The Chicago Garage

Forum Register Members Casino Live Posting Feed Garage Arcade iTrader Members List Calendar Search Today's Posts Mark Forums Read
Go Back   The Chicago Garage > General Discussion > Off Topic
alpiemonte=

User Tag List

Like Tree77Likes

Reply
 
LinkBack Thread Tools Search this Thread Display Modes
Old 02-12-2017, 06:46 PM   #26
 
03 VENOM's Avatar
 
Join Date: Feb 2005
Posts: 11,082
Casino cash: $23911175
2.53 per day
Mentioned: 20 Post(s)
Tagged: 0 Thread(s)
Default

Hire a lawyer and sue the doctor
03 VENOM is offline   Reply With Quote
Old 02-12-2017, 07:43 PM   #27
I'm David Pumpkins, man!
 
ZXMustang's Avatar
 
Join Date: Mar 2005
Posts: 11,477
Casino cash: $38867698
2.64 per day
Mentioned: 111 Post(s)
Tagged: 0 Thread(s)
Default

Quote:
Originally Posted by 03 VENOM View Post
Hire a lawyer and sue the doctor
He signed a waiver Im sure. There is no way they'd have done it without one.
__________________
2017 Dodge Challenger R/T 392 Scat Pack in GO Mango

ZXMustang is online now   Reply With Quote
Old 02-12-2017, 08:22 PM   #28
 
98GrandPrixIraqVet's Avatar
 
Join Date: Jan 2015
Location: Nowheresville North Dakota
Posts: 8,349
Casino cash: $64442500
11.02 per day
Mentioned: 61 Post(s)
Tagged: 0 Thread(s)
Default

See what happens when you plow em deep enough....



Congrats too!

pretty crazy its even happening.
98GrandPrixIraqVet is online now   Reply With Quote
Old 02-12-2017, 09:36 PM   #29
 
Gamble's Avatar
 
Join Date: May 2015
Posts: 850
Casino cash: $17188300
1.33 per day
Mentioned: 18 Post(s)
Tagged: 0 Thread(s)
Default

Quote:
Originally Posted by zenriddles View Post
Gosh. I want to be positive. It is yours now and will probably be the pride of your life!

That said. I'm sorry. I've been married almost 30 yrs. I'd still do a DNA test. Doesn't mean I wouldn't love it as my own if it wasn't, but I'd wanna know.
I would never question it with my wife. However just for everyone elses piece of mind we will do one.

Quote:
Originally Posted by Red Alert View Post
I've gotten one and had to back to confirm nothing was still active... you did go back, right?

No matter how sure one can be; get that DNA test done. Otherwise congrats!
After the surgery I think he said 10 shots then come back with a sample. And I did and it was clean. Went back last week with another sample and it was clean too. Will go back again this week with yet another sample

still hasn't hit home yet that we are having another. but i'm a little excited

mmmmmm booby milk
boostedguy05 likes this.
__________________
your local welding and plasma cnc dude
Gamble is offline   Reply With Quote
Old 02-12-2017, 09:45 PM   #30
The Midnight Sweeper
 
SleeperLS's Avatar
 
Join Date: Oct 2008
Location: Sandia Mountain
Posts: 8,555
Casino cash: $45251675
2.81 per day
Mentioned: 67 Post(s)
Tagged: 1 Thread(s)
Default

Are your tubes still separated or did one latch back on?
__________________
2010 Toyota Tundra 4wd SR5 TRD Offroad

SleeperLS is online now   Reply With Quote
Old 02-12-2017, 10:18 PM   #31
 
ltjpunk7's Avatar
 
Join Date: Feb 2017
Location: Chicago, IL
Posts: 57
Casino cash: $716000
3.09 per day
Mentioned: 3 Post(s)
Tagged: 0 Thread(s)
Default Who here got a vasectomy?

So, success rates are very high. Failure rates are very very low because even if you do the least conservative technique--which would include fulguration of each vas deferens without separating it into separate tissue compartments or without suture ligation--any obliteration of the vas deferens is generally enough to disrupt the flow of sperm.

