
Saturday, October 11, 2008
Race for the Cure T-Shirt Quilt

Friday, October 10, 2008
Dr Val Has a New Home!
Revolution Health's Former Senior Medical Director, Dr. Val Jones, Launches New Health Website
"Getbetterhealth.com" combines an award-winning blog, cartoon series, newsletter, and innovative health product navigator to support informed, healthcare decision-making.WASHINGTON, D.C., October 10, 2008 – Val Jones, M.D., award-winning writer and former Senior Medical Director of Revolution Health.com, launched a new health website today called, GetBetterHealth.com to provide accurate medical information in a trusted environment that's both educational and entertaining.Dr. Jones' approach to health education allows her audience to learn about important health issues via short, easily digestible content segments through her blog, video and audio podcasts. The site will offer engaging interviews with medical experts and celebrities about important health topics. In addition, Dr. Jones creates weekly medical cartoons available through a free, RSS feed. Soon, GetBetterHealth.com will expand to offer information on quality, affordable medical products to help patients comply with prescribed care when they return home from the hospital.Dr. Jones' new web site features a continuation of her previous blog at RevolutionHealth.com, "Dr. Val and the Voice of Reason," now called "Get Better with Dr. Val." The new site will host the official calendar for Grand Rounds, the weekly "hot list" of the most relevant health blog discussions on the Internet.Dr. Jones' new medical blog is the first in a series of online medical and healthcare products and services that will be released over a variety of multi-media platforms by Better Health, PLLC, a partnership with Anerian, LLC."It's exciting to be working with Dr. Val, because she is so energetic and creative. I know that her company will touch lives and improve the health of many Americans", said Marty Fisher, a founding partner at Anerian and former Chief Technology Officer at both AOL and Revolution Health.ABOUT BETTER HEALTH, PLLC
Better Health, PLLC is the parent company for a series of trusted, online medical and health care education products and services. Founded by Dr. Val Jones in 2008, its mission is to provide accurate and relevant medical information to patients and healthcare professionals through a variety of multi-media platforms.# # #
Press Contact: John Crotty, VP New Market Ventures, Anerian LLC
Email: john.crotty@anerian.com Tel: 571-338-1880 Website: www.getbetterhealth.com
Crazy Quilt for "A"
Thursday, October 9, 2008
Why Michelangelo Studied Cadavers
In a recent issue (fall 2008) of Phi Beta Kappa’s “The Key Reporter”, is a very nice article. I have re-typed it here so you can read it.
Why Michelangelo Studied Cadavers
The Spiritual and Spirited Dimensions of Scholarship
by Richard Leo Enos, Professor; Texas Christian University
Penniless, frantic, hounded by publishers who wanted him to make good on the advances they had made for a book that he had not yet even begun to write, Victor Hugo locked himself in his house, sealed away all clothes but those he would wear in his home and wrote for months on end! The result was a work of genius: The Hunchback of Notre Dame. Recounting this famous story in the forward to the novel, Nina Rosenstein observed that Hugo had written one of the masterpieces of literature “in one tremendous burst of creative energy.”(1) What engaged Hugo to unleash this tidal wave of genius? Consider also the stories surrounding Michelangelo, who was so driven to perfection in his art that he obtained papal permission to view dissections of the human body in order to study anatomy and kinesiology. Why would Michelangelo seek dispensation from what the Church (at the time) would consider blasphemy—the defilement of the human body—for the sake of his art? Why would Jean-Francois Champollion devote much of his life to deciphering Egyptian, driving himself relentlessly while constantly facing criticism by would-be competitors?(2) We can dismiss Hugo, Michelangelo, Champollion – and countless other “geniuses” – as talented by obsessive fanatics who drove themselves beyond all reasonable limits to produce unparalleled contributions to the arts, sciences, and humanities. However, a better route to take would be not to waive these efforts away as magnificent aberrations, but rather to pause and consider what unleashed their talent.
Pausing to reflect on luminaries such as those mentioned earlier leads us to a basic reassessment of a fundamental notion: what does it mean to be smart and successful? Two prominent Greek thinkers help to clarify the meaning of being smart and successful. The Athenian educator Isocrates has given us the secret of how talent can be realized. In his Antidosis, written at the age of 82, Isocrates claimed that there are three traits that must exist for a smart and successful student: talent, practice and experience. Talent is native ability, the gift from God, what Cicero called ingenium. In our cyber-terms, we think that someone is well wired or programmed. It is not unusual, for example, to see children who seem to be light-years ahead of their peers on the soccer field and in the classroom, but often these early bloomers fade into obscurity. I believe that this fading happens not because talent is diminished but that it is un(der)developed and the individual is lacking in the other two traits that Isocrates sees as essential for the smart and successful person: practice and experience.
