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#Breast Cancer Surgery St. Peters
benrus6800 · 1 year
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Comprehensive Surgical Expertise at St. Peters General Surgery Center
In the heart of St. Peters, a beacon of surgical excellence shines through the experienced hands of a dedicated surgeon with over four years of specialization. This adept professional has been transforming lives through their proficiency in hernia repair, skin cancer surgery St. Peters, breast cancer surgery, and gallbladder removal, all within the realm of the esteemed St. Peters General Surgery Center.
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With a proven track record spanning more than four years, the surgical virtuoso has become a cornerstone of the medical community in St. Peters. Their commitment to quality healthcare and patient well-being is evident in their deft execution of a wide range of procedures. Hernia repair, a common yet intricate surgical intervention, is handled with finesse, ensuring optimal outcomes and swift recovery for patients. The surgeon's nuanced approach to skin cancer surgery highlights their dedication to not only eradicating cancerous growths but also prioritizing aesthetic and functional restoration.
Breast cancer surgery demands a delicate balance between medical expertise and empathetic patient care. In this arena, the surgeon's skill shines brightly, offering comprehensive treatments that address the physical and emotional aspects of recovery. Their adeptness in breast cancer surgery is underpinned by a profound understanding of the unique challenges each patient faces, resulting in tailored interventions that promote both healing and confidence restoration.
Gallbladder removal surgeries, another forte of the surgeon, are performed with meticulous precision. The removal of the gallbladder is a significant procedure that demands intricate knowledge of the human anatomy and minimally invasive techniques. The surgeon's prowess in this area ensures that patients experience minimal discomfort and a swift return to their daily routines.
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The St. Peters General Surgery Center, under the guidance of this skilled practitioner, has evolved into a hub of excellence. Patients from all walks of life find solace in the surgeon's steady hands and compassionate approach. Beyond the technical aspects of surgery, their ability to communicate complex medical information in a comprehensible manner fosters a strong doctor-patient relationship built on trust and transparency.
In conclusion, the St. Peters General Surgery Center boasts a surgical luminary with over four years of experience in hernia repair, skin cancer surgery, breast cancer surgery, and gallbladder removal. Their multifaceted expertise has transformed the lives of numerous individuals, redefining surgical care through skill, empathy, and unwavering dedication to the well-being of their patients.
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benrus4320 · 1 year
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Experienced General Surgery Center in St. Peters
Experienced General Surgery Center in St. Peters: Your Trusted Partner for Hernia Repair, Skin Cancer Surgery, Breast Cancer Surgery, and Gallbladder Removal
When it comes to surgical procedures, trust and experience are paramount. In St. Peters, Missouri, residents have access to a dedicated General Surgery Center with over four years of expertise in a range of surgical services, including hernia repair, skin cancer surgery St. Peters, breast cancer surgery, and gallbladder removal. With a commitment to excellence in patient care and a team of highly skilled surgeons, this center has become a beacon of hope and healing for the local community.
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Hernia Repair Expertise: Hernias can be painful and disruptive, affecting one's daily life. The General Surgery Center in St. Peters specializes in hernia repair, offering advanced techniques and minimally invasive procedures. With more than four years of experience in this field, their surgical team ensures patients receive the highest quality care, from diagnosis to post-operative recovery.
Skin Cancer Surgery: Skin cancer is a prevalent concern, but early detection and surgical intervention can be lifesaving. The St. Peters General Surgery Center is well-versed in performing skin cancer surgeries, excising malignant growths while preserving as much healthy tissue as possible. Their surgeons prioritize aesthetics, aiming to leave minimal scarring and help patients regain their confidence.
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Breast Cancer Surgery: Breast cancer is a daunting diagnosis, but with the right surgical team, patients can navigate this journey with hope. The center's breast cancer surgery specialists are compassionate and skilled, providing a range of options, including lumpectomies and mastectomies. They work closely with patients to determine the best approach for their unique situation, emphasizing both physical and emotional recovery.
Gallbladder Removal: Gallbladder issues can lead to excruciating pain and discomfort. The experienced surgeons at the General Surgery Center in St. Peters offer gallbladder removal surgeries, often using minimally invasive laparoscopic techniques. This approach reduces recovery time, allowing patients to return to their normal routines more swiftly.
In addition to their surgical expertise, the center prioritizes patient education and support throughout the entire surgical process. They understand that undergoing surgery can be a daunting experience, and their team is dedicated to answering questions, addressing concerns, and providing personalized care at every step.
Choosing an experienced surgical center is essential when facing procedures such as hernia repair, skin cancer surgery, breast cancer surgery, or gallbladder removal. In St. Peters, patients can trust the General Surgery Center to deliver exceptional care, backed by over four years of experience and a commitment to improving the health and well-being of their community.
