June 9th, 2011 by RamonaBatesMD in Health Tips
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Earlier this week this tweet from @prsjournal caught my eye
Most Popular: Management of Horse and Donkey Bite Wounds: A Series of 24 Cases: No abstract available http://bit.ly/lgNkCS
I missed this article when it came out in the June 2010 issue of the Plastic and Reconstructive Surgery Journal. As I have covered fire ant bites, cat bites, and snake bites. Fellow blogger Bongi has written about hippo bites. It’s time to cover horse and donkey bites.
Dr. Köse, Department of Plastic and Reconstructive Surgery, Harran University Hospital, Turkey and colleagues presented a retrospective evaluation of 24 patients treated for animal bites (19 horse and five donkey bites) from 2003 to 2009. The head and neck were the most frequent bite sites (14 cases), followed by the extremities (8 cases) and the trunk (2 cases).
The article is very short, representing their personal viewpoint and experience. Read more »
*This blog post was originally published at Suture for a Living*
June 3rd, 2011 by John Di Saia, M.D. in Health Tips
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I have had a capsulectomy due to capsular contraction, but now it has returned. I want an explant because they are uncomfortable and look unnatural. My doctor said that since the capsulectomy did not resolve the issue, he recommends having an explant and waiting about 6 months to a year. After my body has healed properly, he said that I can get implants again and will not get capsular contraction again. Is this accurate? Am I less likely to get capsular contraction or will I be free of capsular contraction? I’m also looking for a doctor experienced in explants.
The subject of hardened breast implants (Capsular Contracture) comes up frequently as it is the leading cause of long term dissatisfaction with breast implants. If your breasts tend to hurt or look unnatural, you likely have severe encapsulation (Baker Grade III or IV.) When contracture redevelops quickly after capsulectomy (assuming the operation was thorough,) this is worrisome as it may indicate a high tendency for recurrence. The main question when severe contracture is present is whether or not a cause can be identified. Bothersome contracture doesn’t happen to all patients. This kind of reaction is associated with cigarette smoking, bleeding, infection, silicone gel implants, poor soft tissue coverage and radiation exposure as well as a previous history of contracture. Some of these issues can be minimized in an attempt to reduce the tendency for encapsulation. Preventing the problem is the best solution. Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
June 1st, 2011 by RamonaBatesMD in Research
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Have you ever lost your sense of smell or taste? Recall how it feels when your face/mouth don’t work properly until the nerve blocks wear off after a dental procedure.
Those are all things (and more) a facial transplant patient has to deal with. The article discussing recovery of sensation after facial transplantation in the May issue of Plastic and Reconstructive Surgery discusses this topic (first reference below).
In addition to reviewing their own face transplant patients (n=4), Dr. Maria Siemionow and colleagues did a literature review (English literature for peer-reviewed articles published between 1940 and 2010) of sensory recovery after various standard nerve repair techniques.
These other nerve repair techniques included repair of the peripheral branches of the trigeminal nerve; sensory return after free tissue transfer (ie noninnervated flaps, including radial forearm, lateral thigh, anterolateral thigh, latissimus dorsi, trapezius, et al and innervated free flaps, including radial forearm, anterolateral thigh, and rectus abdominis musculocutaneous flaps); and sensory recovery following replantation of scalp and forehead. Read more »
*This blog post was originally published at Suture for a Living*
May 27th, 2011 by RamonaBatesMD in Health Tips
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Last year I didn’t write about dog bite prevention until the first week of June even though I know National Dog Bite Prevention Week is always the third full of week of May.
The numbers shared by the American Veterinary Medical Association (AVMA) haven’t changed: 4.7 million people are bitten by dogs each year in the US with 800,000 of them requiring medical attention.
If you have read this blog for very long, you know I dearly love my dogs — deceased ones (Columbo, Ladybug (photo), and Girlfriend) and the living one, Rusty. Still, I have no illusions that dogs bite and given the right provocation, I think mine would though most of the time they are totally harmless and would just invite you in to rob me.
Sadly, children are by far the most common victims of dog bites, occurring most often in children 5-9 years of age. Senior citizens are the second most common dog bite victims.
Children are also more likely to be severely injured and represent half of the dog-bite victims requiring medical attention every year. Almost two thirds of injuries among children Read more »
*This blog post was originally published at Suture for a Living*
May 17th, 2011 by John Di Saia, M.D. in Opinion
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In a nation with 93 million obese people, a few ob-gyn doctors in South Florida now refuse to see otherwise healthy women solely because they are overweight. Fifteen obstetrics-gynecology practices out of 105 polled by the Sun Sentinel said they have set weight cut-offs for new patients starting at 200 pounds or based on measures of obesity — and turn down women who are heavier. Some of the doctors said the main reason was their exam tables or other equipment can’t handle people over a certain weight. But at least six said they were trying to avoid obese patients because they have a higher risk of complications.
Source: visiontoamerica.org/719/report-doctors-refusing-to-treat-overweight-patients/
While I have not specifically “refused to treat” obese patients, I have in a few cases recommended against surgery or recommended weight loss and re-evaluation later. Than again I am not in primary care and do understand what these OB/GYNs are saying. Obese patients do represent more risk when it comes to surgery and that would of course cover pregnancy and child bearing.
Take into account that Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
