Thursday, November 30, 2017

"Micro ETS surgery has been a total success", father reports

Father, of 20 yr old daughter, reports 6 months following Micro ETS for severe Hyperhidrosis of the hands and axillae:

Dr. Nielson,
Maddee's Micro ETS surgery has been a total success. Maddee has been so happy with the results.
Thanks
Father of patient.

Monday, November 27, 2017

21 months later: "He is doing fantastic!" Blushing improved

Mother reports how her 19 year old son is doing 21 months after having Micro ETS for severe Blushing.
"He is a freshman in college and is pretty busy. . .   I am happy to talk to people if that would help.  We made the decision based on very positive referrals from 2 other parents. He is doing fantastic!  So thankful he had the procedure and hopeful that he continues to do well! "

10 years after Micro ETS "I am Doing very Well. . . this procedure has been such a blessing"


a 48 year old woman shares how she is doing —> 10 years after Micro ETS for severe Blushing/burning of the face, severe sweating of the scalp/face.

She suffered for 20 years with severe Blushing/Hyperpyrexia, craniofacial Hyperhidrosis and slightly cool hands.  She had even tried medications such as Lactose intolerant meds and Bellergal (anticholinergic, sedative) and didn't see much improvement in her symptoms, which had bothered her so very much for so long.  She then decided to travel to San Antonio, Texas and have Micro ETS 10 years ago.  When she woke up, after the 30 minute procedure, she experienced immediate improvement in these symptoms, which had impaired her ability to perform activities of daily living.  

TEN years later she shares:
 "I am doing very well.  It's been over ten years since my procedure and still doing very well.  The compensatory sweat has also subsided quite a bit but not having it on my head is the best as that was my ultimate goal!   The only thing that has returned a little is when I eat hot foods but again, so minimal, I don't really even think about it anymore.  My work and profession requires me to speak and this procedure has been such a blessing.
I am happy anytime to share my experience with anyone as a referral.  I had such a comfortable experience and Dr Nielson and his staff were all such caring professionals!"


Tuesday, November 14, 2017

20 Yr History of Wet Cold Hands--> Micro ETS changed her wet-cold hands to warm-dry hands.

Download full resolution images
Available until Dec 14, 2017
Iontophoresis, HyperCare, Certain Dri, Anxiolytics  were ineffective, her hands remained wet and cold most of the time.  Impaired her ability to perform activities of daily living.




Micro ETS changed 20 years of wet cold hands to Warm and dry hands.  Micro ETS took 30 minutes in an ambulatory surgery center.
The next day in my office, her hands and even feet were dry.

Saturday, November 11, 2017

"Without having a blushing meltdown"

 For years, a 37 year old man suffered from severe Blushing and facial Hyperpyrexia (burning), especially in social situation.  He tried SSRI's, Clonidine and Xanax but none of them improved his severe Blushing.  One year ago, he he decided to undergo Micro ETS in San Antonio, TX.
Since then, his life changed drastically.  
He reports now:  "I am able to be near people and speak to people without having a blushing meltdown. It has completely changed my interaction with people for the better."  Compensatory sweating occurs on the underarms, middle and lower back, but is moderate only during exercise.
A year after Micro ETS when asked "How satisfied are you with ETS procedure?:  he replied "Very Satisfied"

Wednesday, November 8, 2017

"I am no longer anxious in social situations"

19 year old Woman shares her improvement in Blushing one year after Micro ETS:

Very satisfied with Micro ETS.

She experiences compensatory sweating: areas of cs include   armpits (moderate) and at times lower back (minimal). Has not been a serious issue.

Life has changed since having Micro ETS:
"I am no longer anxious in social situations. Not once since the surgery have I hesitated to raise my hand in class or initiate a conversation out of fear that my face will turn bright red. Dr. Nielson has completely changed my life!!"