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benrus4321 · 1 year
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Excellence in Surgical Care: A Specialized General Surgery Center in St. Peters
When it comes to surgical procedures, finding a dedicated and experienced surgical center is of paramount importance. St. Peters is fortunate to have a specialized General Surgery Center that has been providing exceptional care in the fields of hernia repair, skin cancer surgery St. Peters, breast cancer surgery, and gallbladder removal for the past four years. With a team of highly skilled surgeons and a commitment to delivering top-notch patient care, this center has established itself as a beacon of excellence in the medical community.
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Comprehensive Expertise:
The General Surgery Center in St. Peters stands out due to its comprehensive expertise across a range of surgical procedures. Whether you are seeking hernia repair, skin cancer surgery, breast cancer surgery, or gallbladder removal, the center offers specialized care tailored to your specific needs. The team of surgeons has undergone rigorous training and boasts extensive experience in their respective fields, ensuring that patients receive the highest quality of care.
Patient-Centric Approach:
What truly sets this surgery center apart is its unwavering commitment to patient well-being. From the moment you walk through the doors, you'll experience a warm and welcoming environment that puts patients at ease. The surgeons and staff take the time to thoroughly educate patients about their procedures, address any concerns, and provide support throughout the surgical journey. They understand that facing surgery can be a daunting experience, and their patient-centric approach ensures that each individual feels comfortable and confident in their care.
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State-of-the-Art Facilities:
The General Surgery Center in St. Peters is equipped with state-of-the-art facilities and cutting-edge technology. This not only enhances the precision and success rates of surgeries but also allows for minimally invasive techniques, resulting in faster recovery times and reduced discomfort for patients.
For residents of St. Peters and the surrounding areas, the General Surgery Center is the go-to destination for specialized surgical care. With four years of experience, a team of highly skilled surgeons, a patient-centric approach, and state-of-the-art facilities, this center is dedicated to ensuring the best possible outcomes for patients in need of hernia repair, skin cancer surgery, breast cancer surgery, or gallbladder removal. Choosing a surgical center that prioritizes your health and well-being is paramount, and the General Surgery Center in St. Peters is setting the bar high for excellence in surgical care.
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rankmasterkst · 1 year
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https://www.benrussurgical.com/about-us1.html
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hernia repair St. Peters
Benrus Surgical Associates We specialize in general, breast and colorectal surgery, including appendicitis, biopsy, colectomy, colon cancer & colon disease, hernia repair, gallbladder disease & removal, anal fissure & anal fistula, GERD (gastroesophageal reflux), skin cancer surgeries, including melanoma,  and breast cancer surgeries including fibrocystic disease, sentinel lymph node, and biopsy. Call for an appointment today.
Address:  Medical Building #2  70 Jungermann Circle Suite 405 in St. Peters, MO. 63376
Phone: (636) 916-7100
Facebook Page Link :  https://www.facebook.com/BenrusSurgicalAssociates/
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benrusmh · 1 year
Text
Breast Cancer Surgery St. Peters
Benrus Surgical Associates We specialize in general, breast and colorectal surgery, including appendicitis, biopsy, colectomy, colon cancer & colon disease, hernia repair, gallbladder disease & removal, anal fissure & anal fistula, GERD (gastroesophageal reflux), skin cancer surgeries, including melanoma, and breast cancer surgeries including fibrocystic disease, sentinel lymph node, and biopsy. Call for an appointment today.
Phone: (636) 916-7100
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cons542 · 2 years
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Breast Cancer Surgery St. Peters
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Benrus Surgical Associates We specialize in general, breast and colorectal surgery, including appendicitis, biopsy, colectomy, colon cancer & colon disease, hernia repair, gallbladder disease & removal, anal fissure & anal fistula, GERD (gastroesophageal reflux), skin cancer surgeries, including melanoma, and breast cancer surgeries including fibrocystic disease, sentinel lymph node, and biopsy. Call for an appointment today.
Business Phone: (636) 916-7100
Facebook Page Link: https://www.facebook.com/BenrusSurgicalAssociates/
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benrussurgical01 · 2 years
Text
Benrus Surgical Associates
Benrus Surgical Associates We specialize in general, breast and colorectal surgery, including appendicitis, biopsy, colectomy, colon cancer & colon disease, hernia repair, gallbladder disease & removal, anal fissure & anal fistula, GERD (gastroesophageal reflux), skin cancer surgeries, including melanoma,  and breast cancer surgeries including fibrocystic disease, sentinel lymph node, and biopsy. Call for an appointment today.