The advice that your urologist (or family doc, whoever did it) gave you about multiple ejaculations before repeating analysis isn't really sound advice. Generally it's a time constraint, not a set number of ejaculates. The reason being that the life of a sperm is 90ish days and so you generally wait this period of time in case you would have any viable sperm remaining in the vas deferens. So the most common method of testing success would be two semen analyses a week or so apart at least three months after the vasectomy.

However, presuming this was a failed vasectomy, it just means that you had recanalization of the vas deferens on one side. Said another way, it doesn't necessarily mean that he did a shoddy job and it was flawed surgical technique; its just testament to the reason success rates are quoted--some people just get unlucky. The free ends of the vas deferens found a way back to each other and re-cannulated. Very very very very rare, and I personally have never seen it, but I've heard of colleagues that it's happened to.

Regarding the comments on suing the doctor, you would have to show gross negligence on his part, which most likely didn't happen. So just because you were the guy that falls into the very small percentage that is explained during your consent, it doesn't mean that you can sue him. I mean, you certainly can if you want, but unless you could prove that he did the surgery in a substantially different fashion than the standard of care, then it will be going nowhere.

At any rate, congratulations on the baby!! My wife is pregnant with our first so I'm in a current state of disbelief still as well haha.

Edit: shit just re-read that and left out that I'm a urologist. Might help to know.
__________________
1989 Nissan Skyline GTR
2015 BMW 335i xDrive M-Sport
2016 Triumph Street Triple R
ltjpunk7 is offline   Reply With Quote
Old 02-12-2017, 10:24 PM   #32
The Midnight Sweeper
 
SleeperLS's Avatar
 
Join Date: Oct 2008
Location: Sandia Mountain
Posts: 8,555
Casino cash: $45251675
2.81 per day
Mentioned: 67 Post(s)
Tagged: 1 Thread(s)
Default

Quote:
Originally Posted by ltjpunk7 View Post
So, success rates are very high. Failure rates are very very low because even if you do the least conservative technique--which would include fulguration of each vas deferens without separating it into separate tissue compartments or without suture ligation--any obliteration of the vas deferens is generally enough to disrupt the flow of sperm.

The advice that your urologist (or family doc, whoever did it) gave you about multiple ejaculations before repeating analysis isn't really sound advice. Generally it's a time constraint, not a set number of ejaculates. The reason being that the life of a sperm is 90ish days and so you generally wait this period of time in case you would have any viable sperm remaining in the vas deferens. So the most common method of testing success would be two semen analyses a week or so apart at least three months after the vasectomy.

However, presuming this was a failed vasectomy, it just means that you had recanalization of the vas deferens on one side. Said another way, it doesn't necessarily mean that he did a shoddy job and it was flawed surgical technique; its just testament to the reason success rates are quoted--some people just get unlucky. The free ends of the vas deferens found a way back to each other and re-cannulated. Very very very very rare, and I personally have never seen it, but I've heard of colleagues that it's happened to.

Regarding the comments on suing the doctor, you would have to show gross negligence on his part, which most likely didn't happen. So just because you were the guy that falls into the very small percentage that is explained during your consent, it doesn't mean that you can sue him. I mean, you certainly can if you want, but unless you could prove that he did the surgery in a substantially different fashion than the standard of care, then it will be going nowhere.

At any rate, congratulations on the baby!! My wife is pregnant with our first so I'm in a current state of disbelief still as well haha.

Edit: shit just re-read that and left out that I'm a urologist. Might help to know.
It sounds like his sperm samples are coming back negative. Is it still possible that one ejaculation can still contain sperm? Is it a random possibility or once you are clear you are clear?
SleeperLS is online now   Reply With Quote
Old 02-12-2017, 10:28 PM   #33
But not Italian
 
The Italian's Avatar
 
Join Date: Jan 2008
Location: Alaska
Posts: 6,354
Casino cash: $32403500
1.92 per day
Mentioned: 26 Post(s)
Tagged: 0 Thread(s)
Default

