I am asked a lot of questions here, as you all know.
This question did not make the board, but is so incredible, i thought i would share it. anonymously as usual.
The patient is a 32 year old male with chief complains of numbness from belly down both legs and on the tips of four fingers of the left hand. This is associated with chronic fatigue, occasional vertigo, imbalance ("almost always", heat intolerance, occasional pain in the legs, weakness and spasticity in both legs and abdominal musculature,necessitating the use of canes. He had bowel and bladder problems as well.
Here is his question (unedited)
ps...paddling is not some bondage thing....it is kayaking
Quote:
Sorry I forgot to send you an email for my 5th month followup....
so, here's my 5month and a half email...
Everything is good,
last week I had a small headhaches, but I had a huge indigestion in the same time... eaten something that doesnt pass... Anyway...
So, beside that, no fatigue, no headhaches, legs getting slowly stronger as I'm taking stairs way more often than before... it's a slow recovery
Still paddling once a week even if it's getting cold here, and I have a good question for you about paddling..
I think I will be the first in your entire carreer to ask you this...
at this time of the season, the water is getting colder. This is not bottering me a lot, for this season, but in the past, I was starting my paddling season realy early, somewhere at the beginning of april. at this moment we have to use a Dry Top, because the water is deadly cold. To prevent water to get inside, a drytop is build with silicon Gaskets at the wrist and The neck and normaly, it put a lot of pressure. We even stretch new one with a football for months before using it, or it choke to much.
I dont feel confident about adding pressure at my neck for the moment, so I will finish the season with only a wetsuit(yeah i'm crasy) but do you think next april, (so 12months after my procedure) it will be safe to use this kind of gear?
or do you think it could hurt veins, or even valves, to wear this kind of stuff? I was wondering if strong neck pressure can break a valve or something...
what a dilemna! i would never have imagined this patient asking details regarding white water kayaking!!!
my sense is that this would not be a good idea to compress his jugular veins.