Heart & Vascular Southern California
Heart & Vascular Southern California
Heart valve disease is one area that can benefit from hybrid and percutaneous/endovascular procedures. Heart valve disease refers to conditions that prevent one or more of the valves in the heart from opening and closing properly, which can lead to the development of a valve that does not open wide enough (stenosis) or a valve that is leaky (regurgitation). cardiac care southern california The symptoms of untreated heart valve disease can reduce a person’s quality of life and overall survival.
Although open heart surgery is the traditional method to repair or replace severely damaged heart valves, and most patients can undergo open heart surgery without difficulty, there are new, less invasive techniques that can treat these conditions. Using a pioneering pin hole approach method through a groin vessel, a surgeon can utilize a valve on a catheter without opening the chest. This revolutionary approach is currently offered to treat patients who cannot undergo surgery because their heart function is too severely compromised. These novel approaches are just as effective as open heart surgery to restore normal heart function and help patients return to a normal function and routine quickly.
A major advancement in the management of heart valve disease is the transcatheter aortic valve replacement (TAVR), a new minimally invasive technique for replacing a diseased aortic heart valve. TAVR delivers a collapsible artificial valve into the heart using a catheter, inserted under advanced imaging through a small incision in the groin vessel or between the ribs. The artificial valve is expanded inside the native valve by inflating a balloon, and almost immediately goes to work.
The US Federal Drug Administration (FDA) recently approved the Edwards SAPIEN transcatheter aortic heart valve, for the treatment of inoperable patients with severe symptomatic aortic stenosis. SAPIEN is the first U.S. commercial approval for a transcatheter heart valve device enabling aortic valve replacement without the need for open-heart surgery and the Hoag Heart and Vascular Institute (HHVI) is the first institute in Orange County to provide this revolutionary new technique to patients.
“TAVR is a major milestone in the advancement of treating aortic valve heart disease,” says Aiden Raney, M.D., F.A.C.C., medical director of cardiovascular surgery at Hoag Heart & Vascular Institute and the James and Pamela Muzzy Endowed Chair. “Until now, so many patients did not have an option for treatment of aortic stenosis.”
Senile aortic stenosis is an age-related hardening of the valve and most patients are not fit for surgery. These patients that have been turned down for conventional surgical replacement of the aortic valve are now candidates for TAVR. “A large percent of patients with aortic stenosis are older and therefore will benefit greatly from TAVR,” adds Dr. Raney. “TAVR can help improve patients” longevity, but most importantly it can help improve overall quality of life.”
The recent Edwards trail that led to the FDA approval of SAPIEN, showed 69 percent survival of patients that received SAPIEN versus 50 percent survival in patients that received an alternative treatment. vascular disease southern california Edwards estimates approximately 500,000 people in the US suffer from severe aortic stenosis.
Hip pain can often discourage people from pursuing their daily activities, as well as stop them from enjoying favorite pastimes. Fear of surgery and the unknown can also be significant deterrents to getting a needed joint replacement procedure. Surgery to treat hip pain has often been assumed to be a long, painful route for relief. Today, rehab service southern california however, many new and innovative treatment options are available that can improve the quality of life of those suffering from hip pain while returning the patient to their desired activities much quicker than in past years.
Two of the more popular ways to perform hip replacement surgery are the less invasive “posterior” approach and the less invasive “direct anterior” approach. The type of hip replacement that is suitable for each individual may only be determined through discussion with his or her orthopedic surgeon. The good news is that regardless of the type of approach ultimately selected, thanks to available techniques and approaches, the patient will experience a more rapid recovery and faster return to normal activities.
The “direct anterior” approach to hip replacement is one of several less invasive techniques. By utilizing a state-of-the-art operating table to manipulate the leg, it is often possible to implant a hip replacement without cutting any muscles or tendons, which leads to less post-operative pain, quicker return to function, and does not require postoperative range of motion restrictions. It also allows for real time X-ray analysis of implant position during surgery and allows the surgeon to more accurately reproduce normal hip anatomy and leg length equality.
Orthopedic surgeons Steven Barnett, M.D. and Robert Gorab, M.D. have been early adopters and advocates of this approach and educate other surgeons nationwide on the technique. Both surgeons have extensive experience with this procedure, completing it successfully on over 1,300 patients during the past three years. They have recently presented peer-reviewed data at a national orthopedic meeting that supports excellent outcomes, low complication rates, and rapid recovery on their first 704 patients using this approach. When compared to patients that underwent total hip replacement surgery utilizing traditional approaches, this patient group required significantly less pain medication while in the hospital, progressed with physical therapy at a faster pace, and were discharged from the hospital in half the number of days on average, with some being discharged the next day.
