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re: OT Med Folks--My Docs are Stumped

Posted on 5/20/16 at 3:25 pm to
Posted by sleepytime
Member since Feb 2014
3629 posts
Posted on 5/20/16 at 3:25 pm to
Are you an IV drug user?
Posted by MrSpock
Member since Sep 2015
4529 posts
Posted on 5/20/16 at 3:26 pm to
Have they checked these:
rheumatoid factor
antinuclear antibodies
anticardiolipin antibodies
antineutrophil cytoplasmic antibodies

Have they evaluated the rest of the Aorta? Would be called a CTA chest/abdomen

Things I'm thinking about:
Takayasu Arteritis
Sarcoid
Fibromuscular Dysplasia

All are uncommon things that can cause carotid artery stenosis.

Then again it could be a traumatic stenosis from the surgery.




Posted by tankyank13
NOLA
Member since Nov 2012
7801 posts
Posted on 5/20/16 at 3:29 pm to
I'm in the hospital at this moment with severe pnuemonia. Any advice from OT med experts or OT ballers who have experienced this crap before?

Eta:thread hihack
This post was edited on 5/20/16 at 3:30 pm
Posted by dcrews
Houston, TX
Member since Feb 2011
30381 posts
Posted on 5/20/16 at 3:32 pm to
I know this, it's not Lupus.
Posted by jat912
Florida Parishes
Member since Jun 2008
203 posts
Posted on 5/20/16 at 3:39 pm to
This. Pattern more consistent w/ autoimmune than infection. Malignancy is running distant 3rd. Have any of your other vessels been scanned? If autoimmune, you would likely see similar stenosis/occlusion elsewhere.
Posted by Sam Waterston
Baton Rouge
Member since Sep 2008
1999 posts
Posted on 5/20/16 at 3:50 pm to
That's a tough one, but I'd definitely get worked up for a hypercoagulation disorder. Any family history of stroke or heart attacks at a young age? How's your BP? As mentioned, autoimmune is also on the differential
This post was edited on 5/20/16 at 3:53 pm
Posted by boosiebadazz
Member since Feb 2008
81084 posts
Posted on 5/20/16 at 4:18 pm to
Posted by boosiebadazz
Member since Feb 2008
81084 posts
Posted on 5/20/16 at 4:19 pm to
It's so fricking cool how far we've come as a species. I don't know what most of those words mean, but I'm so glad you do
Posted by genuineLSUtiger
Nashville
Member since Sep 2005
73952 posts
Posted on 5/20/16 at 4:25 pm to
quote:

Have they checked these:
rheumatoid factor
antinuclear antibodies
anticardiolipin antibodies
antineutrophil cytoplasmic antibodies

Have they evaluated the rest of the Aorta? Would be called a CTA chest/abdomen

Things I'm thinking about:
Takayasu Arteritis
Sarcoid
Fibromuscular Dysplasia

All are uncommon things that can cause carotid artery stenosis.

Then again it could be a traumatic stenosis from the surgery.



None of those would be an issue with this particuar condition. Get off Google, son. A little information can be a dangerous thing.
Posted by ThinePreparedAni
In a sea of cognitive dissonance
Member since Mar 2013
11216 posts
Posted on 5/20/16 at 4:25 pm to
quote:

There are a few doctor posters who seemingly dick around on here all day, so I doubt they would be of any use to you


What about the utility of self righteous attorneys who begrudge others for wasting time on a message board while his own authoritative observations (which could only be validated if he was also on said site all the time) suggest he is guilty of the same behavior he loathes.

You frickers crack me up.
Posted by tigerpimpbot
Chairman of the Pool Board
Member since Nov 2011
67429 posts
Posted on 5/20/16 at 4:32 pm to
quote:


No singing for me but who knows....seems like the million labs would have found infection by now. I've done tons of research on Carotid problems and it's always a plaque(cholesterol) problem or dissection from injury. So I don't fit either of these and Docs are scratching heads. Surely SURELY I'm not the first person to ever have blocked carotid that's not from plaque or injury. Anyways thanks for prayers and if any Docs or med workers have advice it's certainly welcome...


What types of specialists have you seen so far?
Posted by game blouses
Member since May 2016
7 posts
Posted on 5/20/16 at 4:45 pm to
Started with my GP then got referred to a vascular surgeon. On the lookout for the right specialist to see right now.
Posted by game blouses
Member since May 2016
7 posts
Posted on 5/20/16 at 4:50 pm to
Just fumbling around with unsuccessful labs and not saying or doing much other than putting me on Plavix.
Posted by t1gerst1gerst1gers
Baton Rouge
Member since Aug 2015
393 posts
Posted on 5/20/16 at 4:54 pm to
quote:

Well-crafted and subtle. Damn near a ten.


This. I salute you OP
Posted by KarlMalonesFlipPhone
Member since Sep 2015
3848 posts
Posted on 5/20/16 at 4:56 pm to
How is the flow of your left carotid (both before and after surgery)
This post was edited on 5/20/16 at 5:03 pm
Posted by dkreller
Laffy
Member since Jan 2009
31299 posts
Posted on 5/20/16 at 5:09 pm to
OP isn't trolling. I know him IRL.
Posted by SmackoverHawg
Member since Oct 2011
27770 posts
Posted on 5/20/16 at 5:10 pm to
quote:

I would find a different doctor... that whole 2nd opinion thing.

This.

Story doesn't add up.
Posted by BooDreaux
Orlandeaux
Member since Sep 2011
3300 posts
Posted on 5/20/16 at 5:17 pm to
Dr Andy Olinde did 3-4 surgeries on my Mom......both carotids too. Great doctor and very personable......always took time to explain procedures in layman terms
Posted by mikrit54
Robeline
Member since Oct 2013
8664 posts
Posted on 5/20/16 at 5:31 pm to
quote:

Womski

Posted by Rockbrc
Attic
Member since Nov 2015
8161 posts
Posted on 5/20/16 at 5:38 pm to
Go to Texas Heart Institute in Houston. They are the GOAT
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