At one month after Micro ETS she shared this experience:
"My life has most definitely changed since having ETS. Not once have I felt that intense burning feeling of the face since my surgery. My anxiety in everyday social settings has greatly diminished in just one month. I can raise my hand in class or initiate conversation without worrying about my face turning red. I have so much more confidence and so far am very pleased with the outcome of the procedure."

Wednesday, November 1, 2017

BLUSHING •••> "I am normal & never have to worry about it anymore" ONE YEAR after Micro ETS

One year after having Micro ETS, a 48 yr old man is very satisfied with the improvement in his Blushing. Cs (compensatory sweating) occurs in the heat/humidity: "on back of legs/feet/chest and doesn't bother me really. It's hot in Texas and I sweated anyway."

Life has changed since Micro ETS: "Words can't really describe how this has changed my work life. I'm normal and never have to worry about it anymore. I've actually forgotten about it most of the time. Wish i would done this 20 years ago."

Wednesday, September 20, 2017

1 Year Later --> "I am in wonder at this new reality, 100% successful with Dry hands.

Life has changed since Micro ETS:
"It is a complete change socially. Before the surgery, my entire life revolved around hiding or masking my sweaty hands, from social situations, to church life, even just going to the store. It affected which activities I would participate in, what clothing I could wear, etc. There are now no such restrictions and it has opened up a world of opportunities that I felt I had to shy away from before. The surgery was 100% successful and still a year after the surgery I am in wonder at this new reality. I am more confident in every setting and no longer feel the worry and anxiety associated with hands that were soaking wet all of the time. When I meet people who I suspect suffer from hyperhidrosis, I tell them about Dr. Nielsen and his practice. I couldn't be happier with the results. Yes, there is compensatory sweating, and yes it can be severe at times, but it is a small price to pay; and only people who have suffered from hyperhidrosis can fully appreciate that estimation."

Thursday, September 14, 2017

"I feel very lucky" Six months later --> "I feel more comfortable in my skin & can go to social events without worrying"

31 yr old woman from Oklahoma is "Very Satisfied" with improvement in facial blushing and burning after having Micro ETS by Dr Nielson in San Antonio, TX.
Prior to Micro ETS, she would experience severe blushing and burning of the face and cold fingertips several times a day. Performing activities of daily living, simple things and tasks, were very difficult to do.
Clonidine, beta blockers antidepressants and anti-anxiety mediations hadn't helped lessen the severe blushing/burning of her face.
Compensatory sweating of the back, legs and abdomen is triggered by "hot days" and is moderate in severity.

Her life changed after Micro ETS —> "I feel more comfortable in my skin and can go to social events without worrying about blushing. I am more at ease attending events for my daughter's school and speaking in front of people. I'm very thankful for this change and feel very lucky."

Friday, September 8, 2017

Severe case of Flushing and burning dramatically improved after Micro ETS

"I have seen significant changes in just one month and feel optimistic it will continue to get better. I had a very severe case. I am now able to sleep through the night without a fan on my face. Only 3 nights since the surgery have I flushed during the night and it was mild compared to what it used to be. There's been huge improvements in heat flushing. I was able to attend an outdoor weather on a humid day with no flushing. I hope to get to 100 percent with the heat and sun flushing. My emotional flushing has also drastically decreased. I still am very sensitive to foods and will continue to eat restricted for now.
I was able to come over inderall entirely the first week. Within 3 weeks I have come off cromolyn completely. In a few weeks we will begin weaning off of the clonodine. Being off these meds has helped me get more energy back and i am so appreciative of that.
Dr N is the most caring and passionate surgeon and doctor. He spends the time to hear how you are doing and truly cares from pre op to post op. Everyone at his office is amazing! Thank you thank you thank you! I begin to feel like my life is normal again and can't wait for the results to continue even more!!"

Friday, September 1, 2017

Really satisfied with the outcome after Micro ETS -> Improved sweating

Life changed after Micro ETS:  "I was fearful that this procedure might not achieve desired results but fortunately I was really satisfied with the outcome. Now, I have more self confidence and my social life couldn't be better.  I would like to thank Dr Nielson and all the staff for helping me overcome this issue."



