Recent Major Research Findings on Results from Sympathectomy

Society of Thoracic Surgeon Hyperhidrosis Information

www.hyperhidrosis.us

Ontario OHIP coverage information

  
We post patient comments who complete a post-treatment feedback form and indicate that we can use their words to help other patients in their decision. We will protect the privacy of all of our patients.

Are you satisfied with your decreased sweating results?
• 100% Yes (Hands and Axillary and Face) Mild increased in compensatory sweating along thoracic region and 40% decrease in bilateral feet sweating
• Yes, the sweating under my arms has dramatically decreased. I still sweat, but only as much as would be considered normal. However, when I an engaged in activities that result in excessive sweating I now sweat from my belly and lower back. Overall, the treatment was definitely worth it.
• Absolutely, from the moment the surgery was completed I have never had to try and hide the sweaty palms I had before.
• Yes.
• Yes!! J I do experience more torso sweating. I have some foot sweating, but absolutely no underarm or palm sweating - it is wonderful!
• Yes I am very satisfied at the decrease of sweating in my hands. I have also noticed a reduction in my feet.
• Yes, very satisfied.
• I was disappointed that my right hand is still pretty sweaty my left hand is fine.
• I am very satisfied with the results. I can now live a normal life with very minimal sweating. I could not have experienced any better results.
• 90%
• Yes!
• Extremely satisfied!
• Yes very much!
• At first the compensatory sweating was unbearable but it has somewhat decreased. I feel I am starting to seat more from the underarms again though.
• Yes!
• I am 100% happy with the results.
• Yes, completely. This is great
• I am completely satisfied with the results and glad I had it done!
• Yes I am satisfied, although I still have breakthrough on my right side but it is nothing like it used to be before
• 100% satisfied. My hands no longer sweat making shaking hands a more comfortable experience. I can work more productively w/o having to wipe my hands every 30 seconds. My feet have decreased in sweating about 80%. I no longer have underarm at all.
• Yes very much so.
• Yes. This was well worth it. The results are amazing! I no longer have sweating in my hands, nor my arm pits. Wonderful!
• Yes, very satisfied. Sweating has decreased completely, there was no compensatory sweating.
• Absolutely. If this procedure had only been available 30 years ago! I am so glad I had this done. It has definitely changed my life. Its so hard to believe that after 30 years, my hands are completely dry.
• My palms don't sweat at all anymore. My feet only sweat if they are warm. And underarm sweat has been dramatically reduced. There is some compensatory sweating, but nothing compared to ho my hands used to drip!
• Yes!!
• "Yes."
• "Yes. I not only have dry palms, but my underarms are also staying drier."
• "Yes, very satisfied."
• "Completely. ALL sweating from hands, feet and underarms has been eliminated."
• "Yes - very satisfied."
• "Yes I am. I am 100% satisfied!"
• "Yes. Absolutely! Thank you so much!"
• "Yes - Very satisfied. All areas of concern either stopped sweating completely, or diminished greatly."
How was your overall experience during your treatment?
• Great. I met the doctor on a Tuesday and had the surgery Wednesday and was back home that afternoon. Everyone was nice and helpful; with answering a lot of my questions.
• Great, I was extremely nervous because this was my first surgery (and I don't usually like doctors), but all of the staff really made me feel comfortable. I did get a mild infection afterwards (left side), but was easily cured with antibiotics.
• Very professional, from the first time I spoke to the nurse on the phone, to the meeting with Dr. Hramiec, and finally the actual surgery, my entire experience was great.
• Very pleased. A little compensatory sweating but not bothersome.
• Very good! It has changed my life and I am so grateful to you, Dr. Hramiec, for the wonderful work that you do.
• My recovery was a little bit more than I expected. I had some complications on my left side. I still have tingling on the back of the upper left arm. Even with all of that, I would still go through the surgery again.
• My recovery nurse was amazing. The nurse anesthetist was great. Everyone was caring.
• Good • I am very appreciative that I could receive the surgery in Michigan. The pain [after] surgery only lasted a few days and was well worth the results.
• Happy with the results still experiencing numbness in the breast, arm pit. Had some healing [problems] with incisions.
• A little more discomfort than I thought.
• Life Changing!!
• It was great. No complaints. The first day after procedure was uncomfortable but after that - fine.
• Good, more painful than anticipated.
• Good.
• Everything was great.
• 10 out of 10. Terrific job.
• Overall experience was very good.
• I'm very happy that I did not have to live with the embarrassment of sweating, and its so much easier for me to do my papers at school and I don't have to worry about it socially anymore.
• The hospital staff were very kind and welcoming. They made sure I was comfortable and at ease throughout the whole process. I appreciated the hospital priest who came by to say a prayer. After surgery, the pain as more than anticipated, however, the immediate result made up for it!
• Excellent. Everyone as very nice and comforting during the entire experience.
• I am very satisfied with the outcome. It couldn't have gone smoother.
• It was wonderful - helpful and caring Doctor and Staff. Answers questions promptly and efficiently.
• You guys were great and treated me well.
• Wonderful. Starting with my initial consultation with Dr. Hramiec. You did a wonderful job explaining everything to me. My husband and I both felt very comfortable. The procedure itself went well - My recovery was not nearly as bad as I had thought it might be. Also, Providence Hospital was great to work with.
• Excellent.
• Excellent. You and your staff were friendly from start to finish, and informative when I had questions. I even got to be on the news!
• I am doing sports now and I am organized in my school. I was always worried about my hands and what everyone thought. Now I don't!
• My treatment was good. My throat hurt me for weeks because of the [breathing] tube down my throat during surgery
• A little more painful than I expected.
• "The experience was very good. The procedure was literally painless. I was back in my job in a couple of days. The recovery process was remarkably fast. I now enjoy a high degree of confidence and I believe it was definitely worth the effort."
• "My hands were done on separate occasions, and I was very pleased with the friendly and efficient way I was treated for the first hand. My chart was misplaced for the second operation [by the hospital] , but the resulting success erased my dissatisfaction."
• "It was great because I got to be more social and not worried [that] I might have to shake someone's hand."
