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Thoracic surgery australia Videos

Dr Raffi Qasabian: The thoracic aorta in the endovascular era

Dr Raffi Qasabian, Vascular surgeon at Royal Prince Alfred Hospital, discusses open surgery & endovascular interventions for thoracic aortic disease.

Dr. Robert Thompson, vascular surgeon specializing in Thoracic Outlet Syndrome

Dr. Robert Thompson, a vascular surgeon here at Barnes-Jewish Hospital, is the director of the Washington University Center for Thoracic Outlet Syndrome ...

User Comments

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Chris, please feel free to call our TOS office at 314-362-7410. We would encourage you to speak with one of our nurses about your condition and symptoms. We would also ask that you send your records from previous tests and evaluations for our review, along with a referral letter from a physician asking that we evaluate you for TOS. In order to provide you an accurate diagnosis, it is necessary that you have a direct office visit and examination. Please also keep in mind that our patients who undergo surgery are expected to stay in St Louis 7-10 days after the operation and to come back here for at least 1-2 postoperative follow-up visits in the first 2-3 months. We look forward to hearing from you. Thank you!
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Dr. I had an aartiogrram many years ago and diagnosed with TOC (no pulse either arm ) Ihad the right rib removed and no problem. I also had the left removed (I thought) but found out many years later that only a partial removal it was done near my sternum. I have had continous pain in neck shoulder arm hand for years because I can't find a Dr who will do the surgery and my insurance is a factor. It is so painfull. I have the extra cervical ribs also. The pain radiates under my armpit down my ribs and particularly in my left breast and occasionally in my breast bone. Could you see me? What type of referal do I need? Thanks, Nancy
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Short answer- Yes. The diagnosis of neurogenic TOS is a clinical diagnosis. There is no other test or imaging study or lab test that can establish or exclude the diagnosis of this condition, but they are used to exclude other conditions for which they are appropriate. When negative, that does not mean that the diagnosis of neurogenic TOS isn't present and they shouldn't be interpreted that way. Physicians unfamiliar with neurogenic don't know this and may interpret test results incorrectly.
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DR. Thompson: What would you do if one of your TOS surgeries Failed like mine did by Dr. G. James Avery in 2004??---see me on u tube under Bobbie Jenke. With a paralyzed diaphragm--life is really really hard--and a hanging scapula, and so much neck damage. I now have cervical torticollis and kyphosis and can barely walk, breathe much of time. After surgery Dr. Avery was cruel to me. I have a miserable, home bound life now 8 years post-op. I was a successful teacher. Can you help me? How?
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It is more important that the surgeon be expert in caring for patients with TOS than their specialty (ie, not all vascular surgeons are well trained to care for TOS). Vascular surgeons do tend to be more familiar with venous and arterial reconstructions. For neurogenic TOS, there might be a variety of specialties that treat patients, including neurosurgeons, vascular surgeons, thoracic surgeons, and hand surgeons. I would be wary of selecting a surgeon for based on specialty.
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Chris - here's more info from Dr. Thompson: It is not uncommon for neurogenic TOS to affect both upper extremities, although one limb is usually more severe than the other (not always, but usually, the dominant limb). In our practice, we see bilateral symptoms in approximately 15-20 percent of our patients with neurogenic TOS, about 10 percent with symptoms that are equal on both sides. Venous and arterial TOS almost always affect only one extremity.
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Interesting. Thank you for that reply. What is odd about my symptoms is that my pulse rate completely drops out (almost) when my left arm is raised above my head and my arm extended back a little. My right hand is similar but a milder pulse drop out. I would think this is a vascular issue. In addition, my arms consistently go numb very fast at night when I try to sleep in certain positions. I would think this is neurogenic, but I'm not certain.
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It is far more important that they are actually experienced in doing operations for TOS. It is better if they are familiar with all 3 types of TOS so that they can bring a complete perspective and understanding of the anatomy to each operation. Surgeons who operate on fewer than 1 patient with TOS a month, regardless of specialty, are simply not doing enough operations in this area to be considered expert.
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I was successfully surgically treated for venous TOS by Dr. Thompson, Dr. Vemuri and their skilled team of vascular surgeons last week (4/17/15). I am now back home recovering and doing physical therapy. I am up and walking and have much less pain in my arm, shoulder and neck area. I can report more in the future. Thank you to Barnes and everyone involved in my surgery and recovery.
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From Dr. Thompson: There are 3 types of TOS: neurogenic, venous and arterial. These problems tend to fall into the cracks between specialties so there are no firm "rules" about which specialty treats what. However, in general the vascular forms of TOS (venous and arterial) are treated mostly by vascular surgeons and by a few thoracic surgeons.
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Doctor in your opinion, can TOS still be diagnosed if clinically someone tests positive for TOS through physical examination yet all other tests come back negative (MRA, MRI, EMG, etc.)? This is the most frustrating part when medical tests are all negative yet physical exam is tested positive with flying colors.
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@bourquette1 the surgery went extremely well. The first couple of recovery days sucked. But now 3 months down the line it was totally worth it! I feel great and can do things that I was not able to at first
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How did the surgery-recovery go? I am considering this surgery with Dr. Thompson - soon. Can you contact me to let me know? Hope it went well for you. Many thanks!
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In your experience, is it uncommon to have symptoms of TOS in both arms? I have symptoms bilaterally and it is perplexing to every doctor I see.
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I had my surgery done by Dr. Thompson and he did a wonderful job I am completely better!! I love him!! I got to keep my first rib too!
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Rachel, I am considering TOS surgery with Dr. Thompson. Can you please e-mail me? I would like to discuss your experience. Many thanks!
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Do vascular surgeons or neuro surgeons perform surgery for TOS if a patient has symptoms of both vascular and neurogenic TOS?
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Please call 866-867-3627 or e-mail us at [email protected] for more information about your questions. Thank you.
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Also, my symptoms can be recreated from a physical therapist applying pressure to my scalene muscles.
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Yes I would love to! I can't find your email address on your website though!!
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This is my doctor who will be doing my surgery tomorrow!
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Thank you doctor, great explanation.

