Modern Understanding Therapy For Thoracic Outlet Syndrome With Farid Gharagozloo Md, youtube mp3 indir
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Modern Understanding & Therapy for Thoracic Outlet Syndrome with Farid Gharagozloo, MD
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Provide a platform for physicians that have extensive and successful experience assisting patients with Thoracic Outlet Syndrome (TOS) to:
Help patients understand the disease more fully
Share their clinical approach with physician colleagues
We encourage you to join us…
https://www.toseducation.org/video-options
https://www.tosmri.com/thoracic-outlet-syndrome-education/thoracic-outlet-syndrome-educational-videos/
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don't guess with tos
the tos guy
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the tos guy and today we have a really special guest we have dr fareed gary gaslow who is an excellent surgeon in florida in orlando florida not only does he have experience doing standard tos surgery but he has developed a whole new field of tus surgery using robotics he's on the cutting edge of this and i'd like to welcome everybody to dr farid gargassel well thank you dr dan um and uh it's a privilege to join everyone in this uh presentation and discussion about tos i will try to take everybody through a journey of discovery that really started about maybe 20 some years ago and hope that it will slowly clarify some of our new thinking about this disease the important thing is that for many many years since the really the 50s especially we have thought that this disease is because something is compressing a structure in the in the neck and the thoracic outlet area and uh the the compression has been thought to be a physical compression like of a nerve most commonly we are now understanding that many times the patients who have these symptoms and i'll go through it actually have uh trouble with blood flow and uh and the reason that they're having a lot of the nerve symptoms probably is because of a change in blood flow to the extremity as opposed to a compression of a nerve that is the sort of the overall kind of approach to this that we're taking and i'll kind of take our audience through this slowly to understand how we have come to this conclusion the important thing is that unfortunately medical practitioners underestimate this disease this is a common disease it is highly under diagnosed i call it the three-headed chameleon because it really is a disease that can present with nerve symptoms most commonly about 95 of the time but unfortunately 98 of that 95 percent have no specific objective finding and we call them disputed neurogenic pos we're going to talk about that i think we're also going to talk about how we need to change some of our terminology because neurogenic means that it is caused by nerves and probably nerve symptoms is a more uh accurate way of talking about symptoms in those patients there are a very few patients who have trouble with the artery in the thoracic outlet area and then another group of three to five percent of the patients who have trouble with compression of the vein that actually is the most the easiest one to understand and diagnose as you'll see we started with that in our journey the key is this is a disease of young people and young females and this is really important because unfortunately in our culture we when someone comes and talks about pain and they're talking about pain in a way that physicians cannot understand from physical diagnosis standpoint then we start talking about histrionic personality we start labeling people we start giving them pain medicines on and on and on and really we do a disservice just because we are not understanding what's really going on so this is a fascinating disease and let's go on this journey together everyone pretty much knows that this chameleon presents with pain numbness tingling weakness fatigue people can have headaches and they can be swelling of the extremity many different ways of presentation and for centuries now people have tried to understand what in the world is going on when these patients have so many different and complex symptoms
unfortunately sometimes in medicine when we try to sort of outsmart ourselves we really do end up outsmarting ourselves in a very negative way and this goes back to 1956 when a