--


Thursday, August 17, 2017

Micro ETS "given me MY life back"

Micro ETS improved blushing and facial sweating - immediately after the 30 minute procedure.  Cs is tolerable.
"This procedure has given me my life back. It has improved every aspect of my life from being able to wear make-up and style my hair to being able to play with my grandchildren."

Wednesday, July 12, 2017

Easing back in to life after Micro ETS

Over the past 6 months:
"I have been easing into life with a non blushing face, but at same time working with compensatory sweating. But overall its been a really good change for me. It's so nice not having to worry about my face going beat red whenever I don't expect it. It's made me more relaxed at work and in my social life for sure. Sometimes I still expect it to blush and it doesn't generally. Also though- even if I do blush I can't feel it and that's huge I think to having the blushing die down very quickly and not get worse like it used to. I'm very happy with the facial results. Yes of course I wish there was not compensatory sweating- but I think that's the lesser of two evils!"

Tuesday, July 4, 2017

Blushing improved after Micro ETS

Six months since having Micro ETS surgery, "facial blushing/sweating has been greatly diminished, which naturally reduces the crippling anxiety that always accompanies it. It has been a blessing for which I am so grateful."

I am very satisfied with the recovery time. Compensatory sweating occurs. The areas affected are the legs/back, but no real problem. It is manageable."

6 months after Micro ETS, Life has changed so much

>> "I no longer need to give myself the run down of all the possible things that could - and inevitably would - go wrong while out in the public, whether for social purposes, business or otherwise.
>>
>> If I run into someone on the street or the grocery store, I actually get to enjoy the encounter without a second though about myself as opposed to prior to the surgery when I would notice my face starting to feel really hot while people looked at me very strangely, many asking what was wrong or if I was sick.
>>
>> Also, my fingers/hands no longer lose color and go numb or are chronic shades of purple and blue. In severe weather (I live in New York) one or two fingers might turn white, but it has to be extreme conditions. Prior to the surgery if it dipped below 70 or the sun went behind the clouds I would lose all color in my hands and they would be essentially useless because I had minimal feeling in my hands (similar to if one had been sitting on their hands and had them "fall asleep") and would struggle excessively to do things such as get keys out of my purse or be able to properly use them. I felt terrified because I could hardly do the simplest of tasks while outdoors the majority of the time. It was paralyzing.
No compensatory sweating either."

Micro ETS changed her life

"My daughter is 15, and prior to micro ETS was very hesitant to shake other people's hands or handle anything that might reveal all the sweat she left behind. After the surgery, things are so different. Her hands are warmer and completely dry. She has more self confidence in social settings and is not timid about touching glass, keyboards, or any hard surface for that matter. Micro ETS has made a positive impact on her life and we are truly grateful for Dr. Nielson!"

Monday, June 26, 2017

Pain gone and fingers are warm following Micro ETS

Six months ago, Micro ETS was performed for severe Raynaud's (cold hands and fingers, often quite pale - cold - painful).

Patient experience a Very Satisfying improvement and now enjoys warm and pain free hands and fingers.  Recovery time was fast at around one week.  Compensatory sweating is moderate on his lower back.  
"Since my surgery I have not had any pain in my fingers.  The sore I had is gone and I have not had any other sores.  I have full use of my hands."

Thursday, June 1, 2017

"I can go to any meeting any time with no worry of facial blushing"

Six months after Micro ETS, patient reports:
"compensatory sweating on the chest, legs it's not that bad."
Life changed after Micro ETS —> "i have developed a lot of confidence now that i can go to any meeting any time with no worry of facial blushing.
I feel normal"

Minimal sweating even if exercising so I am very happy!

after Micro ETS, patient reports: "in many ways I am living life for the first time! Things actually feel different, which I didn't expect. I am enjoying shaking people's hands, which I used to dread. One of my new favorite things to do is to put lotion on my hands, which I could never do. I'm so happy! My only regret is not having had this surgery sooner!!! My resting heart rate did drop from about 68 to 54 after surgery, but I am still able to get my heart rate up when exercising, so it hasn't been a problem."