In his book, Get in the Game, Hall of Fame baseball player Cal Ripken, Jr. cites how New York Yankee great Lou Gehrig believed that he was born with no “natural ability” but, through countless hours of extra practice, became one of the game’s greatest players.(3) Driven to perfection, Gehrig had learned that practice teaches success from failure and (of equal importance) how to extend the boundaries of failure to success. Hall of Fame basketball coach Bob Knight once observed that what is more important than the will to win is the will to prepare to win. That is, nurturing and developing our talent comes about through the price we pay to develop it. Practice, however, is far different than the third necessary trait for successfully being smart: experience. Practice anticipates, and seeks to prepare for, what the situation that we hope to perform in may be like…it is our best guess. Experience is what we learn during the actual performance. For this reason, it is impossible both to teach experience and to replicate all the knowledge that comes from experience. Our question remains, however, how do we come to realize what talent, practice and experience have to do with being successful and smart?
Aristotle, our second Greek thinker, provides insight to, and a resolution of, this issue. in the opening passages of Rhetoric, Aristotle maintained that people not only have talent but a dynamis or power. This capacity can lay dormant, but when energized (energia), the dormant talent becomes activated; individuals are willing to work hard, and to risk failure, through performance. I believe that the reason some “smart” people never accomplish much of anything is because they (for a variety of reasons) never tap into that dynamis; they never realize the talent buried within them. I believe that hard work, effort, and risk-taking will not only activate talent but make people realize that all of us have much more ability than we realize.
There are lessons we can learn about what it means to be smart and successful from the sages of the past. it is the spiritual and spirited side of scholarship. Talent unrealized is talent wasted and what we need to nurture and teach is the passion that helps each of us find our talent, be satisfied with the effort to develop it and be proud of the best effort we offer to perform it. Our Phi Beta Kappa students have recognized only some of their talents, they have doubtlessly energized some of that talent and have achieved success, but that was preparation for the real voyage they are about to embark upon. may that performance result in adventurous voyages whose experiences navigate them to their own home ports successfully.
Notes
1. Gramercy Books, 1995, p 8
2. See C.W. Ceram’s Gods, Graves and Scholars: The Story of Archaeology, 2nd ed., 1972, pp. 100-32.
3. pp. 12-13.
Wednesday, October 8, 2008
Pumpkin Carving—Preventing the Injuries
It’s that time of year again! So I’ve pulled out my post from last year and tweaked it just a little. Enjoy, but be careful!
- Carve in a clean, dry, well-lit area.
If your tools, hands or cutting table are wet, this can cause slippage and lead to injuries.
- Always have adult supervision (without alcohol use)
Children under age five should never carve. Instead, allow kids to draw a pattern or face on the pumpkin and have an adult carve. Allow the child to be responsible for cleaning out the inside pulp and seeds. They can use their hands or a spoon for this. Children, ages five to ten, can carve but only with adult supervision.
- The right way to cut.
You should always cut away from yourself in small, controlled strokes. A sharp knife is not necessarily the best tool because it often becomes wedged in the thicker part of the pumpkin, requiring force to remove it. An injury can occur if your hand is placed incorrectly when the knife dislodges from the thicker part or slips.
- Use a pumpkin carving kit.
Special pumpkin carving kits are available for purchase and include small serrated saws that are less likely to get stuck in the thick pumpkin. If the saw does get stuck and then becomes free, it is not sharp enough to cause a major cut. Fewer injuries occur with use of carving kits. (photo credit)
Here are just some fun photos I found:
George Bush at Jack of All Blogs
Happy Halloween (Jim Hendricks, bbc.co.uk)
Ping the Pug (photo credit)
Once carved, it is important to remember to KEEP dogs and cats away from Jack o'Lanterns or lighted candles as they could knock them over and start a fire.
Have a safe Halloween season!
Tuesday, October 7, 2008
Shout Outs
M.D.O.D. is this week's host of Grand Rounds. Nice edition! You can read it here (photo credit).
"Outta the way, fancy boy! I'm a-commandeering this here clown car!"
Thanks everyone for visiting for MDOD's first hosting of internet medblog Grand Rounds. Folks have asked if there is a theme for this week and since I'm new to this the answer is... well, maybe. I am going to post everything that was sent to me and some stuff we found. I hope you enjoy it.
We are calling this The Autumn Harvest Change of Shift, and we encourage you to sit back, relax, and take in the abundance of stories, anecdotes and other sharings that make Change of Shift so special and significant.At this time of year, the cornucopia of the Autumn harvest helps us to prepare for the long winter ahead, fortifying us with vitamins, minerals, and all of the nutrients we need to survive.Similarly, the creativity and intelligence of nurses who dare to write and share their thoughts with the rest of the world also feeds us---intellectually, emotionally, spiritually, and psychologically.So, take it in and feed yourself with the words of nurses......