• "Excellent. From the administration staff to hospital; everyone was very professional and accommodating."
• "Considering the procedure was done at [another hospital due to insurance] - it was a little longer recovery but ended up fine."
• "It hurt at first then it was okay." [This is the typical recovery: discomfort at first that improves allowing return to school or work in 1-5 days]
• "The experience has opened up a whole new world for me. It has given me more confidence and I enjoy a lot of social activities that I couldn't before for fear of embarrassment from the condition. I have a new life. The [immediate] recovery/recuperation was [] painful for me."
• "Excellent. Dr. Hramiec explained everything fully, and responded immediately when contacted about a problem after surgery. His anesthesic team was also top-notch."
What can we do to make things better for our future patients?
• Just keep making sure they are informed and comfortable! Great Job! Thank you!
• I feel that all of my questions and concerns were taken into consideration and answered thoroughly. I would like to take this opportunity to thank Kim, the rest of the staff, and finally a huge thanks to Dr. Hramiec. You have made a great difference in my life when I thought there was no solutions for my sweaty palm problem.
• Thank You, Thank You, Thank You!!
• Nothing at all, the whole experience was pleasant and the staff was awesome. Thank you. • "You could explain the procedure to the patients in detail. Perhaps you could add a FAQ section to your site..." [We did add a FAQ section. Thanks!]
• "Let them know that there will likely be some aching in the arms that will last about two to three weeks. My prescription medication took away the discomfort."
• "Talk to someone who has had the surgery before and see how uncomfortable it really is."
• "Keep treating people the way I was treated."
• "Nothing - I thought it went very well."
• "Do both sides the same day." [Yes, we do both sides at the same time.]
• "Everything was explained to me and there was follow-up. I have no problems there. Was treated well."
Additional comments from bottom or back of feedback form:
• From a Dermatologist: "You did treat a patient of mine...roughly two weeks ago. She was very satisfied with the treatment and states it is working well."
• I just wanted to tell you how pleased I am with the service I received. After I had the surgery for my sweaty hands it was a bit painful but very much worth it. I could never imagine dry hands. I am very pleased with the results I don't have any sweat on my hands at all now!!! My kids don't mind holding my hand anymore cause its not wet!! What you did for me is truly priceless!! Thank you very much from the bottom of my heart!! It's been four months now since my surgery and everything is still dry as can be!!! Dr. Hramiec and the staff was absolutely wonderful before, during and after surgery!! Thank you so much!!!
• Dr. Hramiec, I would like to thank you for the successful surgery. Sorry that I did not thank you sooner. I was a little sore for about two weeks but all in all it was a life changing experience. Thanks again now I can enjoy my life.
• Dear Dr. Hramiec, I am delighted with the results following the surgery. I wanted to thank you for my new hands.
• I just wanted to take a moment to thank you for performing my Sympathectomy. It was a success! My recovery from the procedure has progressed quite nicely. The incisions are gradually healing. I am happy to report that I am very very pleased with the results. My facial and scalp sweating is practically gone or has reduced to very close to zero. My biggest test was when I had to give a 45 minute discourse in front of an audience of 150 persons one week after the Sympathectomy. No sweating at all during the entire presentation! I was so excited! My hands are 100% dry which is wonderful. It feels good to be able to work, shake hands, and even hold my wife's hand without hand sweat. My feet sweating has improved some but not completely dry; that's OK. I can live with it, not a problem. I do have some compensatory sweating. The back of my legs (from my hamstring to ankle) and the middle of my back. But do not happen that often. When it does occur the majority of the time it is very light and also not a problem at all. I must say that I am glad I went ahead with the surgery. It really has changed my life for the better! Thanks again to you and your staff/Kim; as well as the staff at Providence Hospital. You are very kind caring and professional. You are all wonderful • I want to thank you for your wonderful help and care. Everyone was so friendly and nice and made me feel completely at ease. I thought that hyperhidrosis was something that I would have to live with forever. Thanks to you, it is now a problem of the past. I am thrilled to say that my palmar hyperhidrosis is 100% gone. I am now able to live a life I never thought I would have. Thank you again, and keep up the wonderful work!
• Everyone was wonderful and very helpful. Thank you.
• Everything was Amazing!
• Glad I had the treatment done. Thank you!
• …I had such a great treatment. My only hope is that more people can find out about it so they can get helped before they get as bad as I did.
• There is nothing you can do to make things better, everything is already exceptionally handled.
• I have no complaints.
• Everything was excellent.
• Everything went well. Thank you!
• The surgery and recovery went smoothly. Minimal pain. Couldn't have been better thanks to Dr. Hramiec and Staff.
• Everything for me was a wonderful experience and Dr. Hramiec - I can't thank you enough. You are a terrific and compassionate Doctor and your staff is top notch.
• Thank you so much for what you did for all of us that suffer from this terrible condition! Hopefully more people will realize that hyperhidrosis is more common than most people think, and those afflicted will find out there is something that can be done! Thank you for giving me my life back. I am going to college to pursue a career in healthcare. Maybe I can make a difference in someone life too!
• Everything you are already doing is great!
• "I want you to know that after 55 years of sweaty palms, I can now shake hands or slow dance without the embarrassment of apologizing for my sweaty hands. Every time I'm in one of these situations, I remember to thank God that you are blessed with the knowledge to end my torment...but I am truly grateful...only irritation was when [the hospital] lost my chart...I am so very pleased with the result"
• "The incisions have faded tremendously. I recommend a procedure to anyone who has been burden of sweaty palms...Satisfied Patient."
• "Thank you Dr. Hramiec! You have changed my life!"
• "They would be so happy they did it. Makes all the difference in the world."
• "A person who doesn't have this problem could never understand it. Sweating sounds frivolous because we all do it. But this condition reaches far more than the physical. It causes shyness and lack of confidence, which reflects on entire lifestyle."
• "Thank you so much! I feel my life is changed because of this."

