CHEC’s Post

Anyone treating dry eye should check out this comprehensive feature about DED treatment options from Review of Ophthalmology. ❤️ Loving the fact that with all the treatments available Dr. Mukhtar still recommends the use of #warm compresses as one of her patients “homework” assignments. She says. “I compare this to brushing your teeth every day. It’s important to take care of your eyelids as well. ❤️ #eyehygiene #dryeyerelief #optometry #ophthalmology

https://lnkd.in/gsPVERjm Article title: Reciprocal Relationship between Compliance with Post-Op Follow-Up and Weight Loss after Bariatric Surgery   Author(s): Salman Bodla; Richard Bodington; Jennifer Abraham; Hannah Adams; Shameen Jaunoo   Journal: Archives of Clinical Gastroenterology   Journal ISSN: 2455-2283 Introduction: Obesity is a large and growing health problem in the UK with high associated costs to the NHS. Bariatric surgery is proven as an effective treatment for obesity associated with long term weight loss and a reduction in obesity related comorbidities [1]. The NICE guidance highlights the importance of follow-up post-surgery [2]. The guidelines state that in order to be eligible for surgery the patient must commit to long term follow-up and that in order for a centre to offer bariatric surgery it must ensure that it can provide regular MDT post-op assessment and support for at least two years [2]. #InflammatoryBowelDisease #FunctionalGIDisorders #GastrointestinalAndLiverDisease #DigestiveOncology #GastrointestinalSurgery #PediatricGastroenterology #ColorectalCancer #PancreaticCancer #HepatocellularCarcinoma #GastrointestinalBleeding #Endoscopy #SurgicalGastroenterology #StomachUlcers #VirtualColonoscopy #GastricUlceration #RouxenYGastricBypass #GastricAcidSecretion #GastricMucosa #GastricUlcerHealing #GastricCardiaCancer #ReproductiveEndocrinology #EndocrineDisorders #Hepatology #AlimentaryCanal #PancreasCancer

Big changes are coming to the world of gynecology! 🌍💉 The minimally invasive surgery industry is on the brink of a major transformation thanks to the advent of advanced technology and refined surgical techniques. These changes could drastically reduce hospital stays and recovery periods, making treatments more affordable, accessible, and comfortable for patients. Plus, with a lower risk of complications and infections, patient outcomes are safer and more effective. Get ready for a new era in gynecological care where efficiency, patient comfort, and cost-effectiveness take center stage! #HealthcareInnovation #Gynecology #PatientCare #MedicalAdvancements #HealthTech #PatientSafety #AffordableHealthcare #MedicalRevolution 🏥💡

I am proud to share that as a member of the APSA Outcomes and Evidence-based Practice Committee, we have published a significant systematic review and evidence-based guideline in the Journal of Pediatric Surgery! Title: Classification and Surgical Management of Anorectal Malformations: A Systematic Review and Evidence-based Guideline from the APSA Outcomes and Evidence-based Practice Committee 🔍 Highlights: • Treatment of neonates with anorectal malformations (ARMs) is challenging due to variability in definitions, surgical approaches, and outcomes. • Our review summarizes existing evidence, identifies treatment controversies, and provides guidelines for perioperative care. • We reviewed 10,843 publications, with 90 included in our final recommendations. • Both loop and divided colostomies are viable options, though loop colostomies have higher prolapse rates. • No significant differences in outcomes between early and late repair groups. • Clear and uniform definitions are essential for future comparisons and recommendations. 📈 Conclusion: Evidence-based best practices for ARMs are still lacking in many areas. Multi-institutional registries and further prospective studies are crucial to improve care and develop consensus guidelines for this complex patient population. For more details, check out the full article: https://lnkd.in/g4i9iiVy #PediatricSurgery #ARMs #SystematicReview #EvidenceBasedPractice #APSA #SurgicalManagement #AnorectalMalformations #MedicalResearch #HealthcareInnovation

Are you planning to build a new medical facility for your practice? We both know it's a pretty big step. Whether you're setting up a specialty clinic or expanding your practice, this will be a complex undertaking. Navigating building codes, optimizing patient flow, and ensuring a welcoming patient environment are just a few of the challenges. At Apex, we have extensive experience developing facilities from the ground up for a broad range of medical specialties, including: ➡️Ambulatory Surgery Centers ➡️Dental Offices ➡️Veterinary Clinics ➡️Orthopedic Centers ➡️Pediatric Facilities ➡️Dermatology Clinics ➡️Cardiology Centers ➡️Oncology Clinics ➡️Neurology Practices ➡️Obstetrics and Gynecology Offices To ensure each project meets our clients' unique needs, we focus on several key areas: 📌Direct communication: Keeping you informed every step of the way. 📌Meticulous planning: Customizing every detail to fit the specific needs of your practice. 📌Efficient project management: Making sure your project is completed on time and within budget. #Apex #HealthcareConstruction #HealthcareDesign #TopHealthcareBuilders #MedicalOfficeConstruction #GroundUpConstruction #GroundUpMedicalOffice #GroundUpHealthcare

