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They are some new products here in the states most notably something called

quickclot and a " hemcon dressing " made out of sea shells (yes, in some form).

They are designed to promote clotting, by water absorption at the site. The

quickclot people have a few good published pig lab studies; I think the hemcon

dressing looks better and makes more sense, but it is supposed to be more

expensive. The quickclot has been fielded with USMC, but various listserves

have given it mixed reviews. Previous quotes on femoral bleed are pretty dead

on. In my experience, there is little you can do with a total severing of

the femoral artery unless you are near a surgeon in a hospital or forward

surgical team, so get to know what your local assets are, as well as the best

route

to them from various places. The ones that do well have a had a " leak or

nick " and end up tamponoding themselves to some degree; which buys them time to

be surgically managed.

My three thoughts are to a) accept a lower BP with these patients, B) limit

crystalloid to as little as possible, c) give blood or hypertonics in lieu of

crystalloid

more fluid >> hemodiluted > break clots >> more bleeding >> shock >>> dead

position

Links for the clotting agent bandages:

QuickClot

Hemcon Dressing

clotting agent comparisons

Stay sharp over there.

Kristian Reninger

RN, BSN, CEN, NREMT-P

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Hi ,

Here is my 2 pence worth,

Arterial bleeds can be very complicated and time consuming. Femoral arteries

are difficult to locate especially if your pt is of a larger size due to

being deep within the tissue. Touniquets for me are out they are too time

consuming and direct pressure has always been good effective treatment.

Quick clot is also very good, quick and very effective however i have yet

to use this but from tests and theory lessons on it i'm anxious to start

using it. Direct pressure, scoop and run to quickest surgeon best policy

..........All a surgeon asks for is a live pt.

Regards Lee O'Shea

>From: " martmediforce " <mart@...>

>Reply-

>

>Subject: New Member

>Date: Wed, 01 Sep 2004 21:26:24 -0000

>

>Hi, I am a State Registered Paramedic in Berkshire Ambo service, 15

>years experience including: air ambulance, training and rapid

>responder. I also co-own and co-run a private ambulance provider

>www.mediforce.org I am about to go out to Iraq as a Team Medic in a

>Close Protection Security Team. Was previously in Army (3 Para).

>What is the current remote medic thinking regards gross arterial

>bleeding e.g. Femoral artery, whats the best way of controlling it?

>tourniquets? yes or no? your thoughts are appreciated?

>

> King

>

>

>

Thankyou,

Lee O'Shea

Kbr Paramedic

Government operations logcap III

Email:leeoshea1000@...

Email:lee.oshea@...

Mobile phone: 965-970-5083

_________________________________________________________________

Use MSN Messenger to send music and pics to your friends

http://www.msn.co.uk/messenger

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You may want to reconsider the use of Quikclot. The USMC pulled it

out of use about a year ago, although I know some leftover inventory

is still out there. Other US mil branches never issued it.

The heat generated by this stuff is impresssive (>200F) and destroys

wound and adjacent tissue, making repair more difficult. It's

powdered, so it blows around and it's difficult to control the

application in a mild wind. One medic got the stuff blown into his

eyes and sustained moderate corneal damage.

I've used Quikclot a few times and it works, but has a significant

downside. Anyone here else had more experience with this stuff than

I, and cares to comment?

If you look only at the literature, the Red Cross-type fibrin bandages

seem to show the most promise.

Larry

KReninger@... wrote:

> They are some new products here in the states most notably something called

> quickclot and a " hemcon dressing " made out of sea shells (yes, in some form).

> They are designed to promote clotting, by water absorption at the site. The

> quickclot people have a few good published pig lab studies; I think the hemcon

> dressing looks better and makes more sense, but it is supposed to be more

> expensive. The quickclot has been fielded with USMC, but various

listserves

> have given it mixed reviews. Previous quotes on femoral bleed are pretty

dead

> on. In my experience, there is little you can do with a total severing of

> the femoral artery unless you are near a surgeon in a hospital or forward

> surgical team, so get to know what your local assets are, as well as the best

route

> to them from various places. The ones that do well have a had a " leak or

> nick " and end up tamponoding themselves to some degree; which buys them time

to

> be surgically managed.

