In My Shoes: Toe Surgery Went Well

Saturday, September 26, 2009

Toe Surgery Went Well

Fiona's ingrown toenail surgery went well but she is in a lot of pain. Because of her liver disease her toenails are becoming very thin (like paper) and deformed causing ingrown nails that are very painful. The podiatrist thought he could just go in and even it out but ended up taking her complete big toe nail off and part of the nail on the toe next to the big toe. In a month he will evaluate the other foot.

On another front, Fiona has an abdominal CT this week and the MRA of her lungs in a couple weeks. There is a still conversation about sending a scope down into her small bowel but her liver doctor is really not happy with this idea so discussions are going on. There are some real risks with this procedure and not everyone can safely do the procedure. Very concerning but will do what her liver doctor feels is best.

Peggy
This one is for Fiona! No one else would appreciate Happy Squirrel Chewing Gum

No comments:

Post a Comment

Biliary Atresia

Biliary atresia is a condition in which the ducts that carry bile from the liver to the gallbladder and small intestine are not normal. These ducts can be injured, blocked, or missing. When the ducts that carry bile out of the liver are closed, bile backs up and damages liver tissue. In time the liver can develop scarring or cirrhosis. The gallbladder may also be abnormal or missing. The cause of Biliary Atresia is unknown. It occurs in one infant in every 15,000 live births. It is a serious disease which requires immediate surgical and medical treatment.

Arteriovenous Malformations AVMS

I have been diagnosed with AVMS in my lungs do to my liver disease. These have caused me to have 2 lung bleeds which were very scary. I still have more AVMS and they are causing me breathing problems. Below is an explanation of what the AVMs are and a picture of what is happening in my lungs.

Arteries and veins are part of the human cardiovascular system. Normally, the arteries in the vascular system carry oxygen-rich blood at a relatively high pressure. Structurally, arteries divide and sub-divide repeatedly, eventually forming a sponge-like capillary bed. Blood moves through the capillaries, giving up oxygen and taking up waste products from the surrounding cells. Capillaries successively join together, one upon the other, to form the veins that carry blood away at a relatively low pressure. The heart acts to pump blood from the low pressure veins to the high pressure arteries.
If the capillary bed is thought of as a sponge, then an AVM is the rough equivalent of jamming a tangle of flexible soda straws from artery to vein through that sponge. On arteriogram films AVM formation often resemble a tangle of spaghetti noodles. This tangle of blood vessels forms a relatively direct connection between high pressure arteries and low pressure veins.
The result is a collection of blood vessels with abnormal connections and no capillaries. This collection, often called a nidus, can be extremely fragile and prone to bleeding.