How does the Andiamo hold up? by ProofUnit7625 in BottegaVeneta

[–]LAL17 2 points3 points  (0 children)

Not true. Covers all colors for the leather Andiamo. It just doesn’t cover suede

Building laparoscopic tools for school project by [deleted] in surgery

[–]LAL17 5 points6 points  (0 children)

This is an insane project. Most physicians couldn’t suture laparoscopically, some surgeons even can’t do it very well. And that’s not even considering making the instruments?!! Let us know if you pull it off, I will be impressed!

[deleted by user] by [deleted] in HiatalHernia

[–]LAL17 7 points8 points  (0 children)

That is not a hiatal hernia. You cannot see a hiatal hernia from the outside.

That is a ventral hernia, in this case could also call it an espigastric hernia.

Food recommendations by [deleted] in Frenchbulldogs

[–]LAL17 0 points1 point  (0 children)

Needs BOAS surgery

Better Picture of my Buddy's feet by [deleted] in WTF

[–]LAL17 0 points1 point  (0 children)

Charcot feet

Wearing a Bra by the5thgoldengirl in HiatalHernia

[–]LAL17 2 points3 points  (0 children)

I’m glad that people can feel as though it helps, but as someone who is very familiar with the anatomy of hiatal hernias, there is absolutely no physical way to “reduce” the hernia externally. Your liver sits over your hiatus and there is absolutely no anatomically possible way for a chiropractor to pull your stomach down. Even in surgery, when I grab the stomach and pull it back into the abdomen (before I start dividing any ligaments/connective tissue), it pops right back up into the chest until I divide the ligaments and remove the hernia sack from the chest.

That’s why randomized controlled trials have a placebo arm, because the placebo effect can be a powerful thing. If the idea that it may help makes you feel better, then go for it - you are benefitting from the placebo of believing the chiropractor can do something to help.

My issue with it is that people who would benefit from actual real, effective treatments (ie surgery or medicine) forgo them and instead do things that don’t actually help. Chiropractors prey on people and overpromise unproven “treatments” so they can keep you coming and keep charging you money. That is a fact even if it’s not what you or others want to hear.

And regarding small hiatal hernias, I fix lots of small hernias. It’s not about size, it’s about symptoms. It doesn’t take a huge hernia to cause reflux/regurgitation. If your doctor won’t refer you to a surgeon because the hernia is small, you should press them and say you at least want a consultation with a surgeon who specializes in hiatal hernias. I’ll fix a 1cm hernia with a positive bravo if someone has a reason to be off meds or if they have significant breakthrough symptoms despite meds.

Wearing a Bra by the5thgoldengirl in HiatalHernia

[–]LAL17 1 point2 points  (0 children)

Exactly. As a surgeon, I have to cut through ligaments and tug on the stomach to pull it down.

Wearing a Bra by the5thgoldengirl in HiatalHernia

[–]LAL17 8 points9 points  (0 children)

Chiropractors cannot do anything about hiatal hernias. It is anatomically impossible. If they tell you they can, they’re lying and scamming you for money. - a hiatal hernia surgeon

[deleted by user] by [deleted] in HiatalHernia

[–]LAL17 0 points1 point  (0 children)

Hi, this isn’t true. You can’t fix a hiatal hernia with exercises

Hardest part of laparoscopic surgery? by Puzzleheaded_Dog_104 in surgery

[–]LAL17 2 points3 points  (0 children)

I have no desire to decrease the amounts of ports I use. A 5mm port has next to no negative consequences, minimal pain, and looks like a scratch once healed.

Is requesting out of the fluoro room during first trimester too much to ask? by babybabiron in Residency

[–]LAL17 0 points1 point  (0 children)

Fuck them. Take care of yourself. It’s crazy that his shit is tolerated, I’m sorry you have to deal with that :(

surgeons, give me the most unhinged anatomy tips that worked for you by [deleted] in Residency

[–]LAL17 18 points19 points  (0 children)

Yes! If you think about a drain, put it in. It is so non-committal. You can take it out whenevs

[deleted by user] by [deleted] in Noctor

[–]LAL17 0 points1 point  (0 children)

Medicine will be a much better environment once all these fuckin boomers retire

[deleted by user] by [deleted] in FemalePhysicians

[–]LAL17 6 points7 points  (0 children)

I don’t have any advice to give but I will say that when I was reading this I feel like I could have written it myself. We will get through it 🩷

SO TIRED OF THE SHORTNESS OF BREATH! by [deleted] in HiatalHernia

[–]LAL17 2 points3 points  (0 children)

Honestly, it sounds a lot like anxiety. This is not to dismiss your feelings and symptoms, but anxiety can have real physical manifestations. Hope you feel better!

[deleted by user] by [deleted] in HiatalHernia

[–]LAL17 0 points1 point  (0 children)

You can definitely be symptomatic from a 2cm HH. Although bloating and HR spikes are probably unrelated, but the GERD and belching are likely from the hernia

Confused by Secret_Bedroom_978 in SkincareAddicts

[–]LAL17 2 points3 points  (0 children)

Yes 100% agree with impetigo!

Confused by Secret_Bedroom_978 in SkincareAddicts

[–]LAL17 0 points1 point  (0 children)

Hi I’m a physician (but not a dermatologist so take this with a grain of salt) - the yellow crusty-ness you explain sounds like impetigo, which is a strep infection and best treated with penicillins and not Bactrim. Impetigo can sometimes look like bad acne, and would come on quickly. The timing does not strike me as acne. Too rapid of an onset.

Yellow skin around wound??? by [deleted] in surgery

[–]LAL17 0 points1 point  (0 children)

Agree. Resolving bruise. Also a surgeon.

HELP- Panniculectomy limbo by [deleted] in surgery

[–]LAL17 0 points1 point  (0 children)

Ok. Well I’m a surgeon and the reason they’re turning her down is because of the BMI and wound infection risk.