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[Limbfan2020]

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?

[RealLostSoul]

I think you can do this if you want it's pretty cheap.

[Limbfan2020]

I 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!!!

[tallmen]

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?

Taking Anticoagulants should work fine for blood clots.

[limbcllnea]

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!!!

I think doctors are too lazy to do that... and the costs do add up every week for months.

[Serilium]

I 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.

[Limbfan2020]

I 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?

[Serilium]

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?

such 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

[Limbfan2020]

such 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?
 

[Serilium]

tnx for the compliment 

i suppose they intubate you during the surgery haha so  i think no worries about not breathing or needing yourself to manage your breath
they also monitor all vitals hooked up to machine and stuff like that so theyll know if you are low oxygen or breathing messed up or heart beat stop so i wouldnt worry too much about it

i prefer paley the best but his price is too much. will probably consider mahboubian or debiparshad they are both great

[HeightGain]

There are still a few theories about how fat emboli occur, no one is entirely sure.

Ultrasound won't prevent a PE and the treatment for a DVT is anti coagulants which a lot of doctors put you on anyway.

Treatments for PE can escalate from anticoagulation but not for a DVT in isolation.

[tallmen]

such 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

The fat embolie can go to your brain and cause brain death. A lot of people die from fat embolism mainly in Brazilian butt lift surgery.

[Limbfan2020]

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/#/

[tallmen]

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/#/

Rare doesn't mean impossible Paley had 3-4 fat embolism cases at his center.

[Serilium]

The fat embolie can go to your brain and cause brain death. A lot of people die from fat embolism mainly in Brazilian butt lift surgery.

idk much about this brain emboli but that do indeed sound very dangerous. take all precaution

[Limbfan2020]

Is there a critical time when a fat embolism can occur after the procedure?

[tallmen]

Is there a critical time when a fat embolism can occur after the procedure?

Only 48-72 hours are critical. Fat embolism is also common in covid-19 cases.

[Limbfan2020]

Only 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.

[tallmen]

So it's a manageable complicaton since you are in the hospital for one week post-surgery.

Being in the hospital doesn't matter if it complicates. There is no treatment for it. The fatality rate is very high if you get fat embolism syndrome. It's rare but it can happen and you can die.

[Serilium]

There 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

[Limbfan2020]

There 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.

[tallmen]

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.

I 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.

[Serilium]

At end of day being in the hospital gives a much higher chance of managing it and surviving. Of course it will not be 100% survival, nothing is guaranteed you can even die of sore throat

[Limbfan2020]

I 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!

[tallmen]

Dude, nothing is safe in life. It's all about risk management. Your whole life is a bet!

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