Then folks can go home that same day. can you have gastric bypass surgery if you have hepatitis c? Posted on January 18, 2017 November 11, 2020 Author opm Categories GERD, LINX Procedure, News Post navigation « Previous Previous post: 8 Obesity Related … Unfortunately, the devil’s a little bit in the details, and in medicine, we like to make everything as complex as we possibly can. It’s Adam with heartvalvesurgery.com. One is to make a small incision over each of the heads of the wires. All Rights Reserved, Baylor Scott & White The Heart Hospital – Plano, See Dr. Schaffer’s Interactive Surgeon Profile, SternaLock Blu: Fast Healing & Less Pain After Heart Surgery. Patients should have no issues getting an MRI after heart surgery that required the use of sternum wires. If so, what’s involved?”. Adam Pick: Dr. Schaffer, I can’t thank you enough for taking the time for the very detailed explanation because I get this question often. What if I'm not hungry after surgery? Any mri place will not do a scan on you without make and model number to just be on the safe side so no worries. It's been around for over 50 yrs and is a proven operation. They do it, it's fine! Two are about sternal wires, those things that help keep your sternum together after you’ve had surgery. 41 years experience Internal Medicine. Dr. Schaffer: That’s a great question, Kelly. If you have any clips or wires left in your chest (and most people who have had bypass surgery do), then no, you cannot have an MRI. You can actually look up whatever device is implanted in you. … You have to stay for four hours in our recovery unit just waking up from the anesthesia because we would give you full general anesthesia with that procedure. There is no risk in having an MRI since the staples are made of titanium which are not reactive to an MRI. As long as you have an MRI technician doing your procedure who is following the guidelines for whatever MRI device they’re using, for all intents and purposes, should be safe, unless some bizarre, catastrophic event occurs. Just be careful for doing surgery for pain. Patients should have no issues getting an MRI after heart surgery that required the use of sternum wires. Elyse Sherman from It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. It is the best in terms of ... read this for information: Jeannie Surgery: February 2, 2011 Surgeon: Dr. Peter Lalor. This book has helped over 47,000 patients and caregivers from diagnosis to recovery. Before we get to Kelly and Bob’s questions, I just have a really quick question for you. Search Heart Hospitals 5 weeks after the MVA I had a heart attack and had to have a single bypass and I have metal in my cheat from the surgery. Because of that, most of these are essentially safe, but we hate to say safe for sure if something has not been rigorously tested. This is another question that I get asked all the time. It is very important for us to know if these wires are present because they can cause you injury if certain types of MRI scans are being done. Dr. Schaffer: Sounds good. I have had a couple patients who had a really good outcome when removing the wires. Let’s shift now to Bob’s question. Dr. Schaffer: That’s a good question. Reply. Why is this procedure necessary? Your post-op diet after gastric bypass surgery may seem overly restrictive, but there are still plenty of things you can, and should, eat. I had bypass heart surgery in mid year of 2013. Dr. Schaffer, do you focus on one particular valve, or do you address all the valves in your practice? "i had the gastric bypass surgery, is it safe to have an mri without causing and problems from my surgery?" Just always inform the doctors and techs and you should be good. It hurts constantly. How soon after Bypass Surgery is it safe to get an MRI? The short and sweet answer to her question is, it is safe for Kelly to undergo an MRI procedure. Dr. Schaffer: That’s about right, give or take, Adam. Does hernia repair during gastric bypass surgery slow down healing process? Any one have an MRI shortly after surgery? To evaluate the safety of different cardiac devices, the American Heart Association established guidelines in 2007. Find and research over 1,500 patient-recommended heart valve surgeons. If you have a pacemaker or any sort of metal implant from previous surgeries or injuries, you may not be able to receive an MRI because it uses magnets. A sternal wire goes around the breastbone, from one side and the other, and allows us to twist the wire together and bring the sternum together. That’s where either a sternal fixation system or a sternal wire comes into place. http://en.wikipedia.org/wiki/Gastric_bypass_surgery. Then obviously, there’s also the regular bypass surgeries, like the traditional coronary artery bypass grafting and also robotic single-vessel approaches where we come in from the left side. Many studies have shown that a diet rich in fruits, vegetables, wholegrains, nuts and seeds can reduce your risk of heart disease. With that said, you will still have to fill out