Delivering real choice: the future of breast reconstruction in England
Breast Cancer Now - For those who choose it, breast reconstruction is a vital part of recovery from breast cancer or risk reducing surgery. However, this report reveals that too often, access and choice is being denied - making it harder for people to rebuild their lives. Breast Cancer Now is calling on NHS England to work in partnership with them, the Association of Breast Surgery (ABS) and the British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) to develop a practical plan for breast reconstruction services that addresses the backlog, removes barriers and ensures timely and fair access to r...
Source: Health Management Specialist Library - October 19, 2022 Category: UK Health Authors: The King ' s Fund Library Tags: Patient involvement, experience and feedback Source Type: blogs

Bioethicist Lecture to Look at Medical Aid in Dying Possibilities in Illinois
A presentation that assesses why a proposal that would allow terminally ill patients to obtain medical assistance to end their lives should be passed by the Illinois General Assembly is the focus of the 2020 John and Marsha Ryan Bioethicist in Residence lecture next week at Southern Illinois University Carbondale.  Thaddeus Mason Pope, director of the Health Law Institute at Mitchell Hamline School of Law, will present “Medical Aid in Dying: Assessing the Illinois Patient Choices at End of Life Act.”  The lecture is at 5 p.m., Wednesday, Feb. 26, at the SIU School of Law in Carbondale. The lecture is ...
Source: blog.bioethics.net - February 20, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Shannon Doherty Banking Blood
It was reported today that Shannon Doherty has been banking her own blood for an upcoming surgery. The 90210 actor was diagnosed with breast cancer in 2015. https://pagesix.com/2018/05/02/shannen-doherty-banking-blood-for-upcoming-surgery/ The post Shannon Doherty Banking Blood appeared first on InsideSurgery Medical Information Blog. (Source: Inside Surgery)
Source: Inside Surgery - May 3, 2018 Category: Surgery Authors: Lisa Marcucci Tags: Breast Surgery Oncology breast cancer Shannon Doherty Source Type: blogs

Offensive overselling of the #microbiome in breast cancer from the Cleveland Clinic
This study does not provide ANY proof of principle of this sort. You have not shown there are any pro-cancer bacteria. This is ridiculous and offensive. No wonder the news stories imply that this study is about preventing breast cancer. The press release from the Cleveland Clinic is deceptive. It makes claims about the work that are irresponsible, misleading, and potentially dangerous. The Cleveland Clinic should be ashamed.And thus the Cleveland Clinic is the winner of this edition of the Overselling the Microbiome Award. -------- This is from the "Tree of Life Blog" of Jonathan Eisen, an evolutio...
Source: The Tree of Life - October 9, 2017 Category: Microbiology Authors: Jonathan Eisen Source Type: blogs

Breastfeeding: Are you worried that your baby isn ’ t getting enough breast milk?
Nearly all nursing mothers worry at one time or another about whether their babies are getting enough milk. Since we can’t measure breast milk intake the way we can formula, it is easy to be insecure about your milk supply. The first thing to determine is whether your supply is really low or not. Know that it’s normal for your baby to lose some weight in the first couple of days after birth. Babies normally lose 5-7 % of their weight in the first couple of days as their bodies excrete the extra fluid (for the average baby, this is close to a half a pound weight loss). Some common concerns mothers have are if: The bab...
Source: Cord Blood News - May 15, 2017 Category: Perinatology & Neonatology Authors: Maze Cord Blood Tags: pregnancy breastfeeding Source Type: blogs

We need to start talking about what comes after physician burnout
I burned out, big and bad.  I can see that now.  My practice environment had become gradually untenable and every attempt I made to change it was blocked.  My call schedule was inflexible and a lot more frequent than when I started my job.  The hospitalists and ED kept sending me cases I didn’t feel qualified to manage, but as it was usually the middle of the night and I was the general surgeon on call, I had no choice. In the morning, when I asked again if we could find another way to manage these patients, I was told to suck it up, and usually something about bootstraps. I was also trying to handle this without app...
Source: Kevin, M.D. - Medical Weblog - February 12, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/anonymous" rel="tag" > Anonymous < /a > Tags: Physician Hospital Surgery Source Type: blogs