Website Links: Breast Cancer Surgery St. Peters
Facebook Page Link: https://www.facebook.com/BenrusSurgicalAssociates/
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highlevelstudiosmo · 2 years
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Website : https://www.benrussurgical.com/
Address : Medical Building #2 |, 70 Jungermann Cir Suite 405, St Peters, MO 63376
Phone : +1 636-916-7100
Benrus Surgical Associates We specialize in general, breast and colorectal surgery, including appendicitis, biopsy, colectomy, colon cancer & colon disease, hernia repair, gallbladder disease & removal, anal fissure & anal fistula, GERD (gastroesophageal reflux), skin cancer surgeries, including melanoma, and breast cancer surgeries including fibrocystic disease, sentinel lymph node, and biopsy. Call for an appointment today.
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New Post has been published on https://fitnesshealthyoga.com/can-stress-make-your-skin-problems-worse-find-out-here/
Can Stress Make Your Skin Problems Worse? Find Out Here!
Skin Care Tips from the Dermatologist
The answer is yes. Experts agree that stress does not cause the skin problem, but it can make symptoms worse.
Authors of a detailed scientific review paper out of Germany conclude that there is “mounting evidence that stress in the sense of psychosocial stress alters the ability of the skin – through neuroendocrine and immune changes – to respond to environmental challenges. Especially in case of skin damage, due for example to a chronic disease such as atopic dermatitis, there is a more rapid and severe exacerbation of the skin disease under psychosocial stress. It therefore seems obvious: Anything that reduces stress must also reduce inflammation. This possibly also plays a role in the development of skin tumors.” (1)
As a dermatologist, I know that skin problems cause stress. I’ve also observed over the years, that when my patients are under stress, their skin problems are much worse. In my 30 years of practice, I’ve even seen patients whose skin formed a flurry of basal cell skin cancers over several years when they were under severe life stress. Once the stress dissipated, their skin stopped forming basal cell cancers.
Stress reduction can help improve skin problems.
Now that researchers are working out the neuroendocrine immunologic pathways for skin problems, we know that stress reduction is an important component for improving them. Whether the problem is classic eczema (atopic dermatitis), rosacea, psoriasis, acne, hives and even skin cancer, the neuroendocrine immune state of your overall physiology will be impacted by stress – and so will your skin. Stress, whether acute or chronic, shifts the state of your body’s immune balance, and that will impact your skin problems.
Any patient with a skin problem will tell you that the problem also causes them stress. It can be a ‘which came first, the chicken or the egg’ question with stress and skin problems. We are now able to say that no matter which came first, stress reduction will help. This is important.
How can you lower your stress to help your skin problem?
Mindfulness has been shown to help. According to Susan Abbey, MD, “Dermatology was actually the first area to show an impact of mindfulness… because the skin has been regarded as an organ that responds to emotional stimuli and psychological influences.”
Dr. Abbey gave what I think is a really important example, one that may help you creates a fundamental shift in a perspective regarding a skin problem, “Instead of a treatment being applied to get rid of a skin condition that is bothersome and aesthetically unpleasing, mindfulness would bring a perspective of being compassionate to one’s self by applying the treatment.”
There are mindfulness-based forms of therapy and also stress reduction. There are mindfulness tapes and books. Dr. Abbey recommends Jon Kabat-Zinn PhD, Executive Director of the Center for Mindfulness in Medicine, Health Care and Society at the University of Massachusetts Medical School.
I’ve read a number of his books. They helped me through breast cancer treatment. In my experience, mindfulness helps you manage stress with less reactivity. I’m a huge fan. I always have a mindfulness book by my bedside to read before falling asleep. Ten years ago, I also studied mindfulness in daily living for several years with a local mindfulness center, and I see a therapist who helps me with my own personal approach to reacting to my life stresses in a more mindful way. I ramped up all of these mindfulness tools during the year that I was treated for breast cancer. It helped.
Mindfulness does not take the place of medical care, it supports it.
I used mindfulness tools during breast cancer treatment along with chemotherapy and surgeries. I know that modulating the stress helped support my physiology to heal well.
Combining care with lifestyle recommendation is now more common in dermatology.
As a dermatologist, I know the value of treating skin conditions comprehensively, with both traditional medical care and, what is now called Integrative Care. That includes mindfulness, diet and exercise advice and stress reduction among other things. Patients get their dermatologic care and we talk about their life, stress and diet and how we can use these to help their healing. For example, my Integrative Dermatology Care for a skin problem may include:
Step 1: I start with the building blocks of skin care to heal the skin problem and support a remission
For eczema or psoriasis, we would use hypoallergenic and hydrating skin care with VaniCream Soap and my Natural Lotion.
Vanicream Soap
For seborrhea or rosacea we would use my Redness Relief Kit, Daily Face Cream and Citrix Sunscreen or Sheer Strength Pure Physical Spray
For acne we would use my Ultimate Acne Solutions Kit and Daily Face Cream for Normal to Oily Skin or my Pityrosporum Folliculitis Kit.
