And most likely an examiner who was not familiar with hemodynamic venous sonography (assessment of function - and not only of anatomy) will find nothing but a mild stenosis in your right internal jugular vein. Thus, the result of examination would be as follows:
There is a maintained flow through vertebral veins and there is no reflux in the assessed veins.
but in reality................................
No stenosis or occlusion were found in left jugular vein. Yet, at the entire length of the vein there is a reflux, which follows the breathing, and the reflux time is 0.2-0.4 s. There is significant (!!!) asymmetry of the volumes of blood flowing through internal jugular veins. In the supine position the flow volume in the right vein is ~300 ml/min, while in left jugular vein it is ~18 ml/min. Moreover, right jugular vein in the sitting position collapses only partially.
There is a maintained flow through vertebral veins, both in the supine and sitting positions, and there is no reflux in the assessed veins. Yet, in the supine position the flow through right vertebral vein is excessive.
Deep cerebral veins - there is an asymmetry of flow: the flow through the veins of right hemisphere is significantly larger than that at left side. In addition, flow through the veins at right side is cyclic, following the breathing.
Rokkit wrote:ErikaSlovakia wrote:Yet, there are only few doctors familiar with such sophisticated venous sonograp ahy, though. and you can find them mostly in Europe. This may explain problems with proper sonographic testing in American patients.
Of course I had to check flights. Apparently you can fly round trip from NYC to Warsaw for around $600, which is astounding in itself. Would I be crazy to get a sonography from Dr Simka?
prof. Stetinova. He knows her. Well, she is on holiday, but I have talked to a nurse to get an appointment, she was also very excited about it and I can come this Wednesday to see her and to talk about the phlebography. She even new something about it! I could not beleive it.
Loobie wrote:Let's put Erika and Joan in the same room for a while, I bet they get the healthcare thing done
ErikaSlovakia wrote:So, I am back from Bratislava (capital of Slovakia).
I am supposed to call this hospital also in Bratislava: http://www.nusch.sk/.
They do the phlebography there. I wish they would do it there for me because it is the best hospital in Slovakia. I would really feel safe there.
The next possibility is another town in Slovakia wich is also very good.
I am just very tired.
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