November 30th, 2011 by John Di Saia, M.D. in Health Tips, Opinion
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Question:
When I was pregnant, my daughter pushed against my belly button the last couple of months and stretched it out. Then I ended up having two hernias which also stretched it out. Unfortunately I pierced my belly button when I was 15 and the skin above my belly button is now extremely loose. Can you fix this?
I am 26 and had my baby in Sept of 2010. I gained 30 pounds (healthy) and immediately had the two hernias. I think they were a result of the pregnancy or labor. I had them repaired in Jan of 2011. I am planning on having one more child. If it’s not a boy, then we’ll be having another one. Lastly, no I am not a fitness model. I’d like to be!
Belly button plastic surgery is usually referred to as umbilicoplasty. It is a routine part of tummy tuck operations as it becomes necessary when moving the position of the umbilical opening. As you have discovered,
Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
November 30th, 2011 by PJSkerrett in Research
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My fingers hate diabetes. Several times a day they get poked with a sharp, needle-like lancet. The drops of blood they give up tell me how my blood sugar roller coaster is doing. That’s really important information I need to determine whether to eat, exercise, or give myself some insulin.
It would be such a treat to check my blood sugar (glucose) without pricking a finger, squeezing out a drop of blood, and placing it on a small test strip attached to a meter. Help may be on the way—though I’m not expecting any big breakthroughs for another few years—as researchers across the country explore prick-free ways to measure blood sugar.
Here are three interesting approaches. Read more »
*This blog post was originally published at Harvard Health Blog*
November 30th, 2011 by GruntDoc in Opinion, Research
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I really like this idea, but … well, see after the quote.
It’s easy to compare prices on cameras, vacations, and homes. But in the United States, patients fly blind when paying for health care. People typically don’t find out how much any given medical procedure costs until well after they receive treatment, be it a blood draw or major surgery.
This lack of transparency has contributed to huge disparities in the cost of procedures. According to Castlight Health, a startup based in San Francisco, a colonoscopy costs anywhere from $563 to $3,967 within a single zip code. EKGs can range from $27 to $143, while the price for a set of three spinal x-rays varies from as little as $38 to as high as $162.
When someone else is picking up the tab, mystery pricing is not much of a problem. But these days, Read more »
*This blog post was originally published at GruntDoc*
November 29th, 2011 by Shadowfax in Research
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I have been working as an ER doctor for over a decade, and in that time I have come to recognize that there are certain complaints, and certain patients who bear these complaints, that are very challenging to take care of. I’m trying to be diplomatic here. What I really mean is that there are certain presentations that just make you cringe, drain the life force out of you, and make you wish you’d listened to mother and gone into investment banking instead. Among these, perhaps most prominently, is that of the patient with cyclic vomiting syndrome.
The diagnosis of cyclic vomiting syndrome, or CVS, is something which is only in recent years applied to adult patients. Previously, it was only described in the pediatric population. It has generally been defined as a disease in which patients will have intermittent severe and prolonged episodes of intractable vomiting separated by asymptomatic intervals, over a period of years, for which no other adequate medical explanation can be found, and for which other causes have been ruled out.
That is not much in the way of good literature about this disease entity, which is surprising, because it is something that I see in the emergency department fairly regularly, and something with which nearly all emergency providers are quite familiar. These patients are familiar to us in part because we see them again and again, in part because they are memorable because they are so challenging to take care of.
Some things about the cyclic vomiting patient that pose particular challenges: Read more »
*This blog post was originally published at Movin' Meat*
November 29th, 2011 by Michael Kirsch, M.D. in News, Opinion
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It’s Saturday morning, and I’m in an undisclosed location drinking a fabulous cup of coffee while turning the pages of The New York Times, knowing that ink and newsprint will be vanishing too soon. Yes, I do have an iPad now, but I haven’t figured out how to blog on it. Any suggestions?
Buried in the first section of the paper is an article on stool, which in my view as a gastro specialist, should have merited front page placement. Yes, we all know the adage, ‘one’s man’s trash is another man’s treasure’, but stool – as in excrement – should be prized by everyone. Perhaps, as a gastroenterologist, I have a jaundiced view on this issue, which explains my dyspeptic reaction.
All Whistleblower posts have an accompanying image, and I wonder what visual would be appropriate here. I opted against my first choice, and choose instead a photo of our beloved Labrador Retriever, Shoshie, of blessed memory.
The Times reported a new program to Read more »
*This blog post was originally published at MD Whistleblower*