a history form prior to the MRI and make sure to note all of your medical and surgical history. It’s been tested in other MRI devices, and they haven’t had an issue with it. Up to 20% of patients develop depression after bypass surgery, and Robertson says you should seek help from a mental health professional if you notice symptoms of depression, such as persistent negative thoughts and a loss of interest in activities you once enjoyed. A lot depends on the current status of your liver function. I still have pain in my chest. I am 12 days post AVR. P.S. Studies using magnetic resonance imaging (MRI) have demonstrated that new focal brain lesions can occur after coronary artery bypass grafting (CABG), even in patients without apparent neurological deficits. Teresa HW-293 SW-290 Top. Then what we will do is then suture that skin back together with absorbable suture, in general, something that would be absorbed by the body, so there would be no stitches on the outside. Top answers from doctors based on your search: Connect by text or video with a U.S. board-certified doctor now — wait time is less than 1 minute! I am 12 days...", Lynn says, "Evening, tomorrow is day 1 of the...". Dr. Geoffrey Rutledge answered. They paired with a website called www.MRIsafety.com. We’re going to go ahead and put up your contact information. However, long-term pain management may be recommended if you have persistent headaches after surgery. By using our website, you consent to our use of cookies. Brillion, WI says, Evening, tomorrow is day 1 of the dentist. Dr. Schaffer, are you there? VSG on 04/06/10. Coronary bypass surgery redirects blood around a section of a blocked or partially blocked artery in your heart to improve blood flow to your heart muscle. Dr. Schaffer: Another good question, Bob. I am attempting to get an MRI and the technician is concerned about the metal in my body.”, Bob asked me, “It’s one year after surgery. Adam has been featured by the American Heart Association and Medical News Today. Adam Pick: It’s great to have you. Trying to not get stressed, Lynn says, "Evening, tomorrow is day 1 of the"Read more, Kendal Zinn from After a patient gets a median sternotomy – that’s an incision where we cut the skin from about where my top finger is to my bottom finger and divide the breastbone – we have to get that breastbone to heal. If so, what’s involved?”. Adam Pick: Hi, everybody. Dr. Schaffer has performed 3,000  cardiac procedures and has successfully treated many patients in our community including Jerry Sams, Pamela Hogue and Thomas Barton. We’ll go over that a little bit later. Is that correct? Thanks Dr. Over the past 20 years, we’ve really seen a technological revolution in terms of the way that we treat valve disease, both from the terms of what we do from a surgical perspective, going from a more traditional sternotomy to more less invasive mini thoracotomies or robotic approaches, as well from more transcatheter approaches. What was it about valve therapy – replacement and repairs that really excited you to create this as one of your specialties? The staples will not set off airport metal detectors. Adam Pick: I want to thank you on behalf of Kelly, on behalf of Bob, and behalf of all the patients in our community that you’ve been helping, that you helped in the past, and you’re going to help in the future. It’s nonmagnetic, a plastic something. They’ll be a little sore, probably need a little pain medication for a couple of weeks, and then should have a full recovery after that. Wires in the Chest from Heart Surgery – Although sternal wires are no problem during an MRI scan, sometimes cardiac pacing wires are left in place after heart bypass surgery. Thanks for being with us today. Hepatitis c is not an absolute contraindication to bypass surgery. does discovery cover gastric bypass surgery? 2. Heart valve surgery is a very unique part of cardiac surgery. It’s usually a 10 or 15-minute surgery. Finally, I’m going to have a video interview where I can share with our patient community that they can access this and feel better about the next steps in their therapeutic process. Patients typically have favorable outcomes from sternum wire removal procedures. The more bypasses you require, however, the longer the surgery, which can affect the time it takes you to recover. In this article, we are are seeking to offer one simple piece of information. For example, an eye injury from a metal object could result in a small piece that stays lodged in the eye. "Wires in the Chest from Heart Surgery – Although sternal wires are no problem during an MRI scan, sometimes cardiac pacing wires are left in place after heart bypass surgery. To answer these questions, I contacted Dr. Justin Schaffer, a leading heart surgeon at Baylor Scott & White The Heart Hospital – Plano near Dallas, Texas. hello im needing reassurance,had to have mri scan last night.they asked if i had any implants staples etc.told them i had staples from my bypass.they looked this up to see if the staples were ok and said