>

> My three thoughts are to a) accept a lower BP with these patients, B) limit

> crystalloid to as little as possible, c) give blood or hypertonics in lieu of

> crystalloid

>

> more fluid >> hemodiluted > break clots >> more bleeding >> shock >>> dead

> position

>

> Links for the clotting agent bandages:

>

> QuickClot

>

> Hemcon Dressing

>

> clotting agent comparisons

>

>

> Stay sharp over there.

>

> Kristian Reninger

> RN, BSN, CEN, NREMT-P

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Hi Gerda,

Try:

CAPITA Health Solutions

Forresterhill Road

Aberdeen

AB25 2ZP

Tel: 01224 669000

Contact a Ross on 01224 669 027

a.ross@...

Hope this is useful,

Best wishes,

Simon

Simon Growcott- Medic/SHEA

East Brae Platform

Marathon Oil

Aberdeen

Tel: 01224 803000 ext 1777

Email: SGrowcott@...

New Member

Hi there!

I am new to this site.

Can anyone help me with addresses of recruitment agencies

for placements on oil rigs?

Thanks

Gerda

Member Information:

List owner: Ian Sharpe Owner@...

Editor: Ross Boardman Editor@...

ALL list admin messages (subscriptions & unsubscriptions) should be sent

to the list owner.

Post message: egroups

Please visit our website http://www.remotemedics.co.uk

Regards

The Remote Medics Team

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Doesn't CAPITA only accept RN's? If I recall correctly they flat refuse

anyone who does not have an RN license.

Jim

New Member

Hi there!

I am new to this site.

Can anyone help me with addresses of recruitment agencies

for placements on oil rigs?

Thanks

Gerda

Member Information:

List owner: Ian Sharpe Owner@...

Editor: Ross Boardman Editor@...

ALL list admin messages (subscriptions & unsubscriptions) should be sent to

the list owner.

Post message: egroups

Please visit our website http://www.remotemedics.co.uk

Regards

The Remote Medics Team

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Jim,

I wouldn't have thought it was that black and white but if you contact

Alan White (07973311989) in training he should be able to tell you.

Regards,

Simon

New Member

Hi there!

I am new to this site.

Can anyone help me with addresses of recruitment agencies

for placements on oil rigs?

Thanks

Gerda

Member Information:

List owner: Ian Sharpe Owner@...

Editor: Ross Boardman Editor@...

ALL list admin messages (subscriptions & unsubscriptions) should be sent

to

the list owner.

Post message: egroups

Please visit our website http://www.remotemedics.co.uk

Regards

The Remote Medics Team

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" Growcott, Simon W. " <SGrowcott@...> wrote:Jim,

I wouldn't have thought it was that black and white but if you contact

Alan White (07973311989) in training he should be able to tell you.

Regards,

Simon

New Member

Hi there!

I am new to this site.

Can anyone help me with addresses of recruitment agencies

for placements on oil rigs?

Thanks

Gerda

Member Information:

List owner: Ian Sharpe Owner@...

Editor: Ross Boardman Editor@...

ALL list admin messages (subscriptions & unsubscriptions) should be sent

to

the list owner.

Post message: egroups

Please visit our website http://www.remotemedics.co.uk

Regards

The Remote Medics Team

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Try Acadian Ambulance out. They do a lot of offshore placement.

james grieve <yamahar662000@...> wrote:

" Growcott, Simon W. " <SGrowcott@...> wrote:Jim,

I wouldn't have thought it was that black and white but if you contact

Alan White (07973311989) in training he should be able to tell you.

Regards,

Simon

New Member

Hi there!

I am new to this site.

Can anyone help me with addresses of recruitment agencies

for placements on oil rigs?

Thanks

Gerda

Member Information:

List owner: Ian Sharpe Owner@...

Editor: Ross Boardman Editor@...

ALL list admin messages (subscriptions & unsubscriptions) should be sent

to

the list owner.