Excited to share my latest publication of a narrative review entitled, “Precision medicine in peripartum cardiomyopathy: advancing diagnosis and management through genomic and phenotypic integration” in Annals of Medicine and Surgery. Article Link: https://lnkd.in/ees5AUZY Peripartum cardiomyopathy is a rare, life-threatening complication of pregnancy that contributes to a significant proportion of maternal mortality and morbidity worldwide. In this review, we delve into this rare, life-threatening cardiac condition, exploring how integrating genetic and phenotypic data can revolutionize its management and improve patient outcomes. In the era of precision medicine, integrating these personalized therapeutic approaches into the clinical workflow can significantly revolutionize the landscape of PPCM management. 

#CBCLIPS Episode 48 Case Based Clinical Learning In Pediatric Surgery A 9-month old girl with Trisomy 21 presents with acute non-bilious emesis, worsening over 5 days. She has a history of intermittent vomiting and poor weight gain since birth, diagnosed and treated as gastro-esophageal reflux disease. Exam shows a deyhdrated, but non-toxic baby weighing 5.4 kg (15th percentile). Her abdomen is soft and non-tender. Laboratory tests show a severe hypokalemic hypochloremic metabolic alkalosis and hemoconcentration. A films is shown below. How would you proceed with this patient? If you use #CBCLIPS, please take 5 minutes to participate in this research survey at the link below. The deadline for submitting your feedback is APRIL 30. Thank you. https://lnkd.in/e_iCe3_J

#surgery #colorectal #medicine #medicalsciences #healthcare #medicaleducation #patientcare https://lnkd.in/gRsb6y42 Abstract Importance Care of patients with #diverticulitis is undergoing a paradigm shift. This narrative #review summarizes the current evidence for left-sided uncomplicated and complicated diverticulitis. The latest pathophysiology, advances in diagnosis, and prevention strategies are also reviewed. Observations Treatment is moving to the outpatient setting, physicians are forgoing antibiotics for uncomplicated disease, and the decision for elective surgery for diverticulitis has become preference sensitive. Furthermore, the most current data guiding surgical management of diverticulitis include the adoption of new minimally invasive and robot-assisted techniques. Conclusions and Relevance This review provides an updated summary of the best practices in the management of diverticulitis to guide #colorectal and general surgeons in their treatment of patients with this common disease.

BBC Newsnight recently covered our research into the impact of the outsourcing of NHS cataract surgery on the finances of the health service. In addition to showing a very rapid increase in the number of cataract operations done in the private sector we also found an increasing share of the NHS eye care budget going to cataracts at the expense of more complex conditions such as glaucoma which lead to irreversible sight loss. The rapid growth in the number of NHS cataracts being delivered might be the result of "supplier induced demand" - over the past 5 years 78 new, low cost private clinics have been set up across England and have arguably driven demand for catarct care. There has also been a very sharp increase in the number of complex cataracts funded by the NHS - almost all of the increase in complex cataracts has taken place in the private sector over the past 5 years. According to NHS England, this increase cannot be explained by changes in the complexity of patients being treated. Providers can charge an extra £400 for a complex cataract and so there is a financial incentive to "code" a patient as more complex. We estimate that if the private sector was coding its cataracts in the same way as the NHS - ie it was generating the same proportion of its income from complex cataracts as the NHS - the taxpayer would have saved £29 million over the past 2 years. Read our report here https://lnkd.in/efR2ARJv And watch the Newsnight broadcast here: https://lnkd.in/e72zhgvP

📢 Exciting new research published in the Annals of Surgery presents a practical strategy to reduce surgical overtreatment of intraductal papillary mucinous neoplasms (IPMNs) of the pancreas! 🧪🔬 This groundbreaking study utilized a Markov model analysis to evaluate different management strategies for IPMNs and their impact on patient outcomes. The findings highlight the crucial role of age in decision-making, shedding light on how we can better tailor treatments and reduce unnecessary surgeries. 💡💉 🔎 Key Findings: ✅ Consensus guidelines for IPMN management have limitations due to a lack of relevant data. ✅ Age is a critical factor in determining the risk of malignant conversion and surgical mortality. ✅ Prophylactic resection showed a net gain in patient-years for low-risk IPMNs up to age 60, while high-risk IPMNs saw a net gain until age 75. ✅ Surgeons should consider a comprehensive approach, taking into account clinical variables, patient expectations, preferences, beliefs, and comorbidities. This research provides valuable insights into improving the management of IPMNs and reducing surgical overtreatment. It emphasizes the importance of personalized care and highlights the need for further research to validate these findings. 📚🔬 Read the full study here: DOI: 10.1097/SLA.0000000000006133 #PancreaticCysts #IPMN #SurgicalManagement #MedicalResearch #MarkovModelAnalysis