EXPERT
Dr. Thomas S. Granchi, MD
Trauma Surgeon
Dr. Thomas S. Granchi is a highly experienced Trauma/Critical Care Surgeon affiliated with Extant Healthcare in Texas. He specializes in Trauma, Critical Care, Emergency Surgery, and Burn. Dr. Granchi attributes his success to the strong professional support he has received over the years, as well as the unwavering support of his family and the guidance of his mentors. He has published several articles in textbooks and journals and has also taught the Residency Program at HCA Clear Lake and HCA Houston Kingwood. He is committed to providing top-notch medical care to his patients and advancing the field of surgery through research and teaching.
37 years
Experience
Dr. Thomas S. Granchi, MD
- Galveston, TX
- Ohio State University College of Medicine
- Accepting new patients
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How long rest should I have after appendix surgery?
Recovery from an appendectomy depends on your general health and your normal daily activity. You can start walking and light activities (no lifting more than ten pounds) the day READ MORE
Recovery from an appendectomy depends on your general health and your normal daily activity. You can start walking and light activities (no lifting more than ten pounds) the day after surgery. Avoid weight lifting or MMA training for several weeks after surgery. Discuss your concerns with the surgeon who performed the operation.
Head/neck injury?
Yes, you should seek medical attention for your injury. Damage to the base of the skull and the spine in the neck can result in chronic pain or paralysis if not treated.
Can spine injury be fixed?
Yes, the bones of the spine, the vertebra, can be fixed. Injury to the nerves in the spinal cord cannot be fixed. Sometimes they can heal a little on their own. Unfortunately, READ MORE
Yes, the bones of the spine, the vertebra, can be fixed. Injury to the nerves in the spinal cord cannot be fixed. Sometimes they can heal a little on their own. Unfortunately, paralysis from a spinal cord injury is usually permanent.
How soon after abdominal hernia surgery can I go to a gym?
You should start exercising the first day after surgery by walking. At the gym, you can use any low impact activity such at treadmill, stationary bike, or elliptical trainer within READ MORE
You should start exercising the first day after surgery by walking. At the gym, you can use any low impact activity such at treadmill, stationary bike, or elliptical trainer within one to two weeks. If the gym means lifting weights to you, then no lifting for at leak four weeks. Heavy lifting should be delayed for six to eight weeks.
How long after abdominal hernia surgery can I go to work?
Return to work after abdominal hernia surgery depends on the nature of your job. Most people can return to office work in two to four weeks. Jobs that involve heavy lifting require READ MORE
Return to work after abdominal hernia surgery depends on the nature of your job. Most people can return to office work in two to four weeks. Jobs that involve heavy lifting require more time to heal, usually about six to eight weeks. Talk to the surgeon who performed your operation.
What can I drink after appendix surgery?
You can drink anything you want to after an uncomplicated appendectomy. But don't drink and drive.
Can an abdominal aneurysm be fixed?
Yes. Vascular surgeons can "fix" an abdominal aneurysm. Size and location of the aneurysm influence the risk of rupture. Treatment involves placing a stent or replacing the aneurysm READ MORE
Yes. Vascular surgeons can "fix" an abdominal aneurysm. Size and location of the aneurysm influence the risk of rupture. Treatment involves placing a stent or replacing the aneurysm with a prosthetic graft.
Does ankle sprain need surgery?
Sprains are ligament injuries. They usually do not require surgery, but they often require splinting or even casting.
Stab wound help me
The wound might be infected. You should go to an emergency room or a physician's office.
How do surgeons prevent a patient from bleeding out in the OR?
Unfortunately, the rate blood loss from multiple injuries or large blood vessel can exceed the ability to replace the blood in the circulation (blood transfusions) and to stop READ MORE
Unfortunately, the rate blood loss from multiple injuries or large blood vessel can exceed the ability to replace the blood in the circulation (blood transfusions) and to stop the bleeding. Large volume blood loss causes shock, hypothermia, acidosis, and loss of the blood's innate clotting factors. These conditions can cause a deadly cycle that causes rapid failure in multiple organs (kidneys, lungs, liver, and heart) that inexorably results in death. Trauma science and trauma systems have made improvements over the centuries, but people still bleed to death. My condolences.
