May 20th, 2011 by RamonaBatesMD in Health Tips, Research
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I stumbled across this review article (first full reference below) earlier this week.
Skin cancer is the most common form of cancer in the United States. Most skin cancers form in older people on parts of the body exposed to the sun or in people who have weakened immune systems (such as inflammatory bowel disease patients on immunosuppressive therapy).
According to the National Cancer Institute (NCI), in there were more than one million new cases of nonmelanoma skin cancers (NMSC) in the United States in 2010. There were less than 1,000 NMSC deaths during the same time.
NMSC includes squamous cell carcinoma (SCC) and basal cell carcinoma (BCC). Both occur more frequently on sunlight-exposed areas such as the head and neck. BCC is far more common than SCC and accounts for approximately 75% of all NMSC. Read more »
*This blog post was originally published at Suture for a Living*
May 12th, 2011 by RamonaBatesMD in Health Tips
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Recently I attended a CME course entitled “Dealing with Difficult Colleagues.” It was part of my medical malpractice company’s risk management series to teach physicians/nurses how to lessen our risk of being sued.
This lecture was given by Linda Worley, MD who is a psychiatry professor at UAMS. She is a good speaker, easy to understand, engages the crowd, and knows her subject.
My only complaint would be that it focused only the “angry” or “frustrated” physicians who exhibit unprofessional behavior and did not include the ones whom you suspect might be difficult due to impairment (illness, drugs, alcohol).
Difficult colleagues can impact a team (in office, OR, or hospital) by creating low morale, high staff turnover, inefficiency, decreased patient satisfaction, increased risk for poor patient outcomes, and increased risk of litigation.
Here are some of the A-B-C-D strategies given for handling “horizontal” hostility (or hostility handed from one person to another to the next in the team): Read more »
*This blog post was originally published at Suture for a Living*
May 7th, 2011 by RamonaBatesMD in Health Tips
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Here’s the tweet I posted Sunday evening:
I’ve told pts this for years now>>> Liposuction Study Finds That Lost Fat Returns – http://nyti.ms/kheltN
The New York Times article reports on a liposuction study published in the April issue of the journal Obesity (full reference below). The NY Times article uses this photo as graphic illustration
and a quote from a plastic surgeon who says he is surprised.
Dr. Felmont Eaves III, a plastic surgeon in Charlotte, N.C., and president of the American Society for Aesthetic Plastic Surgery, said the study was “very well done,” and the results were surprising. He said he would mention it to his patients in the context of other information on liposuction.
I have told my patients for years to consider the fat cells in their body as drawers or storage bins. If I take away some of the drawers and they continue to take in “fat” that needs to be stored, the body will put it somewhere. If there are now fewer drawer options in the saddlebag or abdominal region, then where will it go? Most likely the upper body, etc. Read more »
*This blog post was originally published at Suture for a Living*
May 3rd, 2011 by RamonaBatesMD in News, Opinion
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There was a lovely news article on the first California hand transplant patient in the LA Times earlier this week: Hand transplant patient speaks (bold emphasis is mine)
Emily Fennell, 26, last month became the first person in California to have the revolutionary surgery. Six weeks and many hours of therapy later, she has no regrets. …..
On March 5, Fennell became the first person to undergo a hand transplant in California and the 13th nationwide to have the revolutionary surgery. . ….
“It’s crazy how good it looks,” she said at her occupational therapy session one morning last week at UCLA, where she spends about eight hours a day working on learning how to move her new hand and fingers. “I knew the match wouldn’t be perfect, but if you didn’t know what happened, you’d think I just had some kind of orthopedic surgery.” ….
Doctors told her that the biggest risk from the surgery comes from the side effects of lifelong use of strong immunosuppressant medications, which can cause high blood pressure, kidney or liver damage, elevated cancer risks and lower resistance to infections. …..
“I decided the benefits were worth those risks,” Fennel said. She has adjusted well to the medications. …. Read more »
*This blog post was originally published at Suture for a Living*
April 21st, 2011 by RamonaBatesMD in Health Tips, True Stories
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My husband had a screening colonoscopy last Friday. His nurse in the recovery is the only one I had issues with. I, not my husband.
All went well, but let me tell you he is not an ePatient Dave. He did not read his instructions about when to quit eating and the prep. I did. I then reminded him along the way: “Only clear liquids today.” “You must take the Ducolax at 3 pm. Do you want me to text you a reminder?”
Sometimes the instructions we give patients are clear, but not always read.
The staff at the front desk were very kind and organized. Calls had been made the day before and I had insured the insurance information they had was correct. I did not tell anyone I was a doctor. I’m not sure if my husband did later or not.
…..
When I was called back by the nurse, she mispronounced my name calling me Rhonda (which I forgave easily). She did not introduce herself to me.
As we entered the recovery area, she did not take me to my husband and assure me he was okay. She took me to the desk and abruptly said, “You need to sign this.” Read more »
*This blog post was originally published at Suture for a Living*
