Archive for October, 2010

Plastic surgery blog:The search for the best pain meds

Friday, October 29th, 2010
over the counter pain medication Plastic surgery blog:The search for the best pain meds

The goal of pain relievers is to help make pain manageable

According to SignonSanDiego given the choice between pain and nothing, William Faulkner once said he’d choose pain, which makes a kind of sense if you’re a novelist, but not so much if you’re a scientist trying to decipher the basic physiology of pain or a doctor who sees patients in its terrible grip every day.

The choice for us is different. Our goal is to understand pain so that we can reduce it to something close to nothing, a goal that may not be possible but which demands every effort.

Recently, scores of our peers – scientists, physicians and health-care professionals – gathered in San Diego to discuss pain: its nature, new methods of investigation and, most importantly, quicker and more efficient ways to convert discoveries made at the bench to treatments at the bedside.

Called “Pain 2010” and sponsored by the Clinical and Translational Research Institute at the University of California San Diego and the journal Nature Medicine, the three-day symposium featured talks that were cutting-edge, illuminating and optimistic. Yet the more scientists and physicians learn about pain, the more we realize how much remains to be learned.

Pain is an often intractable, astoundingly complicated foe. Or rather, foes. There are many kinds of pain and many causes. No single medication treats every type of pain or works every time for everyone. Among current analgesics, it is estimated that, on average, none reduces pain more than 30 percent in more than 50 percent of patients. And some of the most effective anti-pain drugs, like the opioid morphine, have significant, adverse side effects.

Most people are surprised to hear that many new patients question the pain of each plastic surgery. Dr. Stuart Kincaid explains that every patient is different and has a different threshold for pain. Breast augmentation with implants placed behind the muscle is painful and causes discomfort for about one week. Abdominoplasty is also one of the more painful procedures. Dr. Stuart Kincaid prescribed medication to help patients manage the pain. The overwhelming majority of patients who have had plastic surgery say they would do it again and the pain was worth it.

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Plastic surgery blog:A counselor can help you to lose weight

Thursday, October 28th, 2010
bra and panties1 246x300 Plastic surgery blog:A counselor can help you to lose weight

Tightening loose skin after weight loss can help shape the body

According to Sign on San Diego when it comes to dieting, exercise and don’t go it alone.

That seems to be the message from two studies published Wednesday in the Journal of the American Medical Association.

One of the studies was led by a UCSD researcher funded by Carlsbad-based Jenny Craig weight-loss company. The other was a University of Pittsburgh study funded by the Pennsylvania Department of Health.

Both studies showed that participants lost weight and kept most of it off by controlling calories, exercising more and talking to a diet counselor.

The Jenny Craig-funded study led by Dr. Cheryl Rock, a professor in the UCSD Department of Family and Preventive Medicine, involved 442 overweight or obese women ages 18-69 who were divided into three groups and followed for two years.

Two of the groups received Jenny Craig prepackaged meals, typically 1,200-2,000 calories, but got different levels of counseling.

The first group received weekly in-person counseling, while the second group got weekly phone counseling. All participants were encouraged to exercise 30 minutes daily at least five days a week.

The third group received a 1-hour counseling session, where they were given dietary and exercise guidelines but no pre-packaged meals. They also received a monthly e-mail or phone call, followed by a counseling session at six months.

After two years, the first group maintained a weight loss of 16.3 pounds; the second group maintained a 13.7-pound loss; the third group maintained a 4.4-pound weight loss.

Rock concluded that a structured program resulted in greater weight loss.

As Americans we  applaud weight loss , but few highlight the excess skin that can be left behind after weight loss. Dr. Stuart Kincaid helps his patients by removing the excess skin in procedures such as abdominoplasty, brachioplasty, thighplasty, andfacelift. Losing weight is a great accomplishment, but most patients have much better self-esteem once the excess skin is removed.

 

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Plastic surgery blog:Alcoholic energy drinks are dangerous

Tuesday, October 26th, 2010
energy drinks Plastic surgery blog:Alcoholic energy drinks are dangerous

These drinks combined with alcohol are NOT ok before surgery

According to channel 10 news sugary, high-alcohol energy drinks that are popular with college students who want to get drunk quickly and cheaply came under renewed scrutiny Monday as investigators announced that nine freshmen had been hospitalized after drinking them at an off-campus party.