Saturday, May 20, 2017

Raynaud's (cold fingers) improved after Micro ETS (now warm).

Life has changed after ETS: "I no longer worry about my sweating hands or avoid certain situations because of them. I am much more confident at work, and social outings and when meeting new people. This surgery has improved my life 100%! Thank you so much, Dr. Nielson!"

Thursday, May 11, 2017

"No more blushing" & hands are even warm after Micro ETS

Six months after Micro ETS this patient shares this:
"I am so much more comfortable because I don't blush anymore. I can go out in public, and attend meetings at work, without having a blushing meltdown. To me it is a miracle that a medical procedure was able to completely cure my extreme case of idiopathic craniofacial erythema. Before the surgery, I also had Raynaud's phenomenon (although that is not why I decided to go forward with the surgery), and that condition has been completed cured as well. My hands are no longer cold, and I feel much more confident shaking people's hands."

Saturday, April 29, 2017

"My Hands are warmer than everyone in the office"

Very satisfied 6 months after Micro ETS: "I used to avoid shaking hands but sometimes it was inevitable and was embarrassing. Now, I shake hands without the stress of shaking wet hands. Am more confident and have no stress about it. My hands are warmer than everyone in the office and since I don't sweat in my underarms and my palms and just a little in my feet, my body is able to have more control over my body temperature."

Monday, April 24, 2017

6 Months later--> Sweating of Hands and Feet improved after Micro ETS

My hands are no longer cold while exercising. Holding cold objects is no longer painful. The procedure was for my hands but it also helped my feet. I had to wear orthoditcs because my arches weren't strong enough and I couldn't gain strength in them. Ive started to be able to do many activities without orthoditcs and am working to keep that up. I still have hyperhydrosis in my feet, but they also do not change color or swell in the shower.

Friday, April 14, 2017

One Year after Micro ETS

Blushing is improved, hands remain warm and are no longer cold. Not experiencing cs (compensatory sweating).
Micro ETS has allowed me to join committees and expand my role in my career beyond anything I could have ever imagined. I am SO grateful I did this procedure!!!!!! The facial blushing was so bad that my Raynaud's was a secondary problem. Having good circulation to my hands throughout the cold winters has been amazing. I have been very happy with the results!!!

Wednesday, March 22, 2017

Six Months later -->

How life changed since having ETS: "As time goes by I am slowly starting to forget that I ever had the condition. I am immensely satisfied with the results. The sweating in my hands is stopped 100%. I still have nightmares, though, that the condition has returned. It was two or three times a week at first, but now it's maybe once a week or less. I am far more confident in social and professional situations. I'm no longer the shy or reticent one, hanging back and dreading to be noticed or approached. I can wear nice clothes without having to wonder if the fabric will withstand the sweating. I can attend trade shows and conferences where I meet many people at a time. My church experience is greatly enhanced, not having to make apologies for the wet hands and such. I can go on and on. Others have mentioned the change in me, which continues to manifest over time. I am grateful for the procedure and I cannot overstate the benefits of having gone through with it."

Thursday, February 23, 2017

IMPROVED --> Blushing - Face/scalp Sweating - Raynaud’s of the hands

61 year old man from Tennessee reports how his life changed after Micro ETS.

"I am much less worried about facial blushing and sweating when I perform as a singer or public speaker.  
Compensatory sweating occurs on my lower legs & lower back. Not serious at all.
 It has been a wonderful blessing! Thank you."

