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  Barbara Deering → Lymphedema Community Staff: Mary Anne
  
  Thanks for getting back with me.  We have used chip bags on her L foot and it actually made her feel better.  She is very active and teaches 4th grade.  She has tried compression garments but could not get the right size so we had her...  moreMary Anne
  
  Thanks for getting back with me.  We have used chip bags on her L foot and it actually made her feel better.  She is very active and teaches 4th grade.  She has tried compression garments but could not get the right size so we had her measured and I think she has them now.  She is very proactive and even though she was worked up by a vascular surgeon I am thinking she needs to see a Lymphologist to determine her true issues.  She now has increased trunk edema specifically along the sternum.  It will be interesting to see how this plays out.  I was thinking maybe something like Scleroderma but there are no skin changes that look like that. 
  
   
  
  Thanks again
  
  Barbara  less

  • April 26, 2013

  • Patricia Hughes likes this.
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  Barbara Deering → Lymphedema Community Staff: I am a new Lymphedema therapist graduated in October of 2012.  I ahve a patient I could use some help with.  She is a young lady with no injury or onset event who started with edema in BLE with LLE worse.  She had thyroid testing with normal results,...  moreI am a new Lymphedema therapist graduated in October of 2012.  I ahve a patient I could use some help with.  She is a young lady with no injury or onset event who started with edema in BLE with LLE worse.  She had thyroid testing with normal results, a vascular surgeon dx with Lymphedema. She has not had any Lymphscintography or other testing.  She was refered for a flexitouch and no therapy.  The Flexitouch rep informed her she should be seeing a therapist.   She presented to me with BLE involvement but both UE in her forearms were hard(fibrotic?).  I have been performing MLD with focus on trunk and proximal areas. She now has increased edema in trunk specifically over the sternum and posterior rib cage.  We are wrapping her with chip bags and grey foam but tolerance is poor.  Am I missing something here?  She seem s to have something else going on.   
  
  Thanks for you help.  less

  • April 23, 2013

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    Staff Certified Lymphedema Therapist Hi Barbara, this does sound like a complicated and frustrating case for you. Has she had a full cardiac workup recently? She could simply have primary lymphedema. I would be more conservative with her for now and avoid the aggressive chip packs which...  moreHi Barbara, this does sound like a complicated and frustrating case for you. Has she had a full cardiac workup recently? She could simply have primary lymphedema. I would be more conservative with her for now and avoid the aggressive chip packs which could increase compliance. Maybe look into an adjustable garment like the Solaris Ready Wraps for her legs that she can wear while you are working on her trunk and arms. Try to make things easy for her and she will be grateful! Good luck and keep me posted!  less

    • April 26, 2013
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  Barbara Deering has just joined the community. Say hello!

  • April 23, 2013

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    Deleted Member Welcome to LC

    • April 29, 2013
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