ljelome wrote:Dear dr. Sclafani,
Just a brief questions about CCSVI procedure examination using Doppler USG based on Karen Marr's presentation. I'd like to know :
1. In her presentation, patient to be examined should use no steroids within 30 days before the exam. Now, i'm still using Rebif. Does Rebif have steroid in it? (i heard my MS friend told me that it has)
2. If i have venous valves obstruction or i have-a very thin n move so quickly-valves or no valves at all, maybe it's better for me to check for venous valve's confidence using valsava maneuver. Is it true?
I'm going to discuss it with my sonographer n dr. Priyo Sidipratomo, if he has time for me, in maybe this week or next week.
So, i'd be grateful if u could give me a quick reply.
Thank you very much. I'll be waiting for your answers.
the reason that Karen Marr was not using steriods was because of a research project. Thus no steroid receiving patients were part of the study. I do not think that steroids actually have anything to do with getting an ultrasound and would not worry about it.
Valsalva is not a good manuever when doing ccsvi ultrasound. it is looking for the wrong thing. gentle breathing is best.
say hello to my good friend. Remind him of our visit to the NYC world trade center a year or so before it was taken down by the terrorists. Tell him that the new trade center is going up now and will be ready for us at dinner in about 2 years.
good luck linda