Step 2: I add appropriate prescription medicines as needed.
Step 3: I then give supporting lifestyle advice to help lower body inflammatory physiology. These include recommending a low inflammatory diet (described in my ebook), regular sleep, regular exercise appropriate for their fitness level, and stress reduction such as a mindfulness practice.
I’m also a big fan of being outside in nature as often as possible, so that’s usually a recommendation – along with sun protection advice, of course.
I’m glad to see rigorous scientific study supporting stress reduction as an important therapeutic aspect of medical care in dermatology.
Good self care, including mindfulness, is now mainstream instead of alternative and that’s a real step forward!
Reference:
Peters Eva M.J., Stressed skin? A molecular psychosomatic update on stress-causes and effects in dermatologic diseases, Journal of German Dermatologic Society, Volume 14, Issue 3, March 2016 https://doi.org/10.1111/ddg.12957
Fordham B, Griffiths CE, Bundy C. A pilot study examining mindfulness-based cognitive therapy in psoriasis. Psychol Health Med. 2015;20(1):121-7.
Montgomery K, Norman P, Messenger AG, Thompson AR. The importance of mindfulness in psychosocial distress and quality of life in dermatology patients. Br J Dermatol. 2016 May 12.
About The Author
Cynthia Bailey, MD Dr. Bailey Skin Care Dermatologist (888) 467-0177
425 South Main St
Sebastopol, CA
95472 US
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stephenmccull · 4 years
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Cancer Patients Face Treatment Delays And Uncertainty As Coronavirus Cripples Hospitals
The federal government has encouraged health centers to delay nonessential surgeries while weighing the severity of patients’ conditions and the availability of personal protective equipment, beds and staffing at hospitals.
People with cancer are among those at high risk of complications if infected with the new coronavirus. It’s estimated 1.8 million people will be diagnosed with cancer in the U.S. this year. More than 600,000 people are receiving chemotherapy.
That means millions of Americans may be navigating unforeseen challenges to getting care.
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Christine Rayburn in Olympia, Washington, was diagnosed with breast cancer in mid-February. The new coronavirus was in the news, but the 48-year-old did not imagine the outbreak would affect her. Her doctor said Rayburn needed to start treatment immediately. The cancer had already spread to her lymph nodes.
“The cancer tumor seemed to have attached itself to a nerve,” said Rayburn, who was a schoolteacher for many years. “I feel pain from it on a regular basis.”
After getting her diagnosis and the treatment plan from her medical team, Rayburn was focused on getting surgery as fast as possible.
Meanwhile, the coronavirus outbreak was getting worse, and Seattle, just an hour north of where Rayburn lives, had become a national focal point.
Rayburn’s husband, David Forsberg, began to get a little nervous about whether his wife’s procedure would go forward as planned.
“It did cross my mind,” he said. “But I did not want to bother with that possibility on top of everything else.”
Two days before Rayburn’s lumpectomy to remove the tumor, Forsberg said, the surgeon phoned, “pretty livid” with bad news. “She said, ‘Look, they’ve canceled it indefinitely,'” Forsberg remembered.
The procedure had been scheduled at Providence St. Peter Hospital in Olympia, a facility run by Providence Health & Services. Across Washington, hospitals were calling off elective surgeries, in order to conserve the limited supply of personal protective equipment, or PPE, and to prevent patients and staffers from unnecessary exposure to the new coronavirus.
“It just felt like one of those really bad movies, and I was being sacrificed,” Rayburn said.
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“It was like we just got cut off from the experts we were relying on,” her husband said.
The hospital said it would review the decision in a few weeks. But Rayburn’s surgeon said that was too long to wait, and they needed to move to Plan B, which was to begin chemotherapy.
Originally, chemotherapy was supposed to happen after Rayburn’s tumor surgery. And rearranging the treatment plan wasn’t ideal because chemotherapy isn’t shown to significantly shrink tumors in Rayburn’s type of breast cancer.
Still, chemotherapy could help stop the cancer from spreading further. But as the couple figured out the new treatment plan, they ran into more obstacles.
“She needed an echocardiogram, except they had canceled all echocardiograms,” said Forsberg.
They spent days on the phone trying to get all the pieces in place so she could start chemotherapy. Rayburn also started writing to her local lawmakers about her predicament.
Hospitals Prioritize Urgent Cases
In mid-March, Washington Gov. Jay Inslee banned most elective procedures, but he did carve out exceptions for certain urgent, life-threatening situations.
“It actually said that it [the ban] excluded removing cancerous tumors,” Rayburn said.
Providence hospitals use algorithms and a team of physicians to figure out which surgeries can be delayed, said Elaine Couture, chief executive of Providence Health in the Washington-Montana region.