 

Several states are considering outlawing the drinks and at least two universities have banned them from campus while the Food and Drug Administration reviews their safety.

 

Washington state Attorney General Rob McKenna called for the drinks to be banned and sent a letter to the FDA on Monday, saying the drinks “present a serious threat to public health and safety.”

This new preferred drink is included(although not specifically) in the preoperative instructions to avoid alcoholic beverages prior to surgery. Dr. Stuart Kincaid and his staff take the opportunity to remind young patients that going out drinking the nights before their surgery is not recommended. Sometimes young patients scheduled for breast augmentation or liposuction feel the need to go out “one last time “before they have surgery, because they will be unable to go out for about a month after surgery. Since alcohol thins the blood, it can cause problems even during shorter surgeries. So the best advice is to avoid it altogether until after recovery.

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Plastic surgery blog: Will the TEDMED conference include any plastic surgeons as speakers?

Monday, October 25th, 2010
doctor photo6 Plastic surgery blog: Will the TEDMED conference include any plastic surgeons as speakers?

Will there be a plastic surgeon at TEDMED?

According to SignonSanDiego: What do rocker Ozzy Osbourne, genomicist Nathaniel Pearson and astronaut Scott Parazynski have in common?They’ll all be speaking at the TEDMED conference in Coronado on Friday morning.

The conference scheduled for Tuesday evening through Friday at Hotel del Coronado sets three goals for its 60 speakers: make it short (15 minutes), make it lively, and bring something innovative to the topic of health and medicine.

The conference draws together leaders in technology, entertainment and design as both speakers and audience members. Unlike the typical medical conference with keynote talks and panels focusing on a single discipline, TEDMED’s speakers include scientists, performers, architects, journalists, and tech industry leaders who come to the subject of medicine with diverging points of view, said organizer Marc Hodosh.

“It’s that cross-pollination across varied disciplines that creates an intersection and connection of new ideas,” Hodosh said.

It’s too late to pull out the checkbook and pay the $4,000 registration fee, however. The conference is sold out, with 600 attendees.

Among the scheduled speakers are: La Jolla biologist J. Craig Venter, who will talk about creating what he called the first synthetic cell earlier this year; W. Craig Fugate, Administrator of the Federal Emergency Management Agency, on disaster response; architect Frank Gehry, whose designs include the Walt Disney Concert Hall in Los Angeles, on “what aches and pains me;” CNN medical correspondent and neurosurgeon Sanjay Gupta on lessons learned in Haiti; magician and world record breath-holder David Blaine on feats of endurance; Dr. Rudolph Tanzi, Harvard Medical School neurology professor and researcher, on Alzheimer’s disease; Medtronic senior vice president Stephen N. Oesterle on implantable medical devices; and Ozzy and Sharon Osbourne on “what will the unveiling of a full Osbourne genome reveal?”

It seems that in a society that is so curious about plastic surgery, a plastic surgeon would be speaking at this conference. Dr. Stuart Kincaid  ,like other plastic surgeons has worked very hard to maintain the medical respect the specialty deserves. The American Society of Plastic Surgeons to which Dr. Stuart Kincaid belongs is the only plastic surgery specialty recognized by the American Medical Association. This elite group of surgeons make up only about 3% of all medical doctors. The only medical specialty that has more training than an ASPS board-certified plastic surgeon is a cardiovascular surgeon. This means in no uncertain terms plastic surgery is medicine. Unfortunately when the public sees advertising for low breast augmentation prices or cheap liposuction the perception of the skill of the doctor goes down the price. Hopefully, we overlooked the plastic surgeon who will be speaking at TEDMED in this article. We should be represented in this forum.

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Plastic surgery blog:FDA rejects diet drug

Saturday, October 23rd, 2010
Women and weight loss5 Plastic surgery blog:FDA rejects diet drug

Liposuction is an excellent solution for small localized areas of fat

According to news channel 10 Arena Pharmaceuticals Inc. on Saturday said the Food and Drug Administration rejected the company’s application for lorcaserin, one of three drugs seeking to become the first new FDA-approved prescription weight loss drug in more than a decade. 

