HIFU Proposal

Prostate Cancer is a disease in which there is an uncontrolled growth of cells that lines the ducts of the prostate gland. The abnormal cells can spread throughout the prostate and nearby organs, such as the seminal vesicles. If not caught early they can spread (metastasized) to other organs of the body through the lymph or blood stream. (“...Treatment...” 13) Prostate Cancer can be like a silent killer. Some may show signs and symptoms of this disease while others may not. Some symptoms may include frequent urination, blood in the urine or semen, delayed or slowed start of urinary stream and dribbling or leakage of urine. Diagnosis testing for Prostate Cancer are digital

Patients who request for their own doctors should have their wishes respected as a matter of a patient's rights. It does not matter whether those requests occur in the ER or during their hospitalization under the UCR hospitalists. These requests have been routinely ignored, or transmogrified into an ugly

Dr. Fox is an emergency physician at UCI Medical Center, treating and diagnosing patients using an ultrasound. His scope of research involves looking at patients’ internal organs via ultrasound, which is much quicker and less harmful than using x-ray scans that are traditionally used in emergency departments. He is also a part of the American Institute of Ultrasound in Medicine (“Faculty and Staff”). Dr. Fox is also a director of instructional ultrasound and is the assistant dean at the UCI School of Medicine (“John Christian Fox”). He started an ultrasound rotation at the UCI School of Medicine, and with a grant given by SonoSite, Inc., the ultrasound curriculum is now embedded within the UCI School of Medicine curriculum (“Faculty and Staff”). He went to Tufts University School of Medicine, receiving his MD in 1997 (“John Christian Fox”). His main research focus is to try to incorporate ultrasound more into the emergency department, and tries to find revolutionary ways to utilize ultrasound, especially because it is very cost-efficient and images are seen real-time, unlike MRI scans or x-rays, which can emit harmful radiation or results take much longer to acquire. Eric Viquez is one of the Bio 199/EMRAP (Emergency Medicine Research Associates Program) students in Dr. Fox’s ultrasound lab. He is currently a 4th year undergraduate biological sciences major who is going to medical school in the fall; he shadows shifts with Dr. Fox and

You have the right to get a second opinion from a provider at no cost. You can get a second opinion when you:

Please accept this letter as Rebbecca M. Santistevans appeal to Colorado Access’s decision to deny medical coverage,( one week after the surgery), for the Bunionectomy. It is my understanding based on your letter of denial dated 06/05/2015 that this procedure has been denied because: Rationale: The Provider was (nonpar) non-contracted and there are (par) contracted providers in the area who could have done the procedure. The (nonpar) non- contracted provider did not check patient’s insurance benefits.

The final decision holds podiatrist and orthopedics specialist to the same standard. An expert testimony can be given based on the provider’s experience and knowledge of the procedure. According to Johnson (2008) “The standard of care against which a defendant's actions are judged may be that of a specialty other than his own. This holds for many specialties in which there is overlap of service. The example of a breast exam being the same for a gynecologist or breast surgeon speaks to the importance of the category of the procedure or care being rendered rather than the speciality of the provider. For the podiatrist this elevates them to the same level as other physicians and therefore hold them to the same standard. Had the decision been made in opposition to this finding, then that would have undermined the credibility of podiatric treatment and would therefore hold them to a lesser standard. While this dual standard may seem initially beneficial

Journal Article Critique: “Increasing Hospital Admission Rates for Urological Complications After Transrectal Ultrasound Guided Prostate Biopsy”

Prostate massaging is among the common recommendations of physicians for males with enlarged prostate. This could be carried out via reflexology. This apply directs energy to particular factors in our body. This starts by relaxing the entire physique after which shifts concentrate on a particular part, for instance, the prostate. This should be done by an professional practitioner to achieve the best outcomes.

HIFU stands for high intensity focused ultrasound. Process includes high intensity sound waves to heat and destroy cancer cells. A pro of the treatment is that it is a less ivasive treatment compared to other cancer treatments. Also that you usually get to go home the same day as the procedure. Some cons of the HIFU are some men experience problems with urination which sometimes leads to bladder infections. Another con listed is that sometimes with this procedure some men expierence difficulty releasing semen during an orgasim. This complication could result in the patient not having children. I feel that this treatment should be approved to use because it actually not as harsh as many of the other cancer treatments, also it has less side effects.

