Peripheral Neuropathy Pain Symptoms Relieved Davis
We've been managing you here for peripheralneuropathy in lower legs and feet. When you first presented to the office you indicatedthat the pain was very bad, very numb, very tingling. How are you doing today, and howare you responding to the neuropathy program here in our office? Oh gosh, it's much better.I feel that I can walk, before I couldn't get out of bed in the morning I had to holdon to something and I just get up and walk, I can still the numbness on the bottom ofmy foot, but and then walking in this door I don't get as tired as I did before. I usuallyhave to go home and change shoes. I get home and I can keep the shoes on for quite a while.I haven't yet started walking on the street,
but I will. So far so good right? Yea, whata difference. Well congratulations on your results thus far I'm very happy with yourprogress. Thank you.
Two Surgical Options for Facial Paralysis Johns Hopkins Facial Plastic and Reconstructive Surgery
MUSIC The thing with facial paralysisis tough, especially in my profession, working withstudents or younger children. They're very curiousabout what happens. At the beginning of the year you kind of get them talkingbehind my back a little. gt;gt; Everything on this sideof my face no longer worked. Because the effect onthe muscles it was very
noticeably droopy. People looked at me andthought I had a stroke. gt;gt; Sofacial reanimation refers to the treatment offacial paralysis. So these patients havethe inability to move one side of their face. So by facial reanimation werestore their ability to smile, to blink, to show emotion,
to allow them to integrateinto society better. Patients with facial paralysisof longstanding duration really have two options to restoretheir ability to smile. MUSIC In the first,we use a muscle in the face, the temporalis muscle,and we reroute it. And this allows themto smile by clenching. We refer to that asthe temporalis tendon transfer.
It's a procedure thatwe've helped popularize in North America. gt;gt; Right afterwardit was very drastic. With the muscle beingpulled up so far. It took awhile formy face to relax. gt;gt; The temporal's tendontransfer, the T3, is a very quick onehour procedure and that can be performedas an outpatient.
It's pretty simple to perform. It very predictably elevatesthe corner of the mouth, and it can restore a smilein a majority of people. And so a lot of patientslike that procedure because it's pretty quick and it'spretty simple to go through. The only real downside to itis that the amount of smile that it can produce tends to besmaller than the second option. gt;gt; During the recovery processI actually was seeing,
I think she wasa physical therapist, where I would goa couple times a month. And we would work ondoing facial movements. So it would be things suchas raising my eyebrows, trying to pucker my lips,sucking out of straws. Different activities to getparts of my face moving. But when I learned about thissurgery, and the idea of being able to create a smile again,it was almost like a no brainer.
Facial Paralysis Anthonys Story
MUSIC I had terrible headaches forabout three weeks. I was diagnosed in April with afour centimeter Acoustic neuroma brain tumor. And then I had surgeryto remove the tumor and it was wrapped aroundmy facial nerve. MUSIC gt;gt; He was told thatthe neck was gonna recover.
And he woke up from the surgerywith a full paralysis, which is not too unusual. And most of the time,you just watch and it recovers. Unfortunately for him,it had been over a year and there was no recovery. gt;gt; It's a real struggle to talk,to eat. I drool, I spill stuff out of mymouth and my eye is really bad. I'm always, constantly,touching my eye.
It's one of the most challengingthings, having facial paralysis. gt;gt; In general, facial paralysis can make a bigdifference in people's life. The things we see isjust the surface, but emotionally they don'twant to socialize. They don't wantto go out to eat. They feel like peopleare staring at them, even when we are notstaring at them.
gt;gt; I wanna be ableto communicate. I wanna talk, I wanna feel. I don't, like my facedoesn't feel normal. Not so much everybody looking atme, but it's very uncomfortable. I feel right now, today, I feel worse than whenI had the brain tumor. I don't wanna go on like this. There's gotta be something thatI can do to make it better.
Show how you fix my smileevery night, show them. gt;gt; He told me stories abouthis daughter asking him when he was gonna smile again. And so, I was obviouslyvery touched by that story. gt;gt; He looked at my personalneeds and he knew how important it was to me, and I felt thathe genuinely cared about me. gt;gt; I actually really encouragedhim, and I could see him try to smile when I told him thatwe had good options for him.
gt;gt; My expectations, I hopethat my face is straight, so I could talk normal and help mein my everyday activities and my communications. And my eye, just being able toblink my eye when I'm driving without doing it with my hand. gt;gt; Okay. gt;gt; You'll see right away, you'llbe able to close your eye. gt;gt; Okay.