Lets check if I have been listening...peekaboo wrote:Next ? why take blood thinners if the reason for one's venous obsruciton is not necesarly from traditonal plaque or fat?
My weak right foot can dorsiflex a little bit and I can bend my knee a tiny bit. They are often completely immobile no matter how hard I try
check if I have been listening...
From my understanding, the blood thinners are taken to reduce the likelihood of the body's natural mode of operation to form a clot around a foreign body. Which it may see the newly placed stent as
She was NOT interested in this whole idea which she deemed a waste of time, in fact she declared with absolute conviction that these veins do NOT have valves, therefore cannot reflux and furthermore that blood goes back and forth up and down all the time with every breath, so it is meaningless and inconsequential. She did not know I already had had MRV and knew the results.
I said well I actually have stenoses in both jugulars right above the angle of the jaw...she said NO, because if you did I would see turbulance just below there and I do not. You can't have such a stenosis. I mentioned that at my University they had seen reflux in the vertebrals (which based on my pathology was the overflow from the blocked jugs making excessive amounts of blood in the vv have turbulent flow) and she immediately declared that my vertebrals were completely 100% normal. nothing whatsoever on there unusual.
I then casually asked if the computer does all the calculations, or if there was a lot of guessing/analysis going into the interpretation....She stiffened up and said tightly This takes years of training it is a highly skilled technique...
..which answered my question, she was clearly incapable of seeing a GROSS abnormality in my jugulars with her doppler, but her opinon of her technology and skill gave her terribly inflated confience in her opinion.
I have some remarks regarding dopplers. This examination is very operator-dependent. I have learnt a lot from the Jeff's and yours stories, and I think that in both cases some abnormalities could be revealed with ultrasounds, even if the lesions were localized in the area not accessible for the probe. It should be remembered that you can find only these things you are looking for. And what should be found in this particular anatomic variety? I am rather sure that in such a case in patient in supine position the flow in vertebral veins will be very high, these veins will be more visible than usually, and this should be regarded as a pathology. We have seen such pattern in all patients with bilateral stenosis of jugular veins (localized in the middle part of neck), and similar findings should be if a stenosis were localized very high. Moreover, in 2 patients we have observed paradoxically increased flow in jugular vein proximally to stenosis in an upright position (usually in this position the vein collapses and the flow is diminished), probaby due to stiffness of the diseased venous wall. Thus, as a screening test dopplers should be very usefull, since this examination is cheaper and easier to perform than venographies. Still, it should be remembered how operator-dependent it is
And, my doppler radiologist found a reflux in my IJV. So is my problem is that I have a valve where there should be none...mrhodes40 wrote:I recieved an email from Dr Simka regarding doppler and in reply to the information in my first post on this thread where I talked about the dopplers I had....
I saidShe was NOT interested in this whole idea which she deemed a waste of time, in fact she declared with absolute conviction that these veins do NOT have valves, therefore cannot reflux and furthermore that blood goes back and forth up and down all the time with every breath, so it is meaningless and inconsequential. She did not know I already had had MRV and knew the results.DrSimka wrote:It should be remembered that you can find only these things you are looking for.
There we go.........a published researcher with expertise in doppler work.
enough said on THAT score.
That girl is just a nut ball. Can't wai for your more advanced tests Cure.So is my problem is that I have a valve where there should be none...
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