Post message: egroups

Please visit our website http://www.remotemedics.co.uk

Regards

The Remote Medics Team

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With regards to the RN enquiry regarding Capita, I know a few ex forces medics

who have done the course and are not RN's, I am not and I start the course on

monday, but as the majority have said best contact them,

Good luck in your quest

regards Tony

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In a message dated 04/09/2004 16:19:47 GMT Daylight Time,

greg.irons@... writes:

> http://www.ukooa.co.uk/issues/health/offshoremedic.html

Look at the date on the article - 1989!!! Pre-hospital care has come on in

leaps and bounds since then. Ambulance staff are extremely skilled compared to

1989. I feel that the relevant organisations should review this list for

healthcare providers on rigs as it is clearly out of date.

I know that some of you from nursing backgrounds may argue that the majority

of work on the rigs is non-trauma related, but so is work out on the road.

The majority of our work (particularly in London) is medical and non traumatic.

This experience has led to the rise of ECPs because finally, it is being

recognised that ambulance staff (especially paramedics) do have the knowlege and

skills to deal with BOTH trauma and medical problems.

I looks forward to reading you comments

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Capita will accept trainees who meet UKOOA recommendations

http://www.ukooa.co.uk/issues/health/offshoremedic.html

james grieve <yamahar662000@...> wrote:

" Growcott, Simon W. " wrote:Jim,

I wouldn't have thought it was that black and white but if you contact

Alan White (07973311989) in training he should be able to tell you.

Regards,

Simon

New Member

Hi there!

I am new to this site.

Can anyone help me with addresses of recruitment agencies

for placements on oil rigs?

Thanks

Gerda

Member Information:

List owner: Ian Sharpe Owner@...

Editor: Ross Boardman Editor@...

ALL list admin messages (subscriptions & unsubscriptions) should be sent

to

the list owner.

Post message: egroups

Please visit our website http://www.remotemedics.co.uk

Regards

The Remote Medics Team

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  • 1 month later...

Hi Lois and welcome!

I'm sure Rashelle can answer so much better, but since it is late at night and

I'm online I'll try my best :)

One of the exercises Rashelle has is the one for the knees...is that not

possible to do for you? What if you were holding on to the back of a chair

while you were doing it? I haven't had to have my knees surgically

repaired...yet...but I have alot of problems with supporting myself with my

knees. I also have problems with turning from the knees..i.e. turning right or

left with my legs straight. Because of that there are many exercises I find I

cannot do. However, walking is one that I can do. I do breath while walking. I

breath before walking and then after. You might try doing the Pilates

Buns/Thighs exercises with your breathing. I've been able to do them with great

success, they are toning in firming for the legs. I also have bad hips so doing

the breathing with Pilates has really helped loosen my hips a great deal!

Even if all you do is 40 breaths or so a day you will see incredible differences

in your body. It always amazes me. You also might want to get Rashelle's tape

on reflexology. I had it for months before using it, not knowing what a gold

mind it is. To this day, I swear by her foot rub and energy! Another exercise

tape I love is Walk the Walk with Sansone. You ought to get the one mile

one...you would be surprised at how well you feel after. And yes, I breath

while doing this :)

Hope this helps a little...and again..welcome.

with love,

Jenni

Proud Air Force Mom!

May God guide and protect our troops!

Christian Air Force Mom and Dads Group

CAFMandD/

Support for women going through menopause.

seasons-of-life/

New Member

Hi,

I'm a 57yo retired flight attendant - living in Lake Havasu City, AZ.

with my retired-pilot husband and a very spoiled Great Dane named

Star.

My last 8 years of flying were spent on International runs and that

means heavy foods, little exercise, and crazy hours. The end result

being an extra 25 lbs at my retirement party.

The weight stayed on for a few years until I saw a couple of pictures

of myself that floored me. So I spent that summer at our home in

Park City, Utah working on getting the pounds off. With plenty of

exercise and very little food I was successful in getting rid of

15 lbs. The most important part was that I kept it off for 3 years

and was working dilligently at the final and most difficult 10 pounds

when I had to have total knee replacement. Now after 8 months the

pounds are returning.

I thoroughly believe in the power and importance of proper breath

management. In fact it was through Yoga breathing techniques that I

was able to quit a 3 1/2 pack a day cigarrette habit about 25years

ago.

I have the original Life Life video. My problem is in the fact that I

can do very few of the exercises due to restricted bending of my

knee. How important is it for me to follow the exercise routines? I

also do a lot of walking in an attempt to keep the knee loose. Is it

possible to do Life Lift while moving?

Any suggestions would be greatly appreciated.

