Hyperhidrosis Testimonial by JL

Dr. Reisfeld,

It has been a long time since last contacting you. I had the T2 ETS for my facial/cranial hyperhydrosis back in July of 1997. I have moved on with my life and am now to the point that hyperhydrosis is something in my past that I eventually stopped looking it up on the internet (knock on wood). It was just this weekend that I stumbled again on your website.

I hope things are going well for you and all your past, current and future patients. It guess I am checking in for an update of my status. After over five years since the ETS procedure, I have been relatively free of facial sweating. And I do thank you and your staff for such caring and professional expertise you all displayed. I have noticed that you have backed off from doing the procedure for facial hydrosis and also are using clamps vice cuts of the T2 nerve. ( View section referred to ) Personally, I prefer the cut, I cannot feel comfortable with leaving "things" inside my chest (but that is just a personal preference).

As for post ETS, here are aspects of what I have experienced and remembered:

1. A Plus - No cranial sweating, even in social situations and even high stress work. I can now go impromptu in front of a crowd of 100's and not sweat on my face/head. Too bad I am not that charismatic and still make a fool of myself, but hey, I don't think ETS works on that aspect.

2. A minor negative - I do have some compensatory sweating, but it is very tolerable, even in 100+ degree 99% humidity environments. All other references I talked to made me aware of this prior to ETS. The sweating is localized in the bends of the knees and elbows, the crotch, armpits, and as you told me "below the nipples." It may be annoying at times, but I personally feel it is not a big deal. Just wear cotton undergarments. I have not had any problems with any heat regulation with my body, and I do work out hard.

3. A minor negative - when I work out on a stairmaster, I don't sweat on my head, so I people think I am not working out hard.

4. A Plus - My palms are not sweaty, something I tolerated before, but was a nice side effect that I wasn't anticipating.

5. A minor negative - In the winter time, my hands are dry, but that is where any type lotion comes in.

6. A minor negative - When I wear work gloves holding onto something and doing very heavy aerobic activity, I do sense some dampness on the palms.

7. A Plus - My face is not dry despite no sweating. You said the oil glands are not linked the sympathetic nervous system and I you are correct.

8. A minor negative - If I throw in a couple of jalepenos with tabasco and red hot chili peppers, I do get some gustatory sweating or at least the sensation of it, but hey, everyone else around me is also sweating too. It hasn't stopped me from eating my favorite eclectic spicy foods.

9. A Plus - I remember for a few weeks after the ETS surgery, my blood pressure and pulse were initially lower (like 50 bpm, 105/60), but as the weeks progressed it went back to normal (65bpm and 110/70). I did notice that I was not easily perturbed, kind of mellow. But my "wonderful" type A personality came back, unfortunately.

10. A minor negative - The scars are not in the armpit, but a little forward towards the chest and visible if someone looks. Folks told me that I looked "puffy" from the procedure for a couple of days, I suspect that was due to the anesthesia. After the procedure and the anesthesia wore off, it felt like my chest got hit with a fast ball. If potential patients can tolerate it, I recommend not taking any pain kills that were prescribed. Also, before doing the surgery, a month before get in shape to include pushups or bench presses and chest stretches. It made the healing quicker, I was doing pushups 7 days after the surgery.

11. A minor negative - Maybe signing the release/liability forms the day before instead of the morning of the ETS surgery would help reduce a lot of the anxiety.

Thanks again for changing my life in a very positive way, and I wish you, your staff, and your patients the very best!!

JL

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