Lowell Ku

Relapsing polychondritis https://lnkd.in/g3tWpZzH

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Central Carolina Hospital has become the first hospital in North Carolina to place a new type of stent below the knee for patients with chronic limb-threatening ischemia (CLTI). The procedure was performed by Rajiv Swamy, MD, Chief of Medicine and interventional cardiologist at CCH, on May 23, using a new below-the-knee stent scaffolding system developed by Abbott Laboratories. CCH is one of a few national sites where the procedure is being done. “This new stent is a tremendous advancement for patients with chronic limb-threatening ischemia, or CLTI,” Dr. Swamy said. “CLTI is a serious condition caused by lack of blood flow and oxygen to the limbs. Although it is rare, uncontrolled peripheral artery disease can lead to CLTI.” “This is a significant medical innovation for the benefit of our patients,” said Dave Santoemma, Chief Executive Officer for CCH. “Being the first hospital in the state demonstrates the leading-edge quality of care we are providing right here in Sanford and Lee County.” Called the Esprit™ BTK (Below the Knee) System, the new stent is the first and only FDA-approved drug-eluting stent for CLTI, which is the most severe form of peripheral artery disease (PAD). Studies have shown this new treatment offers greater benefits than the current option of balloon angioplasty alone to open the blocked arteries in the leg and to keep the arteries open to prevent possible amputation of the patient’s limb. The procedure is similar to the technique required to unblock arteries in the heart, but instead it is used below the knee to restore blood flow to the foot, with the goal of preventing amputation. The stent is placed in the artery immediately after a balloon angioplasty, supporting and preventing the vessel from reclosing. As a drug-eluting stent, it releases a drug over the course of several months that promotes healing and keeps the artery open. The stent is a resorbable scaffolding system, so it is naturally resorbed into the body over time, like dissolving stitches, and is gone from the patient’s body in about three years, leaving only a healed artery behind. For more information about the stent, visit https://lnkd.in/eNu9tfYT

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When do you need a Neurosurgeon? Discover the comprehensive expertise of neurosurgeons in addressing a variety of nervous system issues, from back pain to sciatica: https://bit.ly/422gZVy #neurosurgeon #spinalcare #spinalhealth #texasback #nervoussystem

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Specifically atrial fibrillation in this study

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Register here at no cost: https://lnkd.in/d_ZUz_8m Join us Thursday, May 9th for this bonus COPE accredited CE webinar, which is free to both GPLI members AND non-members. Dr. Clarke Newman will present "Specialty Contact Lens Coding and Billing Update". This course details the process of the proper coding and billing of service and material fees associated with prescribing lenses for the medically necessary contact lens patient. The presentation will also be recorded and posted to gpli.info in the archived webinars section for GPLI members. Become a member here: https://lnkd.in/gcgy47ES #gpli #firstineducation #webinar #cope #continuingeducation #vision #codingandbilling #contactlenses #optometry #eyedocs #medicallynecessarylenses #insurance

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There is an acupuncture point near the lacrimal duct that can be stimulated with shonishin. This has shown great results in studies. #LDS #blockedtearduct #lacrimalduct More about this in the Holistic Mamas Handbook: https://amzn.to/3rlXhb7 

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"The more experience I gain, the more time I devote to preparing for surgery," writes Dr John D Kelly IV in his latest #YourBestLife column. Learn how he prepares for each case and try a technique when you prepare for your next procedure #CORR https://ow.ly/naYm50Sjeij

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When do you need a Neurosurgeon? Discover the comprehensive expertise of neurosurgeons in addressing a variety of nervous system issues, from back pain to sciatica: https://bit.ly/422gZVy #neurosurgeon #spinalcare #spinalhealth #texasback #nervoussystem

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Seeking relief from vaginitis? From antifungal medications like Fluconazole to boric acid for yeast infections, there are various options available. 💻 Follow our page for more updates on women's health topics, including tips for managing and preventing vaginitis. #DrSkeete #VaginitisTreatment #VaginitisRelief

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TIDBIT TUESDAY! Qualifying as an Expert Witness Victoria Powell RN CCM LNCC CNLCP CLCP MSCC CEASII Excerpt Fall Spring 2013 An expert witness is one who is allowed to provide opinion testimony at trial which is based upon his or her specialized knowledge, experience, or training. The expert witness was created and the use is maintained by the legal system. The courts and their legal counsel have focused much energy in litigation on defining the parameters of expert testi- mony. Because the expert’s ability to offer opinions can be a powerful influence in trials, the courts must ensure that the expert’s testimony is an effective aid to the court rather than a burden or hindrance. In an attempt to ensure this, the courts have defined the role of expert witness and developed formal rules regarding evidence. The expert witness performs two primary functions. The expert serves a scientific function by collecting, testing, and evaluating evidence and forming an opinion as to that evidence. The nurse life care plan- ner as an expert typically collects data, assesses, and evaluates then produces a report which confirms, documents, demonstrates, authenticates, establishes, substantiates, and concludes. He or she also serves in a forensic role by then communicating that con- clusion or opinion (and its basis) to the court. The purpose is to provide information that makes some- thing more evident than it was before. The state- ments made by an expert should be those on which a juror or judge can base a belief as to their accuracy. #nurses #ot #pt #crc #casemanagement #legalnurseconsultant

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👉 Download the step-by-step protocol for the Bio-Bulk Fill procedure and take your practice to the next level. https://ow.ly/R6jh50SmmWV

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Important information concerning disc herniated healing process https://lnkd.in/e3jJX6hK

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I am often asked: How do you treat intersphincteric fistula? That is a relevant question as 1/3 of my fistula practice deals with referred patients failing muscle sparing surgery for IS fistula-MSS. In effect, MSS (Laser, VAAFT, LIFT,etc.) was devised for transphincteric and complex fistula, and not for IS fistula. There are two aspects of Intersphincteric fistula that need consideration: 1)The tract is less defined and when the external orifice is at the level of IS space (true one), MSS becomes merely a debridement of intersphincteric space and closure of internal orifice. Inducing coagulative necrosis in the IS space may actually open up space with higher chance of injuring the 4 mm IAS. 2) When the external orifice is lateral to the intersphincteric position, the tract may be more mature as crossing the corrugators/subcutaneous portion of EAS (false IS fistula). Results of MSS for IS fistula in literature are very scant, but higher failure rate is reported and expected. What do I do? If internal orifice is at or below dentate line: fistulotomy. If above the dentate line, discuss with patient: if has not opted for fistulotomy, a flap is the best treatment as a MSS technique in this scenario, plus laser at very low energy, if external orifice is lateral to intersphincteric space. #analfistula #colorectalsurgery #proctology #surgery #surgicaleducation #linkedincommunity #linkedinnetwork #healthcareinnovation #ESCRS #lasertreatment #medicaleducation #innovation #technology

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