LITFL Review 234
Welcome to the 234th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM. The Most Fair Dinkum Ripper Beauts of the Week Simon Carley shatters our illusions of superiority, making us question whether we are really in the 93% that self-rate as “above average.” Are you as good as you think? [JS] The Best of #FOAMed Emergency Medicine Some interesting tid...
Source: Life in the Fast Lane - June 5, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Silicone Breast Implant Rupture - Ultrasound or MRI?
Breast implant rupture is a risk associated with both saline and silicone implants, whether they are placed for cosmetic augmentation or breast reconstruction.In the case of a saline implant, a rupture is very easy to detect. Saline implants deflate after rupturing as the saline (salt water) leaves the implant and is reabsorbed by the body. Beyond a clinical evaluation, no tests are required to confirm the rupture.Silicone breast implant ruptures are usually much harder to detect. Early ruptures often go unnoticed by the patient since the silicone remains contained within the capsule of scar tissue formed by the body aroun...
Source: Breast Cancer Reconstruction Blog - April 25, 2015 Category: Cancer & Oncology Tags: breast implant extracapsular FDA implant rupture intracapsular linguine sign mri silicone breast implant rupture ultrasound Source Type: blogs

Silicone Breast Implant Rupture - Ultrasound or MRI?
Breast implant rupture is a risk associated with both saline and silicone implants, whether they are placed for cosmetic augmentation or breast reconstruction.In the case of a saline implant, a rupture is very easy to detect. Saline implants deflate after rupturing as the saline (salt water) leaves the implant and is reabsorbed by the body. Beyond a clinical evaluation, no tests are required to confirm the rupture.Silicone breast implant ruptures are usually much harder to detect. Early ruptures often go unnoticed by the patient since the silicone remains contained within the capsule of scar tissue formed by the body aroun...
Source: Breast Cancer Reconstruction Blog - April 25, 2015 Category: Cancer & Oncology Tags: breast implant extracapsular FDA implant rupture intracapsular linguine sign mri silicone breast implant rupture ultrasound Source Type: blogs

Does Immediate Breast Reconstruction Delay Chemotherapy?
Many patients think or are told they cannot haveimmediate breast reconstruction (reconstruction at the same time as mastectomy) because it will significantly delay chemotherapy. In reality, breast reconstruction very rarely interferes with chemotherapy.Patients that have immediate reconstruction and need chemotherapy can start their treatments once they have healed from their surgery. This usually takes about 4 weeks. The healing time required before chemotherapy is about the same whether patients have mastectomy alone or mastectomy and reconstruction.A small percentage of patients develop wound healing problems after thei...
Source: Breast Cancer Reconstruction Blog - October 23, 2014 Category: Cancer & Oncology Tags: breast reconstruction chemotherapy delayed breast reconstruction immediate breast reconstruction mastectomy wound healing wound healing problems Source Type: blogs

Does Immediate Breast Reconstruction Delay Chemotherapy?
Many patients think or are told they cannot have immediate breast reconstruction (reconstruction at the same time as mastectomy) because it will significantly delay chemotherapy. In reality, breast reconstruction very rarely interferes with chemotherapy.Patients that have immediate reconstruction and need chemotherapy can start their treatments once they have healed from their surgery. This usually takes about 4 weeks. The healing time required before chemotherapy is about the same whether patients have mastectomy alone or mastectomy and reconstruction.A small percentage of patients develop wound healing problems after the...
Source: Breast Cancer Reconstruction Blog - October 23, 2014 Category: Cancer & Oncology Tags: breast reconstruction chemotherapy delayed breast reconstruction immediate breast reconstruction mastectomy wound healing wound healing problems Source Type: blogs

Who is NOT a DIEP flap candidate?
With more women becoming aware of DIEP flap breast reconstruction as an option, the question of who is and who isn't a good DIEP flap candidate is coming up more often.As a general rule, women that have had extensive abdominal surgery like a previous TRAM flap, tummy tuck or a complex hernia repair cannot have a DIEP or SIEA flap breast reconstruction. This is because the lower tummy tissue that is needed has usually been removed or moved around, and the necessary blood supply has been disrupted.Having said that, most of the time previous abdominal surgery isn't an issue in experienced hands.Many women these days have...
Source: Breast Cancer Reconstruction Blog - October 21, 2014 Category: Cancer & Oncology Tags: breast reconstruction bulging c-section complications CT angiogram diep flap candidate hernia hysterectomy siea flap TRAM flap tummy tuck ultrasound Source Type: blogs

Who is NOT a DIEP flap candidate?
With more women becoming aware of DIEP flap breast reconstruction as an option, the question of who is and who isn't a good DIEP flap candidate is coming up more often.As a general rule, women that have had extensive abdominal surgery like a previous TRAM flap, tummy tuck or a complex hernia repair cannot have a DIEP or SIEA flap breast reconstruction. This is because the lower tummy tissue that is needed has usually been removed or moved around, and the necessary blood supply has been disrupted.Having said that, most of the time previous abdominal surgery isn't an issue in experienced hands.Many women these days have...
Source: Breast Cancer Reconstruction Blog - October 21, 2014 Category: Cancer & Oncology Tags: breast reconstruction bulging c-section complications CT angiogram diep flap candidate hernia hysterectomy siea flap TRAM flap tummy tuck ultrasound Source Type: blogs