“There are no perfect decisions at all in any of this,” said Couture. “None.”
Couture would not talk about specific patients but said she assumes other cases were more urgent than Rayburn’s.
“Were there other patients that even had more aggressive types of cancer that were [surgically] completed?” Couture said. “As sick as you are, there can be other people that are needing something even sooner than you do.”
Couture said hospitals are burning through supplies of masks, gowns and gloves and need to make tough calls about elective procedures.
“I don’t like that, either, and it’s not the way that we want our health care system to work,” Couture said.
Across the Providence hospital system, personal protective equipment is being used much faster than it can be replenished, she said.
No Single Standard
At the American Cancer Society, Deputy Chief Medical Officer Dr. Len Lichtenfeld is hearing from patients across the country who are having their chemotherapy delayed or surgery canceled.
“There was someone who had a brain tumor who was told they would not be able to have surgery, which was, basically, and appears to be a death sentence for that patient,” said Lichtenfeld.
This is uncharted territory for cancer care, he said. Hospitals are making these “decisions on the fly” in response to how the pandemic looks in a particular community. “There is no single national standard that can be applied. I am afraid this is going to become much more common in the coming weeks.”
The cancer society recommends that people postpone their routine cancer screenings — for now.
The American College of Surgeons has published guidance on how to triage surgical care for cancer patients. But Lichtenfeld said every decision ultimately depends on the availability of resources at the hospital and the pressures of COVID-19. In Washington state, which has been hit hard, hospitals are shifting surgical space and beds away from other kinds of treatment.
“We need to forecast two to three weeks down the line when there are more patients that are ill,” said Dr. Steven Pergam, medical director of infection prevention at the Seattle Cancer Care Alliance. “We need to make sure there’s adequate bed capacity.”
Pergam said the care alliance is adjusting treatment plans and, at times, avoiding procedures that would keep cancer patients in the hospital for a prolonged period.
“It really depends on the cancer and the aggressive nature of it,” he said. “We have looked at giving chemotherapy in the outpatient department and changing the particular regimens people get to make them less toxic.”
But Pergam said they expect to keep doing urgent surgeries for cancer patients, even as the pandemic grows worse.
Christine Rayburn in Olympia was steeling herself for the months of chemotherapy to come: staying inside her home and even avoiding contact with her adult daughters, to avoid any possible exposure to the coronavirus.
Then, two weeks ago, the surgeon called again. She had persuaded the hospital to allow the surgery after all, 10 days later than initially planned.
Rayburn and her husband wonder what would have happened if they hadn’t spoken up or pushed to get her lumpectomy back on the hospital’s surgical schedule. Forsberg said it’s possible they could have ended up without the care Rayburn needed.
“If we didn’t say anything, in my mind that may be where we would be at,” he said. “But in our minds, that was not an option.”
This story is part of a partnership between NPR and Kaiser Health News.
Cancer Patients Face Treatment Delays And Uncertainty As Coronavirus Cripples Hospitals published first on https://smartdrinkingweb.weebly.com/
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gordonwilliamsweb · 4 years
Text
Cancer Patients Face Treatment Delays And Uncertainty As Coronavirus Cripples Hospitals
The federal government has encouraged health centers to delay nonessential surgeries while weighing the severity of patients’ conditions and the availability of personal protective equipment, beds and staffing at hospitals.
People with cancer are among those at high risk of complications if infected with the new coronavirus. It’s estimated 1.8 million people will be diagnosed with cancer in the U.S. this year. More than 600,000 people are receiving chemotherapy.
That means millions of Americans may be navigating unforeseen challenges to getting care.
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Christine Rayburn in Olympia, Washington, was diagnosed with breast cancer in mid-February. The new coronavirus was in the news, but the 48-year-old did not imagine the outbreak would affect her. Her doctor said Rayburn needed to start treatment immediately. The cancer had already spread to her lymph nodes.
“The cancer tumor seemed to have attached itself to a nerve,” said Rayburn, who was a schoolteacher for many years. “I feel pain from it on a regular basis.”
After getting her diagnosis and the treatment plan from her medical team, Rayburn was focused on getting surgery as fast as possible.
Meanwhile, the coronavirus outbreak was getting worse, and Seattle, just an hour north of where Rayburn lives, had become a national focal point.
Rayburn’s husband, David Forsberg, began to get a little nervous about whether his wife’s procedure would go forward as planned.
“It did cross my mind,” he said. “But I did not want to bother with that possibility on top of everything else.”
Two days before Rayburn’s lumpectomy to remove the tumor, Forsberg said, the surgeon phoned, “pretty livid” with bad news. “She said, ‘Look, they’ve canceled it indefinitely,'” Forsberg remembered.
