The preliminary findings were reported here at the Society of Gynecologic Oncology’s Annual Meeting on Women’s Cancer. The phase III, randomized, controlled trial included women with platinum-sensitive recurrent ovarian cancer…
The special topic article by Mia K. Markey, PhD, and colleagues of The University of Texas at Austin and The University of Texas MD Anderson Cancer Center, Houston, introduces plastic surgeons to the use of decision analysis to help women navigate decisions about breast reconstruction after mastectomy for breast cancer. “Decision analysis provides structure for methodic, thoughtful decision-making through the use of reason, logic, and mathematics,” the authors write. Decision Analysis Helps Sort Through Breast Reconstruction Options Decision analysis is defined as ” an exhaustive, iterative process that involves identifying alternatives, obtaining information about the uncertainty of outcomes, and clarifying preferences and values.” Routinely used in business, decision analysis is increasingly applied to complex medical decisions as well. …
The special topic article by Mia K. …
source : http://www.sciencedaily.com/releases/2014/03/140324090320.htm
source : http://www.sciencedaily.com/releases/2014/03/140304113412.htm
A 48-year-old patient sees her dermatologist because of a scar-like lesion on her forehead. Even the well-trained physician has trouble to diagnose the lesion: The scar on the woman’s forehead is a rare type of skin cancer — a desmoplastic melanoma…
A woman is suing after she says she got Hepatitis A from eating Townsend Farms frozen berries she bought at Costco, according to My Fox Phoenix.  The lawsuit was filed against berry maker Townsend Farms on Thursday. The woman, who lives in Anthem, Ariz., can't remember which Costco she bought the berries at. She's worked at the same place for 10 years and says she's never called in sick. Now she's at risk of losing her job and her degree as her medical bills are mounting. “I mean if I don't have a job, I don't have a degree, what do I have? Hepatitis A,” said Karen Echard. Echard says she got Hepatitis A from eating Townsend Farms Organic Antioxidant Blend Frozen Berry and Pomegranate Mix she bought at Costco in April. According to the Centers for Disease Control, 79 people in eight states have Hepatitis A infections potentially associated with the frozen berry mix; 30 were hospitalized. Hepatitis A is a contagious liver disease that can last a few weeks to several months. “They said it's anywhere from six weeks to six months for recovery with as bad a case as I have,” said Echard. The CDC says Costco removed the item from its shelves.Townsend Farms voluntarily recalled the item. Click for more from My Fox Phoenix. source : http://www.foxnews.com/health/2013/06/10/woman-claims-frozen-costco-berries-gave-her-hepatitis-sues-manufacturer/
A few days after Melissa Daly broke her ankle, the calf above it became tender. Within a week, her foot was dark purple. She saw her doctor, who dismissed it as normal bruising and offered a prescription for painkillers. The drugs didn't help, and a week later she woke up in the middle of the night gasping for air.  “I felt like I was suffocating,” she said. Her husband called 911, and within an hour she was on a respirator in the ER. A blood clot had broken off from her calf and lodged in her lungs. The agony she felt is one of seven pains you should never brush off. Read on to make sure that your nagging aches are as innocent as they seem. MORE: 7 Lies We Tell Our Doctors Severe Head Pain This mother of all headaches makes your bachelorette party hangover seem laughable. If you could laugh. The culprit: Odds are, any jackhammering in your brain is just a migraine. But if it's not accompanied by other migraine symptoms (such as a visual aura), sudden and severe pain -- we're talking the absolute worst headache of your life -- can signal a brain aneurysm.  These arterial bulges occur in up to 5 percent of people, but most of the time they don't cause any trouble -- you won't even know you have one unless the weak spot leaks or tears. If that happens, escaping blood can flood the surrounding tissue (causing a violent headache) and cut off the oxygen supply there. Smoking and having a family history of aneurysms increase your odds. The fix: “A burst aneurysm can cause brain damage within minutes, so you need to call 911 immediately,” Dr. Elsa-Grace Giardina, director of the Center for Women's Health at NewYork-Presbyterian Hospital/Columbia University Medical Center, said.  Your doctor will take a CT scan to look for bleeding in the space around the brain. If he finds hemorrhaging, you'll head into the (operating room) pronto for surgery to repair the blood vessel. Throbbing Tooth Spooning your way through a pint of Chubby Hubby has become an exercise in torture. When your teeth touch anything frosty, you feel a dull throb or sharp twinge. The culprit: It's likely that the tooth's nerve has become damaged, usually because the surrounding pearly white is cracked or rotting away. Unless you get it patched up quickly, bacteria in your mouth can infect the nerve. And you definitely don't want that breeding colony to spread throughout your body, said Kimberly Harms, a dentist outside St. Paul, Minnesota. The fix: Time for a cavity check! You may just need a filling to cover the exposed nerve. But if it's infected, you're in for a root canal, in which the tooth's bacteria-laden pulp is removed and replaced with plastic caulking material. Antibiotics can clear up any infection that has spread beyond the mouth. MORE: The 10 Self-Checks Every Woman Should Do Sharp Pain In Your Side A typical runner's side stitch pales in comparison to this piercing stab, which intensifies over a few hours or days. The culprits: You may just need some Beano. But if you feel as if you're being skewered in your right side and you're also nauseated and running a fever, you could have appendicitis. It occurs when something (like a stray piece of feces) migrates into the space where the appendix empties into the colon, blocking it. Soon the organ becomes dangerously inflamed.  