surgery

Unnecessary Medical Care and Over Used Tests: The Choosing Wisely Campaign

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The Choosing Wisely Campaign is an initiative which I believe I first heard about in late 2010 launched by the ACR (American College of Radiation as the Imaging Wisely Campaign) The Imagely Wisely Campaign was designed to have people aware of the fact that certain medical imaging tests such as CT exams were sometimes over used and did not always have to be used in some instances. It seems that the Choosing Wisely Campaign was launched by the ABIM Foundation which is an organization designed to advance medical professionalism to improve patient care. In April 2012 the Choosing Wisely Campaign released some lists of tests and procedures commonly done in 9 medical professions that should be questioned.  In February 2013 an additional 18 lists of tests or procedures were released. The press release is located at http://www.choosingwisely.org/wp-content/uploads/2013/02/021513_CW-Phase-II-Press-Release-FINAL.pdf On the website … Read more

Wisdom Teeth Removal can Lead to Permanent Numbness and More

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A recent story in the Grimbsy Telegraph titled “£15,000 payout after dental op leaves Grimsby woman with permanent numbness,” describes how a 39 year old woman who had 2 wisdom teeth extracted was left with nerves in her lower jaw severed. The article was written on October, 6, 2012 and is located at http://www.thisisgrimsby.co.uk/15-000-payout-dental-op-leaves-Grimsby-woman/story-17045539-detail/story.html. The woman says her lip turns completely blue in the cold and, at times, she bites her lip without realising until it starts to bleed. She also says “I can be having a drink or eating food and without realising I am dribbling…It is embarrassing when my children have to tell me to wipe my chin as I have food on it, or they tell me to speak properly because my speech is affected.” The woman was awarded £15,000 in an out of court settlement which is … Read more

Reads like a Dentist’s Advertisement

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I periodically like to check out the wisdom tooth page over on Wikipedia. http://en.wikipedia.org/wiki/Wisdom_tooth Recently I came across the talk page which has an interesting comment near the bottom written on September 3, 2012, “There is very little discussion of how common it is to have wisdom teeth, and how often wisdom teeth pose no problems if left alone. Nor is there adequate discussion of how often extraction is necessary when they do pose problems. Some lip service is paid to it in the “controversy” ghetto, but in the end the discussion of the “controversy” is equivocating and unclear. As a whole, the article conjured up the image of an eager, pushy dentist insisting that, “Yeah, buddy, wisdom teeth are a huge problem! It may not seem like it, but it’s bad – trust me, I know these things – … Read more

Using Adaptogens to Help Reduce Stress

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An interesting review by Robert Provino titled “The role of adaptogens in stress management” appears in the Australian Journal of Medical Herbalism (2010, 22, 2, pp 41-49). The author states: “Adaptogens can be viewed as tonics and are prescribed to enhance vitality and are indicated when stress levels are high, during convalescence after surgery or illness, or during periods of challenging or difficult life changes.” “Adaptogens appear to exert their antistress effects by regulating homeostasis via the hypothalamic pituitary adrenal (HPA) axis and inhibiting or decreasing circulating levels of nitric oxide (NO) and cortisol.” The author searches peer reviewed journal articles on adaptogens and ends up finding papers on the following 8 (to which I have linked to the Wikipedia articles): Withania somnifera (ashwagandha) : Some research indicates a potential ability to decrease anxiety. In a study on memory deficient … Read more

Politics of Dental Anesthesiology

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A recent article titled “Dental anesthesiology falls short of becoming ADA specialty,” by Rob Goskowski, Nov. 1, 2012, located at http://www.drbicuspid.com/index.aspx?sec=sup&sub=rst&pag=dis&ItemID=311903, discusses a recent vote that took place at the House of Delegates during the 2012 American Dental Association (ADA) Annual Session. The House of Delegates voted against recognizing Dental anesthesiology as the 10th ADA recognized specialty. Steven Ganzberg, a clinical professor and the chair of dental anesthesiology at UCLA says: “This action by the ADA confirms that the ADA process of specialty approval is fatally flawed….This was clearly an effort by the ADA, through AAOMS [the American Association of Oral and Maxillofacial Surgeons], to restrict professional activities that specialty recognition would have provided.” Dr. Ganzberg and some other supporters were hoping that the specialty would be approved as they felt it would lead to increased training and emergency preparedness … Read more