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Case Report of a Cystosarcoma Phyllodes Tumor

Photo scanned in from article

Flipping through my current copy of The Journal of the Arkansas Medical Society, I was surprised to see this case report (full reference below) of a 30.8 pound cystosarcoma phyllodes of the breast. The accompanying photos are impressive. Many questions filled my head – Why did the woman wait so long to seek care? How did she manage to physically do her daily chores on the farm? How did she manage to find clothing to wear?

I scanned this photo in from the article. The patient’s history is as follows: Read more »

*This blog post was originally published at Suture for a Living*

How To Care For A Stoma

There is a very nice review article in the “throw away” journal Advances in Skin & Wound Care (full reference below) which discusses the causes and management of peristomal skin complications.  The photo (credit) to the right shows normal, healthy skin around a stoma.

Peristomal complications are one of the most challenging aspects of living with ostomies.  The purpose of this review article was stated to be “to illustrate practical approaches to prevent and treat common peristomal skin conditions.” Read more »

*This blog post was originally published at Suture for a Living*

Finger Nail Bed Injuries After A Motorcycle Accident

I was supplied these photos by someone who found my blog and then corresponded with me regarding their injury. He had injured his fingers in a motorcycle accident six weeks previous to our “meeting.” He understood that I could not be his treating physician and keep his questions respectful of that. I am grateful to him for the use of his photos as they show how healing occurs.

Read more »

*This blog post was originally published at Suture for a Living*

Facelifts Can Cause Pixie Ears

This article by Dr. Daniel Man (full reference below) is well worth the time spent reading it. Telltale signs of facelift procedures can include tightening across the lower face, visible scars, a distorted hairline, and the “pixie ear” deformity.  Dr. Man looks at the causes of the ear deformity and ways to prevent it. (photo credit)

Dr. Man has provided a pdf file of the article on his website, so you don’t have access to the Aesthetic Surgery Journal to read the article.

Between January 2005 and November 2007, the author performed facelifts on 106 patients using a technique that included autologous fat injections to improve facial volume, hidden incisions in and around the ear, and absorbable bidirectional barbed sutures. Patient charts and photographs were reviewed retrospectively. Read more »

*This blog post was originally published at Suture for a Living*

Breast Augmentation Using Fat Injections

A new study on fat grafting for breast augmentation was presented at last week’s American Society of Plastic Surgeons (ASPS) Plastic Surgery 2009 conference which I wasn’t able to attend.  The ASPS News Brief section gave an update on the presentation with a pdf of the abstract.

The main study author, Roger Khouri, MD, FACS, is featured in a video explaining the study and technique.  He feels that his study of 50 women is enough to settle the question of safety and effectiveness of fat injections for cosmetic breast augmentation.  Even though his results are good, I remain a skeptic.

Read more »

*This blog post was originally published at Suture for a Living*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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