Saturday, February 4, 2017

18 Months after Micro ETS --> Life has been more enjoyable without sweaty hands!

My whole life has been more enjoyable without the trauma and anxiety due to sweating hands. I can shake hands and meet people and interact without worrying about my sweaty hands. I lived with it affecting daily living until I was 60 years old. Compensatory sweating on the lower chest and back occurs. Very satisfied, even with the degree of compensatory sweating.

6 Months after Micro ETS --> Life has been more enjoyable without sweaty hands!

60 year old woman from TN shares:  "My whole life has been more enjoyable without the trauma and anxiety due to sweating hands. I can shake hands and meet people and interact without worrying about my sweaty hands. I lived with it affecting daily living until I was 60 years old. Compensatory sweating on the lower chest and back occurs."
Very satisfied, even with the degree of compensatory sweating.

Tuesday, January 31, 2017

7 years of suffering with wet hands GONE --> Dry after Micro ETS

21 yr old woman tried "everything" (Drysol, Botox injections, Iontophoresis and oral medications) for 7 years to stop her wet hands, but nothing worked for her. She decided to have Micro ETS and her hands became dry immediately. She shares the following as to how her life has changed since having Micro ETS: "It has affected me in everything I do on a daily basis from driving to writing. I can hold hands for a long period of time and no worry about them sweating, and I feel more confident talking with my hands to other people now that I have had the surgery. It was changed my life in a very positive way!" She also reports that she doesn't experience any compensatory sweating at all.
(an example of wet hands changing to dry hands is below)

Wednesday, January 25, 2017

How a woman's life changed after Micro ETS.

"I am able to perform my job functions with almost no blushing. I can have tough conversations with my leaders and present information to my team members with more confidence. Dr Nielson is great at what he does and took time to be by my side during recovery."

Friday, January 20, 2017

13 yr old girl enjoys DRY & warm hands for 5 years following Micro ETS at age 8.

An 8 year old girl with severe sweating of her hands, becoming quite cold during sweating episodes, had tried Drysol (topical) —> cracking and peeling of the skin on her fingertips occurring every 3 to 4 weeks, Talc-anti Monkey Butt, and several different Clinical Strength Antiperspirants without any improvement in excess sweating and cold hands.  Activities of daily living were a burden, very frustrating and even quite stressful.  
Micro ETS immediately stopped the sweating and her hands became dry and warm.  She has been able to enjoy activities of daily living now for the past 5 years.

Here is a photo of her wet hands before Micro ETS

Monday, January 16, 2017

Larissa's Story

Here is Larissa's compelling story. Told in her own words.

For anyone contemplating whether or not ETS (Micro-endoscopic thoracic sympathectomy) surgery is for you, here is a little of my history.  

Many days I just wished my hands were invisible.  My middle school and high school years were miserable.  It was a struggle that few even knew about because, for the most part, I kept my palmar hyperhidrosis hidden (as best I could).  If you're contemplating this surgery, then one or more of these scenarios will probably sound familiar.

The first memory of my super sweaty hands was having to quit piano lessons at an early age because my fingers left the keys soaking wet.  Yuck for me, the teacher, and the piano.

Something as simple as taking handwritten notes created dread.  I always had to fold up an extra piece of paper and put under the bottom of my hand where it touched the page.  If not, the ink or pencil would blur or you wouldn't be able to write on the wet lower portion of the page at all.

I played on the high school tennis team for four years.  I loved tennis BUT there was no way I could hold onto a racket without wearing a leather glove to absorb the hand sweat, having my racket grip wrapped in an absorbent material, and/or keeping a towel court side to dry my grip between points.

Dating, who wants to hold a cold sweaty hand?  Terrible again.  Whenever, I rode in a car, I always held my hands in front of the air vents to try and keep them dry. 

Ever been to a golf driving range, and the club just flies out of your wet hands and lands 30 feet in front of you?  Yep, me too. 

Imagine if having pockets was a necessity.  I always wore a dress or pants with pockets so I could stick my hands in and dry them off.