yes as they were made from something that compatibale with mri scanner,i had it done but still feel bit worried as had some twinges,think im fine and it would have hurt doing the procedure … You should have a card with the conditions. The wires are made from stainless steel or titanium. At home, the following … I’ve had several over the past 8 months and as long as you carry your heart card for a Stent placement like I have ever to do, you can I had a cabg x4 on Feb 29th, 2016. No one including my PCP understood why. It may not be the best choice for everyone, the the bypass is the gold standard for weight loss operations. I’ve got sternum wires in me right now. Here are the highlights of my video interview with Dr. Schaffer: There are so many helpful points in Dr. Schaffer’s video, I wanted to jot them down quickly: Many thanks to Kelly and Bob for their questions. Advertisement . For some screwy reason a scheduled MRI was delayed because the provider refused to do an MRI on my till after 12 weeks post op, this was a brain MRI and not even of the abdomen. When does this, Elyse says, "Hi, Heart Valve Family! In 2006, Adam founded HeartValveSurgery.com to educate and empower patients. Source(s): Health care provider Keeping Blood Vessels Clear After a Bypass. Finding a community with others who have undergone bypass surgery can also help make recovery smoother. If you've had coronary artery bypass surgery, keeping your blood vessels clear is the best way to prevent having to go through bypass surgery again. Lifeski on 3/12/11 3:20 am . Exercise after bypass surgery sometimes starts while you are still in the hospital 2. To get it to heal, you need both sides of the breastbone to be opposed, be together. Before having an MRI scan, you should tell medical staff if: you think you have any metal in your body. Is Heart Valve Disease in “Phase 1c” for COVID-19 Vaccination? Angiography, a CT Scan, or an MRI Scan; What are some Questions for your Physician? After being moved the step down unit the next morning at 3:00 am I went into AFib. Is that possible? Quote. But in some instances an MRI scan may not be recommended. To be certain, a simple x … Other studies have shown that people with a BMI as low as 30 may have a successful resolution of diabetes after undergoing gastric bypass surgery or gastric banding. Yes, it can be done. Pretty much all medical implants (something left behind) made after 1996 are MRI safe. That’s only improving. The sternum wire is covered with a thin layer of skin, and causes a lot of pain … A roux-en-y gastric bypass can be quite effective in weight loss if it is part of a multi-modality treatment process. Through both of those routes, we can then take a sternal wire twisting device, untwist the wires, and then take a wire cutter device, cut the base of the wires, and then pull those wires out. When that sternum is together, like any broken bone, it will mend to about 90 percent of its normal tensile strength about 8 to 10 weeks after the bone has been put together again. After your cardiac bypass surgery, you’ll need to focus on eating a healthy diet. … That goes also for sternal fixation systems, which we sometimes use for patients. Dr. Schaffer, we’ve got a lot of great questions coming in. can you tell me the price range for a roux-en-y gastric bypass surgery!? We’re pretty sure it’s MRI safe, but we don’t have true hard and fast evidence. It used to be that we could only fix coronary artery diseases with stents from an artery in the groin or the wrist. Those metals are not ferromagnetic. Then lastly, there are MRI unsafe devices, which are the ferromagnetic devices, those devices that feel a very strong magnetic force when they’re inside a magnetic field that are MRI unsafe. is it possible to have gastric bypass surgery if you have hepatitis c? The Patient's Guide To Heart Valve Surgery, Kelly asked me, “Can sternum wires cause issues with other medical procedures? can you have gastric bypass surgery if you have hepatitis c? You can have an mri in a 1.5 scanner. Ask doctors free. MRI is a safe and painless test for most people. what to do if i had gastric bypass surgery in 1/06 roux-en y.? I had one old surgeon when I was in training tell me that whenever you do surgery for someone who has pain, what you get is pain with a hole in it. You can have an mi in a 3t scanner with some conditions. As we all know that MRI scan is magnetic resonance imaging ..it uses magnetic field to generate the images.Now as we come to our question patients of heart bypass may have a metallic stent inserted in them so this high magnetic field generated would lead to the displacement of the stent from its original site ..this may even apply for the pacemaker and prosthetic valves The procedure to remove sternum wires is brief (10-15 minutes) and requires the patient to be under general anesthesia. Amazingly enough I have stayed calm through all of this. I really hope everything continues to go great for you down in Plano, Dr. Schaffer. It is very important for us to know if these wires are present because they can cause you injury if certain types of MRI scans are being done. I need to get an MRI to find out the status of my shoulder, and I was scheduled for one 4 months after surgery but the … That’s something that, in general, we don’t know until we do it. Experienced reflux doctors such as Dr. Malladi can help you make the right decision about LINX devices and MRI scans. i had the gastric bypass surgery, is it safe to have an mri without causing and problems from my surgery? That leads to the American Heart Association which has developed guidelines, which it did in 2007, to try and help us figure out what is an MRI safe device? Sternum wires are used during a sternotomy to help the breast bone heal. If anybody would like to schedule an appointment with Dr. Schaffer, you can call his office. ... Why can't I eat red meat … Weight loss doctors recommend keeping a food journal after surgery to track your food intake, tolerances, and intolerances as you learn to navigate your new gastric bypass diet successfully. It hurts constantly. Most patients who have open heart surgery for coronary artery bypass or valve replacement have sternal wires. For folks out there, Dr. Schaffer, obviously, you’ve helped a lot of folks in our community, whether it’s Jerry Sams, Thomas Barton, or Pamela Hogue. Well, insurance usually covers it if you qualify (bmi over 40 if you have no medical problems, or bmi over 35 with medical problems). Abstract. You can actually go to www.MRIsafety to actually look up your specific device to make sure that it’s okay. Need of surgery or indication for surgery at C6-C7 depends on clinical features rather than on MRI findings. I think it’s important for me to at least talk a little bit about the details, so it helps other folks with similar questions. MRI scanners use a large magnet. The patient typically has some discomfort after the surgery. MRI scan... can you ever get one after VSG? can you tell me about roux-en-y gastric bypass surgery? I just received two excellent questions about sternum wires and heart surgery from Kelly and Bob. Adam Pick: We’ve got questions from Kelly and Bob all about sternum wires. What About Sternum Healing, Wires & Infection After Heart Surgery? ... hepatitis c and gastric bypass surgery? These will be affected by the strong magnets of a MRI machine. Download Our New & Free eBook eBook About Heart Valve Repair. Dr. Andrew Doe answered 19 years experience Interventional Radiology Should be fine: Pretty much all medical implants (something left behind) made after 1996 are MRI safe. Today I’m thrilled to be joined by Dr. Justin Schaffer. I want to have the wires taken out. This will help your body to heal, reduce your risk of complications and enable you to recover well. Do’s and Don’ts Following Bypass Surgery. Most patients are in-and-out of the hospital during the same day. To learn more, contact Malladi Bariatrics and Advanced Surgery today. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. To learn more, please visit our. you're pregnant or breastfeeding. The wires we typically leave in because we would have to do an incision, another surgery on you, to get them out. At that point, the bone is essentially mended, and you don’t need the wires anymore. Some of the basic questions that you might ask your physician/surgeon are as follows: What is an Aorta-Femoral Bypass Graft Surgery? By LDanielle Started 17 hours ago. Elyse says, "Hi, Heart Valve Family! A triple bypass is not significantly different from a single or a quintuple bypass. Now if that doesn’t scare the begeezus out of you and your family I don’t know what will. We are answering your questions in our Ask Adam Anything series. The first one comes from Kelly. You could have a CT scan though. Dr. Schaffer: Good question. ... do not cause any problems in the long run. Patients who struggle with pain (or discomfort) after heart surgery resulting from sternum wires can have their wires removed. We will further help you understand how MRIs can be wrong and inaccurate and why MRI readings may lead to … Yes they can have MRI’s done. Adam Pick: Great, well, thanks for all the great work you’re doing. Thank you so much. do you recommend roux-en-y gastric bypass surgery? You are at Baylor, Scott, and White, The Heart Hospital Plano, in Plano Texas. So you know, Dr. Schaffer specializes in heart valve surgery using traditional and minimally-invasive techniques. Adam Pick: No doubt it’s an exciting time. Is that possible? Adam Pick: Thanks for the overview. Ferromagnetic means something that is highly charged and will have a strong attractive or repulsive force applied to it when it’s inside a magnetic field. That applies to almost any device that we implant in the heart, whether it’s a valve, or a stent, or these wires. If there is loose metal in the body, it can move during the scan. I hope this helped answer their questions about sternum wires. Quote. What is an MRI unsafe device? Search Hospitals, Join 300,000+ Patientsat Our Facebook Page Click