November 26th, 2011 by DeborahSchwarzRPA in Research
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Jeffrey A. Ascherman, MD, FACS
After the jubilation of beating cancer, many women who seek breast reconstruction have another journey to complete. Before they can receive a permanent breast implant, they must first undergo a process to create the space to house the new implant – a process which can be uncomfortable at times and may take many months.
“Traditionally, women undergoing breast reconstruction have had to endure a long process of inconvenient and sometimes uncomfortable saline injections every 2 to 3 weeks to create a pocket for the permanent implant following a mastectomy,” said Jeffrey Ascherman, MD, Site Chief, Division of Plastic Surgery, NewYork-Presbyterian/Columbia. According to some women, this process can also involve a significant time burden, since they must visit their doctor’s office every few weeks for an average of four to six months.
Dr. Ascherman is now the first physician in the United States to be enrolling patients in a study of a new, Read more »
*This blog post was originally published at Columbia University Department of Surgery Blog*
November 26th, 2011 by Linda Burke-Galloway, M.D. in Health Tips, True Stories
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Can you imagine giving birth and then immediately discovering that you couldn’t hear anyone? That you were completely deaf? That’s exactly what happened to Heather Simonsen, a mother of three who lives in Utah. Simonsen noticed after each previous pregnancy that sounds would come and go and her ears felt clogged. She saw an ear, nose and throat specialist who advised her that she was gradually losing her hearing in the left ear. She also began to hear a ringing in her ear.
Simonsen didn’t realize that she was developing a condition called Otosclerosis, a disease of the bones of the middle ear. The bones of the middle ear (the maleus, incus and stapes) are usually flexible and transmit sound but with Otosclerosis, this is not possible because the bones become fused together. Simonsen is one of the Read more »
*This blog post was originally published at Dr. Linda Burke-Galloway*
November 26th, 2011 by Dinah Miller, M.D. in Opinion
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I’ve been asked several ‘ethical dilemmas’ in the past few weeks. I’m putting them up on Shrink Rap, but please don’t get hung up on the details. These aren’t my patients, but the details of the stories are being distorted to disguise those involved. The question, in both cases, boils down to: Should the mental health professional report the patient to his professional board?
In the first case, a psychiatrist is treating a nurse who is behaving badly. The nurse is stealing controlled substances from the hospital and giving them to friends who ‘need’ them. She doesn’t intend to stop, and her contact with the psychiatrist was only for an appointment or two before she ended treatment. Should the psychiatrist contact the state’s nursing board? Is he even allowed to?
In the second case, Read more »
*This blog post was originally published at Shrink Rap*
November 26th, 2011 by Jessie Gruman, Ph.D. in Health Policy, Opinion
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A couple of weeks ago, I was asked to speak as a patient about “consumers and cost information” while being videotaped for use in the annual meeting of the Aligning Forces for Quality initiative funded by the Robert Wood Johnson Foundation.
RWJF Video - This Costs How Much?
I admire the aims of this initiative – “to lift the overall quality of health care in targeted communities, reduce racial and ethnic disparities and provide models for national reform” – and I think it has taught us some valuable lessons about what it takes to make even slight course corrections in the trajectory of the huge aircraft carrier that is health care.
Plus, I have listened to hundreds of people talk about their experiences with the rising price of health care: who thinks about it when and why, what individuals do to cut back on the expense, where they have been successful and where not. I’ve heard lots of stories, most of them involving Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
November 25th, 2011 by Bryan Vartabedian, M.D. in Opinion
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This is my 3rd year participating in The Engage with Grace Blog Rally. Engage With Grace is a movement designed to help advance the conversation about the end-of-life experience. It began with a simple idea: Create a tool to get people talking. Their tool is a slide with five questions designed to initiate dialog about our end-of-life preferences. I originally heard about Engage with Grace from Paul Levy and he’s at it again this year.
This campaign has forced me to Read more »
*This blog post was originally published at 33 Charts*
