I'm Going Into Surgery In A Few Hours

srb888 said:

Imo it's serious... JAM is a lot more serious condition than CTS. They should've done a preoperative differential diagnoses and in that, a biopsy should've performed to see if it was anything else than the CTS.

Also, in JAM, postoperative very minimum exercising is advised AFAIK... And in a JAM, some more surrounding tissue needs to be removed. Also, now, IMO, you'll need many periodic med/surgical tests done and it's never a cut and forget procedure as in CTS.

The intense pain you had suggests a major nerve could've been damaged due to either wrongly diagnosed condition and thereafter not carrying out the more serious and correct operative procedure, which was JAM related, and therefore due to not following correct operative procedure, a nerve damage was overlooked, to say in common terms.

May not come to that hard prognosis, but you now need to take extra care when the diagnosis is JAM, and the procedure done was for CTS.... The surgeon has done his basic duty to let you know about JAM condition, but he has not told you about certain more things you need to do after IMO a wrong procedure was done on your hand. Maybe you need to take a legal opinion on this asap, and depending on where you live, the surgeon has made a real major mistake, iatrogenic is the term, and has erred in not giving you complete details of what serious complications there could be in future... I believe that he should have ordered a biopsy before the procedure, a simple thing which could have made a correct procedure possible for the patient.

Where do you live? The US? Get a second opinion asap, and also approach your lawyer thereafter if you feel so.

Praying for your full recovery and no complications. God bless.

Click to expand...

srb888 said:

Imo it's serious... JAM is a lot more serious condition than CTS. They should've done a preoperative differential diagnoses and in that, a biopsy should've performed to see if it was anything else than the CTS.

Also, in JAM, postoperative very minimum exercising is advised AFAIK... And in a JAM, some more surrounding tissue needs to be removed. Also, now, IMO, you'll need many periodic med/surgical tests done and it's never a cut and forget procedure as in CTS.

The intense pain you had suggests a major nerve could've been damaged due to either wrongly diagnosed condition and thereafter not carrying out the more serious and correct operative procedure, which was JAM related, and therefore due to not following correct operative procedure, a nerve damage was overlooked, to say in common terms.

May not come to that hard prognosis, but you now need to take extra care when the diagnosis is JAM, and the procedure done was for CTS.... The surgeon has done his basic duty to let you know about JAM condition, but he has not told you about certain more things you need to do after IMO a wrong procedure was done on your hand. Maybe you need to take a legal opinion on this asap, and depending on where you live, the surgeon has made a real major mistake, iatrogenic is the term, and has erred in not giving you complete details of what serious complications there could be in future... I believe that he should have ordered a biopsy before the procedure, a simple thing which could have made a correct procedure possible for the patient.

Where do you live? The US? Get a second opinion asap, and also approach your lawyer thereafter if you feel so.

Praying for your full recovery and no complications. God bless.

Click to expand...

Zwielicht said:

Yes, I live in the United States.

By CTS do you mean carpal tunnel syndrome? I was never diagnosed with CTS; the mass in my wrist was diagnosed as a ganglion cyst by 3 different doctors and 2 surgeons (so much for a second opinion ). None of them did a biopsy, just x-rays and MRIs, so I agree with you on that one.

My wrist and hand are swollen today, which caused my incision to open up slightly, but I'm at least able to move my fingers and thumb today without pain.

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srb888 said:

I apologize for constantly referring to CTS when I wanted to say ganglion. I was on mobile and so it skipped me that I was constantly typing CTS instead writing ganglion....

Anyway, a similar misdiagnosis was done on my friend and then another surgeon had said that a biopsy should have been done before the ganglion was removed from my friend's wrist. He had also referred to removal of extra tissues from the surrounding area because the case was pointing to JAM and it was not a simple case of ganglion...

I remembered that case as I was reading your later post which mentioned JAM. I was on mobile when reading that and in concern, I typed the post not very aware that I was typing CTS instead of ganglion... I hope that you will take some periodic diagnostic tests to see that it doesn't recur. JAM can recur, whereas simple ganglion doesn't show that tendency IMO. Kindly do some more study on JAM so that you'll understand my concern.

JAM is a rare condition, but it can be diagnosed if a biopsy is done, and the operative procedure is a little different in that case. Hence, even post operation, I think it is better to get another opinion on that line because the finding came only after all opinions were made without a biopsy. Doctors are busy people, and they tend to come to an easier diagnosis, ganglion of which JAM is slightly different and rarer version.

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