I got mine two weeks after son #2 was born. I hate reading this thread because it really fucking scares me.
blck10th likes this.
The Italian is offline   Reply With Quote
Old 02-12-2017, 10:30 PM   #34
The Midnight Sweeper
 
SleeperLS's Avatar
 
Join Date: Oct 2008
Location: Sandia Mountain
Posts: 8,555
Casino cash: $45251675
2.81 per day
Mentioned: 67 Post(s)
Tagged: 1 Thread(s)
Default

I don't understand how it is actually possible if your tubes are still cut and not connected.
SleeperLS is online now   Reply With Quote
Old 02-12-2017, 10:33 PM   #35
 
ltjpunk7's Avatar
 
Join Date: Feb 2017
Location: Chicago, IL
Posts: 57
Casino cash: $716000
3.09 per day
Mentioned: 3 Post(s)
Tagged: 0 Thread(s)
Default

Quote:
Originally Posted by SleeperLS View Post
It sounds like his sperm samples are coming back negative. Is it still possible that one ejaculation can still contain sperm? Is it a random possibility or once you are clear you are clear?
Don't really want to have an instigator's role here...but strictly medically speaking, he shouldn't have azoospermia (zero sperm) on analysis intermittently and then some with sperm. It's conceivable, but I've never heard of it and certainly not what you would expect in a scenario such as this. Now, if he is getting semen analyses that show very low sperm counts and they're just telling him "hey they're negative" because they're below what we would generally consider capable of conception, then that's different, and is genuinely a failed vasectomy and even though a low sperm count makes it difficult to get pregnant, it's still very possible. That's my long way of saying, if you have multiple semen analyses that show azoospermia (zero sperm), you're sterile. You can read between the lines on that however you'd like.
Gkain, SleeperLS and blck10th like this.
ltjpunk7 is offline   Reply With Quote
Old 02-12-2017, 10:38 PM   #36
 
ltjpunk7's Avatar
 
Join Date: Feb 2017
Location: Chicago, IL
Posts: 57
Casino cash: $716000
3.09 per day
Mentioned: 3 Post(s)
Tagged: 0 Thread(s)
Default

Quote:
Originally Posted by SleeperLS View Post
I don't understand how it is actually possible if your tubes are still cut and not connected.
Failure happens when they are cut but some how the two cut ends on one side find their way back together and stick together and recannulate. It'd be like if you had a hose underground and you cut it and separate the two ends and tied them shut but after people walking around on the dirt the ties came off and the cut ends were close enough together that now the water can flow from one into the other. That analogy is a stretch, but hopefully that helps.

That's why I mentioned there being more conservative techniques. A lot of people will cut it, burn both ends, and tie off one end. But some are super nervous and tie both ends, clip both ends, burn both ends, and bury them separated by tissue. And everything in between.

For the nerds in the group, here's the AUA's guidelines on vasectomy which goes over acceptable techniques. Success rate super high with all of them. https://www.auanet.org/common/pdf/ed.../Vasectomy.pdf
SleeperLS likes this.
ltjpunk7 is offline   Reply With Quote
Old 02-12-2017, 10:44 PM   #37
 
Gamble's Avatar
 
Join Date: May 2015
Posts: 850
Casino cash: $17188300
1.33 per day
Mentioned: 18 Post(s)
Tagged: 0 Thread(s)
Default

Great info dude
Ok so talked with my wife since she remembers better than me
Had it done in march of last year. Gave a sample on June and got cleared
Now she is 9 weeks pregnant. Gave a sample last week and still negative.

How could that happen?

Not sure if cut them or tied them or what. I do remember smelling something burning and hearing a lot of clipping. I don't think he did any thing wrong. He has been doing it for 30 years.
Gamble is offline   Reply With Quote
Old 02-12-2017, 10:44 PM   #38
The Midnight Sweeper
 
SleeperLS's Avatar
 
Join Date: Oct 2008
Location: Sandia Mountain
Posts: 8,555
Casino cash: $45251675
2.81 per day
Mentioned: 67 Post(s)
Tagged: 1 Thread(s)
Default

I wouldn't have thought that sperm would stay viable if they had to travel outside of the vas deferens.
SleeperLS is online now   Reply With Quote
Old 02-12-2017, 10:51 PM   #39
 
ltjpunk7's Avatar
 
Join Date: Feb 2017
Location: Chicago, IL
Posts: 57
Casino cash: $716000
3.09 per day
Mentioned: 3 Post(s)
Tagged: 0 Thread(s)
Default

Quote:
Originally Posted by Gamble View Post
Great info dude
Ok so talked with my wife since she remembers better than me
Had it done in march of last year. Gave a sample on June and got cleared
Now she is 9 weeks pregnant. Gave a sample last week and still negative.