The federal agency’s rejection came after an FDA panel of experts on Sept. 16 recommended against approving lorcaserin in a 9-5 vote. Panelists raised concerns about tumors seen in rats in early stage testing, one of the factors that Arena Pharmaceuticals said the FDA had cited in a letter responding to the company’s application.

 After last month’s FDA panel vote, shares of Arena plunged nearly 47 percent, to $1.99. San Diego-based Arena currently has no drugs on the U.S. market.

 A group of Arena investors later launched a campaign arguing that the FDA panel’s review had relied on faulty scientific data. On Friday, as the full FDA’s review was expected to conclude, shares of Arena rose nearly 12 percent to close at $1.63. 

Arena said on Saturday that the FDA determined “that it cannot approve the application in its present form.”

 In addition to citing safety concerns about tumors, the FDA’s letter said the agency found that lorcaserin’s weight loss efficacy “in overweight and obese individuals without type 2 diabetes is marginal,” Arena said.

Arena said the letter stated that the FDA may require additional clinical studies if the company can’t provide further evidence to address the concern about tumors.

Arena Pharmaceuticals Inc. on Saturday said the Food and Drug Administration rejected the company’s application for lorcaserin, one of three drugs seeking to become the first new FDA-approved prescription weight loss drug in more than a decade.

As obesity continues to be highlighted as one of the major health issues in the United States, drug manufacturers hustle to find the magic pill. Dr. Stuart Kincaid advises his patients that while the liposuction procedure is not for patients who are obese it is a viable solution for small localized areas of fat. Many times patients tell Dr. Stuart Kincaid that they are working out and eating right yet they still have problem areas. Dr. Stuart Kincaid educates them on the fact that liposuction is not a cheating solution. The localized areas of fat typically will not respond to diet and exercise. By choosing liposuction Dr. Stuart Kincaid is able to sculpt the body and create a more proportionate shape.

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Plastic surgery blog:Update on the fight against breast cancer

Thursday, October 21st, 2010
Breast Cancer2 Plastic surgery blog:Update on the fight against breast cancer

Breast health is an important part of every woman's healthcare

According to SignonSanDiego while much progress in breast cancer research has been made, challenges and controversies remain. Dr. Anne M. Wallace, professor of clinical surgery at UCSD’s School of Medicine and director of the Breast Care Team at Moores UCSD Cancer Center, discusses the state of breast cancer prevention and treatment – and her prognosis for the future.

Q: There is an ongoing debate over how often a woman should get a mammogram to screen for breast cancer. What do you recommend?

A: Three major organizations – the American Cancer Society, the American College of Radiologists and the Society of Surgical Oncology – all still recommend that a woman get a baseline mammogram at age 40 unless she is considered higher risk. Follow-up mammograms should be every year after that.

Q: Recent studies have called into question the effectiveness of mammography, with some suggesting the baseline mammogram shouldn’t be done until a woman reaches age 50.

A: Those results were based on statistics, some valid, some arguable. The researcher weighed risk-benefit ratio and concluded that the number of lives saved between 40 and 50 did not justify the aggravation or level of worry that screening mammography and possibly unnecessary biopsies may cause. The researchers did not refute that there is some survival with large numbers of women screened between 40 and 50.

On the other hand, a recent Swedish study showed that starting women on mammography at age 40 rather than 50 was associated with a 26 percent reduction in risk of death from breast cancer. The key point is that every woman should have a balanced discussion with her physician about what is best for her. These conversations should always be happening, even more so now.

Q: Aside from mammography, what can women do to improve breast health?

A: Increasingly, data are showing that higher body fat content is linked to increased breast cancer risk. We suggest that a woman keep her weight right around what it was when she graduated high school. The key is to not progressively gain weight.

Also, a recent study showed a doubling of invasive lobular breast cancer with increased alcohol consumption. As little as one glass per day means a higher risk for breast cancer. But again, each woman should discuss this with her physician to determine what’s best for her.

Dr. Stuart Kincaid encourages his patients to maintain good  breast health, especially after breast augmentation. He also offers breast reconstruction services as an expert breast surgeon. Dr. Stuart Kincaid is proud to be a part of educating women on the best healthcare for long and happy lives.