The procedure had been scheduled at Providence St. Peter Hospital in Olympia, a facility run by Providence Health & Services. Across Washington, hospitals were calling off elective surgeries, in order to conserve the limited supply of personal protective equipment, or PPE, and to prevent patients and staffers from unnecessary exposure to the new coronavirus.
“It just felt like one of those really bad movies, and I was being sacrificed,” Rayburn said.
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“It was like we just got cut off from the experts we were relying on,” her husband said.
The hospital said it would review the decision in a few weeks. But Rayburn’s surgeon said that was too long to wait, and they needed to move to Plan B, which was to begin chemotherapy.
Originally, chemotherapy was supposed to happen after Rayburn’s tumor surgery. And rearranging the treatment plan wasn’t ideal because chemotherapy isn’t shown to significantly shrink tumors in Rayburn’s type of breast cancer.
Still, chemotherapy could help stop the cancer from spreading further. But as the couple figured out the new treatment plan, they ran into more obstacles.
“She needed an echocardiogram, except they had canceled all echocardiograms,” said Forsberg.
They spent days on the phone trying to get all the pieces in place so she could start chemotherapy. Rayburn also started writing to her local lawmakers about her predicament.
Hospitals Prioritize Urgent Cases
In mid-March, Washington Gov. Jay Inslee banned most elective procedures, but he did carve out exceptions for certain urgent, life-threatening situations.
“It actually said that it [the ban] excluded removing cancerous tumors,” Rayburn said.
Providence hospitals use algorithms and a team of physicians to figure out which surgeries can be delayed, said Elaine Couture, chief executive of Providence Health in the Washington-Montana region.
“There are no perfect decisions at all in any of this,” said Couture. “None.”
Couture would not talk about specific patients but said she assumes other cases were more urgent than Rayburn’s.
“Were there other patients that even had more aggressive types of cancer that were [surgically] completed?” Couture said. “As sick as you are, there can be other people that are needing something even sooner than you do.”
Couture said hospitals are burning through supplies of masks, gowns and gloves and need to make tough calls about elective procedures.
“I don’t like that, either, and it’s not the way that we want our health care system to work,” Couture said.
Across the Providence hospital system, personal protective equipment is being used much faster than it can be replenished, she said.
No Single Standard
At the American Cancer Society, Deputy Chief Medical Officer Dr. Len Lichtenfeld is hearing from patients across the country who are having their chemotherapy delayed or surgery canceled.
“There was someone who had a brain tumor who was told they would not be able to have surgery, which was, basically, and appears to be a death sentence for that patient,” said Lichtenfeld.
This is uncharted territory for cancer care, he said. Hospitals are making these “decisions on the fly” in response to how the pandemic looks in a particular community. “There is no single national standard that can be applied. I am afraid this is going to become much more common in the coming weeks.”
The cancer society recommends that people postpone their routine cancer screenings — for now.
The American College of Surgeons has published guidance on how to triage surgical care for cancer patients. But Lichtenfeld said every decision ultimately depends on the availability of resources at the hospital and the pressures of COVID-19. In Washington state, which has been hit hard, hospitals are shifting surgical space and beds away from other kinds of treatment.
“We need to forecast two to three weeks down the line when there are more patients that are ill,” said Dr. Steven Pergam, medical director of infection prevention at the Seattle Cancer Care Alliance. “We need to make sure there’s adequate bed capacity.”
Pergam said the care alliance is adjusting treatment plans and, at times, avoiding procedures that would keep cancer patients in the hospital for a prolonged period.
“It really depends on the cancer and the aggressive nature of it,” he said. “We have looked at giving chemotherapy in the outpatient department and changing the particular regimens people get to make them less toxic.”
But Pergam said they expect to keep doing urgent surgeries for cancer patients, even as the pandemic grows worse.
Christine Rayburn in Olympia was steeling herself for the months of chemotherapy to come: staying inside her home and even avoiding contact with her adult daughters, to avoid any possible exposure to the coronavirus.
Then, two weeks ago, the surgeon called again. She had persuaded the hospital to allow the surgery after all, 10 days later than initially planned.
Rayburn and her husband wonder what would have happened if they hadn’t spoken up or pushed to get her lumpectomy back on the hospital’s surgical schedule. Forsberg said it’s possible they could have ended up without the care Rayburn needed.
“If we didn’t say anything, in my mind that may be where we would be at,” he said. “But in our minds, that was not an option.”
This story is part of a partnership between NPR and Kaiser Health News.
Cancer Patients Face Treatment Delays And Uncertainty As Coronavirus Cripples Hospitals published first on https://nootropicspowdersupplier.tumblr.com/
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dinafbrownil · 4 years
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Cancer Patients Face Treatment Delays And Uncertainty As Coronavirus Cripples Hospitals
The federal government has encouraged health centers to delay nonessential surgeries while weighing the severity of patients’ conditions and the availability of personal protective equipment, beds and staffing at hospitals.
