AboutLauri Ordway Expertise I can answer your questions related to peripheral vacular disorders. This includes all arteries and veins except those inside the head and inside the heart. IE: neck (carotid), arms (carotid subclavian bypases to Thoracic Outlet) belly (aortic aneurysm & occlusive disorders, renal artery stenosis), legs (iliac, femoral, popliteal, peroneal, dorasalis pedis, posterior and anterior tibial) arteries. Aneurysm & occlusive disease, atherosclerosis, leg pain, arterial wounds and gangrene, amputation prevention. Vein disorders: Blood Clots (DVT), post-phlebetic syndrome, varicose veins, venous stasis ulcers. I can help with vascular wound treatments. Also, Raynauds, Buerger`s disease, Thoracic Outlet and other miscellaneous vascular disorders.
I CANNOT answer questions about your heart disease, blood pressure, brain aneurysm, although I can help with questions about the arteries that go to and from those organs.
Experience I am a nurse, I have worked for 14 years with two terrific peripheral vascular surgeons, one of them is also the inventor of very innovative wound care products and surgical instruments to make vascular surgery procedures better and faster. I wrote and manage our clinic website and field questions from patients all over the world.
Expert: Lauri Ordway Date: 7/29/2004 Subject: Bypass surgery, hep C and obstruction in the lung
Question My father was scheduled to go through a bypass surgery in India this Thursday which has been rescheduled because they discovered that he carries Hep C as well as suffers from Pulmonary Function 2 SCV indicating air trapping. He was a smoker for many years, though he has quit for the past four years. He is 69, otherwise in good health, with a very healthy lifestyle. His blocks are 90%, and 80% and so definitely needs the surgery. What is the best way to handle the situation? Can and should he go ahead with the surgery? Do his liver and lung conditions make a differnece? Are they curable? I would appreciate some information.
Thanks
Latha
Answer bypass of what?
if this is heart bypass, I can't answer, as it is not my area.
if leg bypass, they will probably want to try to get him as tuned up as they can, and proceed to leg bypass as with blockages like that if he should injure his foot or leg, he would not be able to heal the wound and he would likly have to do an amputation, I know that sounds awful but it is true and if he was faced with amputation, they would be putting him thru a surgery right? so why not try the bypass of the legs, use an epidural rather than a general anesthesia for less insult to the lungs.
one thing I would want to know is how fast the surgeon works, if he is an experienced peripheral vascular surgeon who does leg bypasses several times a week for years, he can do a bypass in 1 1/2 hours, if he is not experienced, they can last many many hours and then it would be tough for the patient to have epidural rather than general.
