Tuesday, April 29, 2008

The Process of Plastic Surgery In Canada

The most significant and dificult step in plastic surgery is selecting a plastic surgeon. This requires that the patient research the available physicians,, telephone the office, make an inquiry and attend the surgeon's office for initial discussion. Many patients will see two or more surgeons. How to decide where to make the initial call?

* Family doctor
* Wornd of mouth from friends and acquiantances who have had surgery
* Yellow pages
* Magazines, newspaper advertising
* Hair stylistm esthetician etc.
* Internet

Here in Canada, it require a referral from the family doctor because of the structure of the provincial medical plans. Cosmetic surgery is not covered by medical insurance and therefore does not require referral. The consulation usually takes 30 minutes ro 1 hour and sometimes charage a consulatation fee. How many consultations is up to the patient and does not need to be influenced by the restriction of the medical insurance plans.
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Saturday, April 26, 2008

Cosmetic Surgery For Beauty Search

Patients who come for esthetic surgery do not have the imperative of illness putting them in the hands of a doctor for urgent treatment. Patient will always ask " what do I need doctor?".... There is no need for esthetic surgery, but desirable it may be. Yet there are many decisions to be made for each surgical procedure. The better informed the patient, the better his/her passage through the pre-operative and post -operative phases.

Whether you are a woman or man, favouring of beauty is pervasive. Society values those who are attractive and beautiful. This is why alot of us spen so much energy in the search for beauty. And cosmetic surgery has become a reasonably safe alternative for those who do not perceive themselves as attractive or beautiful. This is a satisfying means of achieving a greater measure of attractiveness and beauty.

A surprising number of patients come for surgical consultations in their 40's and early 30's after being unable to reconcile a feminist ideology with the desire to beautify themselves and stay the inevitable process of aging.
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Thursday, April 24, 2008

Stupid Decisions From Mount Sinai Resident Doctors

My surgery(removal of cyst on the pelvic area) last for about 3 hours. I was under a high dose of morphin using (PCA) Patient-Controlled Analgesia, which make me feel nausiated and dizzy. I was actually sleeping the whole day.

That next day I tried to walk and was able to do few steps but I was so dizzy so my nurse help me to go back to the bed. I didn't eat or drink but I took a couple of ice cubes just to ease my mouth dryness. But I still vomitted .... But it makes me feel some kind of relieve to release some chemical they used for the surgery and I was able to get some rest. I tried to walk later that day to help my body to release some gas but unfortunately I wasn't able to.

The next morning (3rd day) after my surgery, I feel a lot better and energized so I did a few minutes walk to release some gas. The resident doctor saw me smiling and look a lot better so he gave a a solid food at lunch. Later that day I feel very nausiated and dizzy and having a lot of gas pain. What a stupid resident doctor to give a solid food even if I haven't release any gas. Just because he saw me smiling and look better doesn't mean inside me was already good enough to take solid food.

These is how resident doctors are to some hospitals. They don't really care how their patients will feel after some stupid decisions they made. They did not even give me any medications for the gas pain that day. My nurse just injected a pain medication which made me feel a lot better and I was able to fall asleep. They were expecting me to pass some gas and be able to go home that afternoon but I didn't, so I have to stay for another day.

I walk and walk the next day due my eagerness to go home but I was so unfortunate to release any gas. I didn't eat any solid food but just few sip of water. Later that day the resident doctor told me that I can go home. I refuse to go home because I am not passing any gas yet.... I told them that I will only go home if I have pass some gas. Immediately, the doctor order a stool softener and I was able to pass gas after 30 minutes. So I went home that day!!!

Did you see how stupid resident doctors are in Mount Sinai Hospital In Toronto ?!!!... I wish I can release their names but I can't because I am not as unprofessional as them. But you can track down their names if you are interested through the date of my surgery. April 11, 2008 and I was release from the hospital on April 15, 2008.... They probably need my bed for another patient that's why they want me to go home that day even if I have not release any gas. But I am not STUPID!!!...

Mount Sinai Hospital in Toronto is one of the best Hospital in the world. But watch out the decision of their resident doctors as they have less medical experience to make a better decision for their patients!!!!
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Tuesday, April 22, 2008

Ileostomy Surgery - Abdomen's Small Bowel Opening

Before my surgery, my doctor discussed with me all their plans and all the possible procedures they have to do for my case. One of those procedure is Ileostomy. Although my surgeon told me that there is a small chance that Ileostomy will be done on my case, I still need to learn about it so I will be prepared. They gave a small brochure about Ileostomy.

During the ileostomy, the end or a portion of the bowel (ileum) is brought through an opening on the surface of the abdomen called the STOMA. The stoma will stick out from the abdomen about 1 to 1 1/2 inches where the stool will pass from the body.