How could that happen?

Not sure if cut them or tied them or what. I do remember smelling something burning and hearing a lot of clipping. I don't think he did any thing wrong. He has been doing it for 30 years.
Well, that math would mean she got pregnant around 6-7 months after your vasectomy. So it's conceivable that you had a partial recannulization on one side that remained for a few months and has since sealed. Again, this is kind of shooting from the hip, cuz if you were negative 4 months after and are negative now at 11 months after, seems like you would've been negative the whole time. But listen, not everything can be explained and there are certainly exceptions to every situation. So the above scenario is possible.
ltjpunk7 is offline   Reply With Quote
Old 02-12-2017, 10:53 PM   #40
 
ltjpunk7's Avatar
 
Join Date: Feb 2017
Location: Chicago, IL
Posts: 57
Casino cash: $716000
3.09 per day
Mentioned: 3 Post(s)
Tagged: 0 Thread(s)
Default

Quote:
Originally Posted by SleeperLS View Post
I wouldn't have thought that sperm would stay viable if they had to travel outside of the vas deferens.
They wouldn't. If it recannulated it would be an enclosed system. Like, the surrounding tissue would either form a tunnel, or the ends would physically meet and re-seal.
ltjpunk7 is offline   Reply With Quote
Old 02-12-2017, 10:57 PM   #41
The Midnight Sweeper
 
SleeperLS's Avatar
 
Join Date: Oct 2008
Location: Sandia Mountain
Posts: 8,555
Casino cash: $45251675
2.81 per day
Mentioned: 67 Post(s)
Tagged: 1 Thread(s)
Default

Quote:
Originally Posted by ltjpunk7 View Post
They wouldn't. If it recannulated it would be an enclosed system. Like, the surrounding tissue would either form a tunnel, or the ends would physically meet and re-seal.
Yeah, that I do understand. I was talking more on if the canals never reconnected. Could a simple ultrasound be used to check and see if the canals are still seperate?
SleeperLS is online now   Reply With Quote
Old 02-12-2017, 10:59 PM   #42
 
ltjpunk7's Avatar
 
Join Date: Feb 2017
Location: Chicago, IL
Posts: 57
Casino cash: $716000
3.09 per day
Mentioned: 3 Post(s)
Tagged: 0 Thread(s)
Default

Quote:
Originally Posted by SleeperLS View Post
Yeah, that I do understand. I was talking more on if the canals never reconnected. Could a simple ultrasound be used to check and see if the canals are still seperate?
Semen analysis would be a more accurate way. Because you would likely see granulomas in the region of the cut ends. And an ultrasound that didn't show a physical connection wouldn't rule out a functional connection. The only imaging test would be a vasogram which is a procedure. You have to cannulate the vas upstream with a needle and inject a contrast media and take x-rays as you watch a road map of the dye and see if it makes it past the vasectomy site. Again, all of the above is overkill, because a semen analysis that shows zero sperm means it's successful.
EmersonHart13 and SleeperLS like this.
ltjpunk7 is offline   Reply With Quote
Old 02-12-2017, 11:00 PM   #43
 
Gamble's Avatar
 
Join Date: May 2015
Posts: 850
Casino cash: $17188300
1.33 per day
Mentioned: 18 Post(s)
Tagged: 0 Thread(s)
Default

