Weeks of May 3, 10 and 17, 1998
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Show Number Air Week Title Program Description
SHOW #149 Week of May 3, 1998 Breast Reconstruction Recent advances in surgical techniques have improved the aesthetic and functional outcome of breast reconstruction, in which a breast is rebuilt from other tissues following a mastectomy for breast cancer. One of these, the TRAM (transverse rectus abdominus myocutaneous) flap technique is the most complex of the common procedures, but is being used more and more because results have been so dramatic. Among its advantages are that the breast can usually be given proper contour without a breast implant, donor scars that are low on the front of the body, and the fact that women with large abdomens get a "tummy tuck" as part of the procedure. Increasingly, the plastic surgeon is being included from the outset in the team of specialists who design and carry out a comprehensive treatment plan for the breast cancer patient. CONTACTS: Medical College of Virginia: Mandy Setliff, (804)828-4504, Linda Anderson, (804)828-5378, Dr. Andrea Pozez, plastic surgeon, (804)828-3037, Breast Health Center, (804)826-5116, website: views.vcu.edu/mcv/MasseyBreast.html; National Cancer Institute, websites: cancernet.nci.nih.gov, rex.nci.nih.gov, Cancer Information Service, (800)4-CANCER (800-422-6237); American Cancer Society, (800)ACS-2345 Breast Cancer Network website: www.cancer.org/bcn/bcn.html
    EVERYDAY BREAKTHROUGHS: Angio Advance Balloon angioplasty to clear a blockage in the coronary artery is an increasingly common procedure, and now two innovations being tested could make the patient's hospital stay shorter and more comfortable. In balloon angioplasty, a catheter is inserted into the patient's leg. Up to now, patients would have to spend days in the hospital, including 24 hours flat on their backs, to prevent bleeding at the thigh puncture site. But the two artery closing devices being tested both allow patients to stay upright during recovery, and appear to allow shorter hospital stays. CONTACT: Steve Kraushaar, Public Affairs, Washington University, (314)286-1020, website: www.wustl.edu
    Schizophrenia A new generation of drugs, known as atypical anti-psychotics, has ushered in a whole new era in the treatment of schizophrenia. Many individuals given these compounds have shown dramatic improvement, with fewer and milder side effects than the older antipsychotics. Now, Dr. Jeffrey Lieberman of the University of North Carolina, one of the world's foremost researchers on psychosis and schizophrenia, is conducting a clinical trial called the FIRST study to assess whether the atypical antipsychotics can stop the progression of schizophrenia in patients with new onset of psychosis. The theory is that early intervention and aggressive treatment, typically in the teens, when first episodes are often experienced, can improve long term outcomes for those patients. CONTACTS: Nancy Kochuk, UNC Hospitals Marketing & Public Relations, (919)966-3366, Janet Kazmer, FIRST Study, (919)966-9587; National Alliance for the Mentally Ill, (703)524-7600, website: www.nami.org; The Schizophrenia Homepage, website: www.schizophrenia.com
    BREAKTHROUGH PROFILES: M. Devin Galligan Brain cancer survivor M. Devin Galligan was diagnosed at age 24 with a malignant brain tumor. Within weeks he underwent an awake craniotomy (see Show #105), and now is undergoing chemotherapy. In November 1997, he fulfilled a lifelong dream and ran in the New York Marathon, at the same time raising money to support brain cancer research at Vanderbilt University. He has also written brochures for other adults scheduled to have neurosurgery. CONTACT: John Howser, Medical Director, Vanderbilt University Medical Center News and Public Affairs, (615)322-4747
SHOW #150 Week of May 10, 1998 Prosthetic Limb Interfaces Even if a prosthetic limb is very well designed, amputees can experience serious problems, including lesions, due to the interface with their residual limb. Now a Minnesota company founded by an amputee has come up with an interface designed to avoid those problems. The TEC (Total Environmental Control) Interface is made of urethane, a material that mimics the load-bearing characteristics of human tissue. It absorbs impact and equalizes pressure throughout the socket, making for a more comfortable fit. CONTACT: TEC Interface Systems, Waite Park, MN, (800)688-4832, website: www.biomech.com/mall/tec
    Questionable Medical Devices Another in our continuing series of visits to the Museum of Questionable Medical Devices in Minneapolis, curated by collector and enthusiast Bob McCoy. We occasionally feature McCoy showing us some of the more unusual and interesting pieces in his renowned collection. CONTACT: Bob McCoy, (612)379-4046, website: www.mtn.org/~quack
