Guest guest Posted November 9, 2001 Report Share Posted November 9, 2001 First of all I would contact Dr blais and find out how he wants them sent to him, second I would talk to your explanting surgeon beforehand to make sure he knows that you want your implants to be packaged properly after explant so that they can be sent to Dr Blais for ananlysis, I would be sure that he understands you want pictures of the implants with the capsules on them before they are sent anywhere, if he is offended by this I wouldn't trust him to do the job right. I would explain to him that you have heard of women not having capsules taken out and getting sicker and that you just want to be extremely careful, also get it in writting. I wouldn't worry so much about the time scheduled as I would about all this other stuff, because if the surgery runs over schedule they are usually prepared for that, however if you are having any second thoughts about this PS I would be careful, you do not want to have to have more surgeries down the road. Call him and discuss these issues asap, to put your mind at ease, and yes usually an explant and capsulectomy would take longer than an hour and a half, but who knows, most of us had lifts too. What incision is he using? Good luck and keep us posted! In @y..., cpannarale@y... wrote: > Hello! > > I am slightly confused at what I should do for my explantation. > > First, are my implants and capsules sent to a pathologist > automatically or do I do this? > > Next, does dr. blais do this or does he just examine the implants > after pathology or before? > > Finally, I don't know if I missed the post but did Dr. Kolb post how > long an explantation usually takes? Because I'm suppose to be having > a complete capsulectomy no mastopexy and it's only scheduled for 1 > 1/2 hours while most of you seem to have had 3 hour surgeries!!!! > > Can I expect my surgeon to be offended by asking him to take pictures > or videotaping the procedure? Whats the best way of trying to > guarantee that the capsules be taken out? > > Thanks, > Charlene Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 9, 2001 Report Share Posted November 9, 2001 Hmm I don't have crease scars so i do not know how they look, anyone here have crease incisions? How do they look? It will give him good access at least I know that much for sure! In @y..., " Charlene Pannarale " <criviezzi@h...> wrote: > He is cutting underneath the breast. I had an incision around the nipple > with the implant and lift so he said that it would probably be better to do > from under the breast to hide the scar. > ----- Original Message ----- > From: <cjheer@i...> > < @y...> > Sent: Friday, November 09, 2001 2:32 PM > Subject: Re: confused!!! > > > > First of all I would contact Dr blais and find out how he wants them > > sent to him, second I would talk to your explanting surgeon > > beforehand to make sure he knows that you want your implants to be > > packaged properly after explant so that they can be sent to Dr Blais > > for ananlysis, I would be sure that he understands you want pictures > > of the implants with the capsules on them before they are sent > > anywhere, if he is offended by this I wouldn't trust him to do the > > job right. I would explain to him that you have heard of women not > > having capsules taken out and getting sicker and that you just want > > to be extremely careful, also get it in writting. > > > > I wouldn't worry so much about the time scheduled as I would about > > all this other stuff, because if the surgery runs over schedule they > > are usually prepared for that, however if you are having any second > > thoughts about this PS I would be careful, you do not want to have to > > have more surgeries down the road. > > > > Call him and discuss these issues asap, to put your mind at ease, and > > yes usually an explant and capsulectomy would take longer than an > > hour and a half, but who knows, most of us had lifts too. > > > > What incision is he using? > > > > Good luck and keep us posted! > > > > > > > > > > > > > > > > > > > > > > In @y..., cpannarale@y... wrote: > > > Hello! > > > > > > I am slightly confused at what I should do for my explantation. > > > > > > First, are my implants and capsules sent to a pathologist > > > automatically or do I do this? > > > > > > Next, does dr. blais do this or does he just examine the implants > > > after pathology or before? > > > > > > Finally, I don't know if I missed the post but did Dr. Kolb post > > how > > > long an explantation usually takes? Because I'm suppose to be > > having > > > a complete capsulectomy no mastopexy and it's only scheduled for 1 > > > 1/2 hours while most of you seem to have had 3 hour surgeries!!!! > > > > > > Can I expect my surgeon to be offended by asking him to take > > pictures > > > or videotaping the procedure? Whats the best way of trying to > > > guarantee that the capsules be taken out? > > > > > > Thanks, > > > Charlene > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 9, 2001 Report Share Posted November 9, 2001 My scars were done from around the nipple down and from what I understand this is the method of choice for most PS's I do still see mine, around the nipple but the ones running down are invisible after only 10 months so I think they look good, I have stretch marks that are bigger! In @y..., " Beverley Smalley " <kokomo@b...