Another possibility is an ovarian cyst. Typically these fluid-filled sacs are harmless and disappear on their own. But if one twists or ruptures, it can cause terrible pain. The fix: In both cases, you're looking at emergency surgery.  “If you don't remove an inflamed apÂpendix, it can burst,” Dr. Lin Chang, a gastroenterologist and co-director of UCLA's Center for Neurovisceral Sciences and Women's Health, said.  This can cause dangerous swelling of the tissue surrounding your organs. A twisted cyst also needs to be removed right away, as it can block blood flow to your ovary within hours. If that happens, the doctor will need to cut out the entire ovary (and the eggs inside) along with the cyst. Passing Chest Pain Periodically, you get what feels like a bad case of heartburn, or a tight squeezing sensation, as if you're being laced into a corset. The culprit: You probably just peppered your pizza with too many chilis. But if you know you're at risk for heart problems, don't blow it off -- it could be a heart attack. Every year, about 10,000 women under 45 have one. Symptoms tend to be less severe in women than in men, so “you may just feel pressure, along with fatigue, throat pain, or shortness of breath,” Giardina said. The fix: Feel the burn after feasting on chalupas? Normal. Feel as if you're being squeezed to death by a boa constrictor after a hard workout?
Apryl Michelle Brown had black-market silicone injections which turned out to be bathroom sealant. It left her in agony and led to her losing her hands and feet, as well as her buttocks. The 46-year-old former hairdresser blames “vanity” and wants to warn others of the terrible dangers of such illegal treatments. Teased as a child about her “pancake” bum, Brown vowed to buy a shapelier one when she was older. The moment that changed her life came in 2004, when two women walked into her successful beauty salon to get their hair done. One of them ran “pumping parties” — where unqualified practitioners inject illegal silicone into “patients” at their home. Brown, from Los Angeles, Calif., said: “One of the women told me how she had given bottom injections to the friend who was with her. “I remember thinking it was a miracle she’d walked into my life. Her friend showed me the work she’d had done and it looked great. “In a split second I made the decision that I was going to go to this woman and let her inject silicone into my behind.” That decision nearly killed her. Brown paid the woman, who had no medical background for two lots of injections. Doctors later discovered the substance used was industrial-grade silicone. Brown admitted: “I didn’t do any research. A combination of naivety, misplaced trust and insecurity led me to take this disastrous decision. “I trusted her because she seemed so professional, and I had no reason to think anything awful was going to happen. “She carried out the procedure in her daughter’s bedroom. She assessed my bottom and said, ‘You’ll need three or four sessions to get the result you want’. “The first procedure took an hour. I remember asking, ‘Is it meant to be so painful?’ and she said, ‘Yes’. It felt like it was squeezing through my nerves.” Within weeks Brown returned for her second treatment. She said: “After going through it again I had an epiphany. As I left her house I thought, ‘What am I doing? I have no idea what she’s putting in my body’. “I never returned. But though I didn’t know it then, my life had already changed forever.” Over the next two years the area where she’d been injected became hard and the skin blackened. Brown, mother to daughters Danye, 22 and Courtney, 21, said:  “Within a few months of the second injection my buttocks began to harden. I knew something wasn’t right. But shame stopped me seeking medical help. As time went on it got worse as the skin blackened. I developed hard lumps. Then the searing pain started. I had to tell my doctor what I did. I was so ashamed.” Brown spent the next four years in constant pain. Two surgeons told her it was too dangerous to remove the silicone. She said: “I was in so much agony I became a regular at hospital asking for medication to ease what was like a combination of a migraine, childbirth and toothache localized in one area. “I suffered day and night, so I was willing to do anything — including remove my buttocks.” In February 2011 a surgeon operated unsuccessfully. Brown developed a hole in her buttocks — thought to be the trigger for an infection that in June was nearly fatal.  She said: “I was 24 hours from dying. I didn’t think of leaving my family. It was a relief I’d finally be free of pain.” Doctors put her in an induced coma for two months while performing 27 surgeries — starting with amputating her buttocks — and doing extensive skin grafts. She said: “They saved me but gangrene set into my hands and feet. I was brought out of sedation shortly before I became a quadruple amputee. “My hands looked like those of a dead person. I knew then I was going to lose them.” She added: “At first you try to register your new limbs. The real comprehension comes when you start to live this new life. “I had dark times. I cried a sea of tears. I had to face the fact I’d lost my hands, feet and buttocks because of complications from bottom injections. I was overwhelmed by shame and guilt... all because I wanted a bigger bottom. “I was six months in hospital. By the time I was discharged I was determined to turn this terrible thing into something positive. “I decided to do a triathlon. I told myself if I could achieve that I could do anything. “I took my first steps again by the end of 2011. I built up to training six days a week, learning to walk, cycle then swim again using my residual limbs. “I’d be crying in pain but I’d push through it. And six weeks ago I did it — completing a three-mile walk, ten-mile cycle and a 150-meter swim. “When I crossed that finishing line with my family cheering me on, I cried tears of joy.” She added: “I haven’t sued or sought compensation. I just want to move on. There are things I miss dearly — I’ll never be able to do my girls’ hair or feel sand between my toes. “But I believe I survived to share my story. “I want to warn others of the dangers of black-market surgery. We were born whole, perfect and complete. “My greatest message is we have to learn to love and accept ourselves for who we are.” Click for more from The Sun. source : http://www.foxnews.com/health/2013/05/29/woman-becomes-quadruple-amputee-after-black-market-silicone-injections/