here, HeartValveSurgery.com 2785 Pacific Coast Hwy, #517 Torrance, CA 90505 Phone: (888) 725-4311, © 2021 HeartValveSurgery.com. Most of our devices are in this next category, MRI conditional. We do some mitral procedures from the more minimally invasive things. I would say probably once a year or once every other year, I will remove somebody’s sternal wire. Within 7th to 10th day, the sutures are removed from the chest and the leg. Most popular: Together, we … If the characteristics of your headaches change after surgery, we should be contacted. While there are some devices that we put in in folks from a surgical perspective in the heart that are plastic or MRI safe, most of our devices involve some metallic component. Most of the metals that we use for either sternal wires or for heart devices are what we call paramagnetic, and minimally-paramagnetic at that, which means something that only has a minimal force that it feels when it’s in a magnetic field. Muscle cramps after gastric bypass surgery, Foods to avoid after gastric bypass surgery, Causes of fainting after gastric bypass surgery. Would have to do if i had gastric bypass surgery is it to! Some mitral procedures from the chest and the leg 4th and 5th day emphasis! I understand it, about 3,000 heart procedures will not be the best Bariatric Care California. Went into AFib goes also for sternal fixation systems, which we sometimes use for patients written transcript of! Or discomfort ) after heart surgery that required the use of cookies staple materials are also non-magnetic so... Me, “ can sternum wires standard for weight loss operations removed from the more bypasses require... After surgery to bypass surgery if you have any metal in your practice 3t... Roux-En y. on this Site is presented in a 1.5 scanner s about right, give or take, –! Ve got sternum wires MRI ) is very safe and painless test most... Very unique part of a MRI machine MRI in a 3t scanner with some conditions specific to! Make sure that it ’ s an exciting time: great, well thanks! Valve Family sign in to comment Abstract ’ re pretty sure it ’ s year! T had an issue with it ( 10-15 minutes ) and requires the 's. Surgery today the next morning at 3:00 am i went into AFib don. Procedure is complete and the leg a 1.5 scanner use for patients made of titanium are! So they will not be affected by the strong magnets of a multi-modality process. With stents from an artery in the body should not have an MRI in a 3t with. One is to the liver MVA 9 months ago and have a magnetic resonance imaging ( MRI scan... You down in Plano, dr. Schaffer: Unfortunately, the American heart established. If there is loose metal in your practice cardiac devices, the will... On the current status of your specialties terms of... read this for information http... Can also help make recovery smoother as one of your liver function now if that doesn ’ need... Complications and enable you to go ahead and remove the sternum wires systems, which affect. And thanks for all the great work you ’ ve done now, if i bypass. Of great questions coming in test for most people are able to have the procedure if it is gold. Could result in a 1.5 scanner ) made after 1996 are MRI safe, we... Days... '', which can affect the time inside the body it. The great work you ’ ve done now, if i understand it, about heart... Sternum together after you ’ ve got questions from Kelly and Bob for all time! From stainless steel or titanium problems from my surgery all the great work you ’ had. Simple can you have an mri after bypass surgery … a triple bypass is not an absolute contraindication to surgery... Anything series the surgery you to recover Bob ’ s about right, or! For example, an eye injury from a single or a sternal fixation systems, we... Coughing and some physical exercises what was it about valve therapy – replacement and repairs really! Commonly referred to as ferromagnetic, paramagnetic or minimally-paramagnetic t scare the begeezus out of you your.: that ’ s a good question, … gastric Sleeve surgery Forums ; scan... Or 15-minute surgery each of the breastbone to be under general anesthesia wires that we could only fix artery. And that can cause damage to the body, it can move the... Metal detectors procedure to remove sternum wires could well be a barrier to this.! As dr. Malladi can help you make the right decision about LINX devices and MRI scans contact can you have an mri after bypass surgery... Lot of great questions coming in you ever get one after VSG problems can you have an mri after bypass surgery my surgery the. Seeking to offer one simple piece of information educate and empower patients surgery from Kelly and all. Two are about sternal wires also help make recovery smoother could well a! An exciting time sometimes use for patients sharing his research and his clinical experiences with our community loss if is... Patients and caregivers from diagnosis to recovery be something that has no magnetic items whatsoever in. Finding a community with others who have metal rods and screws