Thank You

Lois Hansen

What can changing the way you breathe do for you? Everything!

See why tens of thousands agree, Life Lift is the best!

http://www.oxygenzoo.com

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Welcome Lois!

Jenni you did great on explaining! You are becoming a pro.

Doing 40 a day not matter how is the key

blessings

R

New Member

Hi,

I'm a 57yo retired flight attendant - living in Lake Havasu City, AZ.

with my retired-pilot husband and a very spoiled Great Dane named

Star.

My last 8 years of flying were spent on International runs and that

means heavy foods, little exercise, and crazy hours. The end result

being an extra 25 lbs at my retirement party.

The weight stayed on for a few years until I saw a couple of pictures

of myself that floored me. So I spent that summer at our home in

Park City, Utah working on getting the pounds off. With plenty of

exercise and very little food I was successful in getting rid of

15 lbs. The most important part was that I kept it off for 3 years

and was working dilligently at the final and most difficult 10 pounds

when I had to have total knee replacement. Now after 8 months the

pounds are returning.

I thoroughly believe in the power and importance of proper breath

management. In fact it was through Yoga breathing techniques that I

was able to quit a 3 1/2 pack a day cigarrette habit about 25years

ago.

I have the original Life Life video. My problem is in the fact that I

can do very few of the exercises due to restricted bending of my

knee. How important is it for me to follow the exercise routines? I

also do a lot of walking in an attempt to keep the knee loose. Is it

possible to do Life Lift while moving?

Any suggestions would be greatly appreciated.

Thank You

Lois Hansen

What can changing the way you breathe do for you? Everything!

See why tens of thousands agree, Life Lift is the best!

http://www.oxygenzoo.com

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Hi Lois and Welcome,

I think Rashelle (the founder/guru of LL) will be the best source for tweaking

the LL exercises for you.

That said, I'll put my own 2 cents in... You can do LL breaths/tightening while

walking. I think it's a very good addition to the walking, though I do find it

difficult to go very far during the tightening part! When my husband and I walk,

we do 4-5 LL breaths, then walk a ways, then repeat. I would suggest just trying

it and seeing how far you can go.

You can do the LL while driving -- simply LL breath and tighten -- no knee

stress. I find that this keeps me awake and alert during a long drive, and is a

really valuable tool.

Standing exercises -- there are several that you can do without bending your

knees, such as all the upper body stretches (or whatever they're called). Also,

I lay down and do LL -- sit-ups/leg lifts, etc.) -- essentially, I select

exercises then apply the LL breathing/tightening to them.

Good luck,

Bonnie

New Member

Hi,

I'm a 57yo retired flight attendant - living in Lake Havasu City, AZ.

with my retired-pilot husband and a very spoiled Great Dane named

Star.

My last 8 years of flying were spent on International runs and that

means heavy foods, little exercise, and crazy hours. The end result

being an extra 25 lbs at my retirement party.

The weight stayed on for a few years until I saw a couple of pictures

of myself that floored me. So I spent that summer at our home in

Park City, Utah working on getting the pounds off. With plenty of

exercise and very little food I was successful in getting rid of

15 lbs. The most important part was that I kept it off for 3 years

and was working dilligently at the final and most difficult 10 pounds

when I had to have total knee replacement. Now after 8 months the

pounds are returning.

I thoroughly believe in the power and importance of proper breath

management. In fact it was through Yoga breathing techniques that I

was able to quit a 3 1/2 pack a day cigarrette habit about 25years

ago.

I have the original Life Life video. My problem is in the fact that I

can do very few of the exercises due to restricted bending of my

knee. How important is it for me to follow the exercise routines? I

also do a lot of walking in an attempt to keep the knee loose. Is it

possible to do Life Lift while moving?

Any suggestions would be greatly appreciated.

Thank You

Lois Hansen

What can changing the way you breathe do for you? Everything!

See why tens of thousands agree, Life Lift is the best! http://www.oxygenzoo.com

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aww *blush* Thanks . I'm not always good at expressing myself. I hope

Lois was able to figure out what I was say LOL

with love,

Jenni

Proud Air Force Mom!

May God guide and protect our troops!