Apryl Michelle Brown had black-market silicone injections which turned out to be bathroom sealant. It left her in agony and led to her losing her hands and feet, as well as her buttocks. The 46-year-old former hairdresser blames “vanity” and wants to warn others of the terrible dangers of such illegal treatments. Teased as a child about her “pancake” bum, Brown vowed to buy a shapelier one when she was older. The moment that changed her life came in 2004, when two women walked into her successful beauty salon to get their hair done. One of them ran “pumping parties” — where unqualified practitioners inject illegal silicone into “patients” at their home. Brown, from Los Angeles, Calif., said: “One of the women told me how she had given bottom injections to the friend who was with her. “I remember thinking it was a miracle she’d walked into my life. Her friend showed me the work she’d had done and it looked great. “In a split second I made the decision that I was going to go to this woman and let her inject silicone into my behind.” That decision nearly killed her. Brown paid the woman, who had no medical background for two lots of injections. Doctors later discovered the substance used was industrial-grade silicone. Brown admitted: “I didn’t do any research. A combination of naivety, misplaced trust and insecurity led me to take this disastrous decision. “I trusted her because she seemed so professional, and I had no reason to think anything awful was going to happen. “She carried out the procedure in her daughter’s bedroom. She assessed my bottom and said, ‘You’ll need three or four sessions to get the result you want’. “The first procedure took an hour. I remember asking, ‘Is it meant to be so painful?’ and she said, ‘Yes’. It felt like it was squeezing through my nerves.” Within weeks Brown returned for her second treatment. She said: “After going through it again I had an epiphany. As I left her house I thought, ‘What am I doing? I have no idea what she’s putting in my body’. “I never returned. But though I didn’t know it then, my life had already changed forever.” Over the next two years the area where she’d been injected became hard and the skin blackened. Brown, mother to daughters Danye, 22 and Courtney, 21, said:  “Within a few months of the second injection my buttocks began to harden. I knew something wasn’t right. But shame stopped me seeking medical help. As time went on it got worse as the skin blackened. I developed hard lumps. Then the searing pain started. I had to tell my doctor what I did. I was so ashamed.” Brown spent the next four years in constant pain. Two surgeons told her it was too dangerous to remove the silicone. She said: “I was in so much agony I became a regular at hospital asking for medication to ease what was like a combination of a migraine, childbirth and toothache localized in one area. “I suffered day and night, so I was willing to do anything — including remove my buttocks.” In February 2011 a surgeon operated unsuccessfully. Brown developed a hole in her buttocks — thought to be the trigger for an infection that in June was nearly fatal.  She said: “I was 24 hours from dying. I didn’t think of leaving my family. It was a relief I’d finally be free of pain.” Doctors put her in an induced coma for two months while performing 27 surgeries — starting with amputating her buttocks — and doing extensive skin grafts. She said: “They saved me but gangrene set into my hands and feet. I was brought out of sedation shortly before I became a quadruple amputee. “My hands looked like those of a dead person. I knew then I was going to lose them.” She added: “At first you try to register your new limbs. The real comprehension comes when you start to live this new life. “I had dark times. I cried a sea of tears. I had to face the fact I’d lost my hands, feet and buttocks because of complications from bottom injections. I was overwhelmed by shame and guilt... all because I wanted a bigger bottom. “I was six months in hospital. By the time I was discharged I was determined to turn this terrible thing into something positive. “I decided to do a triathlon. I told myself if I could achieve that I could do anything. “I took my first steps again by the end of 2011. I built up to training six days a week, learning to walk, cycle then swim again using my residual limbs. “I’d be crying in pain but I’d push through it. And six weeks ago I did it — completing a three-mile walk, ten-mile cycle and a 150-meter swim. “When I crossed that finishing line with my family cheering me on, I cried tears of joy.” She added: “I haven’t sued or sought compensation. I just want to move on. There are things I miss dearly — I’ll never be able to do my girls’ hair or feel sand between my toes. “But I believe I survived to share my story. “I want to warn others of the dangers of black-market surgery. We were born whole, perfect and complete. “My greatest message is we have to learn to love and accept ourselves for who we are.” Click for more from The Sun. source : http://www.foxnews.com/health/2013/05/29/woman-becomes-quadruple-amputee-after-black-market-silicone-injections/