There is no "signal that tells the body to sweat excessively". The nervous system doesn't work like that. Worse, it implies that there is some separate signal that tells the body to sweat "normally" which, again, is implied to be unaffected by the surgery. It's nonsense and an affront to all that is known about neuroanatomy and neurophysiology.
Of all the lies and distortions, this is the one that pisses me off the most. Not only is it demonstrably false, it is criminally misleading in terms of what it leads the patient to expect. There no evidence whatsoever that the sympathetic ganglia have any regulatory function. Regulation if sympathetic activity occurs in the brain, not the sympathetic ganglia.
Why the hell don't they call it what it is?: sympathetic denervation surgery (which is a fancy name for a particular type of nerve injury). It eliminates excessive sweating by eliminating the ability to sweat at all (anhidrosis) over a large area. It achieves this end in the most brutal way possible: by permanently destroying the neural pathways. Any statement or implication that sympathectomy reduces sweating to normal levels or improves the regulation of sweating in any way is a boldfaced lie.
http://etsandreversals.yuku.com/topic/4918/Lies-from-your-government
Concerns about surgical risks not properly explained appear to be the heartland of contemporary disputes between patients and doctors
Concerns about surgical risks not properly explained appear to be the heartland of contemporary disputes between patients and doctors over consent, at least in Australia.
2 Derivation of study sample
http://www.mja.com.au/public/issues/195_06_190911/gog10379_fm.html
“Invidious” task of obtaining consent
IN more than 70% of claims and complaints about informed consent the main allegation was that the doctor failed to mention or properly explain the risk of complications, new research shows.
The MJA study of 481 cases of alleged failures in the informed consent process found 57% were against surgeons and 92% involved surgical procedures. About one in six cases involved cosmetic procedures and the rate of complaints against plastic surgeons was significantly higher than that against any other specialists. (1)
“You are not expected to warn of absolutely every single complication but you have got to warn of material risks, which are that if a reasonable person in the patient’s position, if warned of the risk, would be likely to attach significance to it”, Ms McDonald said.
It was even more important with elective cosmetic surgery to ensure that the consent and the patient’s expectations of the procedure were realistic, she said.
Dr John Buntine, president of the Australian Association of Surgeons, in a letter to the MJA relating to previous research on patient complaints, said he believed that a common stimulus for complaints was a perception that the doctor was overconfident, perhaps arrogant, and had little personal interest in the patient’s welfare. (2)
“Good manners, kindness, demonstrations of personal interest and concern, and a degree of humility all discourage complaints”, he said.
- Cathy Saunders, MJA InSight, 19 September 2011
The MJA study of 481 cases of alleged failures in the informed consent process found 57% were against surgeons and 92% involved surgical procedures. About one in six cases involved cosmetic procedures and the rate of complaints against plastic surgeons was significantly higher than that against any other specialists. (1)
“You are not expected to warn of absolutely every single complication but you have got to warn of material risks, which are that if a reasonable person in the patient’s position, if warned of the risk, would be likely to attach significance to it”, Ms McDonald said.
It was even more important with elective cosmetic surgery to ensure that the consent and the patient’s expectations of the procedure were realistic, she said.
Dr John Buntine, president of the Australian Association of Surgeons, in a letter to the MJA relating to previous research on patient complaints, said he believed that a common stimulus for complaints was a perception that the doctor was overconfident, perhaps arrogant, and had little personal interest in the patient’s welfare. (2)
“Good manners, kindness, demonstrations of personal interest and concern, and a degree of humility all discourage complaints”, he said.
- Cathy Saunders, MJA InSight, 19 September 2011
THE vast majority of doctors who face a medical indemnity claim will not end up in court
THE vast majority of doctors who face a medical indemnity claim will not end up in court, new data on claims from 2008–09 show.
The figures on public and private sector medical indemnity claims show that only 6% of claims were finalised through a court decision, while 29% were settled through negotiation with the claimant and 65% were discontinued. (1)
Dr Sara Bird, manager of medicolegal and advisory services at MDA National, said the reported low rate of claims going to court was consistent with experience at MDA National.