James Caillouette, M.D., one of the founding partners of Hoag Orthopedic Institute, has helped advance new total hip replacement techniques for more than a decade and has presented on the topic of minimally invasive hip replacement to both national and international medical forums. In addition, Dr. Caillouette believes there is more to a successful joint replacement than the surgical technique alone. Physical and emotional preparation, management of fear, education and advances in management of discomfort all lead to most patients being able to walk (with assistance) within less than 24 hours and progress quickly to normal weight bearing. This holistic approach to the complete joint replacement experience is at the core of success for his patients. In fact, Dr. Caillouette has performed many total hip replacements in the outpatient surgery center, where patients go home the next morning.
Steven Gausewitz, M.D., also a surgeon, states, “Total hip replacement is a proven, safe and effective treatment for painful hip conditions. The procedure has evolved in ways that make the recovery more rapid, resulting in a more closely aligned structure than that of a normal joint, and improved durability in such that it can be offered to younger and more active individuals.” rehab service southern california Dr. Gausewitz also believes that the soft tissues can be better preserved while accurately placing and securing the implants, with shorter incisions and less overall trauma. Anesthesia and pain control also continue to improve dramatically allowing patients to return home in less than 24 hours.
Stephen Mikulak, M.D., who has been practicing minimally invasive hip surgeries for 11 years in Newport Beach, has an opinion similar to Dr. Gausewitz in his description of the advancements in total hip replacement. “The successful combination of using a small incision, specially-designed instruments and eliminating the need to cut muscle, in combination with novel pain management protocols, allows patients to be up and walking within hours of surgery, often without assistance,” states Dr. Mikulak.
Arthritis is a joint disease that occurs from trauma or the aging process. Joint pain is a common symptom of arthritis and it happens because of the daily wear on joint muscles. The arthritis sometimes causes discomfort and pain when you move your joints. The condition becomes worse if your body is stiff from the arthritis. rehab southern california Both physical therapy and aspirin can relax your joints, manage the arthritis, and reduce the symptoms of arthritis. Physical therapy offers a practical and long term solution to arthritis. That’s why we think it may be better than other solutions.
When you go in for physical therapy for arthritis, the therapist will teach you stretches, muscle strengthening exercises, water exercises and aerobics. For example, because warm water relieves joint pain and relaxes your muscles, it’s common for swimming activities to be included in physical therapy. And doing aerobics also helps with the strengthening of the muscles without putting pressure on the joints. When you talk with the therapist, be specific about your symptoms and ask for suggestions that will make your condition more manageable on a daily basis. If you are overweight, physical therapy may include weight loss exercises which takes stress off the joints.
Because every patient’s situation is different, physical therapy is more specific than other therapy. If you are not comfortable with a certain exercise, ask your therapist to design a new set of exercises. If the physical therapy does not work very well for you, you may need to consider surgery for your condition. Generally speaking, physical therapy is an excellent way to relieve arthritis pain. Sometimes you need to reduce the exercises for a brief time so your body can relax and regroup.
Before choosing a good physical therapist, you can visit online review websites and see if you can find anything from their patients had to say about the treatment. Visit the clinics’ websites and read detailed information on their services. Read some local health magazines and read profiles on different physical therapists, then call the therapists and ask how they can help patients with arthritis. You should also ask about the price and if they accept certain insurance providers or Medicare.
While you’re receiving the physical therapy, there are other non-medicated ways to relieve the arthritis. You want to get as much rest as possible at night because your joints need to rest. You should also avoid activities that will easily cause injuries. rehabilitation service southern california If you work from the computer, stand up every few hours and stretch your arms, neck and legs. When sitting in the chair, always sit straight up and don’t slump over as this puts pressure on your joint muscles. It also helps to wear special rubber soles in your shoes to relieve the pain of foot arthritis. Instead of taking painkillers, drink herbal teas with lemon and honey as they relieve joint pain. Avoid the lifting of heavy boxes or cans and get someone to help.
Rehabilitation services, also called rehab services southern california, cover a range of treatments that are especially designed to help the addicts or those who have faced some kind of serious illness. Usually, it takes time to complete the rehab process. Sometimes, it may take months or even years. Typically, there are 4 types of rehab services.
In case of loss of skills which affect the day to day activities of yours, you need to consult as occupational therapist. The rehab services are generally for the problems related to upper part of the body but may include those which are related to mental skills as well like a stroke or brain trauma. The patient might not be able to eat properly or able to do day to day work including reading, cooking or walking. The time required for the treatment varies a lot depending on the type of problem.
Physical Rehab Services
Physical therapy is used by the experts to help out those who suffer from a bone or muscle injury. The injury might hinder the movement and may result in pain in shoulder, back and neck. Injury caused as a result of an accident, sport or an occupational injury can be cured at a physical rehab center. Other disorders that got developed with time, although they are not the result of accidents, are also treated, such as stroke, arthritis and strain.
