Showing: 1 - 3 of 3 RESULTS

Surgical protocol reduces opioid use for breast reconstruction patients

Breast cancer surgeries can be quite painful, so a team at Houston Methodist West Hospital has worked to develop pain management protocols that help some patients while reducing the use of narcotics.

Dr. Candy Arentz, a breast surgical oncologist, and Dr. Warren Ellsworth, a plastic surgeon, have been using an enhanced recovery after surgery (ERAS) protocol with non-narcotic medications and nerve blocks to lessen pain and the need for narcotics in reconstructive surgeries.


A DIEP flap reconstruction uses tissue and fat from the abdomen and other areas to reconstruct the breast after a lumpectomy or a mastectomy. Ellsworth said the reconstruction can be beneficial because it can look more natural than implants and can last the rest of a patient’s life. But it can be more painful because of the extra incisions. He recognizes that opioid overuse is an issue and said that is just one reason why he and Arentz are working to reduce opioid use.

“We have also, I would say, across the entire house of medicine known about this opioid overuse, opioid dependence and all these challenges that our narcotics impose on our patients, not only the basic side effects of narcotics like nausea, vomiting, constipation, but of course, the dependency,” Ellsworth said.

The ERAS protocol helps patients with pain starting the day before the surgery. “So it prepares their body for the surgery and the pain that could occur, and then we continue the pain control throughout the surgery and then of course postoperatively and have found a significant reduction in the use of narcotics because of this protocol,” Ellsworth said.

As Arentz and Ellsworth were coming up with the protocol, Ellsworth consulted with plastic surgeons at the University of Pennsylvania and Stanford University, modeling the Methodist West protocol after their programs. But according to Ellsworth, Methodist West is the first in the Houston area to make the non-narcotic protocols a priority with their patients in the area of DIEP flap reconstructions.

Ellsworth said starting ERAS required bringing in others in the hospital on board, including the head of anesthesiology so that anesthesiologists could administer nerve blocks, or long-lasting numbing injections into patients’ nerves, and the head of the ICU (intensive care unit) because the new protocols were a big change in pain management. Arentz said it required patient buy-in as well.

“It starts with our conversations in clinic and assuring the patients that they will have decreased pain afterwards than probably what they were expecting,” Arentz said, adding that the protocol is done without using IV medications, which is what most people expect when they are going to have surgery.

Arentz and Ellsworth had planned to start using ERAS in February or March, but COVID-19 shifted it back some. So they started in April. Ellsworth said that all

Inverted Nipples How To Fix Completely Without Surgical procedure

Millions of lives are saved yearly due to one animal’s, results to both a drug or new form of surgery, and I imagine instead of believing that an animal’s life was a waste; I view it as an alternative as the subsequent step in bettering individuals’s lives for tons of of years to come back.

Many people turn to CAM because of opposed effects of pharmaceutical medication. I did not know that the people earlier than me had animals with mange & knew in regards to the fleas, so I shrugged it off & got Entrance Line & now they are all dropping fur & have red spots, they’re warm to the touch.

Dengue virus is now attacking the inner system of the sufferer causing hemorrhagic results, like bleeding and low rely of blood platelets. Dizziness, muscle and stomach ache and head ache are among the unwanted side effects of these medicines. I would like to get in touch with you or the Dr to seek out out extra concerning the remedy as i wish to go to you and the Dr. thank you once once more on your time and help.

He was administered with blood transfusion however my mother requested that she be allowed to let him drink the boiled juice of Tawa-tawa. These are all body painkiller medicines. For many people, the blood thickens as the body makes an attempt to deal with the intense warmth, and nosebleeds and swollen ankles are frequent for those unused to the Greek summer time.

However it’s a vast branch of medicine coping with the prevention,diagnosis,treatment of the conditions,ailments and disorders of the oral cavity and the maxillofacial area and its associated constructions. Earlier than 1992 when screening for hepatitis C was not yet around, people who acquired blood transfusion could have gotten this virus.…

Inverted Nipples How To Fix Completely With out Surgical procedure

They have an inclination to look other than the information that animals have given millions around the globe a brand new outlook on life, and would slightly see solely the negative unwanted side effects of animal testing which far outweighs the constructive things animal testing has contributed to the medical world.

Many people flip to CAM due to antagonistic results of pharmaceutical medication. I didn’t know that the people before me had animals with mange & knew about the fleas, so I shrugged it off & bought Entrance Line & now they are all dropping fur & have pink spots, they are heat to touch.

Stretch marks removing: Biotin makes your pores and skin healthier and helps eliminate stretch marks. We can’t count on support from the federal government of the Philippines because the medical advisers are schooled in conventional medicine who ignore or scorn the free radical theories of illness.

On the whole, medieval medicine was a mixture of historic physiology, empirical data of the consequences of some medicine, medical superstition and the charlatanism of apothecaries. Drugs could also be categorised on the basis of signs or diseases during which they’re used.

Olives are healthy for animals in addition to humans they usually made the soil excellent for farming. Scientific research utilizing animals are considerably slowed with new medicine just being rehashed as new ones (and then selling it for tons of money). It’s time that we attain for natural well being than the pharma drugs which can be killing the world.…