 |
 |
Date sent: Tue, 20 Aug 2002 20:30:51 -0700 Send reply to: Joan Hartman <[log in to unmask]> From: Joan Hartman <[log in to unmask]> Subject: Deborah's Update To: [log in to unmask] > Robert called > and.there's a possiblity that it's not Chiari so more tests are needed > in order to confirm that Deborah does, indeed, have Chiari or > determine exactly what she does have. They are taking a "wait and > see" attitude for a couple of days until they have these new test > results. The above adds to my concerns that something is "not right". Chiari malformation (as a diagnosis) is not something that needs to be "confirmed". It is a purely *anatomical* finding (a part of the brain has to be present so many millimeters below a line drawn on an MRI image of the back of the skull) and is either present or is not. The issue in this case is whether the Chiari malformation (the anatomical finding) is causing any functional trouble or not. "More tests" for the Chiari is NOT the issue. Best, Bob ********************************************** Robert A. Fink, M. D., F.A.C.S., P. C. 2500 Milvia Street Suite 222 Berkeley, California 94704-2636 Telephone: 510-849-2555 FAX: 510-849-2557 WWW: http://www.rafink.com/ mailto:[log in to unmask] "Ex Tristitia Virtus" ********************************************* ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn