I am pleased to announce that a supplement to the prestigious journal “Plastic and Reconstructive Surgery” was released this month in which I was the Guest Editor and author of five of the six scientific articles. After more than two years of work on this effort it is gratifying to see it in published form and to receive the accolades I am now getting from around the country for this.
These are ground breaking scientific articles because for the first time ever they have been written based on the strength of the evidence that could be found from all other scientific publications on these subjects. Why is this important? In the past, recommendations for techniques used in surgery were typically based on opinions not evidence, or traditions not rigorous testing. Along with my colleagues on the Patient Safety Committee at The American Society of Plastic Surgeons I set out to change this. All of the recommendations in my reports are based on the best evidence we could find, meaning that surgeons, anesthesiologists and nurses who follow this advice will be offering the safest and most current approaches to surgery in any outpatient facility.
Until now, when faced with a patient who had an unusual situation, a concerned plastic surgeon had to research for himself the scientific literature not knowing if what he found was accurate or reliable. With this publication, that will be a thing of the past since all of the most important information a surgeon needs on the subject is tucked into one edition, always readily at hand and thoroughly vetted to be the best reports we could find. This supplement will allow a fast track to the data, and increase the likelihood that the safest approach to the problem will be determined in a very short period of reading. We have done all the work so that the surgeons and anesthesiologists don’t have to. That is why we called it “Evidence Based.” This has never been done before and it is already considered a landmark publication.
For instance, techniques for treating persons with rare blood disorders, such as hemophilia, now make it possible for these patients to safely undergo outpatient surgery, rather than lengthy hospitalizations. One of my articles details how each type of blood disorder should be handled when outpatient surgery is being considered for them. Using this information I have now performed cosmetic surgery on several persons who were turned down by other plastic surgeons when they didn’t understand that a safe peri-operative approach existed for these patients. While it wasn’t risk free it was very tightly controlled to reduce the chances for a complication. And in all instances the outcome was perfect.
My hope is that this publication will make things safer for all plastic surgery patients from now on. While outpatient surgical complications are rare they still occur. Operating on just the healthiest young patients would be an ideal. They recover quickly and need little in the way of special approaches. But not everyone who chooses elective surgery is completely healthy, and this is where my publication should help my colleagues around the country. It will help them make safe choices on who is the right person to have surgery in an outpatient facility and how to manage those unique problems in the most scientifically validated way.
Wednesday, October 14, 2009
Monday, August 31, 2009
Dr Phil
My patients can’t resist it. The temptation has always been there so they go ahead and do it. Do what? Call me “Dr. Phil.”
Ever since I started my practice in 1986 my patients have called me that. Long before there was a famous guy on the “Oprah” show, long before he got his own show, I was the first Dr. Phil.
But lately it has caught up to me. So I finally had to become a “Dr. Phil” expert.
Now when people blurt out “Hi Dr Phil,” and giggle like no one has ever thought of that before, I stop and ask them a few questions. Turns out very few of them know the other Dr. Phil’s real last name. In fact, surprise, many people think he doesn’t have one. Sort of like “Cher” or “Prince”
It’s McGraw.
Patients are also surprised to realize Phil McGraw has a PhD behind his name not an MD. There is no reason he can’t use the term Doctor but some people are actually quite shocked when I tell them he is not a psychiatrist.
I respect the man. He has parlayed an ability to call people out on their bad behaviors into a personal fortune and a television machine that never seems to lose its luster. I’ll bet that most people would love a chance to be on that show even though it would mean exposing one’s own private problems to say, oh, about ten million viewers around the country. I couldn’t do it, myself.
Sometimes I imagine having my own show, though. It would be called “The Other Dr. Phil Show.” I would invite my patients to go on with me. They would tell the whole country how embarrassed they were about their body, (both women and men) their faces or their saddlebags and tummies. Then we would show their before and after pictures. Viewers at home could call in and ask my patients how it went. Did it hurt much? Had they tried something else like dieting or working out first? Would they do it again?
Then at the end of the show we would all stand in a big line and bow to the audience, my happy patients surrounding me with big smiles.
My hats off to the other Dr. Phil for giving me something to blog about today.
Ever since I started my practice in 1986 my patients have called me that. Long before there was a famous guy on the “Oprah” show, long before he got his own show, I was the first Dr. Phil.
But lately it has caught up to me. So I finally had to become a “Dr. Phil” expert.
Now when people blurt out “Hi Dr Phil,” and giggle like no one has ever thought of that before, I stop and ask them a few questions. Turns out very few of them know the other Dr. Phil’s real last name. In fact, surprise, many people think he doesn’t have one. Sort of like “Cher” or “Prince”
It’s McGraw.
Patients are also surprised to realize Phil McGraw has a PhD behind his name not an MD. There is no reason he can’t use the term Doctor but some people are actually quite shocked when I tell them he is not a psychiatrist.
I respect the man. He has parlayed an ability to call people out on their bad behaviors into a personal fortune and a television machine that never seems to lose its luster. I’ll bet that most people would love a chance to be on that show even though it would mean exposing one’s own private problems to say, oh, about ten million viewers around the country. I couldn’t do it, myself.
Sometimes I imagine having my own show, though. It would be called “The Other Dr. Phil Show.” I would invite my patients to go on with me. They would tell the whole country how embarrassed they were about their body, (both women and men) their faces or their saddlebags and tummies. Then we would show their before and after pictures. Viewers at home could call in and ask my patients how it went. Did it hurt much? Had they tried something else like dieting or working out first? Would they do it again?
Then at the end of the show we would all stand in a big line and bow to the audience, my happy patients surrounding me with big smiles.
My hats off to the other Dr. Phil for giving me something to blog about today.
Wednesday, March 25, 2009
Early Detection of Asymptomatic Second Breast Cancers May Improve - Medscape News
March 25, 2009 — Early detection of asymptomatic second breast cancers improves prognosis and survival rates, according to the results of a retrospective study reported in the March 18 Online First issue of the Annals of Oncology . "The impact of
Source: www.medscape.com
Eating soy early in life may reduce breast cancer among Asian women - Science Centric
Asian-American women who ate higher amounts of soy during childhood had a 58 percent reduced risk of breast cancer, according to a study published in Cancer Epidemiology, Biomarkers and Prevention, a journal of the American Association for Cancer
Source: www.sciencecentric.com
3-D Breast Augmentation - Myfoxla.com
Sacramento, CA (myFOXla.com) - Many women entertain the idea of breast augmentation, but they don't know if they want to commit to surgery. We stake a look at a new computer program that let's women see what they'd look like before going under the
Source: www.myfoxla.com
Lawmaker Reveals Breast Cancer Fight - AOL
(March 24) - Florida Congresswoman Debbie Wasserman Schultz revealed Monday that she'd been successfully battling breast cancer privately for the last year. Schultz, 42, hadn't even told her three young children that she had breast cancer until
Source: news.aol.com
Choosing to have plastic surgery is an important decision whether it is breast augmentation, liposuction or rhinoplasty. Selecting the right plastic surgeon in Seattle is just as important. Make an informed decision.
March 25, 2009 — Early detection of asymptomatic second breast cancers improves prognosis and survival rates, according to the results of a retrospective study reported in the March 18 Online First issue of the Annals of Oncology . "The impact of
Source: www.medscape.com
Eating soy early in life may reduce breast cancer among Asian women - Science Centric
Asian-American women who ate higher amounts of soy during childhood had a 58 percent reduced risk of breast cancer, according to a study published in Cancer Epidemiology, Biomarkers and Prevention, a journal of the American Association for Cancer
Source: www.sciencecentric.com
3-D Breast Augmentation - Myfoxla.com
Sacramento, CA (myFOXla.com) - Many women entertain the idea of breast augmentation, but they don't know if they want to commit to surgery. We stake a look at a new computer program that let's women see what they'd look like before going under the
Source: www.myfoxla.com
Lawmaker Reveals Breast Cancer Fight - AOL
(March 24) - Florida Congresswoman Debbie Wasserman Schultz revealed Monday that she'd been successfully battling breast cancer privately for the last year. Schultz, 42, hadn't even told her three young children that she had breast cancer until
Source: news.aol.com
Choosing to have plastic surgery is an important decision whether it is breast augmentation, liposuction or rhinoplasty. Selecting the right plastic surgeon in Seattle is just as important. Make an informed decision.
Tuesday, March 24, 2009
Hospital, Midatlantic involved in business, legal disputes - Baltimore Sun
Source: news.google.com
Dr. Simon Ourian, Pioneer Laser Surgeon, Appears on The Doctors TV ... - PR Web (press release)
Source: news.google.com
Choosing to have plastic surgery is an important decision whether it is breast augmentation, liposuction or rhinoplasty. Selecting the right plastic surgeon in Seattle is just as important. Make an informed decision.
Hospital, Midatlantic involved in business, legal disputes Baltimore Sun, United States One lawsuit contends that a patient was wrongly told that his requested surgeon, who was not affiliated with Midatlantic, was unavailable, and that he was directed instead to a less-experienced Midatlantic surgeon. The patient was injured, and sued. ... |
Source: news.google.com
Dr. Simon Ourian, Pioneer Laser Surgeon, Appears on The Doctors TV ... - PR Web (press release)
Dr. Simon Ourian, Pioneer Laser Surgeon, Appears on The Doctors TV ... PR Web (press release), WA Dr. Simon Ourian, a pioneer laser surgeon in Beverly Hills, appeared on The Doctors TV Show, a new CBS talk show. Dr. Ourian's Epione Center is among the most comprehensive center specializing in laser technology and non-invasive aesthetic procedures ... |
Source: news.google.com
Choosing to have plastic surgery is an important decision whether it is breast augmentation, liposuction or rhinoplasty. Selecting the right plastic surgeon in Seattle is just as important. Make an informed decision.
Monday, February 2, 2009
Mommy makeovers - Canada.com
Source: news.google.com
Beverly Hills Plastic Surgeon, Dr. Jay Orringer Warns: Don't ... - PR Web (press release)
Source: news.google.com
Health Matters: Better to shed weight before a tummy tuck - El Paso Times
Source: news.google.com
Boom in numbers having boob jobs - WalesOnline
Source: news.google.com
Choosing to have plastic surgery is an important decision whether it is breast augmentation, liposuction or rhinoplasty. Selecting the right plastic surgeon in Seattle is just as important. Make an informed decision.
Mommy makeovers Canada.com, Canada - Britney Spears reportedly had a tummy tuck immediately after her second son was delivered by caesarean section. Elle Macpherson, Gwyneth Paltrow and Kate ... |
Source: news.google.com
Beverly Hills Plastic Surgeon, Dr. Jay Orringer Warns: Don't ... - PR Web (press release)
 PR Web (press release) | Beverly Hills Plastic Surgeon, Dr. Jay Orringer Warns: Don't ... PR Web (press release), WA - ... has acquired considerable training and experience in facelift, blepharoplasty, tummy tuck, breast lift and breast augmentation. ... |
Source: news.google.com
Health Matters: Better to shed weight before a tummy tuck - El Paso Times
Health Matters: Better to shed weight before a tummy tuck El Paso Times, TX - If you are considering a tummy tuck and all of your excess is in your lower abdomen, then the procedure can be done earlier than in patients with excess in ... |
Source: news.google.com
Boom in numbers having boob jobs - WalesOnline
Boom in numbers having boob jobs WalesOnline, United Kingdom - This year is going to be the year of the tummy tuck.” Dr Murison said they now deal with one person a month who has had plastic surgery abroad that’s gone ... |
Source: news.google.com
Choosing to have plastic surgery is an important decision whether it is breast augmentation, liposuction or rhinoplasty. Selecting the right plastic surgeon in Seattle is just as important. Make an informed decision.
Surgeon is 1st Latino to lead Texas system - AZCentral.com
AUSTIN - A Mexican-American pediatric surgeon will become the nation's first Hispanic to preside over a major university system when Dr. Francisco Cigarroa takes the helm at the University of Texas System, which faces financial woes and complaints
Source: www.azcentral.com
Big Island aims raise money for rural doctor plan - KPUA.net
HILO, Hawaii (AP) — A group that hopes to launch a Hilo-based medical residency program are hoping to raise $50,000 from the public for their effort to lure doctors to the Big Island. The program is designed to boost the number of doctors in rural
Source: www.kpua.net
Choosing to have plastic surgery is an important decision whether it is breast augmentation, liposuction or rhinoplasty. Selecting the right plastic surgeon in Seattle is just as important. Make an informed decision.
AUSTIN - A Mexican-American pediatric surgeon will become the nation's first Hispanic to preside over a major university system when Dr. Francisco Cigarroa takes the helm at the University of Texas System, which faces financial woes and complaints
Source: www.azcentral.com
Big Island aims raise money for rural doctor plan - KPUA.net
HILO, Hawaii (AP) — A group that hopes to launch a Hilo-based medical residency program are hoping to raise $50,000 from the public for their effort to lure doctors to the Big Island. The program is designed to boost the number of doctors in rural
Source: www.kpua.net
Choosing to have plastic surgery is an important decision whether it is breast augmentation, liposuction or rhinoplasty. Selecting the right plastic surgeon in Seattle is just as important. Make an informed decision.
A Park Face-Lift - Guymon Daily Herald
Plans to give Thompson Park a face-lift are under way. Guymon City Manager Ted Graham discussed these plans at the Citizen's Advisory meeting recently. "Our plans are to replace the restrooms on the west side that have been out of order for several
Source: www.guymondailyherald.com
Publix in Bellevue gets facelift - Nashville Tennessean
A $1.1 million facelift on the Publix at 7604 U.S. 70 S. has begun. Benning Construction Co. began updating the store in front of Bellevue Center on Jan. 19. It's the first remodeling for the store since 2002, when Albertson's left and Publix arrived
Source: www.tennessean.com
Angola gets $1bn facelift for soccer tournament - ESPN.com
Oil-rich Angola hopes to erase the world's memory of it as a place torn by almost three decades of civil war with a $1bn makeover to host the 2010 African Nations Cup soccer tournament. Among the top investments will be four new stadiums in Benguela
Source: soccernet.espn.go.com
Ford's Theatre gets a face-lift - The Washington Times
After an 18-month renovation, Ford's Theatre reopens Tuesday with a more comfortable setting. The new seats, improved sightlines and brighter lighting, however, may not be noticed by patrons as they watch the premiere of a new play, "The Heavens are
Source: www.washingtontimes.com
Choosing to have plastic surgery is an important decision whether it is breast augmentation, liposuction or rhinoplasty. Selecting the right plastic surgeon in Seattle is just as important. Make an informed decision.
Plans to give Thompson Park a face-lift are under way. Guymon City Manager Ted Graham discussed these plans at the Citizen's Advisory meeting recently. "Our plans are to replace the restrooms on the west side that have been out of order for several
Source: www.guymondailyherald.com
Publix in Bellevue gets facelift - Nashville Tennessean
A $1.1 million facelift on the Publix at 7604 U.S. 70 S. has begun. Benning Construction Co. began updating the store in front of Bellevue Center on Jan. 19. It's the first remodeling for the store since 2002, when Albertson's left and Publix arrived
Source: www.tennessean.com
Angola gets $1bn facelift for soccer tournament - ESPN.com
Oil-rich Angola hopes to erase the world's memory of it as a place torn by almost three decades of civil war with a $1bn makeover to host the 2010 African Nations Cup soccer tournament. Among the top investments will be four new stadiums in Benguela
Source: soccernet.espn.go.com
Ford's Theatre gets a face-lift - The Washington Times
After an 18-month renovation, Ford's Theatre reopens Tuesday with a more comfortable setting. The new seats, improved sightlines and brighter lighting, however, may not be noticed by patrons as they watch the premiere of a new play, "The Heavens are
Source: www.washingtontimes.com
Choosing to have plastic surgery is an important decision whether it is breast augmentation, liposuction or rhinoplasty. Selecting the right plastic surgeon in Seattle is just as important. Make an informed decision.
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