> wrote: > I had incisions underneath the breast but they didn't do it in the crease > because the doctor said if you wear a bathing suit and it pulls up the scar > would show. So he did it slightly above the crease. I always notice it and > feel self conscious, particularly when I see women who had the incision > around the nipple or under the arm and it looks so natural. I'm sorry I > didn't ask about it. The scar is definitely less noticeable in time but > never goes away. > Beverley Smalley > ----- Original Message ----- > From: <cjheer@i...> > < @y...> > Sent: Friday, November 09, 2001 4:57 PM > Subject: Re: confused!!! > > > > Hmm I don't have crease scars so i do not know how they look, anyone > > here have crease incisions? How do they look? > > > > > > It will give him good access at least I know that much for sure! > > > > > > > > > > > > In @y..., " Charlene Pannarale " <criviezzi@h...> wrote: > > > He is cutting underneath the breast. I had an incision around the > > nipple > > > with the implant and lift so he said that it would probably be > > better to do > > > from under the breast to hide the scar. > > > ----- Original Message ----- > > > From: <cjheer@i...> > > > < @y...> > > > Sent: Friday, November 09, 2001 2:32 PM > > > Subject: Re: confused!!! > > > > > > > > > > First of all I would contact Dr blais and find out how he wants > > them > > > > sent to him, second I would talk to your explanting surgeon > > > > beforehand to make sure he knows that you want your implants to be > > > > packaged properly after explant so that they can be sent to Dr > > Blais > > > > for ananlysis, I would be sure that he understands you want > > pictures > > > > of the implants with the capsules on them before they are sent > > > > anywhere, if he is offended by this I wouldn't trust him to do the > > > > job right. I would explain to him that you have heard of women not > > > > having capsules taken out and getting sicker and that you just > > want > > > > to be extremely careful, also get it in writting. > > > > > > > > I wouldn't worry so much about the time scheduled as I would about > > > > all this other stuff, because if the surgery runs over schedule > > they > > > > are usually prepared for that, however if you are having any > > second > > > > thoughts about this PS I would be careful, you do not want to > > have to > > > > have more surgeries down the road. > > > > > > > > Call him and discuss these issues asap, to put your mind at ease, > > and > > > > yes usually an explant and capsulectomy would take longer than an > > > > hour and a half, but who knows, most of us had lifts too. > > > > > > > > What incision is he using? > > > > > > > > Good luck and keep us posted! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > In @y..., cpannarale@y... wrote: > > > > > Hello! > > > > > > > > > > I am slightly confused at what I should do for my explantation. > > > > > > > > > > First, are my implants and capsules sent to a pathologist > > > > > automatically or do I do this? > > > > > > > > > > Next, does dr. blais do this or does he just examine the > > implants > > > > > after pathology or before? > > > > > > > > > > Finally, I don't know if I missed the post but did Dr. Kolb post > > > > how > > > > > long an explantation usually takes? Because I'm suppose to be > > > > having > > > > > a complete capsulectomy no mastopexy and it's only scheduled > > for 1 > > > > > 1/2 hours while most of you seem to have had 3 hour > > surgeries!!!! > > > > > > > > > > Can I expect my surgeon to be offended by asking him to take > > > > pictures > > > > > or videotaping the procedure? Whats the best way of trying to > > > > > guarantee that the capsules be taken out? > > > > > > > > > > Thanks, > > > > > Charlene > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 9, 2001 Report Share Posted November 9, 2001 he can analyze them but I am not sure if they would show anything if they have been in the fridge or handled, unfortunatly they are not supposed to be kept cold, it kills things I think. Check out some of the posts further back I think his info is there I think it is around 200 or 300 bucks and it depends on how much you want done. In @y..., " Beverley Smalley " <kokomo@b...