6/25/2018· Medical - Medicine
Choosing an Orthopedic Surgeon
By: Dr. C. Thomas Vangsness Jr
When joint problems escalate to the point of needing special treatment, it is time to research orthopedic surgeons. As you consider your treatment options, it is important to choose an orthopedic surgeon who can accurately meet your needs. To ensure that you make the best choice, identify your needs, do your research, and ask the right questions.
2/1/2018· Medical - Medicine
By: John F. Schulte
There may be more to the complaint than meets the eye. There may be obvious issues, such as a failed component resulting in a fall, a skin breakdown that on the surface appears that it was as a result of overuse or a rough area within the prosthetic socket.
9/12/2017· Medical - Medicine
OnabotulinumtoxinA Nerve Blocks in the Treatment of Occipital Neuralgia
Occipital neuralgia is characterized by severe pain, accompanied by tenderness and trigger points, in the distribution of the greater, lesser, and/or third occipital nerves. Occipital neuralgia is typi- cally idiopathic, but also is characterized as a common form of posttraumatic headache. Typical treatments include nerve blocks with local anesthetic, nerve stimulation, pulsed radiofrequency, and cryoablation. OnabotulinumtoxinA (ONA) has recently been utilized in nerve blocks to treat occipital neuralgia, with the potential for a longer duration of pain relief than local anesthetic.
8/9/2017· Medical - Medicine
OnabotulinumtoxinA in the Treatment of Occipital Neuralgia Following Gunshot Injury
By: Dr. Terence Gray
Occipital neuralgia, while typically idiopathic in presentation, is a common form of posttraumatic headache. It is associated with severe pain in the greater, lesser, and/or third occipital nerves, and often accompanied by tenderness or trigger points in the surrounding musculature. OnabotulinumtoxinA (ONA) has been recently utilized in nerve blocks to treat occipital neuralgia, but current literature supporting such use is scarce. We describe a case of occipital neuralgia in a patient following C1 fracture and vertebral artery dissection due to gunshot injury. Successful treatment with bilateral ONA nerve blocks led to an 80% - 90% improvement in pain, with decreased Visual Analog Scale (VAS) pain scores immediately following treatment and upon follow-up 1 month later.
3/2/2016· Medical - Medicine
The Role of Surgery and Radiation Therapy in the Management of Gestational Trophoblastic Disease
By: Dr. Rabbie Hanna
The primary management of hydatidiform moles remains surgical evacuation followed by human chorionic gonadotropin level monitoring. Although suction dilatation and evacuation is the most frequent technique for molar evacuation, hysterectomy is a viable option in older patients who do not wish to preserve fertility. Despite advances in chemotherapy regimens for treating malignant gestational trophoblastic neoplasia, hysterectomy and other extirpative procedures continue to play a role in the management of patients with both lowrisk and high-risk gestational trophoblastic neoplasia.
9/29/2015· Medical - Medicine
Spinal Manipulation and Stroke: The Legal and Medical Material Risks
As part of their educational process, practitioners of manipulative procedures are made aware of the possible association between neck manipulation and cerebrovascular accidents[i] (CVAs) as well as what to do in the event a CVA occurs during treatment.[ii] For any litigation considered regarding a stroke that closely follows spinal manipulation, the starting point for retained counsel is to ask what else could have caused or contributed to the stroke. Screening issues to consider include the following:
2/5/2015· Medical - Medicine
Leveling the Laser Playing Field: The Time is Now to Establish Objective Training Protocols
Lawsuits pertaining to injuries from laser treatments gone awry or just not as expected are on the rise. Part of the issue is the lack of objective training protocols. There is relatively vague legal language across many state medical boards and often lax regulation of these procedures, who is allowed to perform them, and what training and supervision is required.
10/14/2014· Medical - Medicine
Injectable Wisdom: Technique, Not Necessarily Product Variety, Key to Outcome Success
"For the physician to grow a cosmetic injectable practice, both a variety of products as well as a mastery of technique are key ingredients in the recipe for success. If one had to choose between variety and technique, I believe that it is the technique that will ultimately provide desired results and thus create many happy return visits from patients. Repeat business is the goal.
9/30/2014· Medical - Medicine
"Has the standard of care been violated?" is the basic question in all medical malpractice cases, the answer to which may be difficult to determine because the standard of care is often unwritten, can be ever changing, and is a blend of academic and private practice opinions. In addition to having a broad base of experience with both private practice and academic medicine the expert witness must be current with the medical literature, knowledgeable about solid tumors such as cancer of the breast, lung, colon, thyroid, tongue, larynx, head and neck, esophagus, stomach, colon, rectum, anus, skin, melanoma, liver, kidneys, bladder, pancreas, ovary, testicle, hepatoma, and sarcoma, as well as soft tissue malignancies such as non-Hodgkin's and Hodgkin's lymphoma, the acute and chronic leukemia's, multiple myeloma, anemias, leukopenia, thrombocytopenia, and pancytopenia.
4/15/2014· Medical - Medicine
The Role of the Small AO External Fixator in Supracondylar Rotational Femoral Osteotomies
Torsional problems of the femur have been traditionally treated by a proximal osteotomy with internal fixation. We elected to perform femoral derotational osteotomies distally. Between September 1994 and April 2001, supracondylar osteotomies were performed on 38 femora in 21 children with torsional and angular deformities. The average age was 9 years (range 5-15 years). Twenty-three femora had excessive anteversion and fifteen, retroversion. All osteotomies were maintained by the small AO external fixator.
by Rosemary Coates, et al
by Weston Anson
by Hiller B. Zobel, Stephen N. Rous