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Plastic surgery blog:Make the most of your doctors appointment

Wednesday, October 20th, 2010
doctor photo5 Plastic surgery blog:Make the most of your doctors appointment

The more prepared you are for your doctor visit; the better the visit

According to SignonSanDiego with the average length of a doctor’s appointment these days clocking in at a mere 13 minutes, patients may find themselves running out of time before all of their concerns are addressed. Preparation and open communication are two of the keys to making the most of face time with the physician.Here are a few recommendations to help patients have satisfying, productive appointments:

Schedule accordingly. When scheduling an appointment, be clear about all reasons for the visit. This enables the office staff to allot a sufficient amount of time to address all issues. If the staff knows the patient is seeing the doctor for multiple problems or a condition that may require more than a quick physical exam, a longer appointment may be scheduled. Arrive early to fill out any forms that may be required and keep in mind that wait times tend to be shorter first thing in the morning or straight after lunch.

Gather facts. Before the visit, grab an index card and jot down details about all health symptoms, medications and supplements. List allergies, chronic health problems and illnesses that “run in the family,” such as cancer or heart disease. If appropriate, bring lab test results and the names of other physicians seen for the problem.

Set priorities. Determine the goal for your appointment, whether it be a diagnosis, specialist referral or other outcome. Don’t wait until the visit to develop questions – create a list, with the most important ones at the top. The doctor may review the questions and answer the most pressing immediately, offer to get back to the patient later in the day, or suggest scheduling another appointment. Never hesitate to let the physician know if answers or instructions are unclear, or if more details are needed.

These suggestions are just a few covered in this very informative article. Dr. Stuart Kincaid reminds his patients of many of the same points. Unlike a routine doctors visit plastic surgery consultations are generally about an hour. It is tempting for some patients to want to consult with Dr. Stuart Kincaid about every procedure they are interested in. This is not recommended. The best way to get the most value out of your plastic surgery consultation is to cover the procedures that you are considering within the next two months. It is also wise to indicate if you would consider having the procedures performed together. For example, breast augmentation, together with abdominoplasty or liposuction together with a facelift. Patients should always have a date in mind when they consult with Dr. Stuart Kincaid so that  the staff can be sure the desired timeframe is available.

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Plastic surgery blog:Spring pregnancies may give baby food allergies

Tuesday, October 19th, 2010
pregnant women Plastic surgery blog:Spring pregnancies may give baby food allergies

No matter which month you have your baby;your body will change

According to San Diego News Channel 8 the chances of a child developing food allergies may be increased if that child is conceived in the early spring, a preliminary study by Finnish researchers suggests.

Studies have already shown that children born in autumn or winter are more likely to eczema, wheeze and asthma than children born in spring or summer, the researchers noted.

There may be several reasons for this new finding, said lead researcher Dr. Kaisa Pyrhonen, of the Institute of Health Sciences at the University of Oulu, including concentration of pollen in spring, exposure to sunlight, which is related to synthesis of vitamin D, and viral infections.

“These are possible explanations, but our study design did not allow any assessment of the causal role of the above factors,” Pyrhonen said.

Pyrhonen said the study findings are preliminary and families should not plan pregnancies around specific times. “Because our study was an observational study, we cannot give any recommendations to families,” Pyrhonen said.

The report is published in the Oct. 20 online edition of the Journal of Epidemiology and Community Health.

While this report may be debatable but one thing for certain is that a woman’s body changes sometimes dramatically after pregnancy. There is no amount of exercise that will tighten loose and lax skin; therefore, the only option is to have it removed. Typically the areas most affected are the abdomen and the breast. Dr. Stuart Kincaid recommends a breast lift and abdominoplastyto correct loose cannon these areas. When Dr. Stuart Kincaid performs an abdominoplasty he also tightens the muscles to give the abdomen is flat appearance. Mothers are usually thrilled with their new shape.

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Plastic surgery blog:Mexican medical tourism ready to make a fortune

Monday, October 18th, 2010
woman at the computer1 Plastic surgery blog:Mexican medical tourism ready to make a fortune

Cruising for a deal on plastic surgery in Mexico?

