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Medical Forum / Diseases and Disorders / Arthritis / August 2006

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Ulnar Drift surgery?

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Shandi - 11 Aug 2006 15:27 GMT
Has anyone had the ulnar drift correction surgery?  I think the correct name
is soft tissue re-alignment.  Basically my tendons all slipped off my
knuckles and they have to place them back on, do some muscle snipping and
possibly MCP joint replacements when they get in there.  Looking at the xray
though the surgeon seems to think the jonts themselves are ok.

I have surgery scheduled for August 25th.  The surgeon wasn't that helpful
about adjustments that need to be made or REAL PERSON recovery time or even
how recovery goes.  Don't want to be blindsided.

Thanks for any insight :)
Shandi
Fire Chief - 11 Aug 2006 18:31 GMT
> I have surgery scheduled for August 25th.  The surgeon wasn't that helpful
> about adjustments that need to be made or REAL PERSON recovery time or
> even how recovery goes.  Don't want to be blindsided.

That should be a RED flag flying in your face.

Ask the surgeon how many similar surgeries he's done.
Ask how many were successful (100% is a bad answer).
Ask for the names of past patients, so you can chat with
them about their experiences.

(I'm trying to recall a few other questions suggested in a
cancer support group, but my mind is a blank right now.)

If he hems and haws, becomes evasive, find another
surgeon PRONTO.

... DEBUG:  Taking bugs off the windshield.
Shandi - 11 Aug 2006 20:00 GMT
I think part of it Fire Chief was that I didn't know what to ask at the
time.  I do have a list of questions for him and going to wait until early
next week to call in case more come up from other's comments.

Often I am dubious to what surgeons say.  Back in 98 I had a simple knee
arthroscopy.  They got what they could of the synovium, smoothed out a tear
in my meniscus etc.  I was told that I would be off my feet for 6-8 weeks.
My boss was NOT happy, I ended up having to quit my job and the day after
surgery I was walking fine.  The same issue with trigger finger and Baker
cyst removal.  I was told it would take 500% times longer than it did.

So that is why I ask for real person experience.  The procedure was
explained to me but not so much the post - op information which I find that
not many doctors tell anyway.  I do know that I will be in a brace for 6
weeks and a night splint for 2-3 months after the brace.

Shandi

>> I have surgery scheduled for August 25th.  The surgeon wasn't that
>> helpful
[quoted text clipped - 15 lines]
>
> ... DEBUG:  Taking bugs off the windshield.
Fire Chief - 12 Aug 2006 00:42 GMT
> I think part of it Fire Chief was that I didn't know what to ask at the
> time.  I do have a list of questions for him and going to wait until early
> next week to call in case more come up from other's comments.

Here is a list posted in another support group.  Questions and
answers will vary for different procedures.

Equipment:
   Is it biplanar or single plane?
             Biplanar is better.
  How many frequencies does it have?
            2 or more is better.
  Do you also use Fluoroscopy?
         The better the ultrasound equipment, the less need for
         fluoroscopy.
  How old is the equipment?
         Newer is better.
  Does it do dose volume histograms?
         A suprising number still do not.
  Does it do 3D reconstruction of the organs and implant dosimetry?
         Nice, but not mandatory.

 Professional:
   How many have you done?
         The more, the better.

   How many have failed?
          "None" is the wrong answer.  Every surgeon has
          had a failure, not necessarily the doctor's fault.

   How many have a recurrence?
       "We don't get recurrence" is a sign of either a liar or an
       extremely inexperience surgeon.

   Do you do post-treatment CT scans on every patient?
       Surprisingly, some doctors still do not.

   If you see a worrisome spot after surgery, what will you
   do about it?
       "We never get troublesome spots" is the wrong answer.

   How long does your typical surgery take?
       A backhanded way of checking experience.  Some newbies
       take up to 3 hours.  It should take 30-90 minutes.

 > Often I am dubious to what surgeons say.

Rightfull you should be.  I had the same experience with my
hip replacement that you quoted for your knee arthroscopy.
The surgeon stated I'd be in the hospital a week, then 6-8
week in rehab.  I made arrangements for that time period.

I was in the hospital 3-1/2 days, and in rehab 8 days.
I was home in less than 12 days, total.  Surgery was 8:00 am
Thursday and home at noon Tuesday of the second week.
Fire Chief - 12 Aug 2006 00:43 GMT
> I think part of it Fire Chief was that I didn't know what to ask at the
> time.  I do have a list of questions for him and going to wait until early
> next week to call in case more come up from other's comments.

Here is a list posted in another support group.  Questions and
answers will vary for different procedures.

Equipment:
   Is it biplanar or single plane?
             Biplanar is better.
  How many frequencies does it have?
            2 or more is better.
  Do you also use Fluoroscopy?
         The better the ultrasound equipment, the less need for
         fluoroscopy.
  How old is the equipment?
         Newer is better.
  Does it do dose volume histograms?
         A suprising number still do not.
  Does it do 3D reconstruction of the organs and implant dosimetry?
         Nice, but not mandatory.

 Professional:
   How many have you done?
         The more, the better.

   How many have failed?
          "None" is the wrong answer.  Every surgeon has
          had a failure, not necessarily the doctor's fault.

   How many have a recurrence?
       "We don't get recurrence" is a sign of either a liar or an
       extremely inexperience surgeon.

   Do you do post-treatment CT scans on every patient?
       Surprisingly, some doctors still do not.

   If you see a worrisome spot after surgery, what will you
   do about it?
       "We never get troublesome spots" is the wrong answer.

   How long does your typical surgery take?
       A backhanded way of checking experience.  Some newbies
       take up to 3 hours.  It should take 30-90 minutes.

 > Often I am dubious to what surgeons say.

Rightfull you should be.  I had the same experience with my
hip replacement that you quoted for your knee arthroscopy.
The surgeon stated I'd be in the hospital a week, then 6-8
week in rehab.  I made arrangements for that time period.

I was in the hospital 3-1/2 days, and in rehab 8 days.
I was home in less than 12 days, total.  Surgery was 8:00 am
Thursday and home at noon Tuesday of the second week.

... Firemen have longer hoses.
 
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