Quote:
Originally Posted by ltjpunk7 View Post
Well, that math would mean she got pregnant around 6-7 months after your vasectomy. So it's conceivable that you had a partial recannulization on one side that remained for a few months and has since sealed. Again, this is kind of shooting from the hip, cuz if you were negative 4 months after and are negative now at 11 months after, seems like you would've been negative the whole time. But listen, not everything can be explained and there are certainly exceptions to every situation. So the above scenario is possible.
There was a few times where my balls were killing me. Couldn't even walk or shake after a piss without wanting to cry in pain. They said it was a "sperm leak" and happens to less than X percent (don't remember the number but it was low)
Anyway. Took some Advil and it went down but then happened awhile later.
Could that have anything to do with her getting pregnant? Or can you explain more about this sperm leak
Btw congrats on the baby
chrisdicarlo likes this.
Gamble is offline   Reply With Quote
Old 02-12-2017, 11:05 PM   #44
 
ltjpunk7's Avatar
 
Join Date: Feb 2017
Location: Chicago, IL
Posts: 57
Casino cash: $716000
3.09 per day
Mentioned: 3 Post(s)
Tagged: 0 Thread(s)
Default

Quote:
Originally Posted by Gamble View Post
There was a few times where my balls were killing me. Couldn't even walk or shake after a piss without wanting to cry in pain. They said it was a "sperm leak" and happens to less than X percent (don't remember the number but it was low)
Anyway. Took some Advil and it went down but then happened awhile later.
Could that have anything to do with her getting pregnant? Or can you explain more about this sperm leak
Btw congrats on the baby
Yeah, so post-vasectomy pain is like the albatross of urology. It's so hard to find the root cause, and harder to treat. Luckily, most cases resolve (as yours did), but sometimes it persists. And it's likely more related to an obstructive process in most situations (blockage and teste still producing sperm up against the blockage). A "sperm leak" just means you could've had sperm coming out the testis side (because some people don't seal that side for the above reasons) and that caused inflammation in the area. This is a little more theoretical than definitive, but patients don't like not having an answer to their pain. Could this all be related to your current situation, I guess it's possible, but again, can't confirm anything 100%.
EmersonHart13 likes this.
ltjpunk7 is offline   Reply With Quote
Old 02-12-2017, 11:06 PM   #45
The Midnight Sweeper
 
SleeperLS's Avatar
 
Join Date: Oct 2008
Location: Sandia Mountain
Posts: 8,555
Casino cash: $45251675
2.81 per day
Mentioned: 67 Post(s)
Tagged: 1 Thread(s)
Default

Quote:
Originally Posted by ltjpunk7 View Post
Semen analysis would be a more accurate way. Because you would likely see granulomas in the region of the cut ends. And an ultrasound that didn't show a physical connection wouldn't rule out a functional connection. The only imaging test would be a vasogram which is a procedure. You have to cannulate the vas upstream with a needle and inject a contrast media and take x-rays as you watch a road map of the dye and see if it makes it past the vasectomy site. Again, all of the above is overkill, because a semen analysis that shows zero sperm means it's successful.
Props to you for going into urology. The only thing that has made me squeamish in healthcare are urology procedures. Especially assisting with catheter insertions the size of garden hoses for bladder irrigation. Thankfully these patients have been heavily sedated on a vent.
SleeperLS is online now   Reply With Quote
Old 02-12-2017, 11:11 PM   #46
Bub
Repost Princess
 
Bub's Avatar
 
Join Date: Sep 2012
Location: Pistakee Highlands
Posts: 7,060
Casino cash: $2063643
4.32 per day
Mentioned: 119 Post(s)
Tagged: 0 Thread(s)
Default

so. . . . @Gamble has fathered the second coming of Jesus Christ and TCG is the first witness?!?! these are exciting times @ltjpunk7 do I really need my wife's consent for a vasectomy??
Gamble likes this.
__________________
'14 Silverado LT, CCSB V6 Glorified Ridgeline Edition
'94 Mustang GT H/C/I piss yellow half rotted garage queen.