A color of a healthy stoma is red or pink and moist. There are no nerve ending in the stoma, so it shouldn't hurt when touched. It is normal for the stoma to be large and swollen after surgery, and it will shirk to a smaller size within a few months. The stoma will move slightly as a normal process that pushes the stool through the small intestine. If the stool is bloody, doctor must be contacted. Since the ileostomy has no sphincter muscles, bowel movement have no control that's why a pouch is neede to wear to collect stool.

I was glad that I didn't have to undergo an Ileostomy and I am very thankful to God about it.
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Sunday, April 20, 2008

Managing Pain Through Intravenous Patient-Controlled Analgesia

Few minutes after my surgery, I was in my semi-private room with my husband and nurse beside me. My doctor was talking to me but I cannot hardly remember what she was teling me about since I was still under anesthesia and pain reliever. It was after a few hours when I wake that my husband told me that my apendix and left ovary was removed and realized that I had a big cut from my stomach going down my lower abdomen. I felt some sadness but have to be strong about this. Be thankful that I was able to open my eyes and start another life. However, starting a new life after the surgery wasn'r easy at all.

Mount Sinai Hospital use Morphin to manage or assist the treatment of the pain within Intravenous Patient Controlled Analgesi (IVPCA). It is a pain medication delivery system enabling the patient to manage the pain. IVPCA allows the patient to press a deleivery button on a PCA (Patient Controlled Analgesia) pump, which then deleivers a small dose of pain medication through the veins into your blodstream.

This assestment includes looking at past pain medication use and any drug allergies. Orders are then written based on the information and PCA pump is then programmed accordingly.

Patients are encourage to press the delivery button any time they have pain. PCA pump is designed so that patient receives only a small dose of pain medication each time they press the button. Even if the patient press the button several times over the nest minutes, thepump will not give any more medication until a set time limit has expired (usually 5 to 7 minutes). This is to help protect patients to accidentally giving themselves too much medication. Patients are always welcome to ask the nurse.

It is important to discuss with your nurse about the side effects of the pain medication used on the PCA pump as this can have different effects for each patient. I had experience the usual side effects such as;
* Nausea and vomiting
* Itching
* Fatigue and dizziness
* Constipation

IVPCA pumps have been used for many years to treat moderate to severe pain. The pumps have built-in safety features to help prevent overdose. And the nurse is always there to monitor you.

Since I have some difficulty with the side effects of the pain medication from IVPCA, I only used it for 2 days after my surgery and started the oral pain medication. This helps me feel better since I have less feeling of nausea and dizziness which allow to walk and drink more fluid.
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Friday, April 18, 2008

Unprofessional Anesthesiologist In Mount Sinai Hospital

I have abandon this blog for quite sometime and I am very sorry for that. I had a surgery and I have to take a few days off. However I have tons of tips that I want to share with regards to my surgery. I will be sharing a lot of tips that can help you ease some pain after the surgery through my experience.

First I would like to share some horrible experience during my pre-operation appointment, a day before my surgery. This is important since all of the patient who have to undergo any kind of surgery is quite emotional.

Talking to the Anesthesiologist during the pre-operation should be a meeting to help the patient be informed about the positive and negative effect of the Anesthesia during and after the surgery. The complexity of the surgery shouldn't be touched by the Anesthesiologist since this is not part of this job.

How stupid this Anesthesiologist to tell me that there is a chance that I am going to die because the surgery is a major one. That I can loose a lot of blood, then my heart and kidney will collapse. Is that his area? NOOOOO!!! His area is only the anesthetic part...

I was crying after talking to him that I have to set an emergency appointment with my surgeon just to know what are my chances of living during and after the surgery. I never even bothered to asked my surgeon how much are my chances since I am confident that, if the chances are less, my surgeon would probably have discussed it with in the first place. It is just a cyst removal, however the cyst is quite big and the procedure is quite complicated since the cyst is attached to some organs.

I was relieve after hearing my surgeon that my chances of dying is less than 1%... She also said that the problem with this kind of doctors (Anesthesiologist) are, they discuss something that have no deep knowledge about.

So the main message here is to ask your surgeon the percentage to have before, during and after the surgery before talking to any medical doctor. This way, you are more confident on where you are.
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Thursday, April 10, 2008

Medical Unprofessionalism In Mount Sinai Hospital Toronto

So after that meeting I had with my doctor with regards to my surgery, I had to call back after a week to set the schedule for my surgery. Here you can see the unprofessionalism of medical doctors of Canada especially in Mount Sinai.

I called Wednesday, March 28, 2008 and was able to talk to my doctor's secretary only to say "Oh, DR.----, is in a meeting right now. I will call you as soon as I get hold of her later today"... I waited the whole day and no phone calls.. I called the next day and leave a message to call back to inform me about the schedule of my surgery and NO RETURN CALL... Everyday I have to call and leave a message only to get nothing at the end of the day. I didn't hear from them until April 2, Wednesday the following week.to tell me that my surgery will be on April 11.

