This Is MS Multiple Sclerosis Knowledge & Support Community

Dr. Cumming,

In trying to think of ways to reduce the possibility of a blood clot post-surgery, do you think if one has the choice to have the procedure in the winter or the summer the summer would be better since blood is "thinner"? Maybe a long shot but I'll do anything I can to increase my odds of a better outcome.

Thanks!

It was a great picture, it was this one:
http://www.veincaremn.com/home/specialists.php ;)

SaintLouis wrote:Dr. Cumming,

In trying to think of ways to reduce the possibility of a blood clot post-surgery, do you think if one has the choice to have the procedure in the winter or the summer the summer would be better since blood is "thinner"? Maybe a long shot but I'll do anything I can to increase my odds of a better outcome.

Thanks!

I don't think time of year will matter - as long as you don't go out and run a marathon and get dehydrated

Cece wrote:Terminology can be a bear: by venogram, do you mean the MRV or the catheter venogram?

Can you tell us at all what you have experienced with the MRVs as part of the diagnostic process? Do they hold up to what you see in the catheter venogram? Have you had anyone back for a repeat MRV after a successful venoplasty? I've also been wondering for awhile: if there is a figure for "backward flow" in the flow chart information for the jugulars, does this mean backward toward the brain or backward toward the heart?

Usually when we leave out a reference to MR or CT we mean conventional or catheter venography (the others are 'new' to the scene so we always prefece those modalities with CT or MR).

I have not been doing follow up MRV's. We have had one patient do a followup MR at 4 months out with no new lesions. I do think if you want to look at plaque changes you should have a current (1-6 months) MR prior to the procedure.

We are following patients with US which is easy and less costly. But... it misses the azygous so its not ideal either.

Its getting depressing to always be saying no good/easy answer

You got name-dropped on Facebook again; you are "awesome" according to a patient who was treated by you on Wednesday!

Is there a link , Cece , I can't find it?

thornyrose, here it is:
http://tinyurl.com/43no7gl

Super short post, but thanks anyway!

I am posting for the first time. Dr. Cumming is genuine, honest, compassionate, amazing ....... doctor!!! I was treated by Dr. Cumming on April 6th, 2011. It has only been 6 days, but I feel that some of my MS symptoms have improved. I can't wait to see what the next few months bring!

Welcome to the website, Shay, glad to hear you've had some improvements already!

I am trying to think what questions might benefit others.... Do you know if he used IVUS in your case? Did he prescribe lovenox or plavix? How long was the procedure? Was the recovery easy?

Many wishes for continued improvement in the weeks and months to come!

This sounds stupid. Reminder, what is IVUS? Dr Cumming has me on plavix for 30 days, for now. I am not clear on the procedure time. My husband told me 2 1/2 hours. I was pretty out of it after the procedure. The recovery was pretty easy, however, it took me longer because when I stood up, I kept getting dizzy. I think a combination of not eating, laying down for a long time and the local anesthesia was the reason. The hospital did provide me with food, but it hurt for food to go down. Dr. Cumming ballooned my azygous vein.

Thank you for your wishes!

DrCumming wrote:

Brainteaser wrote:Cece, I'd like to hear what Dr Cumming has to say on this very serious issue. As you quote '....repeated dilatation causes repeated intimal injury and perpetuates the intimal healing response. ' If people are being retreated frequently, there is greater potential for intimal damage. Additionally, my reading of 'Re-stenosis occurring 3 to 12 months after angioplasty is typically due to intimal hyperplasia.' does not necessarily mean that there can't be intimal damage in less than 3 months.

We know, from our dialysis patient population, that we can safely redilate veins many many times. I have a group of patients that routinely come in every 3 - 6 months for repeat dilation.

We always cause intimal injury by ballooning. To gain luminal diameter, it has too happen.

In another thread, restenosing is being discussed, so I looked back to what had been said about dialysis patients.

Is it that we can safely redilate veins many many times, as long as the balloon sizes are appropriate?

I just had my jugs re-dilated by Dr. Cumming.

I really appreciate the hands on approach, willingness to answer questions and honesty. Thanks Dr. Cumming, we are lucky to have you on our side.

still no cigs day 6!

Will be seeing Doctor Cumming on Tues the 28th, procedure on the 29th!!

I forgot to ask the office when I talked last, but what do I wear for the procedure? Or do they give you something?? These are the small details one thinks of last minute!

You go zinamaria! And the best of all outcomes to you.

As far as what to wear; unfortunately, you missed a Lady Diana gowns auction yesterday. There were some quite nice frocks sold there... May I suggest a cotton-print, or some chiffon? Rumour has it that Cece left a red thong behind at Dr, Sclafani's place... maybe a lacy black thong for you? Perhaps they will give you something from Tar-szay? I'm sure that it will be manageable, and your inner beauty will show through.

Happy trails!

Maybe some jammies?