"Put your trust in God, but keep your powder dry."~ Oliver Cromwell
Bub is online now   Reply With Quote
Old 02-12-2017, 11:12 PM   #47
 
ltjpunk7's Avatar
 
Join Date: Feb 2017
Location: Chicago, IL
Posts: 57
Casino cash: $716000
3.09 per day
Mentioned: 3 Post(s)
Tagged: 0 Thread(s)
Default

Quote:
Originally Posted by SleeperLS View Post
Props to you for going into urology. The only thing that has made me squeamish in healthcare are urology procedures. Especially assisting with catheter insertions the size of garden hoses for bladder irrigation. Thankfully these patients have been heavily sedated on a vent.
Ha, yeah you get used to it I guess. When my wife and I were in med school, I remember once telling her that I would do any surgical subspecialty except urology. You can see how that ended ha. But it's a great field for a bunch of reasons that would be boring to people here. My specialty is actually urologic oncology, so I do surgery for cancer of the urinary tract (kidney cancer, prostate cancer, bladder cancer, testicular cancer, penile cancer). So general urology isn't really my wheelhouse any more, but obviously still part of my universe. And most times when I put an oversized catheter in someone, they're generally awake, so I'm not always the most popular person in the hospital.
EmersonHart13 and cap42 like this.
ltjpunk7 is offline   Reply With Quote
Old 02-12-2017, 11:14 PM   #48
The Midnight Sweeper
 
SleeperLS's Avatar
 
Join Date: Oct 2008
Location: Sandia Mountain
Posts: 8,555
Casino cash: $45251675
2.81 per day
Mentioned: 67 Post(s)
Tagged: 1 Thread(s)
Default

Quote:
Originally Posted by ltjpunk7 View Post
Ha, yeah you get used to it I guess. When my wife and I were in med school, I remember once telling her that I would do any surgical subspecialty except urology. You can see how that ended ha. But it's a great field for a bunch of reasons that would be boring to people here. My specialty is actually urologic oncology, so I do surgery for cancer of the urinary tract (kidney cancer, prostate cancer, bladder cancer, testicular cancer, penile cancer). So general urology isn't really my wheelhouse any more, but obviously still part of my universe. And most times when I put an oversized catheter in someone, they're generally awake, so I'm not always the most popular person in the hospital.
Good shit.

Not the catheter insertion in awake people...that suuuuuuuucks. Side note, oncology is part of what inspired me to go into nursing. I respect you do that. Now I don't hate you as much for having a skyline that I don't have.
SleeperLS is online now   Reply With Quote
Old 02-12-2017, 11:15 PM   #49
 
ltjpunk7's Avatar
 
Join Date: Feb 2017
Location: Chicago, IL
Posts: 57
Casino cash: $716000
3.09 per day
Mentioned: 3 Post(s)
Tagged: 0 Thread(s)
Default

Quote:
Originally Posted by Bub View Post
so. . . . @Gamble has fathered the second coming of Jesus Christ and TCG is the first witness?!?! these are exciting times @ltjpunk7 do I really need my wife's consent for a vasectomy??
Depends on your urologist. Most physicians (reasonable ones at least) will require a face to face with both members of the couple. But that's not legal or mandatory or anything. Some physicians require more than one visit when the patient is very young. In those situations, you have to practice a little bit of medical paternalism. For example, if a single 27yo guy comes to you and is like "I never want to have kids, I'm 100% positive of that" do you think its ethical to say "sure, sign here kid and I'll see you in the OR on Friday" ? Oh the joys of practicing medicine.
ltjpunk7 is offline   Reply With Quote
Old 02-12-2017, 11:20 PM   #50
 
Nate's Avatar
 
Join Date: Mar 2014
Location: Fox River Grove
Posts: 307
Casino cash: $6759800
0.28 per day
Mentioned: 14 Post(s)
Tagged: 0 Thread(s)
Default

Looks like I'll still be pulling out after the snip.

Depressing news on a depressing night
Bub likes this.
Nate is offline   Reply With Quote
Reply

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are On



All times are GMT -5. The time now is 10:12 AM.


Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2017, Jelsoft Enterprises Ltd.
SEO by vBSEO 3.6.0
User Alert System provided by Advanced User Tagging v3.0.6 (Lite) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd. Runs best on HiVelocity Hosting.
no new posts