When bowling, I always stood right over the fan at the ball return so I could keep my hands as dry as possible and not fling the ball backwards.

When shooting a game of pool, I loved those big chalk blocks!  That's the only way I could play, by coating my hands in chalk powder.

My mom took me to a physician in high school who said it was just nerves.  I knew better, because I could be home watching TV and eating snacks with sweaty palms.  Why would I be nervous about that?

As life goes on...

I got married with a washcloth wrapped around my bouquet of flowers as I walked down the aisle so my hands wouldn't drip water and my wedding gown would stay dry.

At any type of party or social gathering, I always walked around with a beverage full of ice AND a napkin wrapped around it.  This way I could try to dry my hands, and if I had to shake hands maybe they would appear cold because of the ice on the sweaty glass.

Ever tried to hold a friend's baby or even your own with sweaty hands and then hand them to someone who says "oh, I think they have wet their clothes and need a diaper change".  No, sorry, that was from my sweaty hands.

Going to church, I kept a paper towel in my bible so I could dry my hands during the service.  The worse part of all, when the pastor would ask us to stand up and shake hands with someone near us and welcome them. Ugh!  If you didn't it was rude, if you did it was embarrassing.

I made it through radiology school by constantly drying my hands.  Do you know what happens to x-ray film when you touch it with wet hands.  Not good.  Films stick together and it leaves a mark that could interfere with interpretation by a radiologist.  Once my instructor told me, you can't have wet hands.  Well duh, I get it. Luckily today, most film based departments are digital.

Afterwards, I got a job in healthcare and had to wear latex gloves often (to give injections or sterile situations, etc).  I tried to use medical gloves that had kind of a tight wrist or even had a powder in them because if I ever held my hand up above my head - a stream of water would just run down my arm.  I wish I had a photo or a video because I could literally take off these latex gloves and pour the water out of them.

Even if I was able to keep my hands dry, they were usually freezing cold.  Do you know how many times I've been told, "Wow, your hands are ice cold"?  I would just smile and say "That means I have a really warm heart".

Well, today I have warm hands AND a warm heart.  Ironically, on Valentines Day, February 14 of 2000 I flew to Houston, TX and had ETS Surgery performed by Dr. David Nielson.  

I ran across this procedure on the internet after following several forums and doing a lot of research.  At that time, there weren't but a handful of physicians in the US even performing this surgery.  I remember my mom asking that I please not do this because it was so new but I was ready for a change.  I was put to sleep with wet hands and when I woke up they were dry and have been dry ever since.  Life changing!  I became a different person, more confident, more outgoing, less stress, less anxiety, my career grew, and my relationships grew.  Dr. Nielson's office was great, the same day surgery was quick and you show up the next morning for a follow-up visit before boarding a flight and heading back home.  My chest was a little sore and I couldn't laugh but that certainly didn't keep me from smiling.  

It's not just me, ETS has been a miracle for others as well.  As I was looking through my notes before writing this, I ran across an email that I received in July of 2000. I have no idea who these folks are but the wife (not named for privacy reasons) had written me a thank you letter. She writes "I hold you responsible for us finding Dr. Nielson.  I hold you responsible for my new husband, I could go on and on about the ways he has changed, the ways his life has changed, but I won't because I'm sure you feel the exact same way.  What I'm trying to say is thank you, thank you for my new husband".

In full disclosure, I do have slight compensatory sweating but I'll take that any day.  My feet sweat some (not bad), but who shakes feet?  And I'll occasionally have some sweating on my chest or abdomen, not bad at all.  Knowing what I know now, would I do it again?  Absolutely, without a shadow of a doubt.  Life is great!

Larissa Green 

Wednesday, January 4, 2017

Imagine having Cold/wet hands --> becoming Warm and dry

14 yr old girl now has warm and dry hands following Micro ETS.  Everything she touches feels so different now, quite pleasing to her.  She had wet-cold hands all of her life until Micro ETS.