Christian Air Force Mom and Dads Group

CAFMandD/

Support for women going through menopause.

seasons-of-life/

New Member

Hi,

I'm a 57yo retired flight attendant - living in Lake Havasu City, AZ.

with my retired-pilot husband and a very spoiled Great Dane named

Star.

My last 8 years of flying were spent on International runs and that

means heavy foods, little exercise, and crazy hours. The end result

being an extra 25 lbs at my retirement party.

The weight stayed on for a few years until I saw a couple of pictures

of myself that floored me. So I spent that summer at our home in

Park City, Utah working on getting the pounds off. With plenty of

exercise and very little food I was successful in getting rid of

15 lbs. The most important part was that I kept it off for 3 years

and was working dilligently at the final and most difficult 10 pounds

when I had to have total knee replacement. Now after 8 months the

pounds are returning.

I thoroughly believe in the power and importance of proper breath

management. In fact it was through Yoga breathing techniques that I

was able to quit a 3 1/2 pack a day cigarrette habit about 25years

ago.

I have the original Life Life video. My problem is in the fact that I

can do very few of the exercises due to restricted bending of my

knee. How important is it for me to follow the exercise routines? I

also do a lot of walking in an attempt to keep the knee loose. Is it

possible to do Life Lift while moving?

Any suggestions would be greatly appreciated.

Thank You

Lois Hansen

What can changing the way you breathe do for you? Everything!

See why tens of thousands agree, Life Lift is the best!

http://www.oxygenzoo.com

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Wow Bonnie! I should have waited...your ideas are just wonderful! In fact I

learned something as well!

with love,

Jenni

Proud Air Force Mom!

May God guide and protect our troops!

Christian Air Force Mom and Dads Group

CAFMandD/

Support for women going through menopause.

seasons-of-life/

New Member

Hi,

I'm a 57yo retired flight attendant - living in Lake Havasu City, AZ.

with my retired-pilot husband and a very spoiled Great Dane named

Star.

My last 8 years of flying were spent on International runs and that

means heavy foods, little exercise, and crazy hours. The end result

being an extra 25 lbs at my retirement party.

The weight stayed on for a few years until I saw a couple of pictures

of myself that floored me. So I spent that summer at our home in

Park City, Utah working on getting the pounds off. With plenty of

exercise and very little food I was successful in getting rid of

15 lbs. The most important part was that I kept it off for 3 years

and was working dilligently at the final and most difficult 10 pounds

when I had to have total knee replacement. Now after 8 months the

pounds are returning.

I thoroughly believe in the power and importance of proper breath

management. In fact it was through Yoga breathing techniques that I

was able to quit a 3 1/2 pack a day cigarrette habit about 25years

ago.

I have the original Life Life video. My problem is in the fact that I

can do very few of the exercises due to restricted bending of my

knee. How important is it for me to follow the exercise routines? I

also do a lot of walking in an attempt to keep the knee loose. Is it

possible to do Life Lift while moving?

Any suggestions would be greatly appreciated.

Thank You

Lois Hansen

What can changing the way you breathe do for you? Everything!

See why tens of thousands agree, Life Lift is the best!

http://www.oxygenzoo.com

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Dear Jenni, , and Bonnie,

Thank you all so much for the information.

Jenni,

You were very clear and helpful. I will also check out the

Reflexology tape.

,

I know I won't have a problem with doing the 40 a day. Thank You.

Bonnie,

I like the 4-5 then continue walking idea. It will also give the

dog time to investigate.

Thanks again,

Lois

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Hi Lois,

Welcome to our list!!!! We're sooooo glad you're here!!! I love doing LL

with the Sansone walking tapes. You can do LL with just about any

exercise you can think of, pick exercises that are good for you and

breathe away with them and watch those inches melt.

Love, Liz

---

On Sat, 16 Oct 2004 13:28:59 -0000 " Lois Hansen "

<444loishansen@...> writes:

Hi,

I'm a 57yo retired flight attendant - living in Lake Havasu City, AZ.

with my retired-pilot husband and a very spoiled Great Dane named

Star.

My last 8 years of flying were spent on International runs and that

means heavy foods, little exercise, and crazy hours. The end result

being an extra 25 lbs at my retirement party.

