The difficulty in diagnosing Breast Implant Associated Illness (BIAI)

If you’re considering a breast augmentation, then you’ve no doubt heard about two potential medical issues. One is Anaplastic Large Cell Lymphoma, or ALCL, and the other is Breast Implant Associated Illness, or BIAI. ALCL, which you can read about here, is a more limited issue that has affected a total of 733 people globally. To be clear, that 733 figure is not this year.......
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As COVID cases increase, so too must the public’s tolerance for them

covid cases increase
Remember back in March and April when the fear of COVID shut down everything, including elective medical care, gyms and large gatherings? The hope was that we could quickly and “easily” stop COVID in its tracks. But as COVID cases increase and the pandemic drags on, it’s clear this won’t have a quick resolution. Citizens will and are demanding the economy, and even sports, reopen....
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So we’re to believe some mass gatherings are ok during a pandemic?

mass gatherings
Early on in this pandemic, the recommendations from the CDC and state authorities were pretty clear when it came to mass gatherings: don’t have them. In fact, the CDC reiterates this guidance in an update from July 7th, 2020. The highest risk of spread of the coronavirus comes from “large in-person gatherings where it is difficult for individuals to remain spaced at least 6 feet...
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For better or worse, this is the best time to get cosmetic surgery

best time to get cosmetic surgery
Here we are, emerging from  the acute phase of the coronavirus pandemic, entering the unknown chronic phase. There is much we still don’t know about the virus, including why some become symptomatic but others remain asymptomatic. Even with these unknowns, the world must press on, doing our best to adjust our lives and maintain some sense of normalcy.   One facet of this new normal...
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What’s not going to happen if there’s a new surge of coronavirus

new surge of coronavirus
Let’s review the initial response to the first wave of coronavirus by hospitals, city and state governments. Hospitals cancelled elective cases. Cities and states ordered a shelter in place order, shut down restaurants and closed parks and beaches.   These techniques were able to mitigate some of the worst predictions. 100,000 deaths instead of 2 million deaths. The healthcare system was not overwhelmed as it...
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Hospitals and surgery centers not performing cosmetic surgery

performing cosmetic surgery
Here in San Francisco, the city and health department issued a directive on May 15th allowing elective surgery. In the directive, it was very clear elective surgery, including cosmetic surgery and dental procedures, could move forward. For this reason, we began performing cosmetic surgery in our in-office AAAASF accredited operating room the following Monday, May 18th.   A full two months had passed after the...
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Ice cream shop : takeout food :: cosmetic surgery : elective surgery

cosmetic surgery
Think back to your SATs. Remember the analogies? The goal was to determine the relationship between the first pair of words and then choose the second pair of words that had an equivalent relationship. In the title above, ice cream shops are to takeout food as cosmetic surgery is to elective surgery. In other words, ice cream shops are a type of takeout food, just...
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Will HIPAA privacy rules be relaxed permanently?

HIPAA privacy rules
The Health Insurance Portability and Accountability Act of 1996, better known as HIPAA, is a huge piece of legislation. While many new laws emanate from this Act, most Americans associate HIPAA with privacy and privacy alone. While the goal of “privacy” is certainly well-meaning, this bill instills so much frustration in the modern healthcare landscape. Around 1996, electronic transfer of protected health information was in...
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America has to reopen for business… but not at the same time

reopen for business
This post may ultimately sound self serving because I’m recommending something that benefits my city and my business. But it doesn’t make these recommendations any less appropriate. San Francisco is ready to reopen for business at the end of the current shelter-in-place order (beginning of May). And that includes allowing a vast majority of businesses to reopen. This also includes allowing hospitals and healthcare providers...
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Why COVID-19 deaths are lower in San Francisco (so far)

COVID-19 deaths are lower in San Francisco
Many theories abound as to why COVID-19 deaths are lower in San Francisco. This article in USA Today reviews several of them. But before reviewing the possible reasons, we should also be clear that it’s not time to celebrate just yet. The city, state and nation are still in the throes of this pandemic. However, if the current trends in San Francisco hold true, there...
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