> wrote: > Can Dr. Blais analyze my implant that I have had for over 3 years and kept > in the refrigerator? (nice when you have company) What is the procedure and > the cost? > Beverley Smalley > ----- Original Message ----- > From: <cjheer@i...> > < @y...> > Sent: Friday, November 09, 2001 2:32 PM > Subject: Re: confused!!! > > > > First of all I would contact Dr blais and find out how he wants them > > sent to him, second I would talk to your explanting surgeon > > beforehand to make sure he knows that you want your implants to be > > packaged properly after explant so that they can be sent to Dr Blais > > for ananlysis, I would be sure that he understands you want pictures > > of the implants with the capsules on them before they are sent > > anywhere, if he is offended by this I wouldn't trust him to do the > > job right. I would explain to him that you have heard of women not > > having capsules taken out and getting sicker and that you just want > > to be extremely careful, also get it in writting. > > > > I wouldn't worry so much about the time scheduled as I would about > > all this other stuff, because if the surgery runs over schedule they > > are usually prepared for that, however if you are having any second > > thoughts about this PS I would be careful, you do not want to have to > > have more surgeries down the road. > > > > Call him and discuss these issues asap, to put your mind at ease, and > > yes usually an explant and capsulectomy would take longer than an > > hour and a half, but who knows, most of us had lifts too. > > > > What incision is he using? > > > > Good luck and keep us posted! > > > > > > > > > > > > > > > > > > > > > > In @y..., cpannarale@y... wrote: > > > Hello! > > > > > > I am slightly confused at what I should do for my explantation. > > > > > > First, are my implants and capsules sent to a pathologist > > > automatically or do I do this? > > > > > > Next, does dr. blais do this or does he just examine the implants > > > after pathology or before? > > > > > > Finally, I don't know if I missed the post but did Dr. Kolb post > > how > > > long an explantation usually takes? Because I'm suppose to be > > having > > > a complete capsulectomy no mastopexy and it's only scheduled for 1 > > > 1/2 hours while most of you seem to have had 3 hour surgeries!!!! > > > > > > Can I expect my surgeon to be offended by asking him to take > > pictures > > > or videotaping the procedure? Whats the best way of trying to > > > guarantee that the capsules be taken out? > > > > > > Thanks, > > > Charlene > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 9, 2001 Report Share Posted November 9, 2001 Dr Feng uses the lolipop incision and it is around the entire nipple and then a long incison down from the nipple to the crease....this method works extremely well for her, she has performed thousands of these, I believe Dr Kolb does them this way as well, I think that it depends on the PS and Dr Feng has such teeny hands I think she can just get right in there, anyhow that is how mine was done and I know she got it all out cause I saw the nasty things....and I had some big implants. When they use retractors it is amazing how big they can make the opening with stretching and it is gross but it is true. @y..., Rogene S <saxony01@y...> wrote: > If you have enough breast left to hang down a bit, and > if you are not the type to get those heavy ketoid? > scars, they should look fine. I can't imagine how a > surgeon could remove them completely otherwise. > > I saw a slide show of a surgeon who removed them > through the nipple . . . didn't look like the way to > go to me! > > Rogene > > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 10, 2001 Report Share Posted November 10, 2001 Charlene, My surgery was only 1 1/2 hrs long. I think that the length of the surgery depends on how bad your implants look when the surgeon gets in, and also what you are having done. I also think it depends on the skill of the surgeon. As for how long your surgery is scheduled, and if it goes over, that isn't a problem at all. Surgeries often do go over, either because of complications, more needs to be done than originally thought, the surgeon is late, or other unforseen circumstances. As for sending your implants to the path dept, I would not if you plan to send them to Pierre. He does a complete analysis, internal and external, and is 100x more thorough than any pathology dept. And if you send the implants to pathology, they will more than likely put them in formalin, or