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Chest Pain
Everything in the library about chest pain — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Surgical Management
3 items
Tricks - Thoracoscopic-Assisted Partial Rib Resection - Jack Langer
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video9:18 · Nov 2018
Thoracoscopic Treatment of Spontaneous Pneumothorax
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This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pedia
video3:16 · Feb 2020
Thoracoscopic Treatment of Spontaneous Pneumothorax
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This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pedia
video3:16 · Feb 2020
Case-Based Learning
1 item
Thoracoscopic-Assisted Partial Rib Resection: Pediatric Surgery Difficult...
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During the Pediatric Surgery Tricks of the Trade and Difficult Cases: Innovative Solutions to Common Problems Course in 2013, Dr. Jacob Langer demonstrates and discusses thoracoscopic-assisted partial rib resection in patient found to have
video8:28 · Sep 2018
Patient & Family Education
2 items
Patient Testimonial and Experience: Pectus Innovations
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Cole Goodridge, former patient of Dr. Garcia's underwent a pectus repair procedure at twenty-one years of age. He had previously had the Ravitch procedure at age three. Following this procedure he was experiencing persistent symptoms. Follo
video13:55 · Jan 2019
Pectus-Patient Testimonial and Experience
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Cole Goodridge, former patient of Dr. Garcia's underwent a pectus repair procedure at twenty one years of age. He had previously had the ravitch procedure at age three. Following this procedure he was experiencing persistent symptoms. Follo
video14:33 · Mar 2022
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
Patient Testimonial and Experience: Pectus Innovations
Rebecca Garcia underwent pectus repair surgery on August 1st of the previous year at age 21
clinicalRebecca Garcia0:15 ↗
Rebecca had previously undergone the Ravitch procedure in Atlanta, Georgia at age 3 or 4 years old
clinicalRebecca Garcia0:22 ↗
Despite prior Ravitch procedure, Rebecca continued to experience chest pains and trouble breathing
clinicalRebecca Garcia0:22 ↗
Meditation, specifically Jack Kornfield videos recommended by Dr. Garcia, helped with mental recovery from pectus surgery
opinionRebecca Garcia1:39 ↗
Post-operative pectus patients experience significant physical restrictions including inability to turn, twist, or lift more than 5 pounds
clinicalRebecca Garcia2:19 ↗
The mental and emotional burden of post-operative dependency is as significant as the physical recovery challenges
opinionRebecca Garcia2:19 ↗
Robaxin (methocarbamol) helps relieve chest tightness and pressure sensations in post-operative pectus patients
clinicalRebecca Garcia3:36 ↗
Dr. Garcia required Rebecca to wait 3 months before returning to weight training after pectus repair
clinicalRebecca Garcia4:15 ↗
After 3 months and gradual return to exercise, Rebecca achieved strength levels exceeding her pre-operative baseline
clinicalRebecca Garcia4:32 ↗
Having a dedicated pain team with established protocols reduces delays in pain medication administration
opinionTodd Ponsky5:41 ↗
Pain team protocols eliminate the need to wait for individual physician orders for pain medication
clinicalTodd Ponsky5:41 ↗
Patients are systematically screened for resistant staph (MRSA/URSA) prior to pectus surgery
clinicalGarcia7:23 ↗
Patients who screen positive for resistant staph receive nasal and underarm swabs and are prepared according to protocol
clinicalGarcia7:29 ↗
Bactroban is given intranasally twice per day for 7 days prior to surgery for patients with resistant staph colonization
clinical7:40 ↗
Vacuum belts for pectus patients are obtained directly from suppliers in Germany at a cost of approximately $400-500
clinical8:11 ↗
For routine procedures like umbilical hernia repair, one surgeon places no activity restrictions, relying on children's self-limitation based on pain
clinical8:40 ↗
For pectus patients, full activity is permitted after 3 months (12 weeks) post-operatively
clinical9:16 ↗
Adolescent pectus patients do not always adhere to the 3-month activity restriction, with some observed doing prohibited activities
clinical9:43 ↗
After 3 months, pectus patients are recommended to perform stretching and core strengthening exercises using instructional YouTube videos
clinical9:54 ↗
A good percentage of lower anterior rib flaring after Nuss procedure resolves spontaneously
clinical10:45 ↗
For older patients with rib flaring, ribs below the repair site can be broken and pushed down, a technique observed at Mayo Clinic
clinical10:50 ↗
Rib osteotomy for flaring is less effective in pediatric patients due to their greater flexibility
clinical11:04 ↗
Rib flaring tends to improve over time in many pediatric pectus patients
clinicalGarcia11:13 ↗
Sleeping position after pectus repair is patient-guided; if side-sleeping is comfortable, it is permitted
clinical11:33 ↗
Patients naturally move during sleep regardless of prescribed sleeping positions
clinical11:54 ↗
MRI is preferred over CT scan for pectus evaluation based on discussion during this session
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position12:40 ↗
Cardiac effects of pectus excavatum are clinically significant, not merely cosmetic
Host summaryTodd Ponsky summarizing the discussion — not the host's own clinical position12:35 ↗
A planned study will examine post-operative cardiac findings in pectus patients, led by cardiologist Michael Taylor
clinical13:19 ↗
Pectus-Patient Testimonial and Experience
The patient underwent pectus repair surgery on August 1st of the previous year at age 21
clinicalRebecca Garcia0:15 ↗
The patient had previously undergone the Ravitch procedure in Atlanta, Georgia at age 3 or 4 years old
clinicalRebecca Garcia0:22 ↗
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