She could have at least called, to tell me that there is still no schedule available or the doctor is still working on her schedule to accomodate my surgery, and that she will just call me if there is any update... But nothing!!!.... For one week, I kept on calling the clinic and my call wasn't returned.

I sometimes feel some fear having the surgery and how am I going to be taken care of in Mount Sinai Hospotal. I had previous surgeries in Branson General Hospital, North York Hospital and Etobicoke General hospital but I never experienced this kind of unprofessionalism.

The reoccurance of my case was diagnose last October 2007 and it is already April 2008. Imagine the time that was wasted!!!! I wanted to find another doctor but I feel that the time is running and nothing is being done on my case. The waiting time for medical attention in Canada is a time killer. I can only hope and pray for the best.
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Wednesday, April 9, 2008

Ideal Medical Career

I just came home from my Pre-operation appointment at Mount Sinai Hospital in downtown. Toronto. I had to under go a chest x-ray just to make sure that everything is well before the surgery. I was talking to the x-ray technician and I found out that a lot of hospitals are looking for this kind of medical job.

X-ray Technicians work in a radiology room within a medical clinic or hospital. They are require to do some physical jobs if necessary for disabled patients or in need to help positioning themselves for tests. Generally, x-ray technician work 40 hour weeks, though they may be on-call for emergencies at other times. The work of an x-ray technician requires extensive knowledge of both anatomy and imaging technology
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Tuesday, April 8, 2008

Second Opinion For The Best Medical Doctor

I feel bad on the last appointment I had with my doctor in Mount Sinai hospital for my rare case. I was actually told them that I need a second opinion. But I was able to regain my trust after they explain to me all their plans and the procedures.

I am not stupid to sign a paper by simply telling me that the cyst they found on my pelvic area will be removed. They are the one who told me that my case is rare and the operation will be complicated. If they told me that the cyst is just a normal tumor cyst where it will be remove by the usual procedure, then followed by a biopsy procedure, I wont probably ask too many questions since the basic system is always quite known to everyone. That after the biopsy, they will know if the patient have to undergo a radiation theraphy or a chemotheraphy. But my case is different.

I thought for a while that I have to go to Buffalo New, York for the operation. But they told me that my case is now being done in Canada. There are actually some steps to be done on my case, and I have to know where am I standing now. I was actually talking to the resident doctor because my Surgeon was busy attending to other patients.

The resident doctor simply told me that they will remove the cyst and did not explain to me all the things that I need to know before and after the surgery. The resident doctor probably don't know what are the procedures that need to be done on my case. Then I told her that I am not going to sign the papers and I need a second opinion. A few minutes after, a more experienced resident doctor went to me and explained everything. It was a long conversation and made me feel comfortable enough to sign the papers.

This is my body, and since I know that my case is rare and the procedure will be complicated, I need to know if I am on the right hand. Not because they are said to be a medical doctors specialising on this field, doesn't mean that they are the right people to handle my case. I need to know what are their plans and the procedure, to make me feel that they are really the right people to handle my case. Being able to explain to the patients what are the pros and cons including the plans, preparations and procedures of the operation, will give the patients the trust and confidence that they are in the best care.

We all have the right to seek a second medical opinion. Make a research about your medical condition and this will be your good guidance to give you the right decision on who are the best medical specialist for your case. If the doctor cannot explain all that needs to be done, how can a patient trust that they are the best doctor on this field?......
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Monday, April 7, 2008

Perfect Website About Cosmetic Surgery

I was just looking at the face of one of my co-workers today and I notices that she just had a nose surgery but was denying it. I was wondering why she have to deny it while cosmetic surgery nowadays is just as normal as applying some make-up.

Every day, a lot of people in North America and all over the world, not only celebrities, have chosen to improve the way they look and self-confidence through plastic surgery. These people believe that they are worth it. With the increasing awareness through media and education, people are becoming aware about the benefits of cosmetic surgery.

Modern technology using lasers are safer, more effective and longer-lasting than ever before. Results are natural-looking, predictable and beautiful. It is more affordable and faster recovery. Patients are more satified. This is the reason why, plastic surgery is becoming popular.

CosmeticCanada.com is a website that provide informations about all the popular cosmetic procedures such as nose surgery, eyelid surgery and other cosmetic surgery toronto , as well as important issues such as the most commonly asked questions and how much does it cost. Their goal is to help you achieve a more youthful and attractive appearance.
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Saturday, April 5, 2008

How To Avoid Pain After Tooth Extraction

Last week I had one of my upper molar removed and it was the most painful experience I have ever experienced in my whole life. Although my dentist's hand is so light, I can still consider him as one heck of a dumny dentist here in Toronto. I don't know if he is the dummy or the dental rules here in Toronto. I am not quite sure about that, however I will share my expience to help people not to experience what I have experienced for a simple one molar removal.