contaminate them in some way. So, you need to decide one or the other. If you decide to send them to Pierre, call him first and he can give you all the details prior to sending them. e > Hello! > > I am slightly confused at what I should do for my explantation. > > First, are my implants and capsules sent to a pathologist > automatically or do I do this? > > Next, does dr. blais do this or does he just examine the implants > after pathology or before? > > Finally, I don't know if I missed the post but did Dr. Kolb post how > long an explantation usually takes? Because I'm suppose to be having > a complete capsulectomy no mastopexy and it's only scheduled for 1 > 1/2 hours while most of you seem to have had 3 hour surgeries!!!! > > Can I expect my surgeon to be offended by asking him to take pictures > or videotaping the procedure? Whats the best way of trying to > guarantee that the capsules be taken out? > > Thanks, > Charlene > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 10, 2001 Report Share Posted November 10, 2001 Explants usually take 1.5 to 3 hours depending on difficulty. Textured take longer. . ----- Original Message ----- From: <eRene@...> < > Sent: Friday, November 09, 2001 9:30 PM Subject: Re: confused!!! > Charlene, > > My surgery was only 1 1/2 hrs long. I think that the > length of the surgery depends on how bad your implants > look when the surgeon gets in, and also what you are > having done. I also think it depends on the skill of > the surgeon. As for how long your surgery is scheduled, > and if it goes over, that isn't a problem at all. > Surgeries often do go over, either because of > complications, more needs to be done than originally > thought, the surgeon is late, or other unforseen > circumstances. > > As for sending your implants to the path dept, I would > not if you plan to send them to Pierre. He does a > complete analysis, internal and external, and is 100x > more thorough than any pathology dept. And if you send > the implants to pathology, they will more than likely > put them in formalin, or contaminate them in some way. > So, you need to decide one or the other. > > If you decide to send them to Pierre, call him first and > he can give you all the details prior to sending them. > > e > > Hello! > > > > I am slightly confused at what I should do for my explantation. > > > > First, are my implants and capsules sent to a pathologist > > automatically or do I do this? > > > > Next, does dr. blais do this or does he just examine the implants > > after pathology or before? > > > > Finally, I don't know if I missed the post but did Dr. Kolb post how > > long an explantation usually takes? Because I'm suppose to be having > > a complete capsulectomy no mastopexy and it's only scheduled for 1 > > 1/2 hours while most of you seem to have had 3 hour surgeries!!!! > > > > Can I expect my surgeon to be offended by asking him to take pictures > > or videotaping the procedure? Whats the best way of trying to > > guarantee that the capsules be taken out? > > > > Thanks, > > Charlene > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2001 Report Share Posted November 12, 2001 Hi everyone, I am back from my weekend trip and I see lots of letters....just wanted to put in my two cents worth on some of these. Charlene, here are my suggestions for some of your questions: > First, are my implants and capsules sent to a pathologist > automatically or do I do this? In most cases, you will have to request that your capsules be sent to pathology for analysis of the tissue. Some doctors may think this is totally unnecessary, as they believe nothing substantial or earthshattering will be found, so they don't order it. It's just scar tissue, and it is disposed of. In my case, my doctor said it was totally up to me if I wanted it analyzed or not, and not being sure, I took the cautious approach and requested a pathology report. I had to pay $200 for it out my own pocket. The report basically describes the specimens collected, clinical information, a detailed description ( " a flat, glistening, gray-tan fibromembranous soft tissue fragment..... " ) It did also say " negative for neoplasia, " whatever that means. The main reason for a pathology report would be to identify anything suspicious, and I would suppose you could also request that the entire capsule be sent (mine apparently was just a fragment), so they could determine whether or not the whole capsule was excised. This could be another method of determining if a total capsulectomy was performed. Of course, you would have to make your request in writing, and tell them exactly what you want to know. There was a specific form on a website that I know was a sample letter for