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Conference vmszoo::medical

Title:MEDICAL questions and answers
Notice:Please read notes 1.11, 1.27 and 624.*
Moderator:IJSAPL::ANDERSON
Created:Mon Jan 26 1987
Last Modified:Wed May 28 1997
Last Successful Update:Fri Jun 06 1997
Number of topics:2054
Total number of notes:15270

2033.0. "Alveolar bone graft" by ULYSSE::KRESTIC () Tue Feb 04 1997 10:05

    
    
    My daughter (8.5) is scheduled for an "Alveolar bone graft". The bone 
    for the graft will be taken form her hip. I looked for the information 
    in Altavista, but couldn't find any data on:
    
    1. What is the % of the graft success/rejection?
    2. What are the symptoms of rejection?
    3. In what time period the rejection may happen?
    4. What has to be done in order to minimise risks of rejection?
    
    We are going to see the operating doctor next week with our list of
    questions, but he is very difficult to get the complete info from.
    Thus, any help will be very welcome.
    
    Thanks.
    
T.RTitleUserPersonal
Name
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2033.1IJSAPL::ANDERSONI feel all feak and weeble, docThu Feb 06 1997 03:4542
    >1. What is the % of the graft success/rejection?

    Why should there be any chance of rejection?

    I am in danger of rejection only because the heart that I currently use
    came from someone else. Had it come form an identical twin I would not
    have to suppress my immune system to stop the rejection. As the bone
    graft is coming from the same person as it is going to, why should the
    immune system try to reject it?

    >2. What are the symptoms of rejection?
    
    The rejected material is destroyed by the immune system and recycled
    within the body. So effectively it disappears. 

    >3. In what time period the rejection may happen?
    
    Well if it is going to happen it will usually start within the first
    six months.

    >4. What has to be done in order to minimise risks of rejection?
    
    Load her to the eyeballs with corticosteroids and cyclosporine. Mind
    you this will ruin her looks, leave her wide open to infection, give
    her high blood pressure, a tremor in her hands, deplete her body of
    Nicotinamide and give her a mercurial temper.

    >We are going to see the operating doctor next week with our list of
    >questions, but he is very difficult to get the complete info from.
    
    Ask the questions and if he declines to answer point out to him that
    you are his customer and you pay his rather extensive salary. You may
    also add the point that if you treated your customers like he treats
    his you would be looking for work. 
    
    I have taken this line several times including a run in with a
    professor of surgery, accompanied by his minions, who unadvisedly took
    his temper out on me. It works every time. Doctors are not superior
    beings they are mere mortals, I know I've lived with one for over 20
    years.

    Jamie.