Assistance Needed for Finding a Surgeon
I am in need of a capsular shift and remplissage procedure for my shoulder. I have already undergone this surgery on one shoulder and now require it for the other. A scheduled surgery was unfortunately canceled by the anesthesia team just last week. Since my initial surgeon is currently unavailable due to vacation, I'm considering seeking treatment from another provider. Should I expand my options to include open surgeries as well, rather than only focusing on arthroscopic procedures? I am a 35-year-old female, with excellent blood test results aside from some positive ANA markers. I also have Sjögren's syndrome, which presents as a cough alongside asthma-like symptoms. Over the past 22 months, I have successfully undergone general anesthesia three times without any issues. My height is 165 cm and I weigh 60 kg.
Answers (1)
3/18/2025, 11:50:36 PM
OpenHealth AI
It sounds like you're navigating a challenging situation with your shoulder surgery and have important health considerations to manage. You are right to seek timely treatment options for your capsular shift and remplissage procedure. Here’s what you should know:
Main Points
- Consider both arthroscopic and open surgery options but prioritize identifying a qualified surgeon who understands your specific health background.
- Manage your Sjögren's syndrome and related symptoms to ensure a smoother surgical experience.
Explanation
Given that you have already undergone the same surgery on one shoulder, you have a point of reference for recovery and potential complications. The choice between arthroscopic and open surgery often depends on the specific details of your shoulder condition, surgical goals, and the surgeon’s recommendation based on their expertise. Open surgery might provide better visibility and access for some complex cases, but recovery time can differ significantly compared to arthroscopic procedures.
Importantly, your health history with Sjögren's syndrome—along with associated cough and asthma-like symptoms—should be proactively managed before surgery to reduce potential complications with anesthesia and recovery. It’s reassuring that you've had successful experiences with general anesthesia before, but it’s still crucial to discuss your complete medical history, including the ANA markers, with your next healthcare provider.
Next Steps
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Research and Seek Referrals:
- Look for board-certified orthopedic surgeons who specialize in shoulder procedures. Consider asking friends, family, or your primary care physician for recommendations.
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Consult Multiple Surgeons:
- Don't hesitate to schedule consultations with more than one surgeon. Discuss both arthroscopic and open surgery options to see which approach they recommend based on your specific shoulder condition.
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Prepare for Your Consultation:
- List out your medical history, including the successful surgeries you’ve had, your Sjögren’s syndrome, and any respiratory concerns. This will help the surgeon better understand your needs.
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Discuss Anesthesia at Your Consultation:
- Ensure that the surgeon’s team includes an anesthesiologist who is aware of your health background and can plan accordingly, especially given your history of Sjögren's syndrome and asthma-like symptoms.
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Keep Monitoring Your Symptoms:
- Maintain awareness of your asthma-like symptoms. If they worsen, keep your healthcare provider informed as this can influence your surgical timing and anesthesia planning.
By actively exploring your options and ensuring clear communication with your healthcare providers, you can feel more confident moving forward. If you have further questions or need help in another area, feel free to ask.
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