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From an interview with Patrick Denton, M.D. Pee Dee Orthopedic Associates
Younger and younger people are new knee and hip joints. Yet, surgery is not always the place to start when your joints are hurting, according to McLeod Orthopedic Specialist Patrick Denton, M.D.
From an interview with Dr. Scot Schultz McLeod Cardiothoracic Surgical Associates
Surgically bypassing clogged arteries is one of the most common heart procedures. A person rushed to the hospital for a heart attack is one of the most likely patients of the heart bypass. McLeod Cardiothoracic Surgeon Dr. Scot Schultz discusses who may need a bypass BEFORE the heart attack strikes.
From an interview with Scot Schultz, M.D. McLeod Cardiothoracic Surgical Associates
Bypassing blocked arteries near the heart has been a successful surgical procedure since the 1960s. A small number of cardiothoracic surgeons are using a technique that, in appropriate patients, can result in lower risks from side effects of the surgery. McLeod Cardiothoracic Surgeon Scot Schultz explains the two major types of coronary artery bypass surgeries:
Medically reviewed by Tobin C. Hyman, MS, DABR Chief Medical Physicist
Radiation therapy for cancer is delivered in two primary forms: External, in which a large x-ray generator sits outside the patient directing beams into the patient and Internal, where the radiation is placed inside the patient mere millimeters from the tumor or directly inside the tumor. Internal Radiation Therapy is also called Brachytherapy. Roughly translated, it means “short distance therapy” – it’s a short distance between the radiation and the tumor. A small thin tube – called a catheter – is used to deliver radioactive solids to the site of the cancer. Solids can be capsules, seeds, micro-spheres, or ribbons about the size of a grain of rice. Other methods of internally delivering radioactive material to the site of the disease/tumor include ingestion of a pill (ex., for thyroid cancer) or injection/infusion through an IV (ex., for bone cancer).
Medically reviewed by Kyle Watford, M.D. McLeod Orthopaedics
“I think we need to do some tests.” When you visit an orthopedic specialist, diagnostic testing is likely the third phase used to identify the cause of your hip or knee pain. It follows a conversation with the specialist about when your joint started hurting and what kind of pain and how much pain you feel. Next comes the physical examination. The specialist looks at your knee or hip, maybe with a bit of poking and prodding.
Medically reviewed by Rodney Alan, M.D. McLeod Orthopaedics
In the past, surgery to replace troublesome knee and hip joints was reserved for folks over 60. Yet, the desire by today’s mature adults to be more active and not surrender to aging has driven up total joint replacements among the 45-60 age group. As we live longer – and try to remain more active – the question arises: How old is TOO old for hip or knee joint replacement? “We do know that osteoarthritis – the primary condition requiring joint replacement -- gets worse with age,” says McLeod Orthopedic Specialist Dr. Rodney Alan. “So, the chances of needing surgery increase as we age.”
From a presentation by Nathan Almeida, MD, FACC, FACP Pee Dee Cardiology
Age, Gender, Heredity. These account for 20 percent of the heart disease that you CANNOT control. Don’t feel helpless, though. The list of risk factors for heart disease and stroke that can be changed by your individual choices and actions are:
Medically reviewed by Rodney Alan, M.D. McLeod Orthopaedics
It finally hits home. You’re sitting with your family physician, pain management or orthopedic specialist and you hear the words, “You need a joint replacement.” Certainly your knee or hip has given you daily bouts of pain and limited your activity. You want to feel better. But now – OMG! -- you face the reality of hospitalization, surgery, rehab and recovery. “What a patient does BEFORE the surgery is as important as what follows,” says McLeod Orthopedic Specialist Dr. Rodney Alan. “Mental, emotional and physical preparation sets the stage for successful surgery and a faster return to normal life activities.”
Medically reviewed by Brad Campbell, M.D. McLeod OB/GYN Associates
"I'm glad you called right away," Mary's OB/GYN assured her. Mary was surprised when she started bleeding because she thought when her menopause ended 5 years ago, her bleeding was over, too. Recently, Mary started spotting or light bleeding. Then, the bleeding grew heavier and she again needed to wear pads. "The formal name for Mary's situation is Postmenopausal Bleeding," says McLeod OB/GYN Brad Campbell, M.D. "About 10% of women over age 55 will experience the problem. Most causes are benign. However, 1 out of 10 women who start to bleed more than a year after their menopause had ended, will face endometrial cancer. It's important to see your OB/GYN right away to find out the actual cause and possible treatments."
Medically reviewed by Rodney Alan, MD McLeod Orthopaedics
Sam looked up as his Orthopedic Surgeon entered the exam room. “I think we need to move to a total joint replacement on your knee,” said the surgeon. Sam didn’t hear much after that. The surgeon’s comments were drowned out by the waterfall of questions washing over Sam's brain. “Questions are common for people facing major knee or hip joint replacement,” says Orthopedic Specialist Dr. Rodney Alan. “Each patient has some questions specific to their situation, but a study funded by the National Institutes of Health identified the 4 Most Important Questions patients have about their pending joint replacement surgery.”