tag:blogger.com,1999:blog-37286253.post7660945526142587407..comments2024-03-09T11:08:34.910+02:00Comments on other things amanzi: pseudoaneurysmBongihttp://www.blogger.com/profile/12918640034313468627noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-37286253.post-56582903077175646882008-10-01T07:12:00.000+02:002008-10-01T07:12:00.000+02:00buckeye, in state facilities that stuff in absolut...buckeye, in state facilities that stuff in absolutely not available, especially at such short notice. because i used a venous graft, strictly speaking it needed to be covered by living material, hence my ultimately failed attempt to tunnel the graft.<BR/><BR/>to tell the truth i only became aware of alloderm quite recently. (i saw it on your blog a few months before a rep showed me a sample actually). i have not yet used it. i'm thinking massive hiatus hernia might be a good place to start.Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-24984946894467945942008-10-01T00:48:00.000+02:002008-10-01T00:48:00.000+02:00anyone using alloderm or one of the other biologic...anyone using alloderm or one of the other biologic materials for a situation liike this?Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-75012397597767576702008-09-29T15:11:00.000+02:002008-09-29T15:11:00.000+02:00Berate and belittle peripheral doctors that is.Berate and belittle peripheral doctors that is.amanzimtotihttps://www.blogger.com/profile/00547897825508141342noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-76847827157466710562008-09-29T15:08:00.000+02:002008-09-29T15:08:00.000+02:00I think your medical officer was ultimately respon...I think your medical officer was ultimately responsible for what went wrong here. I don't believe the peripheral doctor didn't care. Working in the periphery, I know how difficult it is to get a patient to be seen at the provincial hospital and how frustrating it is to have to keep sending the patient over and over and over again before they are seen to. That peripheral doctor probably felt his hands were tied because of beurocracy and so did what he could under the circumstances. Doctors working at provincial hospitals also have a tendency to "pull rank" and berate and belittle provincial doctors trying to get their patients accepted.amanzimtotihttps://www.blogger.com/profile/00547897825508141342noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-21592132145149090902008-09-29T03:33:00.000+02:002008-09-29T03:33:00.000+02:00I Was just studying aneurysms this afternoon. Kind...I Was just studying aneurysms this afternoon. Kinda skimmed over upper extremity vascular stuff. It was the visceral aneurysm of the splenic artery and the classic sequence of double rupture that I was more interested in!<BR/>(and of course the better known AAA)<BR/><BR/>Remind me never to have either in rural SAmake mine traumahttps://www.blogger.com/profile/18149160428613740527noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-64020820596183127132008-09-28T19:18:00.000+02:002008-09-28T19:18:00.000+02:00rlbates, i thought of flaps but i have no plastics...rlbates, i thought of flaps but i have no plastics experience and there were no plastic surgeons there. the initial tunelling was under the biceps but this didn't work. a second burst was obviously once again life threatening so limb loss was the lesser of two evils.<BR/><BR/>next time i'll give you a call.Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-37286253.post-10339386674128110562008-09-28T15:28:00.000+02:002008-09-28T15:28:00.000+02:00I've sat here trying to imagine the wound and the ...I've sat here trying to imagine the wound and the local skin left for coverage. Can't think of any local flaps (due to brachial artery injury) that would have helped you. I think the best coverage for the problem would have been a <A HREF="http://www.jaaos.org/cgi/content/abstract/8/5/324" REL="nofollow">pedicled latissimus dorsi flap</A>. Very tough problem, made worse by delay.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.com