Brainteaser wrote:Dear Dr Sclafani,
Two weeks ago, I had angioplasty by Dr Thomson in Melbourne, who like yourself, is a skilled, relaxed and caring IR. He ballooned at 5 points including within a stent at the valve of the IRJV, which had been placed by Drs Ludyga and Simka in Poland, in November 09. The other points of ballooning were within both jugulars and the azygos.
So in less than six months, angioplasty with stenting began to fail. Would love you to share a picture of that stenosis with us! it sounds like intimal hyperplasia to me.
For a week after the Thomson treatment there were noticeable changes similar to those experienced by many others - energy, better balance, less spasticity etc. Some of the changes have subsided and I sense this might mean that the veins have collapsed and I require a few more stents or something more permanent to keep them open.
this is going to be a big challenge. that patients feel dramatically improved early means we are doing something good but why there is a setback in some is unclear. All our anecdotal patient followup is very difficult to sort out. Is the set back because the autonomic system re-regulates itself with time after liberation? is it restenosis.....so many questions to answer!
However the most extraordinary outcome from the Thomson treatment related to my legs. For as long as I can remember I have had fat, puffy, tree trunk legs and ankles which I assumed was a deformity but worsened by 'MS'. Two days after treatment - no more tree trunk legs! Instead, shapely, normal, athletic legs that if you squinted a bit, might rival those of Michael Johnson. My wife could not believe her eyes - she clearly did not marry me for how I looked in shorts! I was walking around all day with my Jobst knee-high stockings falling down, around my ankles. The absence of edema, without a tight and constrained feeling to my legs and ankles, also made it easier to move.
Questions - have you seen similar 'leg' results in others and/or does this make 'medical sense' to you?
Sure sounds autonomic to me. i have not seen anything this dramatic yet