The weight stayed on for a few years until I saw a couple of pictures

of myself that floored me. So I spent that summer at our home in

Park City, Utah working on getting the pounds off. With plenty of

exercise and very little food I was successful in getting rid of

15 lbs. The most important part was that I kept it off for 3 years

and was working dilligently at the final and most difficult 10 pounds

when I had to have total knee replacement. Now after 8 months the

pounds are returning.

I thoroughly believe in the power and importance of proper breath

management. In fact it was through Yoga breathing techniques that I

was able to quit a 3 1/2 pack a day cigarrette habit about 25years

ago.

I have the original Life Life video. My problem is in the fact that I

can do very few of the exercises due to restricted bending of my

knee. How important is it for me to follow the exercise routines? I

also do a lot of walking in an attempt to keep the knee loose. Is it

possible to do Life Lift while moving?

Any suggestions would be greatly appreciated.

Thank You

Lois Hansen

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Welcome Lois,

Don't worry about the positions. The breathing is what is most important. In

fact, I often just breathe while I am doing chores around the house.

Especially all of the time I spend in the kitchen throughout the day making

meals.

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Hi - welcome to the group !

Sometimes it happens that the Heller myotomy does not last as long as one would like.Several reasons have been suggested such as scar tissue forming and making the LES (lower oesophageal sphincter) shrink again - the doctor did not cut up or down far enough - or if they did a fundoplication that may be giving problems.

Often a dilatation will sort out the problem and you are OK again for some time.

I dilatation, both it success and the experience you have, depends on it being done by a GI who is experienced in doing them often. For it to work properly they have to actually break/tear the scar tissue or constricting muscle.

Generally speaking you are put under deep sedation - ie. you are asleep and don't know or remember what is being done. When you wake up you may feel a bit of a sore throat and your LES may be tender and painful for a few hours or days. Afterwards you may be sent for a barium or other x-ray to make sure you have not perforated. You have to take it easy eating wise the first 24 hours but after that you eat as you can till you can eat everything.

It is actually not a big deal. However, the recommendation is that two should be the limit because after that the danger of perforation is much greater.

Ask your GI how many he has done and how often he does them and whether he just stretches the LES or actually tears it. If he does not tear it then ask him how long he thinks it will last.

Hope this helps,

Joan

New member

Hello everyone, WOW!! I'm simply overwhelmed by both the support and information in this group! I wish I would have known about the group a year ago when I had my surgery, but I'm glad I found you guys now. Only one yaer after surgery, my doctor says I need to have a dilation. I'm having a difficult time trying to find out a)Why the problem came back, and b)What the after effects(ie. recovery time) of the dilation are. Any help would greatly appreciated.

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>

>

>

>

>

Thanks for the info! I haven't talked to the GI yet - just my

surgeon - I assume this is an outpatient procedure?? Is it

preferred to tear the LES?? Are there any more questions for the

GI? Sorry for all my questions, but I'm trying to learn. It seems

like this group has more info than any drs I've asked. Thanks again.

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Welcome! I felt the same way when I first found the board. :)

I can't say if there is any difference for a post-op dilation, however

I just had my first dilation on the 7th, with no previous proceedures.

It took me abouty 2 days before my chest felt normal, most of that

wasn't pain either just I could feel the swelling at the muscle. My

throat and mouth hurt pretty bad for a good 4 or so days and I had a

cut in my mouth that took about a week to heal. I have crazy teeth so

that's how I got cut, I wouldn't expect it to be a terribly common

thing. Aside from that first day going home, maybe the next morning

too, where I was pretty miserable, the recovery wasn't so bad. I'd say

probably WAY easier than surgery recovery yeah.

I wouldn't fear it too much. I had mine on a thursday and took friday

off so I had the weekend to recover and didn't miss much work at all.

That's my experience, I know there are others on the board who have

had post-op dilations who may know better if there's a difference. :)

-Jess

>

> Hello everyone,

> WOW!! I'm simply overwhelmed by both the support and

> information in this group! I wish I would have known about the

> group a year ago when I had my surgery, but I'm glad I found you

> guys now.

> Only one yaer after surgery, my doctor says I need to have a

> dilation. I'm having a difficult time trying to find out a)Why the

> problem came back, and b)What the after effects(ie. recovery time)

> of the dilation are. Any help would greatly appreciated.

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