Death by plastic surgery

Plastic surgery, Botox, Restalyn, liposuction – procedures all to keep us from looking older. According to this article, Plastic surgery complications rare: study, complications – and death – are rare during cosmetic procedures, but they do happen. In 2004, a prominent Montreal woman, Micheline Charest, died after having a face lift and breast augmentation; the same year, Olivia Goldsmith, author of The First Wives Club, died during cosmetic surgery; and earlier this week, Kanye West’s mother died. That’s just three women whose lives were cut short due to unnecessary and avoidable surgical procedures. If we look beyond those who died, there are many women (and men) who undergo such procedures who live, but have had bad results due to botched or unsuccessful surgeries. No surgery is every successful 100% of the time – complications can and do happen.

Many people don’t see plastic surgery as “real” surgery. The thing is, it is very real surgery. It involves anesthetic, which has risks of its own, and the procedures – all of which have some risk. Is it worth it? Is this search for never-ending youth worth it? Some people think so.

I’ve heard women compare having cosmetic surgery to dying your hair. While I respect the decision to have cosmetic surgery, if that’s your choice, but I won’t accept that comparison. As far as I know, there is no risk of death from dying or permanent disfigurement from hair dye.

So, if someone does want cosmetic surgery, they need to be sure that they are healthy enough for the surgery. If one surgeon says you’re not a good candidate for surgery – is it really a good idea to shop around until you find one who will take the chance? You need to be sure the surgeon is board certified and experienced in the procedure you’re about to undergo. Most of all, you need to go into the surgery knowing full well all the risks.

Charest, Goldsmith and West probably all thought that nothing bad would happen to them.

News for Today:

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STD cases surge in U.S.
Older women victims of bias in Canadian ICUs
Antivirals can lower flu deaths in elderly: study
Plastic surgery complications rare: study
Study links asthma and post-traumatic stress disorder
Latinos and African-Americans live longer with Alzheimer's disease

A quick filler

I'll be back with a real post a little later, but I just had to share this animation by Walt Handelsman: Baby boomers.

Diabetes and foot care

Most people understand that diabetes has something to do with the blood sugar in the body and that this causes problems, but many people don’t understand exactly what some of these problems can be.

When I worked on a medical unit, I frequently had patients who were newly diagnosed with diabetes. This meant that a lot of patient teaching was needed about the disease, lifestyle changes, and how to prevent complications. Of all the patient teaching I ever did, nothing brought about more disbelief and questioning than foot care. So much so that frequently, the part about foot care would to in one ear and out the other. The article 63 percent of diabetics risk serious foot problems by wearing the wrong-sized shoes tells me that I wasn’t that far off with thinking that way.

Why is foot care so important for people with diabetes?

Your body is only meant to have a certain amount of blood glucose (sugar). Too low causes problems as does too high. The higher sugar eventually causes damage to the blood vessels and nerves throughout the body. Because your feet are the furthest away from the heart, they are most easily affected by poor circulation.

If your nerves are affected, you can have a constant type of nerve pain or you can start losing feeling in certain parts of the body, like your feet. If your circulation and nerves are working properly and you get a blister or cut, you feel it and usually can try to take measures to keep this from worsening, as well as trying to heal the wound. But, if your circulation is compromised, you may not feel the wound starting. Once the wound has started, because the circulation is poor, it is harder for it to heal and can easily become infected. It then becomes a vicious cycle.

People with diabetes who develop wounds in their feet can end up having to have their foot amputated if the wounds can’t be controlled. Of course, this results in more health issues. Great care needs to be taken to be sure the wound heals properly and doesn’t cause other problems. Ambulation (moving about) becomes affected as a wheelchair may now be needed. This results in social isolation and there are other physical issues that result from being in a wheelchair.

So, how does someone with diabetes protect the feet? Here are some simple rules:
- make sure your shoes fit properly and do not cause wounds
- wear socks with your shoes
- avoid high heels that can put too much pressure on the bottom of the feet
- shop for shoes at the end of the day when your feet are usually a bit swollen
- don’t walk around barefoot
- wear socks inside out to prevent the seam from rubbing against the toes
- check your feet every day while cleaning them
- don’t rub your feet clean – pat gently
- ensure your feet are completely dry before putting on socks
- if you want to apply a cream to cracked heels, be sure it is absorbed well
- do not self treat any corns, warts, or calluses; see your doctor or foot care nurse
- when cutting nails, be sure to cut straight across, not curved down at the sides
- keep your feet protected in the winter, keeping them warm
- notify your doctor or foot care nurse of any blisters, cuts, wounds, or other problems with the skin on your feet or toes

This is a situation where prevention is truly the most important weapon. Take care of those feet because you don’t know how much you depend on them until you can’t use them!


News for Today:

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New eye test credited with early cancer diagnosis
New anemia measure predicts risk of death in dialysis patients
Many seniors need daily help after hip fractures
ICU survival determines family's satisfaction with care
63 percent of diabetics risk serious foot problems by wearing the wrong-sized shoes
Number of cases of most vaccine-preventable diseases in US at all-time low

Vision-correction surgery?

If you wear glasses, have you considered undergoing laser surgery? I know it’s very popular and I know that people who have had it are very pleased with the results, but I just can’t bring myself to consider it.

The article Surgical errors rare but serious in ophthalmic procedures is more about other types of eye surgeries, but it’s precisely why I’m uncomfortable about laser surgery for the eyes, unless it is really a quality of life issue. My eyes are the only set I have. If anything goes wrong, what do I have?

Do I wish I didn’t have to wear glasses? Absolutely. It is a pain in the neck, but there are worse things that I could have to do. I just can’t take the risk of being one of the few people who have a bad outcome from the procedures.

In all fairness, bad outcomes are rare. According to allaboutvision.com, the serious complication rate is below 1% with carefully selected patients. That means that the surgeon must be careful in ruling out any patient who appears to be at risk for complications. As well, the more experienced the surgeon, usually the lower the complication rate.

Of course, this type of surgery also only corrects distance vision and not other problems – so even if someone wants to have the surgery, is confident about the outcome, and ready for the surgery – they may be refused or they may have the surgery with the caveat that they will still need glasses for the visual problems that aren’t corrected surgically.

It’s a very personal choice – but if it is one you are making, be sure to make the right choice of surgeon and clinic. Don’t be swayed by advertising – it’s the doctors’ abilities, re-education and on-going training, and manner that count. A doctor who is associated with a university, teaching hospital, or somehow involved in research is more likely to be up-to-date on the newest technologies and issues. If you’re not sure where to start, your optometrist or ophthalmologist may be able to give you some recommendations. Just because a doctor is recommended doesn’t mean you should take that at face value though; you still need to do your due diligence. You can also get names from the licensing boards of your country/province/state, for a place to start.

Once you find a surgeon, you need to ask some questions to help you make your decisions. You should know how long the doctor has been doing the surgery. Beware of claims that go back longer than the surgery exists! How many procedures has he/she done? Does he or she do them themself or do they have other surgeons working with them/for them? How many of their patients achieve a visual acuity of at least 20/40? 20/20? Can you get references from patients?

Don’t forget, you can always get a second opinion. Take your time to get the right information before making the decision.

News for Today:

Brain matures slower in kids with ADD, researchers say
Omega-3s, fruit, veggies lower risk of dementia
MRSA germ undermines body's defences
Correcting poor vision in nursing home residents may decrease symptoms of depression
Program of exercise and education improves function and symptoms in women with fibromyalgia