requesting a detailed pathology report. You just have to make a decision about how much you are willing to pay for the information you want to know. > Next, does dr. blais do this or does he just examine the implants > after pathology or before? Dr. Blais is an expert on failed medical devices. To my knowledge, he only examines implants, not scar tissue, and this would necessarily be after pathology, as a separate analysis. He specifically looks for the fault of the implant, and can tell you if there were leaks, what was wrong with them, can identify them and tell you what specific problems existed with specific styles, can tell you if organisms are growing in the saline, etc. This information can be quite valuable. You can contact him to find out exactly what he wants you to do regarding your implants after surgery, and how they should be sent to him. > Can I expect my surgeon to be offended by asking him to take pictures > or videotaping the procedure? He probably won't like it, if he is set in his ways, has a big ego, is insecure, or wants his patients to be good little girls and let him do his job the way he wants. If he wants to give you the care you want, he will try to work this out with you to your satifaction. Of course, there may be rules in hospitals about this--I have no idea, but I do know that there is a doctor in Texas who videotapes his explants, so it is not unheard of. Whats the best way of trying to > guarantee that the capsules be taken out? Have a really good plastic surgeon who cares about you as a human being, and that means having a positive, trusting relationship with the ability to discuss this aspect in frank detail, with the understanding that there is NO compromise on this issue. Beyond that, the only other way I know is to go to Dr. Feng! All my best, Patty Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2009 Report Share Posted December 7, 2009 Im not sure what the speech therapist meant when she said " some component of apraxia " . We just started into this and ther is sooo much more for us to learn.I will definatly be asking her at next weeks session. Thank you for your input, it helps to know there are other people going through this other than us. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2009 Report Share Posted December 7, 2009 I think it just means she suspects apraxia. At your son's age that's pretty much all they can do is diagnose suspected verbal apraxia and proceed with appropriate therapy for apraxia just in case. Now oral apraxia...that can be diagnosed really early on the other hand. And if your child has signs of oral apraxia -then for almost 100 percent sure verbal apraxia will be a diagnosis as well. http://www.cherab.org/information/speechlanguage/oralapraxia.html ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2009 Report Share Posted December 7, 2009 Yes that's correct -unless you are following the hierarchy of language development via the Kaufman method -with some apraxic children if a word is too difficult for them to say, or 'they' think it is, they may not even attempt it -so with the Kaufman approach it provides the developmentally appropriate approximations. I'd have to check the cards to see what the break down is for bottle. Here's an article about the Kaufman approach for any late talker that was pulled from The Late Talker book: http://www.speechville.com/KaufmanKitArticle.html ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 8, 2009 Report Share Posted December 8, 2009 The break down for " bottle " if that is what you want- is " bah-o " , " Bahd-O " , " Bah-do " , and then bottle. Of course all the o sounds are long o. The Kauffman kit is great. I used it everyday in the beginning. It worked. I would give him the real word and the approximation that he was " ready " for. Then when he mastered it, we moved to the next one. I recommend getting it, it's worth the money. It gave my son something that he ;acked for two years- confidence and success with verbal language. I hope that this helps. > > Yes that's correct -unless you are following the hierarchy of language development via the Kaufman method -with some apraxic children if a word is too difficult for them to say, or 'they' think it is, they may not even attempt it -so with the Kaufman approach it provides the developmentally appropriate approximations. I'd have to check the cards to see what the break down is for bottle. > Here's an article about the Kaufman approach for any late talker that was pulled from The Late Talker book: > http://www.speechville.com/KaufmanKitArticle.html > > > ===== > Quote Link to comment Share on other sites More sharing options...
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