MEDICINE - Pulmonary Medicine,vssmch,burla-4

department of Pulmonary medicine,vss medical college,burla- In medicine, pulmonology (aka pneumology) is the specialty that deals with diseases of the lungs ...

PULMONARY MEDICINE-vssmch,burla-1

Department of Pulmonary medicine,vss medical college,burla. In medicine, pulmonology (aka pneumology) is the specialty that deals with diseases of the lungs ...

Discussion -One day with PULMONARY MEDICINE department

Department of Pulmonary medicine,vss medical college,burla. In medicine, pulmonology (aka pneumology) is the specialty that deals with diseases of the lungs ...

Lung Cancer Killing More Women in Developed Countries

Watch more and discuss: //norwalk.itsrelevant.com/content/22219/lung-cancer-killing-more-women-in-developed-countries The CDC reports for the first time ...

PULMONARY MEDICINE-vssmch,burla-3

department of Pulmonary medicine,vss medical college,burla Bronchoscopy is a technique of visualizing the inside of the airways for diagnostic and therapeutic ...

User Comments

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how is this video a response to "I CANT COME TO ETHIOPIA"???

Foam roller thoracic spine extension movement and mobility | Feat. Tim Keeley | No.26 | Physio REHAB

Cueing tips to get the most out of the foam roller when working on thoracic spine extension - not just in the midline but on the transverse and rib components ...

Gonstead Chiropractic for school yard accident

Emily came to us an an emergecy patient after another bigger child dropped ontop of her from the playground equipment. When she first came in she was very ...

User Comments

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im in love with him
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+Mika151 same
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Please compile those cracking moments in a video. I love the sound ^^
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Lol It would ruin the build up to the satisfaction.
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Who's the best chiropractor in the world? That's a bit much.
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I know, but I think he was just joking around and didn't mean it in a self centred way. He does have every right to say that though, because he is the best chiropractor in the world.
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Very much psychology in that profession.
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+char ashleigh ?
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I really wanna know what school he went to to be this amazing chiropractor
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+Joe Mondo I think its not just matter of school, he has simply talent for this.
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just the satiisfying sound of bone crunching is amazing
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+oystein Lunde (ReApEr) nothing to do with bone, its just fluid
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