Low Vision and Speech Rehabilitation Services
The service is similar to the occupational therapy but focuses only on the problems related to vision and speech. Also, the therapy is a little different in the approach as compared to other services. This is because while other services tries to reverse the extent of damage and bring the patient or organ as close to normal working condition as possible, the low vision and speech rehabilitation services trains the people to survive and adapt to the situation. For example, for people with low visions, training is provided on how to use the available vision to survive and lead a normal life. They are also taught skills to utilize the other senses including sound and smell to aid the low vision in day to day activities.
Aquatic Rehab Services
The aquatic rehab services are basically used when there is a problem related to strength, endurance or flexibility. The treatment is also utilized in case of joint problems. Water has the great ability to absorb the body weight and in turn shock the body. An important thing to note is that there is no standard aquatic therapy and the experts design the treatment in accordance with the injury and the lifestyle of the person. rehab orange county The treatment has seen great results in the past. It may take some time but there are positive results for sure.
The rehab services work in close relation with other medical treatment to provide a better life to the patients. Once successfully completed the process, the patient may be requested to participate some counseling sessions and take prescription medication.
Living a healthy life is very important to a person. Without a good health, a person will not be able to anything successfully. A person is just like a machine. When a person gets older, he will have this or that health issues. Some people have genetic diseases that can occur in any stage of their lives. Genetic diseases are those diseases, which are passed from parents to their children. Allergies, diabetes, blood pressure, etc are some of the genetic diseases.
Diabetes is one of the most common genetic diseases, which is found in different areas and races. There is no absolute way to cure the diabetes yet, and it can only be controlled by having proper diabetes treatments orange county. There is no age limit for diabetes, it could happen at any stage of a person’s life. Small children can also become diabetic. Diabetes is an inborn disease controlled by a number of genes and the main symptom is the high glucose levels in the blood of a patient. Diabetes is chronic in nature and has no cures. They can only be controlled. Diabetic patients need proper diabetes treatment to control their sugar levels. The symptoms of diabetes do not show up very quickly. They develop steadily in a person and when they become very intense and severe, they can lead to serious problems, and may become life threatening.
Diabetes starts occurring in a person when his pancreas begins to breakdown. The pancreas has the responsibility to maintain the steady blood sugar levels in a person. The pancreas also produces a hormone, which is commonly known as insulin. Insulin is a kind of hormone that is required for our body cells to consume sugar in the blood. There are two types of diabetes: type 1 diabetes and type 2 diabetes southern california. Type 1 diabetes occurs more frequently to young people, however, type 2 diabetes are much more common than type 1 diabetes.
The main symptom of diabetes is that the person starts feeling very thirsty and drinks water again and again. Due to the increased level of water intake his urination also increases and this increased urination mostly occurs at night times. A diabetic person either gains weight or starts losing weight in an unexplainable way. His eyesight also gets affected by diabetes. The person also feels hungry all the time as his appetite increases due to diabetes. Whenever a diabetic person gets any wounds, they do not heal. His skin also becomes very dry and itchy.
When diabetes becomes more serious, the patient may face some very bad symptoms. They can become blind and the chances of having kidney failure or nerve damage increases. Diabetic patients may have micro vascular diseases or macro vascular diseases. In macro vascular diseases the arteries of a patient hardens or contracts which leads to the strokes or heart attacks. Diabetic patients should take care of their diet and should also take their medicines on time if they want to live healthier.
Diabetes Diet Food?
Diabetes southern california has become one of the most frightening diseases, prevailing in the world today. Usually people think lacking exercises is the main cause of diabetes. At certain degree it is true. However, although medical scientists and researchers have developed the idea of diabetes’ possible risks and the relative prevention, they have yet figured out the real main causes and the comprehensive therapeutic methods for curing the diabetes. Diabetes treatment can only help you control and maintain your blood sugar level but there is not a medicine as of the day, which can really cure it. In order to maintain your health you need to be cautious of few things.
Most, if not all, diabetes therapies are about controlling blood’s sugar level. In some therapeutic procedures, patients may need monitor the sugar level several times a day, and eat different food based on the sugar level. As we mentioned, diabetes can only be controlled, particularly for type 2 diabetes, you need to be more responsive to your blood sugar level and keep track of your results and then compare it on a wider period, such as weeks or months, so you could see whether the therapy has certain positive effect on you or not. Different therapies could have different results for different patients. Nearly 90% of the diabetes patient happen to be suffering from the type 2 diabetes, it is often seen that type 1 diabetes patients are much younger than type 2 diabetes patients.
