EXPERT
Dr. John J. Pagan, MD
Surgeon
Dr. John Pagan is a general surgeon practicing in Sellersville, PA. Dr. Pagan specializes in abdominal contents including the esophagus, stomach, liver, gallbladder, pancreas and often thyroid glands. General surgeons are able to deal with almost any surgical or critical care emergency, also involving the skin or soft tissue trauma. Dr. Pagan provides quality surgical service for gravely ill or injured patients and is able to respond quickly due to knowledge of various surgical procedures.
34 years
Experience
Dr. John Pagan, MD
- Sellersville, PA
- Univ of Md Sch of Med, Baltimore Md
- Accepting new patients
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How long do you stay in the hospital after liver surgery?
Depends on the extent and nature of the liver surgery and, of course, the overall health and strength of the patient. Roughly, can expect staying in the hospital at least 3-4 days READ MORE
Depends on the extent and nature of the liver surgery and, of course, the overall health and strength of the patient. Roughly, can expect staying in the hospital at least 3-4 days after major liver resection.
External iliac artery exploration?
Sounds like they are doing the right things with wound care, wound vac, antibiotics, and post-acute nursing care. Optimizing any other medical problems that she might have is also READ MORE
Sounds like they are doing the right things with wound care, wound vac, antibiotics, and post-acute nursing care. Optimizing any other medical problems that she might have is also important to promote healing along with balanced nutrition.
Just to clarify, "nicking the lymph node" may not have anything to do with her delayed wound healing or infection. Lymph nodes are all over our bodies and especially along blood vessels and in the groins. It is impossible not to move, excise, or dissect lymph nodes when operating on the external iliac artery. That is expected with any open vascular surgery.
Just to clarify, "nicking the lymph node" may not have anything to do with her delayed wound healing or infection. Lymph nodes are all over our bodies and especially along blood vessels and in the groins. It is impossible not to move, excise, or dissect lymph nodes when operating on the external iliac artery. That is expected with any open vascular surgery.
Is it my gallbladder?
You should see a doctor right away. If not in the ER, see a gastroenterologist. You can call your family doctor now, review your problems and get the name and contact information
for READ MORE
You should see a doctor right away. If not in the ER, see a gastroenterologist. You can call your family doctor now, review your problems and get the name and contact information
for that GI doctor. Until proven otherwise, those are very serious symptoms.
for that GI doctor. Until proven otherwise, those are very serious symptoms.
Can I eat if I suspect appendicitis?
If you strongly believe you have appendicitis and are heading to the emergency room for evaluation, you should not eat. Your surgeon (and anesthesiologist) will prefer that you READ MORE
If you strongly believe you have appendicitis and are heading to the emergency room for evaluation, you should not eat. Your surgeon (and anesthesiologist) will prefer that you have an empty stomach if you are going to the operating room for an appendectomy. An empty stomach reduces the change of inhaling stomach contents into your lungs while under anesthesia. Inhalation pneumonia can be a serious and sometimes life-threatening complication of any surgical procedure.
Noting the above, you can eat small to moderate amounts of food if you are hungry and have mild abdominal pains. You should not force yourself to eat if you are nauseous and vomiting. A subtle sign of appendicitis is loss of appetite. If you maintain a strong appetite, that could be a sign that your abdominal pains might be from something other than appendicitis. Significant and/or persistent abdominal pains should be evaluated by a physician regardless of eating.
Noting the above, you can eat small to moderate amounts of food if you are hungry and have mild abdominal pains. You should not force yourself to eat if you are nauseous and vomiting. A subtle sign of appendicitis is loss of appetite. If you maintain a strong appetite, that could be a sign that your abdominal pains might be from something other than appendicitis. Significant and/or persistent abdominal pains should be evaluated by a physician regardless of eating.
Can you live with a hernia without surgery?
That's a loaded question. Some people, for whatever reason (including not being aware that they have a hernia), go their whole lives without repair. However, there are some that READ MORE
That's a loaded question. Some people, for whatever reason (including not being aware that they have a hernia), go their whole lives without repair. However, there are some that have serious, and sometimes life threatening, complications from an unfixed hernia.