There's something on the menu for everyone.
I don't know too many women who are happy with their weight. It's a topic that comes up often in psychotherapy, and the degree of someone's distress seems to have little to do with the patient's actual weight: slim, fit women are often obsessed with wanting to be a few pounds lighter, and while heavier women also wish to be thinner, their distress isn't proportionally more-- so someone who is 50 pounds heavier than they'd like to be is not necessarily 10 times more distressed than someone who is 5 pounds heavier than they'd like to be. And outside of therapy, in the course of conversation with friends, oh, it seems if you stick people in a room for long enough, the subject of weight and diet becomes inevitable.It seems we've all signed on to the idea that thinner is better and thinner is healthier. We take this as a given and somehow it's something we've bought into so strongly that we don't even question it. It's unhealthy and that's the refrain, but we also think fat people are fat because of laziness, lack of self-control, bad habits, and "how did she let herself get so fat?" In essence, it becomes okay to blame people for being heavier than we think they should be, and often they agree.Okay so...and you knew I was going here...in today's Sunday New York Times Magazine, Robin Marantz Henig writes in "Losing the Weight Stigma" :……….
Dr Val is joining the folks over at Science-Based Medicine. Beginning this Thursday, October 9th, she will be a regular blogger there.
I really admire Dr Rich’s (Covert Rationing) post on Good Debt and Bad Debt. It is well worth reading at least once, if not twice.
So in terms of its audacity and its size, the bailout passed last week by Congress certainly has a precedent, and a very important and positive one at that.
But, while being an admirer of Hamilton and while recognizing some of the similarities between the Hamilton bailout and the Paulson bailout, both of which were aimed at placing the United States on solid fiscal footing and thereby avoiding catastrophe, DrRich sees a fundamental difference between the two bailouts that renders this new one very disturbing.
That difference is the one between “good debt” and “bad debt.” The debt that Hamilton bought up was good debt. The debt Paulson is buying up is likely to be bad debt.
Correction: Dr Val is to be the guest on the Dr Anonymous' Blog Talk Radio show. Still I will check in. I enjoy the interaction in the chat room. I hope you will join us this Thursday night at 8 pm CST (or 1 am GMT) both to listen to the show and to participate in the chat room. That's where all the fun is.
Monday, October 6, 2008
Breast Self Exam (BSE)
I first wrote about this topic last July (2007). It remains relevant, so I will simply re-post it.
The Five Steps of a Breast Self Exam:
- Begin by looking at your breasts in the mirror with your shoulders straight and your arms on your hips. Look for any changes in the size, shape, and color. Look for any dimpling, puckering, or bulging of the skin. Has the nipple changed position or become inverted? Is there redness, soreness, a rash, or swelling?
- Now, raise your arms and look for the same changes.
- While you're at the mirror, gently squeeze each nipple between your finger and thumb and check for nipple discharge (this could be a milky or yellow fluid or blood).
- Next, feel your breasts while lying down, using your right hand to feel your left breast and then your left hand to feel your right breast. Use a firm, smooth touch with the first few fingers of your hand, keeping the fingers flat and together. Cover the entire breast from top to bottom, side to side—from your collarbone to the top of your abdomen, and from your armpit to your cleavage. Follow a regular grid pattern, so that no areas are missed.Begin examining each area with a very soft touch, and then increase pressure so that you can feel the deeper tissue, down to your ribcage.
- Finally, feel your breasts while you are standing or sitting. Many women find that the easiest way to feel their breasts is when their skin is wet and slippery, so they like to do this step in the shower. Cover your entire breast, using the same hand movements described in Step 4.
Sunday, October 5, 2008
SurgeXperiences 208 – Call for Submissions
The host for SurgeXperiences 208 is still not set. It will either be Brett, Educated Nobody, or it will be me (backup). Don't let that keep you from submitting posts. That edition will be published on October 12th. The deadline for submissions is midnight on Friday, October 10th. Please submit your posts here.
SurgeXperiences is a blog carnival about surgical blogs. It is open to all (surgeon, nurse, anesthesia, patient, etc) who have a surgical blog or article to submit.
Here is the catalog of past surgXperiences editions for your reading pleasure. If you wish to host a future edition, please contact Jeffrey who runs the show here.
Saturday, October 4, 2008
Dr Val Guest Post – Interview with Craig Newmark
Dr Val, formerly of Revolution Health, has written another post. For a complete (I think) list of Dr Val sightings check my post here.