My mother has suffered internal bleeding due to a trauma caused by an accident. What will be the treatment?
It depends on the amount of blood, the injured organs, and whether the bleeding will stop by itself. Treatment can involve non-operative treatment (aka "watchful waiting"), catheter READ MORE
It depends on the amount of blood, the injured organs, and whether the bleeding will stop by itself. Treatment can involve non-operative treatment (aka "watchful waiting"), catheter based therapy to isolate and embolize the bleeding vessels, or surgery to explore and repair or remove damaged organs. Unfortunately, elderly patients have higher risks for death and complications after trauma.
How is someone in critical care monitored during surgery?
An anesthetist, a specially trained nurse or an anesthesiologist, will monitor the patient continuously during the operation. They routinely use monitors for the heart rate, READ MORE
An anesthetist, a specially trained nurse or an anesthesiologist, will monitor the patient continuously during the operation. They routinely use monitors for the heart rate, blood oxygen content, and blood pressure. They may monitor other things if indicated by the patient's health and the characteristics of the operation.
What can a trauma surgeon do for a severe head injury?
A trauma surgeon can prevent secondary injury after traumatic brain injury. Secondary injury is usually caused by low blood oxygen or low blood pressure, or both. These conditions READ MORE
A trauma surgeon can prevent secondary injury after traumatic brain injury. Secondary injury is usually caused by low blood oxygen or low blood pressure, or both. These conditions are usually the result of other injuries, so the trauma surgeon can help the brain injury by treating the other injuries. The head injury may require a craniotomy to remove blood that causes pressure in the brain cavity. That operation is performed by a neurosurgeon.
How should I take care of myself after surgery?
Follow the instructions from the surgeon. Keep the incision clean to prevent infection, eat a healthy diet, get mild to moderate exercise (if approved by the surgeon), and get READ MORE
Follow the instructions from the surgeon. Keep the incision clean to prevent infection, eat a healthy diet, get mild to moderate exercise (if approved by the surgeon), and get enough sleep. You body knows how to heal, but it will take time. Don't rush it.
I think I have an infection after surgery. What should I do?
Yes. The signs and symptoms are consistent with infection at the surgical site. Most surgical site infections (SSI) occur within two weeks after the operation.
Is unrelated pain after an accident possible?
Muscle and joint pains days or weeks after trauma is not uncommon. But a serious injury that was missed at the hospital visit is possible. You should visit your physician and READ MORE
Muscle and joint pains days or weeks after trauma is not uncommon. But a serious injury that was missed at the hospital visit is possible. You should visit your physician and discuss your concern.
How can a trauma surgeon help my son recover from a car crash?
If the doctors you consulted are pediatric neurosurgeons or neurologists, you should trust them. I don't think a general trauma surgeon can offer any more insight into your son's READ MORE
If the doctors you consulted are pediatric neurosurgeons or neurologists, you should trust them. I don't think a general trauma surgeon can offer any more insight into your son's condition.
Can trauma surgeons help in dealing with post-traumatic stress?
Post-traumatic stress disorder (PTSD) is very common in civilian trauma victims. Trauma surgeons are trained to recognize the condition in their patients and begin treatments. READ MORE
Post-traumatic stress disorder (PTSD) is very common in civilian trauma victims. Trauma surgeons are trained to recognize the condition in their patients and begin treatments. The symptoms usually improve the anti-depressant medications. Severe cases should be evaluated and treated by a psychiatrist.
Near Death Experiences?
Yes, if someone can stop the bleeding before the victim bleeds to death.
Research on gunshot wound care
Most gunshot wounds (GSW) to the chest can be treated with chest tube drainage alone. A chest tube is also called a pleural tube or pleural catheter. It is a tube inserted between READ MORE
Most gunshot wounds (GSW) to the chest can be treated with chest tube drainage alone. A chest tube is also called a pleural tube or pleural catheter. It is a tube inserted between the ribs into the pleural space (between the lungs and the chest wall) to drain blood and air that accumulates from the lung injury. The wound on the skin can be treated with washing and a clean dressing to prevent infection. If the wound is bleeding, a bulky pressure dressing can be applied. GSW to the center of the chest can damage the heart or great vessels. Those victims usually die very quickly, even with immediate surgery.