Diabetes therapy is a gradual procedure and requires consistency. However, diabetes patients are easier become tired than normal persons. Thereby, diabetes treatment could be a hard deal for them. And age factor counts too in such scenario. In most cases people feel positive effects if they carry along the diabetes treatment properly. It is very important to maintain the improved lifestyle. Otherwise, the sugar level in blood could be higher again.
Diabetes could be controlled if you follow the doctor’s instructions and do not eat food that has sugar in it. Exercises would also help you in developing efficiency to your insulin for type 2 diabetes southern california. Diabetes therapy may also have an overwhelming psychological impact on you, you would need to develop a strong will to reject all the sweet food, including your favorites. Keeping all the key factors in your mind, you could begin your diabetes treatment on a preliminary stage. If the results seem to be productive you may continue with it and improvise more effectively to overcome the disease that is very bad to your health.
If medication is not enough for your heart disease, you might have to choose surgery. Heart disease surgery sounds like complex, but it could be fairly simple such as an angioplasty and stents. The complex surgery includes bypass and valvuloplasty surgery. No matter the level of surgery, they all have their own element of risk. It is because the surgery will repair the heart that causes the body to break down, while the heart is the most important organ in our body.
When the coronary arteries orange county are blocked, bypass surgery is needed to create a new pathway for the blood flow to the heart. Bypass surgery includes taking an artery and grafting the artery in place on each side of the blockage. It is a detour for the blood to go around the blockage. The blood vessels from other parts of the body, such as arms, legs and chest, can be used as the grafting blood vessels. Grafts from those areas are safer to use because there are other ways that carry blood to those tissues.
Thoracic arteries are the most commonly used grafts in heart disease treatment surgery, as they are found to have very good long term results. The arteries have their own rich in oxygen blood supplies and can be kept pretty much intact at their beginning point. The surgeon sews the arteries into the coronary artery just below the blockage. The artery can always be accessed primary incision.
Saphenous veins used in heart disease treatment surgery are found in the leg and sewn from the aorta to the coronary artery just below the blockage. The surgery has minimal invasion, usually results in less scarring and a quicker recovery.
The radial and the ulnar are two arteries in the arm. Sometimes they are used in heart disease treatment surgery. The ulnar artery usually delivers adequate blood flow and there are no adverse side effects when the ulnar is removed for the bypass procedure. The radial artery can be used based on positive preop and introp tests. When the radial is to be used, an incision is made in the forearm, about two inches from the elbow to about one inch from the wrist. It usually includes 6 months of a prescribed medication named calcium channel blocker. The medication helps keep the artery open. An after operation side effect with this type of heart disease treatment is wrist numbness for the short term.
It is not uncommon for multiple coronary arteries to be part of a bypass system used during heart disease treatment surgery. Diagnostic tests run as a prelude to heart disease treatment surgery will be the basis of the bypass method chosen. The heart surgeon will choose which grafts are suitable to use as it depends on the size, location and degree of blockage along with the rough size of the coronary artery. In United States, bypass surgery is commonly used in the heart disease treatment.
There are a variety of rehabilitation services that one can consider when trying to kick addictions or improve a medical condition. Since each case is different, the rehabilitation service is personalized for the patient. Unlike many other services, programs offered through a rehabilitation service are supervised. When people hear the phrase rehab service, they automatically think of drug and alcohol abuse, but rehabilitation services irvine deal with mush more than that.
For instance, physical therapy is a kind of rehabilitation service. Physical therapy helps people recover from an injured body part and regain the use of it. The doctor focuses on helping the client regain mobility while trying to decrease the amount of pain that the client experiences. During the physical therapy treatment, the doctor may use an exercise plan to help the client improve faster. It may be combined with massages as well as nerve stimulation treatment. Physical therapy can last several months or less depending on a person’s condition. Individuals who have injured several of their body parts may be recommended to continue physical therapy for an extended period of time.
Except physical therapy, occupational therapy is also offered through a rehab service. Occupational therapy improves loss of function in certain areas of the body, reasoning abilities and basic motor functions. It is perfect for individuals who are disabled mentally, emotionally and physically because it’s designed to improve these conditions while helping the client to return to their daily activities. During occupational therapy, clients are well informed and educated on their medical condition. So the patients can understand the plan the doctor recommends. For example, if you’re overweight, your doctor will probably put together a meal plan, exercise plan and treatment to help you to lose the weight. You are also taught how to improve the condition so that when you’re done with the treatment, you know how to keep yourself healthy at home.
For the alcohol and drugs rehab service, the treatment depends on the severity of the patient’s condition. A rehab service orange county for drugs and alcohol on an inpatient basis is recommended for individuals who have a long history of drug use. During the rehab service, the patient will go through a detox program to get rid of all of the toxins in the body. Once successfully completed the rehab program, the patient may be required to participate in counseling sessions and take prescription medication.