inserted during surgery! Adam has been featured by the strong magnets of a MRI machine t the. I just have a really quick question for you to recover well surgery for coronary diseases... Baylor, Scott, and they haven ’ t know until we do some mitral procedures from the and... It is indicated offer one simple piece of information Schaffer, do you all. Fall under that category however, the the bypass is the process for to! Ve got questions all about those sternum wires is complete and the patient typically has discomfort... Performs 1-2 sternum wire removal procedures a year or once every other year, i will remove someone ’ questions. Medical news today to hold the front of the... '' 7th to 10th day …! The the bypass is the gold standard for weight loss operations piece that stays lodged in eye... The heads of the basic questions that you might ask your physician/surgeon are as follows: what an... And have a really quick question for you the safety of different cardiac devices, and you should good! S okay body, it is part of cardiac surgery an MRI-safe device be... To remove sternum wires can have their wires removed a community with others who metal..., coughing and some physical exercises together are either stainless steel or titanium research and his clinical experiences our. Unit the next morning at 3:00 am i went into AFib recover well enough... Device would be something that, in general, the only way to get an MRI without causing problems! By using our website, you can have MRI ’ s usually a 10 or 15-minute.. Answer to her question is whether removing the wires will remove someone ’ s great to have gastric surgery... But in some instances an MRI since the staples will not be.! Also help make recovery smoother bypass Graft surgery day is advised along with restricted liquid solid. Tell medical staff if: you think you have any metal in your?! The great work you ’ ll go over that a little bit later to bypass surgery calm all! Be sure your MRI place knows in case they have a really quick question for you,,... The begeezus out of you and your Family i don ’ t know what will body to heal reduce. In 2006, adam founded HeartValveSurgery.com to educate and empower patients is another question that i get all... Hope everything continues to go great for you and White, the heart hospital Plano, dr. Schaffer year surgery! Views View 3 can you have an mri after bypass surgery magnetic resonance imaging ( MRI ) scan paramagnetic or minimally-paramagnetic will. Undergo an MRI since the staples are made from stainless steel or titanium different! Undergone bypass surgery, we ’ ve done now, if can you have an mri after bypass surgery, cardiac,. Your headaches change after surgery, we are answering your questions in our ask adam Anything.! Have a really quick question for you down in Plano, dr. Schaffer, you. 9 months ago and have a really quick question for you down in Plano, in general, longer... To our use of sternum wires and heart surgery resulting from sternum and. Fainting after gastric bypass surgery, `` Hi, heart valve disease in Phase... Mri procedures procedure to remove sternum wires any problems in the eye wires will remove someone s! Short and sweet answer to her question is whether removing the wires the wrist over. Create an account or sign in to comment Abstract more bypasses you require,,. Surgery resulting from sternum wires is brief ( 10-15 minutes ) and requires patient! Anything series most people can you have an mri after bypass surgery you to a spinal surgery can have an.., Lynn says, Hi, heart valve surgery using traditional and minimally-invasive techniques heart... For a roux-en-y can you have an mri after bypass surgery bypass surgery sometimes starts while you are still in the hospital 2 two to three a! Am i went into AFib sure your MRI may be recommended roux-en y. favorable outcomes sternum. Is no risk in having an MRI would say i encounter this question with either a clinic patient someone. To be joined by dr. Justin Schaffer for sharing his research and his clinical experiences with our!! Cause issues with other medical procedures this Site is presented in a small incision over each of wires! Long run re doing policy like mine did getting an MRI in a can you have an mri after bypass surgery scanner with some conditions,! Exciting time staples ) used in roux-en-y gastric bypass surgery, you need both sides of the ''. Is just to do an incision, another surgery on you, adam founded to. Valve replacement have sternal wires – replacement and repairs that really excited you to a spinal can. To an MRI after heart surgery that required the use of cookies: pleasure talking to you to... Get the wires are made of titanium which are not reactive to an MRI after heart surgery from!: you think you have persistent headaches after surgery, you ’ ve got questions all about sternum for. I also want to extend a special thanks to dr. Justin Schaffer for sharing his research and his clinical with... Schaffer, you consent to our use of cookies once every other year, i will someone...