An Interview With Craig Newmark, Founder of Craigslist.com
By Val Jones, MD
Hawaiian Quilt Lobster Style
@ruraldoctoring I found a lobster quilt block pattern. http://www.doughtydesigns.com/...” August 25 at 2:42 pm | |
@rlbates Yay lobster quilt! Maybe put that on your to-do list for someday. Would be a great fundraiser to raffle/auction it off. August 25 at 3:40 pm | |
@rlbates I love the Lighthouses and Lobster pattern. It looks like Zippy (not as cute, of course). Not crazy about the background, tho'. August 25 at 3:47 pm | |
Lobsters http://twitpic.com/bkz7 01:55 PM September 14, 2008 from twitterrific | |
@ruraldoctoring So true. What do you think of my lobsters? 02:10 PM September 14, 2008 from twitterrific in reply to ruraldoctoring | |
@rlbates I *LOVE* the lobsters. It looks like a Mexican paper-cut decoration! Love them! 02:13 PM September 14, 2008 from twhirl in reply to rlbates | |
@rlbates How many quilts do you work on at one time? 02:13 PM September 14, 2008 from twhirl in reply to rlbates | |
@ruraldoctoring Some times only one & sometimes several. Usually in different stages. It's an Hawaiian appliqué 02:16 PM September 14, 2008 from twitterrific in reply to ruraldoctoring | |
@rlbates Because you're so productive! I've never quilted, but have been a knitter for years and there are 100s of UFOs in my house! 02:18 PM September 14, 2008 from twhirl in reply to rlbates | |
@rlbates I love the lobsters. It looks like a cut out snow flake. 02:20 PM September 14, 2008 from web in reply to rlbates | |
@rlbates did you design that Lobster pattern yourself? 02:56 PM September 14, 2008 from web in reply to rlbates | |
@Cathy627 Yes, but it is a blend of two patterns. I'll post about it when I get farther along 03:27 PM September 14, 2008 from twitterrific in reply to Cathy627 | |
@rlbates OK. I will look forward to that post. 03:53 PM September 14, 2008 from web in reply to rlbates | |

This is the result.


Friday, October 3, 2008
Ms Z's Ladybug Quilt
Thursday, October 2, 2008
October – Breast Cancer Awareness Month
This post from last October, Breast Cancer Information, is still very relevant, so I am reposting it unchanged. However, at the end I have added some additional references to other posts by myself and others.
As a plastic surgeon, I don't treat breast cancer. So I'm going to give you some nice references. These first five are blog posts from Dr. Sid Schwab, Surgeonsblog. They are nice discussions of breast cancer form the basics to the treatment choices.
Breast Cancer: Some Basics
Breast Cancer: Scary Tales
Breast Cancer Women
Breast Cancer, Prologue
The Old Man and the C
This next one is a blog post from Buckeye Surgeon. It is the handout he gives to his new breast cancer patients to aid in his discussions with them. It, also, gives them something for later, if they are overwhelmed with information. Breast Cancer Handout
This blog post from The Cheerful Oncologist is to remind you that as a patient, and especially as a cancer patient, you have rights/freedoms. The Four Freedoms of Cancer Patients.
I also want to remind you women that some of the breast changes in our lifetime are benign (well maybe you don't consider sagging benign, but it won't kill you). So review these, please: Breast Changes During Your Lifetime That Are Not Cancer--National Cancer Institute.
The National Cancer Institute has a wealth of information at their site on the range of treatment--surgery, radiation therapy, chemotherapy, hormone therapy, biological therapy, and treatment choices by stage of disease. Breast Cancer Treatment
Other Resources
Breast Cancer, Virtual Anatomy
Detailed Guide: Breast Cancer--American Cancer Society
Fine Needle Biopsy--Virtual Cancer Center
Axillary Dissection--Encyclopedia of Surgery
Sentinel Lymph Node Biopsy: Questions and Answers--National Cancer Institute
BreastCancer.org--Reconstruction Options
Radiation Therapy--RadiologyInfo
John Hopkin's Breast Center--online library
The Sister Study
__________________________________
Additional Referenced Posts
Breast Reconstruction—Part I (October 2007)
Breast Reconstruction – Part II (October 2007)
Breast Cancer Reconstruction Webcast (April 2008)
Silicone Implants and Health Issues (March 2008)
However, over the past 20 years, a robust body of literature examining breast cancer-related risks among breast implant patients has been published. This was reviewed by Dr Deapen. Here are the conclusions: ………………
Dr Oliver, Plastic Surgery 101, has a very nice post (July 2008) on "What's Oncoplastic Surgery?"
This is conceptually just lumpectomy or mastectomy done better. The concept uses rotating breast tissue to fill defects at the time of lumpectomy or larger "quadrantectomy" procedures. These are maneuvers we use with breast reduction and mastopexy procedures adapted to some of the cancer surgery procedures.