options: The intrauterine device is a small t shape item placed inside the uterus. There are 3 approved iuds in the us. Mirena (levonorgestrel) can last up to 5 years and contains a small amount of Progesterone giving you the benefit of light or no periods. Skyla is a smaller 3 yr version of mirena (levonorgestrel). Paragard lasts 10 years and is hormone free. All are safe, highly effective, well tolerated & popular options. ...Read more
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