MJA InSight,
http://www.mjainsight.com.au/view?post=few-indemnity-claims-go-to-court&post_id=6427&cat=news-and-research
The figures on public and private sector medical indemnity claims show that only 6% of claims were finalised through a court decision, while 29% were settled through negotiation with the claimant and 65% were discontinued. (1)
Dr Sara Bird, manager of medicolegal and advisory services at MDA National, said the reported low rate of claims going to court was consistent with experience at MDA National.
MJA InSight,
http://www.mjainsight.com.au/view?post=few-indemnity-claims-go-to-court&post_id=6427&cat=news-and-research
So numerous are the possible variations that the outcome of a sympathectomy is unpredictable
The sympathetic pathways to the heart are extremely variable in their topography, and the diversity of arrangements encountered accounts for the morphological contradictions in the literature. So numerous are the possible variations that the outcome of a sympathectomy is unpredictable. Where denervation is incomplete, collateral sprouting and regeneration of nerves could even lead to hyperstimulation via the sympathetic pathways.
http://onlinelibrary.wiley.com/doi/10.1002/aja.1001240203/abstract
http://onlinelibrary.wiley.com/doi/10.1002/aja.1001240203/abstract
After severing the cervical sympathetic trunk, the cells of the cervical sympathetic ganglion undergo transneuronic degeneration
In consequence of right-sided smpathectomy at the level of C5 it was found that in the sheep the cervical sympathetic trunk contains nerve fibres which proceed from cells situated in the first four segments of the thoracic part of the spinal cord and in the stellate ganglion. These fibres are about 85 per cent of all fibres of the sympathetic trunk. The remaining 15 per cent proceed from nerve cells situated nasally of the anterior cervical ganglion.
The spinal cord. Changes found in the segment Th1 – Th4 in sheep III and IV closely resembled those
seen in the stellate ganglion (Figures 6, 7).
2. After severing the sympathetic trunk, the cells of its origin undergo complete disintegration within
a year.
3. After severing the cervical sympathetic trunk, the cells of the cervical sympathetic ganglion
undergo transneuronic degeneration.
http://onlinelibrary.wiley.com/doi/10.1111/j.1439-0442.1967.tb00255.x/abstract
The spinal cord. Changes found in the segment Th1 – Th4 in sheep III and IV closely resembled those
seen in the stellate ganglion (Figures 6, 7).
2. After severing the sympathetic trunk, the cells of its origin undergo complete disintegration within
a year.
3. After severing the cervical sympathetic trunk, the cells of the cervical sympathetic ganglion
undergo transneuronic degeneration.
http://onlinelibrary.wiley.com/doi/10.1111/j.1439-0442.1967.tb00255.x/abstract
Predatory practices, misrepresentation is the standard by ETS surgeons
"30-45 Minute Procedure; Close to 100% Success Rate; Hundreds of Thousands of Procedures Performed; Experienced ETS Surgeons Around the World"
http://www.hyperhidrosis.com/
http://www.hyperhidrosis.com/
sympathectomy created imbalance of autonomic activity and functional changes of the intrathoracic organs
Surgical thoracic sympathectomy such as ESD (endoscopic thoracic sympathectic denervation) or heart transplantation can result in an imbalance between the sympathetic and parasympathetic activities and result in functional changes in the intrathoracic organs.
Therefore, the procedures affecting sympathetic nerve functions, such as epidural anesthesia, ESD, and heart transplantation, may cause an imbalance between sympathetic and parasympathetic activities (1, 6, 16, 17). Recently, it has been reported that ESD results in functional changes of the intrathoracic organs.
In conclusion, our study demonstrated that ESD adversely affected lung function early after surgery and the BHR was affected by an imbalance of autonomic activity created by bilateral ESD in patients with primary focal hyperhidrosis.