    Biofeedback Biofeedback has evolved since its appearance on the scene in the Sixties. Some of the more outlandish claims for this technique of connecting the mind and body have gone away, but it's still in clinical use in certain areas such as pain management and stress reduction, and it's become more solidly scientific. This story focuses on the work being done at the biofeedback lab within the Department of Orthopedics and Rehabilitation at the University of Miami. There, patients who have experienced minor traumatic brain injury or spinal cord damage are being trained, through the use of a sophisticated biofeedback mechanism, to regain some of their lost muscle function. They are able to establish alternate neural pathways, replacing those damaged by injury, reconnecting to the undamaged muscles. CONTACT: Biofeedback Lab, University of Miami, (305)585-6351
    EVERYDAY BREAKTHROUGHS: Octopus The Octopus is a device that allows doctors to perform coronary bypass grafts without stopping or slowing the heart. It works by suction to grab a piece of the heart and hold it motionless, so that the surgeon can place sutures with greater precision. During the procedure, the rest of the heart continues to beat, eliminating the need for a heart-lung bypass machine. CONTACT: Carol Hobart, Public Relations, Medtronic, Inc., (612)574-4000, website: www.medtronic.com
SHOW #151 Week of May 17, 1998 Vagus Nerve Stimulation About 2.5 million Americans have some form of epilepsy. The disease is most commonly treated with antiepileptic medication, and some patients are able to benefit from epilepsy surgery. But about 20 percent of people with epilepsy do not respond to these standard medical treatments. Now there is an FDA-approved alternative, called vagus nerve stimulation. It involves a permanent implant that delivers electrical stimulation to the vagus nerve in the neck. This serves to desynchronize the electrical activity in the brain, inhibiting seizures. The device does not completely prevent seizures in most patients, but does reduce both their frequency and severity, which can dramatically improve quality of life. CONTACTS: Mary Ellen Stumpfl, USC Health Sciences Public Relations Office, (213)342-2830; USC Epilepsy Program, (213)342-5710, website: www.usc.edu/hsc/medicine/neurology/ VNS.html Cyberonics, Inc. (manufacturer) website: www.cyberonics.com; Epilepsy Foundation of America, (800)EFA-1000, website: www.efa.org; Epilepsy Education Association, Inc., (219)273-4050, website: www.iupui.edu/~epilepsy
    EVERYDAY BREAKTHROUGHS: VR Addiction Study Researchers at Baylor College of Medicine, along with colleagues at MIT and the Salk Institute, have created several virtual organisms that serve as models for studying addiction. The first, a bee, allowed researchers to study the way bees process information leading to rewards. In additional studies, real people behaved the same way the virtual bees did. These models are lending new insights into characteristics of human behavior leading to addiction. CONTACT: Kathy Major, Senior Communications Specialist, Baylor College of Medicine, (713)798-4712, website: www.bcm.tmc.edu
    Seed Implants One of the newest treatment options for treating localized prostate cancer is through the use of brachytherapy - high-dose radiation via radioactive seed implants in cancerous areas. "Brachy-" means close, and in this case refers to the placement of a radioactive source close to a tumor site. The tiny seeds are implanted directly into the prostate gland of the patient during a minimally invasive, one-time, outpatient procedure to deliver an optimal dose of radiation to kill cancer cells. This treatment option, which can be temporary or permanent, is available for men with certain types of localized cancer who have normal or nearly normal urinary function. Two of the most common side effects of other prostate cancer treatments - urinary incontinence and impotence - are minimized with this therapy. CONTACTS: Jim Steele, Media Relations Manager, Wake Forest University - Baptist Medical Center, (910)716-4587; Theragenics Corp. (radioactive seeds manufacturer), (800)458-4372, website: www.theragenics.com/index.html; The Prostate Cancer Infolink, website: www.comed.com/Prostate; National Cancer Institute, websites: cancernet.nci.nih.gov, rex.nci.nih.gov, Cancer Information Service, (800)4-CANCER (800-422-6237); American Cancer Society, (800)ACS-2345
    Questionable Medical Devices Another in our continuing series of visits to the Museum of Questionable Medical Devices in Minneapolis, curated by collector and enthusiast Bob McCoy. We occasionally feature McCoy showing us some of the more unusual and interesting pieces in his renowned collection. CONTACT: Bob McCoy, (612)379-4046, website: www.mtn.org/~quack

 

 

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