The Portland Community Free Clinic
Treating Esophageal Cancer
It has been a long time since I have talked about my patients! If you followed the links you have read the scientific analysis of my approach to treatment for adenocarcinoma:
If the tumor size is <5 cm, this was the treatment:
Recovery after bypass surgery
It certainly can be a urinary tract infection, but the way a CABG is performed often leads to a lot of fluid administered during the operation, which your father’s body is now getting rid of. If so, that is a good sign and shows his heart and kidneys are working just fine! In any case, I’d recommend a urinanalysis and culture to make sure.
Hope this helps,
Clarification following CABG
I underwent CABG x3 in Sept 2012 and have recently had access to my medical reports and I was wondering if I could trouble you to explain some of the medical terms to me.
1. Result of catheterisation pre-op showed ‘right coronary artery had no obstructive disease. The left main stem had a critical distal lesion – 90% and this was a true bifurcation lesion involving the ostia of both the left circumflex and LAD. The LAD had some mild disease after a large diagonal branch. The left circumflex had no other significant disease apart from the ostium. Left ventricular function was good.
2. Intra operatively patient had a pedicle LIMA anastomosed to the LAD, vein graft to the diagonal, vein graft to OM1.
I heard the term widow maker mentioned to me on the ward, is this what I had with some or one of my blockages Dr T? I was also wondering, based on the pre-op findings, just how serious was my situation back then?
Many thanks for listening
- The term LIMA refers to a Left Internal Mammary Artery graft.
- This artery is usually connected to the left anterior descending artery and/or one of its major branches, as was done in your case. The major advantage of using internal mammary arteries is that they tend to remain open longer than venous grafts and much longer than PCI. Ten years after coronary artery bypass graft surgery (CABG), 90% of internal mammary arteries and 66% of vein grafts are usually still working.
Don’t let your right hand know what your left hand is doing…
I am sure you have seen the Cialis ad; it has been around for quite a while and like many others, it plays on TV in context with the expected male audience. While morning shows receive their share of women-focused advertising, men are targeted when sport shows are present.
Men are expected (when not lusting after manly trucks, boats or guns) to struggle with hair loss and/or ED, while on the internet (where things are less strictly supervised), they get encouraged to grow their penis size to unheard-of proportions.
Dizziness and my ECG report results
The ECG reading explains nothing about your symptoms. While vertigo may be associated with a cardiac problem, this EKG doesn’t prove anything. You need a doctor’s consultation to evaluate your heart, your ears and possibly your brain as well as other causes.
An assessment for any serious underlying disorder requiring urgent treatment such as coronary artery disease, cerebrovascular disease.
Identifying the nature of the presenting symptom in terms of true vertigo, syncope (fainting), presyncope or any other form of dizziness. Dizziness can usually be categorised into one of four main groups: