Things I can do to increase the chances of success on the operating table?

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Quote from: fokid on May 11, 2018, 10:40:18 AMhow are the odds of a car crash 1:5000?  most people drive 10 times a week. so in 10-15 years everyone should have been involved in a car crash? think of third world countries like Vietnam where traffic is very chaotic.

Yeah, I'm not sure where Bruce got his numbers from.

https://www.thrillist.com/cars/nation/how-likely-you-are-to-die-in-a-car-accident-in-every-us-state-the-most-dangerous-roads-in-america

It seems it can vary drastically.

I'm not sure if Bruce's numbers refer to normal city traffic or road traffic, either. I'd say that's an important distinction to make.

Either way, it really puts driving into perspective.

https://www.iii.org/fact-statistic/facts-statistics-mortality-risk

(Lifetime chance of dying in a car accident, as the occupant, being 0.15% according to this last link.)

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Quote from: Android on May 11, 2018, 09:48:08 AMDo keep in mind that we travel a lot more often than we get operated on. I'd take the 1-2% risk. Again, my opinion.

Correct, he has never had a person die from FES. Risk of death by FES is 10-20% if you get it at all, so mortality is fraction of a percent (20% of 2% is 0.004%). It is not a death sentence.

Quote from: myloginacct on May 11, 2018, 12:43:36 PMIsn't it 0.4%?

That is comparatively much higher than the car crash scenario (0.02%), but given that it'd be just once or twice in our whole lives... (I'm assuming removing the IM nails can also trigger FE, but I'm not sure.)

So that's about a 1 in 250 chance of dying to FES.
                         (0.4%)

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Quote from: Android on May 11, 2018, 09:48:08 AMDo keep in mind that we travel a lot more often than we get operated on. I'd take the 1-2% risk. Again, my opinion.

Correct, he has never had a person die from FES. Risk of death by FES is 10-20% if you get it at all, so mortality is fraction of a percent (20% of 2% is 0.004%). It is not a death sentence.

Quote from: myloginacct on May 11, 2018, 12:43:36 PMIsn't it 0.4%?

That is comparatively much higher than the car crash scenario (0.02%), but given that it'd be just once or twice in our whole lives... (I'm assuming removing the IM nails can also trigger FE, but I'm not sure.)

So that's about a 1 in 250 chance of dying to FES.
                         (0.4%)

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Quote from: myloginacct on May 11, 2018, 01:17:20 PMSo that's about a 1 in 250 chance of dying to FES.
                         (0.4%)

Oh  , really need to consider 2-stage then. How different do you think between a month apart and 6 months apart?

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Quote from: Bruce Wayne on May 11, 2018, 02:55:55 PMOh  , really need to consider 2-stage then. How different do you think between a month apart and 6 months apart?

I'm not a LL vet or a medical doctor. I'd rather just not comment on this.

E-mail Paley about your concerns, and use your own critical thinking to weigh the costs and benefits of unilateral/bilateral femur procedures with Paley/Rozbruch, given all the data and related issues we know about those.

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Quote from: Bruce Wayne on May 11, 2018, 02:55:55 PMOh  , really need to consider 2-stage then. How different do you think between a month apart and 6 months apart?

I think you're reading too deeply into the issue. I'm going to agree with Android here and say undergoing 2 separate surgeries is far riskier than doing both legs at the same time. Even Dr. Paley is saying it is more advantageous to just do both legs at the same time. I think your chances of just some general complication from one of 2 different surgeries is far greater than the risk of getting FES. Not to mention the extra cost and recovery time.

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Quote from: Johnson1111 on May 11, 2018, 08:08:13 AM wont the doctors look for fat embolism anyway and make sure you are okay regardless?

lol people in here just talk nonsense when they don't know anything about fat embolism syndrome to begin with.

there is no specific therapy for fat embolism syndrome once you get it. All you get is supportive treatment (oxygen) and even with the supportive treatment you can still die or go into an induced coma. If it leads to cerebral fat embolism, you will be brain dead almost immediately. But since there are so many research scholars in here who just want to talk without actually reading up on these things, I will leave it up to them to decide what is best.

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people think that a 2% chance of getting fat embolism syndrome that can lead to death or coma is insignificant.
or that a 0.4% chance of death from fat embolism syndrome is insignificant.

ask yourself this: Do you really want to be the unlucky 1/200 that dies from this surgery?? Or the 2 in 100 who actually get fat embolism syndrome? Or would you rather avoid it all together and make it almost nonexistent by doing a unilateral LL?

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I have a heart defect from birth that I need repaired before I'm too old (before 50), and the operative mortality rate is 1.5-5.5%. I'm not thinking twice about it, definitely doing it. I wouldn't be able to leave the house if my decisions demanded zero risk.

But hey, that's just my two cents!

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Quote from: MirinHeight on May 11, 2018, 08:28:33 PMlol people in here just talk nonsense when they don't know anything about fat embolism syndrome to begin with.

there is no specific therapy for fat embolism syndrome once you get it. All you get is supportive treatment (oxygen) and even with the supportive treatment you can still die or go into an induced coma. If it leads to cerebral fat embolism, you will be brain dead almost immediately. But since there are so many research scholars in here who just want to talk without actually reading up on these things, I will leave it up to them to decide what is best.

This is why I am very cautious when I make my posts. But it's been too long and the forum won't let me edit my post about FE on the first page.

Paley has never had a patient death AFAIK, but I shouldn't have made a post that kind of downplayed the severity of FE & FES just because they've been able to manage the cases they have had under their hands.