According to SignonSanDiego for decades, U.S. residents have crossed the border in search of cheap dentistry, alternative health care and pharmacies providing easy access to prescription drugs.

Now, health providers in Tijuana say they have much more to offer in the way of sophisticated medical office procedures and hospital care, and have created business groups aimed at getting that word out to U.S. consumers.

“In the past, the focus was on low cost. But in the last five years, doctors have been offering more complex treatments, hiring more bilingual personnel and doing more professional marketing,” said Flavio Olivieri, executive director of the Tijuana Industrial and Economic Development Corp. and cofounder of the Tijuana Medical Tourism Association.

The biggest draw still is low cost, medical tourism experts said, with fees for services such as dentistry, laser eye surgery, plastic surgery, cancer treatment and bariatric weight-loss procedures generally running 40 percent to 70 percent lower than in the U.S. Dental implants that may cost $2,800 north of the border can be as low as $800 in Mexico, while a $50,000 hip replacement in the U.S. could run $13,000 down south.

Olivieri said the marketing campaign is critical in helping Tijuana recover from a drastic drop in cross-border visitors. Long waits into and out of Mexico have traditionally been a problem, but crossings plunged in 2008 with the recession and a surge in drug-related violence in the Tijuana region, followed in 2009 by travel warnings when the H1N1 flu proved deadly in central Mexico.

“The market shrank overnight,” said Olivieri, a speaker on medical tourism Monday at Tijuana Innovadora, a two-week, $5 million conference aimed at boosting the international profile and economic clout of one of Mexico’s largest metropolitan areas

When it comes to plastic surgery by frankly it is difficult for consumer to compare and an ASPS board-certified plastic surgeon with a doctor offering plastic surgery in Mexico. Dr. Stuart Kincaid expresses to his patients the fact that every surgery is serious. This includes popular procedures like breast augmentation and liposuction. Patients must do their own research including being clear on what happens in the instance that there is a complication. Americans must understand that their patient rights do not extend beyond the border.

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Plastic surgery blog:Guidelines for finding residential care similar to finding a plastic surgery facility

Friday, October 15th, 2010
hospital patient3 Plastic surgery blog:Guidelines for finding residential care similar to finding a plastic surgery facility

Facility care is important even with outpatient plastic surgery procedures

According to SignonSanDiego nearly 9,000 residential care facilities for the elderly, known as assisted living facilities, exist in California with a capacity of almost 225,000 beds — equaling the population of Chula Vista and more than 186 other U.S. cities.

These are the least-regulated care facilities in California, resulting in an enormous variability in quality. Some offer exemplary care, while others are seemingly in business for profit alone. Facilities provide a nonmedical housing alternative for individuals 60 and older who require assistance with activities of daily living. With inspections conducted only every seven years, the best advice is to make sure that you do your research beforehand.

What should you be looking for?

Find a facility that looks good by visiting its website, taking a tour of the place, and talking with the administrator. These are good starting points, but in themselves might not be enough. You also need to be aware of specific issues:

It is not mandatory to have liability insurance when providing 24/7 care and supervision to frail elders in these facilities. Owners usually carry property insurance but frequently opt not to protect against the risk of injury, harm, or death to their client caused by their actions, or omissions. If there are accidents, there is no recourse for compensation.

The state requires only that staff be “sufficient in numbers” to provide care consistent with residents’ needs. In small facilities, which are the majority, there are usually two staff members on duty during the day, but at night, it drops to one. The state requires facilities serving dementia residents with a penchant for wandering, to field only one “awake” caregiver.

These regulatory guidelines are helpful in making facility choices not only for residential care but also outpatient care. Dr. Stuart Kincaid explains to his patients the importance of a plastic surgeons choice of  surgical facilities. Board-certified plastic surgeons certified by the ASPS may only perform surgery and a fully accredited surgical facility. By choosing ASPS board-certified  plastic surgeons, like Dr Stuart Kincaid patients are reasonably assured that the surgical facility has met the accreditation guidelines. Procedures like a facelift or abdominoplasty may require an overnight stay. The facility in which this takes place will also be credentialed to provide such care. The most important thing to remember is that where you have surgery matters as much as who performs the surgery.

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