FROM : SUZANNE I. FELIX, Executive DirectorSUBJECT : TRAINING PROGRAM ON "THE COMPLIANCE FUNCTION IN BANKS: COMPLIANCE RESPONSIBILITY IS EVERY BANKER'S JOURNEY" 19th Floor, PS Bank Center, Paseo de Roxas, Makati City--------------------------------------------------------------------------------In response to our members' request (per the results of our Feb. 5, 2010 survey on preferre
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Cascadepaincenter.comWhat is Percutaneous Disc Decompression?
Percutaneous Disc Decompression is a procedure performed to remove a portion of intradiscal tissue, which may relieve painful pressure on the surrounding nerves. Frequently Asked Questions
Why is Percutaneous Disc Decompression helpful?
This is a minimal y invasive, outpatient procedure that uses a 17 gauge auger to extract nucleus
pulpous to reduce intradiscal and adjacent nerve root pressure for leg and low back pain. A
majority of patients who undergo percutaneous discectomy describe a significant improvement
in pain within minutes to hours of the procedure.
Who is a candidate for Disc Decompression?
• Failed conservative therapy. • Leg pain>back pain. • MRI indicates contained herniation.
• Facet pain excluded. • Positive low volume diagnostic selective nerve root block. • Discogram
and post-disco CT consistent with above (for classification only).
What will happen during the procedure?
An IV will be started so that relaxation and pain medicine can be given. You will lie on your
stomach and your skin will be cleansed. Next, the doctor will numb a small area of skin with a
local anesthetic, which may sting for a few seconds. The doctor will then use x-ray guidance to
direct a very small needle into your disc. A disposable discectomy probe is used that passes
through and works in conjunction with an introducer cannula to remove intervertebral disc
nucleus pulpous material.
Will this procedure be painful?
You will be consciously sedated with IV medication for the procedure. This wil help to relax you
and ease the pain. You need to be able to communicate with the doctor what you are feeling
during the procedure.
Cascade Interventional Pain Center www.cascadepaincenter.com
What You Need to Know Before Your Appointment
• Please bring all X-rays, MRI films, etc. with you for your initial visit.
• DO NOT eat any solid food for at least 6 hours and DO NOT drink any liquid for at least 4 hours prior to your appointment.
• If you have sedation during the procedure, you wil need someone to come with you and to drive you home. You wil not be
able to drive for 24 hours following the procedure. • Please wear clean, loose fitting clothing such as sweats. You will be wearing these clothes during the procedure. Belt buckles and buttons could interfere with the X-rays. • Please drink plenty of WATER the day before your procedure.
DO NOT take your insulin or oral anti-diabetic agents on the day of the procedure. You may eat and take your diabetic
medications AFTER the procedure.
• Please note the Medication Guidelines covered below.
Please STOP taking the following medications (if applicable) seven (7) days before your procedure:
• Arthrotec • Toradol • Ibuprofen • Anaprox • Relafen • Advil • Naproxen • Feldene
• Voltaren • Indocin • Percodan • Motrin • Al pain or arthritis herbals (ginko biloba, feverfen, ginger)
Please stop taking all Aspirin products seven (7) days before your procedure including:
• Baby aspirin • Bufferin • Excedrin • Anacin • Asciptin • Ecotrin • Empirin • Midol • Pepto-Bismol
• Sine-Off • Sine-Aid IB • Nuprin • Dristan Sinus • Orgaran • Persantine • Aggrenox
Please call our office IMMEDIATELY at 253-627-2666, if you are taking any of the following medications: • Levenox • Coumadin •
Plavix • Ticlid.
•You may have small sips of water to take your routine medications that are not mentioned in the Medications Guidelines above. Please call Cascade Interventional Pain Center at 253-627-2666 with further questions. Cascade Interventional Pain Center www.cascadepaincenter.com
Asian J Androl 2008; 10 (1): 79–87 Non-surgical therapy of Peyronie’s disease Department of Urology, Rush University Medical Center, Chicago 60612, USA Abstract The present paper provides a review of the available non-surgical treatments for Peyronie’s disease (PD). Areview of published literature on oral, intralesional, external energy and iontophoresis therapies for P