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drsclafani wrote:

patientx wrote:

Dr. Sclafani: "I was the only American interventional radiologist who performed this treatment until 2010."

MISQUOTE

I was the only american IR who performed this procedure on the east coast until 2010

dr dake was the first to perform this procedure in us

\sorry mike.

BooBear wrote:Let's try something new. Back your statements with some facts and counterpoints for us to consider if you wish to be influential....

Malden wrote: If you block all veins (that's case in stranglering) your face, eyes, tonque, swallow and turn blue and in a short time you are death.

Cece wrote:It's known that there is cerebral hypoperfusion in MS. So we know slow flow is happening. M, with your excellent English these days, do you have an explanation for the slow flow?

BooBear wrote:I made a similar analogy, Malden, that all of us should be able to relate to.

You can identify lesions with a MRI. But unless you use gladonium, you will not be able to identify active lesions at all. So if you have a MRI without the enhancement of gladonium, does it mean that you have no active lesions? No. It means you did not use the proper protocol to identify any active lesions that may exist.

I am growing increasingly frustrated with remarks that liken esteemed professionals in their field with charlatans. These doctors are going out on a limb, jeopardizing their reputations and status (often with rather prestigious universities) to do what they believe to be right. For this we liken them to swindlers and manipulators?

It is not the results of this theory that scare some people- it is the possibility that this theory provides. The possibility that decades spent on an autoimmune theory were wrong. The possibility that expensive medications and treatments were meaningless. The possibility that a compliant, chronically ill community could rise up and become free from the burdens associated with this disease. And, frankly, the possibility that one may have cheated themselves from the benefits of this treatment by subscribing to the fear and propaganda.

Possibility is perhaps the most polarizing thing in our lives. Those that are scared to explore possibility shun it, but they like company; as such, they try to find those who are also scared to join them. Those that view possibility as hope find it worthy to explore, research and validate. Fortunately, there is plenty of company for those individuals to enjoy within this community.

I have worked previously on many topics that were controversial in my 40-year career: the treatment of bleeding internal organs after trauma by interventional radiology; the dilation of dialysis access fistulas and grafts and the non-operative treatment of uterine fibroids by interventional embolization. All three faced strong opposition by those who were personally committed to other lines of treatment. Sometimes resistance is strong, sometimes not. But the resistance must be persistently met with data. Eventually, the truth comes forward, and in these three cases lives were saved, and better, less invasive alternatives arose from the controversy. Other controversial areas did not meet with success and were abandoned, not because of opposition, but because the data showed that they did not work better than the established alternative. Such is medical progress. Two steps forward, and sometimes one step back.

Cece wrote:...I think sometimes it feels like this has never happened before, for something so radical to come along and be met with resistance and yet from our point of view seem to be in the right.

drsclafani wrote:Consider the brain to be like a barrel with two openings.
take two hose and place them in the openingsl
push water into one hose and let it drain through the other hose
by regulating input and output you can get a steady state to keep the fluid in the barrel to the same level

now block the drainage.
eiither less water can go into the barrel or the barrel will explode.

in the body, if you reduce the amount of blood getting out of the skull, then the amount of blood that gets into the brain must be reduced.

Reducing the blood flow into the brain is a bad thing most of the times. Flow in the carotid and vertebral arteries is essential for brain life.


why? Because oxygen and nutrients get to the brain via the carotid arteries so reducing inflow to the brain leads to inadequate oxygen to the brain. that can lead to cell death or dysfunction.

You are on a highway. the road ahead is blocked by an accident. So you get off and take a service road around the accident. You are not the only one so the traffic on the service road grows.

then the accident is cleared and the road is clear sailing again.

the service road goes back to little traffic.

unless you permanently barricade the service road, it will again be used to bypass delays.

same with the veins. they will shrink but they generally will not evaporate

have a nice trip!

Malden wrote:

Cece wrote:...I think sometimes it feels like this has never happened before, for something so radical to come along and be met with resistance and yet from our point of view seem to be in the right.

Radical here means extreme. Radical views are either extremely liberal or extremely conservative-- or just extremely abnormal.

I can quote some more original "radical" views on cardiovascular physiology from "DrSclafani answers some questions" topic, page two:

drsclafani wrote:Consider the brain to be like a barrel with two openings.
take two hose and place them in the openingsl
push water into one hose and let it drain through the other hose
by regulating input and output you can get a steady state to keep the fluid in the barrel to the same level

now block the drainage.
eiither less water can go into the barrel or the barrel will explode.

in the body, if you reduce the amount of blood getting out of the skull, then the amount of blood that gets into the brain must be reduced.

Reducing the blood flow into the brain is a bad thing most of the times. Flow in the carotid and vertebral arteries is essential for brain life.


why? Because oxygen and nutrients get to the brain via the carotid arteries so reducing inflow to the brain leads to inadequate oxygen to the brain. that can lead to cell death or dysfunction.

....and on the same page something in contradiction:

You are on a highway. the road ahead is blocked by an accident. So you get off and take a service road around the accident. You are not the only one so the traffic on the service road grows.

then the accident is cleared and the road is clear sailing again.

the service road goes back to little traffic.

unless you permanently barricade the service road, it will again be used to bypass delays.

same with the veins. they will shrink but they generally will not evaporate

have a nice trip!

So traffic continues... no reflux by driving in oposite direction on highway?

sbr487 wrote:

Malden wrote:

Cece wrote:...I think sometimes it feels like this has never happened before, for something so radical to come along and be met with resistance and yet from our point of view seem to be in the right.

Radical here means extreme. Radical views are either extremely liberal or extremely conservative-- or just extremely abnormal.

I can quote some more original "radical" views on cardiovascular physiology from "DrSclafani answers some questions" topic, page two:

drsclafani wrote:Consider the brain to be like a barrel with two openings.
take two hose and place them in the openingsl
push water into one hose and let it drain through the other hose
by regulating input and output you can get a steady state to keep the fluid in the barrel to the same level

now block the drainage.
eiither less water can go into the barrel or the barrel will explode.

in the body, if you reduce the amount of blood getting out of the skull, then the amount of blood that gets into the brain must be reduced.

Reducing the blood flow into the brain is a bad thing most of the times. Flow in the carotid and vertebral arteries is essential for brain life.


why? Because oxygen and nutrients get to the brain via the carotid arteries so reducing inflow to the brain leads to inadequate oxygen to the brain. that can lead to cell death or dysfunction.

....and on the same page something in contradiction:

You are on a highway. the road ahead is blocked by an accident. So you get off and take a service road around the accident. You are not the only one so the traffic on the service road grows.

then the accident is cleared and the road is clear sailing again.

the service road goes back to little traffic.

unless you permanently barricade the service road, it will again be used to bypass delays.

same with the veins. they will shrink but they generally will not evaporate

have a nice trip!

So traffic continues... no reflux by driving in oposite direction on highway?

Pretty cheap strategy of taking things out of context or partial quote ...

It would be better if declare who you really are. That would make things easy to discuss. Or you are afraid of your reputation?
Or those silly arguments (remember faith healing, instantaneous remission, hepatitis?)

sbr487 wrote: Pretty cheap strategy of taking things out of context or partial quote ...

It would be better if declare who you really are. That would make things easy to discuss. Or you are afraid of your reputation?
Or those silly arguments (remember faith healing, instantaneous remission, hepatitis?)

Cece wrote:It's known that there is cerebral hypoperfusion in MS. So we know slow flow is happening. Malden, with your excellent English these days, do you have an explanation for the slow flow?

Low GM perfusion could reflect decreased metabolism secondary to neuronal and axonal loss or dysfunction with a predilection for progressive forms of MS.