These treatments are used when the physician does not feel that conventional surgery is yet needed. These treatments use different forms of heat to destroy prostate tissue, including: radiofrequency energy- transurethral needle ablation (TUNA), microwave energy – transurethral microwave thermotherapy (TUMT), electrical current – transurethral electrovaporization (TUVP), hot water – water –induced thermotherapy (WIT) and laser – interstitial laser coagulation (ILC) and holmium laser enucleation of the prostate (HoLEP). Surgery may be recommended if you have incontinence, recurrent blood in the urine, urinary retention, recurrent UTI’s, kidney failure or bladder stones.

Medical science has been established since the earliest time of the 1800’s. Using physics, scientist from all over the world are able to physically upgrade and improve both the effectivity and efficiency. In the fields of medicine, sounds, is an important factor to study. From many ranges of sound, ultrasound are sound or other vibrations having an ultrasonic frequency. With the use of ultrasound, doctors are able to scan the body of patient accurately, whether to create images of organs and structures in your body or to visualise blood or fluids flowing through the body. One major technology HIFU is a high intensity focused ultrasound that uses sound waves to disintegrate tumour cells or any other hazardous cells in the human body. During the course of its development, HIFU has been applied to a variety of clinical problems. The first application of HIFU was in neurosurgery to treat patients with neurological disorders such as Parkinson’s disease. Other application of HIFU includes; preventing haemorrhage from organs during surgery or ultrasound aided drug delivery to the brain. Many of the applications of HIFU that are currently under investigation are in cancer treatment of numerous types, for example, liver, prostate, bladder kidney and many more. HIFU is a reliable technology due to the fact that it is able to send a focused therapeutic treatment to a specific region without damaging the

In the summer of 1951, Mr Cecil Birtcher, one of the AIUMS founders; gathered 24 physicians attending the American Congress of Physical Medicine and Rehabilitation in Denver, Colorado, who found a common interest in the validity of ultrasonic energy as a medical tool. Birtcher encouraged this group of ultrasound pioneers and provided them with ultrasonic instruments with which to conduct research and carry out experiments. In the summer of 1952 in New York Dr Disraeli Kobak AIUMs first president and Mr Birtcher managed the first annual meeting. This group of pioneers evolved into the American Institute of Ultrasound in medicine. At the AIUM's 1955 meeting in Detroit, Michigan, John Julian Wild, MD, PhD, and John Reid, PhD, presented the

On the issue of timeliness, the PA IEB Representative RH testified that the Appellant was issued a notice on July 20, 2017, again on August 16, 2017 based on the Appellant’s request, and then again on September 13, 2017, based upon the Appellant’s request. The PA IEB’s position is that the appeal is untimely filed as the notice was issued three times before receiving the appeal on September 25, 2017.

On Friday October 20th, I went to CDI south to shadow a sonographer. During this time, I got to sit closely to my mentor Tanya, and watch her complete ultrasounds on patients, and learn a lot more about the job. I was not able to do anything job related during this time, for many safety reasons, but I was able to sit right next to Tanya as she completed many different ultrasounds. During this shadowing session, we saw a total of 5 patients. Before every ultrasound, you have to prepare the room for the patient by putting a sheet on the bed, putting a pillow cover on the pillow, and retrieving towels for the patient after the ultrasound is over. The sonographers also have to prep the ultrasound machine, and read over the patient’s report and information to ensure they know the background of the patient before they come in. The sonographer will then go out to the waiting room to grab the patient, and bring them into the room, ask them certain questions about their medical conditions and ultrasound, and then they will give the patient instructions and preform the ultrasound. The first patient was a middle-aged woman, and she came into CDI to receive a pelvic ultrasound to look at her ovaries, kidneys, bladder, and other organs in this area. During this time, I got to see the patient’s ovaries and bladder within the ultrasound. The sonographer will be looking to make sure there isn’t anything unusual within the ultrasound, and make sure the systems are operating properly. We did

Analysis of relevant physician behavior – urologists vs. generalists; doctors may refuse prescriptions and do not initiate treatment