People with cancer are among those at high risk of complications if infected with the new coronavirus. It’s estimated 1.8 million people will be diagnosed with cancer in the U.S. this year. More than 600,000 people are receiving chemotherapy.
That means millions of Americans may be navigating unforeseen challenges to getting care.
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Christine Rayburn in Olympia, Washington, was diagnosed with breast cancer in mid-February. The new coronavirus was in the news, but the 48-year-old did not imagine the outbreak would affect her. Her doctor said Rayburn needed to start treatment immediately. The cancer had already spread to her lymph nodes.
“The cancer tumor seemed to have attached itself to a nerve,” said Rayburn, who was a schoolteacher for many years. “I feel pain from it on a regular basis.”
After getting her diagnosis and the treatment plan from her medical team, Rayburn was focused on getting surgery as fast as possible.
Meanwhile, the coronavirus outbreak was getting worse, and Seattle, just an hour north of where Rayburn lives, had become a national focal point.
Rayburn’s husband, David Forsberg, began to get a little nervous about whether his wife’s procedure would go forward as planned.
“It did cross my mind,” he said. “But I did not want to bother with that possibility on top of everything else.”
Two days before Rayburn’s lumpectomy to remove the tumor, Forsberg said, the surgeon phoned, “pretty livid” with bad news. “She said, ‘Look, they’ve canceled it indefinitely,'” Forsberg remembered.
The procedure had been scheduled at Providence St. Peter Hospital in Olympia, a facility run by Providence Health & Services. Across Washington, hospitals were calling off elective surgeries, in order to conserve the limited supply of personal protective equipment, or PPE, and to prevent patients and staffers from unnecessary exposure to the new coronavirus.
“It just felt like one of those really bad movies, and I was being sacrificed,” Rayburn said.
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“It was like we just got cut off from the experts we were relying on,” her husband said.
The hospital said it would review the decision in a few weeks. But Rayburn’s surgeon said that was too long to wait, and they needed to move to Plan B, which was to begin chemotherapy.
Originally, chemotherapy was supposed to happen after Rayburn’s tumor surgery. And rearranging the treatment plan wasn’t ideal because chemotherapy isn’t shown to significantly shrink tumors in Rayburn’s type of breast cancer.
Still, chemotherapy could help stop the cancer from spreading further. But as the couple figured out the new treatment plan, they ran into more obstacles.
“She needed an echocardiogram, except they had canceled all echocardiograms,” said Forsberg.
They spent days on the phone trying to get all the pieces in place so she could start chemotherapy. Rayburn also started writing to her local lawmakers about her predicament.
Hospitals Prioritize Urgent Cases
In mid-March, Washington Gov. Jay Inslee banned most elective procedures, but he did carve out exceptions for certain urgent, life-threatening situations.
“It actually said that it [the ban] excluded removing cancerous tumors,” Rayburn said.
Providence hospitals use algorithms and a team of physicians to figure out which surgeries can be delayed, said Elaine Couture, chief executive of Providence Health in the Washington-Montana region.
“There are no perfect decisions at all in any of this,” said Couture. “None.”
Couture would not talk about specific patients but said she assumes other cases were more urgent than Rayburn’s.
“Were there other patients that even had more aggressive types of cancer that were [surgically] completed?” Couture said. “As sick as you are, there can be other people that are needing something even sooner than you do.”
Couture said hospitals are burning through supplies of masks, gowns and gloves and need to make tough calls about elective procedures.
“I don’t like that, either, and it’s not the way that we want our health care system to work,” Couture said.
Across the Providence hospital system, personal protective equipment is being used much faster than it can be replenished, she said.
No Single Standard
At the American Cancer Society, Deputy Chief Medical Officer Dr. Len Lichtenfeld is hearing from patients across the country who are having their chemotherapy delayed or surgery canceled.
“There was someone who had a brain tumor who was told they would not be able to have surgery, which was, basically, and appears to be a death sentence for that patient,” said Lichtenfeld.
This is uncharted territory for cancer care, he said. Hospitals are making these “decisions on the fly” in response to how the pandemic looks in a particular community. “There is no single national standard that can be applied. I am afraid this is going to become much more common in the coming weeks.”
The cancer society recommends that people postpone their routine cancer screenings — for now.
The American College of Surgeons has published guidance on how to triage surgical care for cancer patients. But Lichtenfeld said every decision ultimately depends on the availability of resources at the hospital and the pressures of COVID-19. In Washington state, which has been hit hard, hospitals are shifting surgical space and beds away from other kinds of treatment.