The first time he was going to remove one of my lower molar ( 2 years ago), I was in pain because of the infection. He was going to remove it the same day but I refused and asked him to give me an antibiotic first, to let the infections go away and just come back the following week for the molar removal.

And so, he agreed, gave me a prescription and come back the following week. It was a very succesful tooth extraction and I never had any problem after. My recovery was quick and I can eat anything the next day.

After 2 years, I have to come back to him for the removal of my upper molar. I was in pain the day I came to him. I was shaking while he was removing my tooth. Half an hours after the tooth extraction, I was in the most horrible pain of my life starting from the area where the tooth was extracted. The pain was all over my face going to my brain. Two tylenol #3 didn't do much and the pain lasted for an hour. How foolish my dentist, that he will not give me any pain reliever if I didn't asked for it!!!!!

I forgot the system that I learned from my dentist when I was in the Philippines. To never extract a tooth when in pain or if it is swelling. The infection underneath is causing the pain and swelling and have to subside before the extraction. I was shaking while the teeth was being remove because of the infection.

So if you have a dentist as stupid as mine, prepare yourself and be smart. Never let your dentist remove your teeth when in pain because it can be the worst pain you'll experience 20 to 30 minutes after the tooth was extracted.
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Friday, April 4, 2008

Recovery From Eyelid Surgery

As most eyelid surgery is done as a day procedure, you will be able to go home once the anesthetic has worn off, but you will need someone to drive you.

Some surgeons will lubricate the eyes with a special ointment after surgery. A pressur bandage may also be applied for several hours, or even overnight. Your lids will feel a bit tight and may be painful and throb after the anesthetic wears off.

Eyelid skin is quite thin and bruises easily, so bruising in inevitable. It sometimes spreads to the white of the eye itself and while most bruising aorund the eyes will go within 10 days, this actual eyebal bruising might last longer. You can minimized bruising and swelling during the first 24 hours with the use of cold packs, Your head should be slightly elevated while resting or sleeping during the firstfew days.

Stay away from aspirin or similar painkillers for about two weeks before and after the operation,

Any external stitches will be taken out between the second the sixth day, but your eyelid will reamin sore and swollen for another day or two, In fact, the eyelids could be stiff and sore for about two weeks. Gummy eyes during the first week are not uncommon, and you can gently clean them with cotton swab, using plain water or a sterile eyewash. Some surgeon prescribe an antibiotics oitment to be used twice a day for about a week. Because your eyes will be dry and easily irritated for a while, most palstic surgeons recommend the use of eyedrops following eyelid surgery. Drops will also relieve burning or itching. Artificial tears used several times a day will keep the eyes moist.

Your haid can be washed in the shower after a couple of days, but you shouldn't move your head too much. Bending and lifting can make your eyes ache and swell and should also be avoided for two weeks. Avoid direct sun for several weeks. Sunglasses will protect your temporarily sensitive eyes from glare, dust and other irritants. You won't be able to wear contact lenses for about two weeks.

When you can safetely wear make-up again will depend on how your eyes heal. Most people can go back to work after a week (although many prefer to wait until the visible signs of surgery have disappeared). Anything strenous should be avoided for 10 days- including sex, which may result in a bump in the face. Alcohol is also a no-no as it stimulates fluid retention in the tissues.

Scarring is seldom a problem, although for the first few weeks the scars may be pink and slightly thicked. The removal of excess skin will leave tiny scars, which may remain swollen and lumpy for several weeks. Scars remain pink for six months to a year following the surgery before fading to an almost invisible white line, The most visible scar is the one that extends beyond the outer edge of the eyelid for a centimetre or more. Some cosmetic camouflage may be needed until it fades over the next few months. Your scars may not match either, but this becomes less evident as they fade.
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Tuesday, April 1, 2008

Looking Through The Eyelids Surgery

Prior to surgery, there are baggy folds of skin under the eyes, and the folds of skin on the upper eyelids give the yes a hooded look.

Surgery to correct this can be done together or separately. When both upper and lower lids are done at the same time, insicions are made just above the crease of the upper eyelids and beneathe the lower lids. Excess skin and fatty tissue are removed (shaded area). Sutures in the upper lid crease prevent visible marks and the lower-lid incision is closed in a straight line.

The eyelids are particularly "forgiving" and the hairline scars fade quite quickly and become almost invisible. The Upper Liss lose their hooded look and the skin under the eyes is firm and smooth.

In a transconjunctival blepharoplasty, most suitable for lower lids that are puffy but without too much excess skin, the lid is pulled away from the eye and the fat is cut out or removed with a syringe.
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