Dr. Young, we met with Dr. Kao today (a day earlier than what was
planned). He came to our home with his nurse who travels with him
to Ecuador. He stayed almost 3 hours. He had us view a video,
which he left for us, and explained the video quite well. His
examination was thorough, gentle, and quite professional. He says
that I am T10-incomplete as I have voluntary muscle movement below
the injury. He said that is good. Now for your questions- "
please say hello to Dr. Kao from me. I have not seen him in 10
or so years." Dr. Kao smiled and sort of chuckled and said "oh yes
Dr. Young, how is it you should know him?" I explained through
cando.com and he wrote it down and said he wants to check into
this!! He said to say "hello". "If I were you, I would ask him
whether my spinal cord
is compressed or tethered." COMPRESSED is what he said. "If so,
I would ask him what experience
that he has had with functional recovery resulting from decompressing
or untethering such spinal cords." part of his response was this" in
1983 he concentrated exclusivly on the care of SCI patients.
Recognizing that a reduced and fused spine after
fracture-dislocation was the fundamental condition for any spinal
cord reconstruction, he began to perform a wide variety of surgeries
for spinal fusion. He was exposed to Roy-Camille's, Dick's and
Zielke's fusion techniques which he preferd to Harrington's. With a
good reduction and a solid fusion of the spine, he began to perform
a meticulous posterior and anterior decompression including
microsurgical neurolysis and wide watertight dural graft. He began
this procedure at the lumbar areas to decompress the cauda equina
and found that the result was quite encouraging. He began to
operate on the thoracic levels, this time with a variety of
reconstructive procedures for the nerve roots and the spinal cord
using sural nerves. Positive results were obtained in "well
selected cases", although it was!
still limited. With the aid of
below the knee boots for ambulation, as well as special physical
therepy technique using the Elgin table to improve the strength of
the recovered muscles, he reported the first 90 consecutive cases at
the 8th International Congress of Neurological Surgeons in
Toronto...he has had many more since that time (1985) and is in the
process of writing another book with his work, findings, success and
failures. "I would ask him to describe in
detail the therapies that he may be proposing to do, including cells
or peripheral nerves that might be transplanted, omentum transplants,
growth factors, and any other experimental treatments." He plans to
A.) remove my rods and pins( and later re-insert them) to cut
down(away) the T10 vert. in order to straighten my spine the proper
way, B.) take sural nerves from my leg(S) and transplant that to the
1 1/2 inch "gap" in the cord, C.) take schwan cells from another
part of the leg(s) and transplant that to both ends of where the
spinal cord meets with the sural nerve D.)take a free, unattached
piece of omental tissue and surgically place it over the injured
cord and connect it to a surrounding vascular source E.) 2 wks. of hyperbaric o2
therapy for 2 1/2 hrs. a day, full bed rest as well. He also said
that I will get 4AP - after words- I will start that in the states.
I was impressed with him over all. We talked a great deal about
Mellisa Holley-Israel, Cheng-Taiwan, as well as others......Birde