Journal of Asthma, 46:276–279, 2009
http://informahealthcare.com/doi/abs/10.1080/02770900802660949
Therefore, the procedures affecting sympathetic nerve functions, such as epidural anesthesia, ESD, and heart transplantation, may cause an imbalance between sympathetic and parasympathetic activities (1, 6, 16, 17). Recently, it has been reported that ESD results in functional changes of the intrathoracic organs.
In conclusion, our study demonstrated that ESD adversely affected lung function early after surgery and the BHR was affected by an imbalance of autonomic activity created by bilateral ESD in patients with primary focal hyperhidrosis.
Journal of Asthma, 46:276–279, 2009
http://informahealthcare.com/doi/abs/10.1080/02770900802660949
Low HRV is a risk factor for pathophysiology and psychopathology
The intimate connection between the brain and the heart was enunciated by Claude Bernard over 150 years ago. In our neurovisceral integration model we have tried to build on this pioneering work. In the present paper we further elaborate our model. Specifically we review recent neuroanatomical studies that implicate inhibitory GABAergic pathways from the prefrontal cortex to the amygdala and additional inhibitory pathways between the amygdala and the sympathetic and parasympathetic medullary output neurons that modulate heart rate and thus heart rate variability. We propose that the default response to uncertainty is the threat response and may be related to the well known negativity bias. We next review the evidence on the role of vagally mediated heart rate variability (HRV) in the regulation of physiological, affective, and cognitive processes. Low HRV is a risk factor for pathophysiology and psychopathology. Finally we review recent work on the genetics of HRV and suggest that low HRV may be an endophenotype for a broad range of dysfunctions.
http://www.ncbi.nlm.nih.gov/pubmed/18771686
http://www.ncbi.nlm.nih.gov/pubmed/18771686
ganglion block for unbalanced sympathetic nervous system disorders
Stellate ganglion blocks (SGB) are widely used for pain relief in outpatient clinics due to its many therapeutic indications and easy maneuvering. It is used locally over stellate ganglion territory disorders in the craniocervical (head and neck) or upper limbs and systemically for angina pectoris, psychosomatic disorders, hormonal disorders, or unbalanced sympathetic nervous system disorders [1].
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2872892/
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2872892/
Presentations at the 4th International Symposium on Sympathetic Surgery
http://www.angelfire.com/ab/ets/201.htm#_Hlt521158972
Surgical sympathectomy is the gold standard of treatment for this disease, by which all other treatments must be judged
http://www.fortishospitals.com/heart-care/treatments-and-procedures/vats-sympathetectomy.html
For blood pressure control in certain acute hypotensive states (e.g., pheochromocytomectomy, sympathectomy...
Norepinephrine (Levophed ®) -
For blood pressure control in certain acute hypotensive states (e.g., pheochromocytomectomy, sympathectomy, poliomyelitis, spinal anesthesia, myocardial infarction, septicemia, blood transfusion, and drug reactions).
http://www.globalrph.com/norepinephrine_dilution.htm
For blood pressure control in certain acute hypotensive states (e.g., pheochromocytomectomy, sympathectomy, poliomyelitis, spinal anesthesia, myocardial infarction, septicemia, blood transfusion, and drug reactions).
http://www.globalrph.com/norepinephrine_dilution.htm
Unilateral sympathectomy leads to decreases in ventral prostate weight
http://www.biolreprod.org/content/51/1/99
painful vasospastic condition in the right arm following surgical sympathectomy on the left side
Spinal dorsal column stimulation has been used in the treatment of a patient with a painful vasospastic condition in the right arm following surgical sympathectomy on the left side. After sympathectomy the left arm became constantly dry and warm and consistently lacked skin vasomotor (laser Doppler flowmetry) responses to arousing stimuli, indicating a complete loss of sympathetic vasomotor innervation.
http://www.springerlink.com/content/n823388l26q330m3/
http://www.springerlink.com/content/n823388l26q330m3/
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