Compensatory sweating occurs in about 25-30% of our patients. Occasionally (about 1%) it can become severe. The advantage of clips are that removal allows reversal in about 2/3 of these patients. Also, patients with arm pit sweating and facial blushing seem to have higher rates of both compensatory sweating and recurrent sweating. Recurrence is rare in those with hand sweating. It is our policy to send questionnaires to all patients and publish their confidential responses, even if they are not fully complimentary:

• My hands are about 75% dryer than before - which is a great asset to my life.
• Yes, very. I have some compensatory sweating on my upper legs. But not bothersome.
• The surgery did what it was supposed to, stop the sweating on my hands and armpits. However, the compensatory sweating has become problematic. I've been getting Robinul samples for chest and back sweating but was thinking I should probably get a script
• Yes, I am satisfied. The first few months I did not sweat at all. It's now starting to come back just not as severe.
• Somewhat, I was dry for about three months, after that I started to sweat like I did before the operation, more in my right arm pit than my left. I liked the months I was dry!
• Actually no I'm not. The compensatory sweating has made everything worse. I sweat all over my body (back, stomach, feet) including under arms. Overall it has been unpleasant…the 24-48 hours after surgery as miserable.
• At first the compensatory sweating was unbearable but it has somewhat decreased. I feel I am starting to sweat more from the underarms again.


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Michigan/Midwest Clinic
Treatment for Hyperhidrosis
31500 Telegraph Rd, Suite 225
Bingham Farms, Michigan 48025
Phone: 248-381-4600

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