Hi LL fellows,
why don't doctors do a sonogaphy once per week after the LL surgery to check if there are any deep vein thombosis that could travel to the lungs?
In my opinion, it's the best way to prevent a pulmonary embolism.
Any thoughts?
Quote from: RealLostSoul on May 16, 2021, 02:39:04 PMI think you can do this if you want it's pretty cheap.
Yeah i know! Then why is everyone concerned about pulmonay embolism? There is a simple and cheap way to prevent it!
DO SONOGRAPHY EVERY WEEK!!!
Quote from: Serilium on May 16, 2021, 04:47:24 PMI am not concern about pulmonary or dvt. i am concerned about fat embolism, as that we have no control and is the surgeon's surgery and technique only. when you break the bone some of the fat in the bone go into blood vessel. this is normal but if there is too much, it go to lung and you hard to breathe and need oxygen. some doctor use venting technique to reduce pressure, but even this is not fool proof. the fool proof way in my opinion is to not discharge the hospital as long as possible, as well get a blood oxygen reading maybe use apple watch series 6 when you go home to not be paranoia and it is pretty damn accurate.
That sounds interesting. Using the apple watch to monitor blood oxygen levels post-surgery.
What happens when a clot travels to your lungs during sleep?Wll there be a wake-up signal in the body?
Quote from: Serilium on May 16, 2021, 05:32:54 PMsuch a fat emboli "clot" is sort of indirectly lowers your breathing efficiency and makes each breath alot weaker at oxygenating your body.because we have alot of blood vessel in lungs it is not likely all of them will be clotted at once, but a good amount will be bad efficiency and clotted. your brain usually wake you up or you feel very uncomfortable when you have low breathing capacity. i actually have a minor sleep apnea and i get poor quality sleep and randomly wake up and breathe hard, but dont worry, the brain will definitely wake your a*s up if you cant get oxygen well enough. if you really really paranoid you can get a cpap machine i used to have one and thats p good at ensuring you are breathing but fat emboli is much more serious than regular sleep apnea so i just highly recommend to stay in hospital long as possible so you can get first aid if you get major fat emboli and they get the oxygen mask for you and you wait out the fat emboli to clear from body naturally without dying. tldr best way is just try to stay in hospital long as possible, monitor blood oxygen, don't be shy to ask for oxygen tests or anything bcuz this is ur life and fat emboli is so scary imo
Serilium, thanks a lot for the explanation. I like your thoughts about risk management;).
Another question: I also have a minor sleep apnea. How does this interfere with general anesthesia? During the normal sleep the body wakes you up. But what will happen during anesthesia when the wake-up reaction is blocked?
BTW: What's your preferred LL doctor?
Fat Embolism
This is a complication that is very rare and which can be prevented by venting the bone during the reaming (drilling) of the medullar canal of the bone. Dr. Paley vents the canal by drilling holes at the planned level of the osteotomy prior to the reaming process. As the pressure builds up in the canal the reamings eject out of the holes preventing fat embolism. Fat embolism can make a patient very sick requiring stay in the ICU. Patients can even die from fat embolism. Dr. Paley has only seen fat embolism twice in his career. Both occurred more than 10 years ago before he developed a special venting method to prevent this complication. Fortunately both patients recovered uneventfully. Dr. Paley has never had a patient die from fat embolism complications.
https://paleyinstitute.org/centers-of-excellence/stature-lengthening/complications/#/
Is there a critical time when a fat embolism can occur after the procedure?
Quote from: overandover on May 17, 2021, 10:15:49 AMOnly 48-72 hours are critical. Fat embolism is also common in covid-19 cases.
So it's a manageable complicaton since you are in the hospital for one week post-surgery.
Quote from: Serilium on May 17, 2021, 11:31:52 AMThere is management, which can be called a treatment/cure. Oxygen via mask or intubation if extreme. Paley does this with all his fat embolism patient. It is nonsense that being in the hospital will not help- it certainly will help. Unless you have an oxygen machine at home which 99% of people do not
Exactly! And after the corona crisis the hospitals should be well equipped and trained with venting machines. Doing LL next year could minimize this complication.
Quote from: overandover on May 17, 2021, 11:39:38 AMI am just saying that being in hospital doesn't guarantee safety. It's a risky surgery and you should accept the risk before doing it.
Dude, nothing is safe in life. It's all about risk management. Your whole life is a bet!
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