“We need to forecast two to three weeks down the line when there are more patients that are ill,” said Dr. Steven Pergam, medical director of infection prevention at the Seattle Cancer Care Alliance. “We need to make sure there’s adequate bed capacity.”
Pergam said the care alliance is adjusting treatment plans and, at times, avoiding procedures that would keep cancer patients in the hospital for a prolonged period.
“It really depends on the cancer and the aggressive nature of it,” he said. “We have looked at giving chemotherapy in the outpatient department and changing the particular regimens people get to make them less toxic.”
But Pergam said they expect to keep doing urgent surgeries for cancer patients, even as the pandemic grows worse.
Christine Rayburn in Olympia was steeling herself for the months of chemotherapy to come: staying inside her home and even avoiding contact with her adult daughters, to avoid any possible exposure to the coronavirus.
Then, two weeks ago, the surgeon called again. She had persuaded the hospital to allow the surgery after all, 10 days later than initially planned.
Rayburn and her husband wonder what would have happened if they hadn’t spoken up or pushed to get her lumpectomy back on the hospital’s surgical schedule. Forsberg said it’s possible they could have ended up without the care Rayburn needed.
“If we didn’t say anything, in my mind that may be where we would be at,” he said. “But in our minds, that was not an option.”
This story is part of a partnership between NPR and Kaiser Health News.
from Updates By Dina https://khn.org/news/cancer-patients-face-treatment-delays-and-uncertainty-as-coronavirus-cripples-hospitals/
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newspaperjobs · 5 years
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SUBSTANTIVE CONSULTANT IN GENERAL AND UPPER GI SURGERY 2 POSTS
SUBSTANTIVE CONSULTANT IN GENERAL AND UPPER GI SURGERY 2 POSTS
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SUBSTANTIVE CONSULTANT IN GENERAL AND UPPER GI SURGERY 2 POSTS
Job Details
NHS FIFE OPERATIONAL DIVISION SUBSTANTIVE CONSULTANT IN GENERAL AND UPPER GI SURGERY (2 POSTS) REF NO: HH469/01/19 Applications are invited for the post of Consultant in General & Upper GI Surgery to work within a team of 12 Consultant Surgeons in NHS Fife. One of the post is a replacement and the other is an additional post. Experience in General Laparoscopic, Benign Upper GI, Benign Hepatobiliary and/or Bariatric Surgery would be especially welcomed. The successful candidate will work within a multi-disciplinary team and will play a full part in emergency receiving. As a Consultant in this department you will strengthen your general surgery skills, with opportunities to develop your practice according to your specialist interests. Successful applicants will be based at Victoria Hospital in Kirkcaldy, where inpatient surgical wards, dedicated endoscopy unit and a total of 12 theatres are located in a new facility that opened early in 2012. There is a 1:12 General Surgery on call commitment within a dedicated emergency surgical admissions unit. Vascular and Breast surgery are separately covered regionally. All inpatient activity is located at the Victoria Hospital, Kirkcaldy, while additional Endoscopy, Day Surgery and Outpatient Clinics take place in Queen Margaret Hospital in Dunfermline, the Adamson Hospital in Cupar, and St Andrews Community Hospital. The general surgical team performs a full range of advanced laparoscopic and endoscopic procedures, with excellent support from interventional radiology and gastroenterology teams. Collaborative network arrangements is in place with NHS Lothian for UGI cancers and there is a network established for Bariatrics. The post holder with Bariatric interest will contribute to the new Bariatric network. The General Surgery department is actively involved in undergraduate and postgraduate education and training. It is affiliated to the Universities of Edinburgh, Dundee and St Andrews. There are 8 Specialty Registrars, 2 Core Trainees, 4 FY2s and 17 FY1s along with 1 Associate Specialist and 3 Hospital Specialists in the department. There is also support from Cancer Nurse Specialists for Upper GI, Hepato-Biliary and Colorectal malignancies. Departmental educational meetings are held weekly, to include mortality and morbidity meetings. The department actively encourages clinical audit and research with a view to presentation at learned societies and publication. Successful candidates will be on the Specialist Register of the GMC or be eligible for inclusion on the Register within six months of the time of interview. If you wish to apply for this post please email and you will be provided with the job pack and an application form for completion. For further information and to arrange a visit, please contact Mr Satheesh Yalamarthi, Clinical Lead for General Surgery, Mr Peter Driscoll, Lead Consultant for Upper GI & HPB, or Dr John Donnelly, Acting Clinical Director for Planned Care, onInterview: 21 May 2019 CLOSING DATE 26 APRIL 2019 WE ARE COMMITTED TO EQUAL OPPORTUNITIES AND OPERATE A TOTAL NO SMOKING POLICY Details of all NHS Scotland Medical Vacancies can be found at
Date
                29/3/2019                    
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