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The Goal of DBS (Deep Brain Stimulation) Surgery

I met with several patients this week to discuss their personal journey to making the decision to pursue DBS surgery. Not surprisingly, they were well educated about their disease and treatment options.

Each patient reminded me that there is a lot of information and misinformation about surgery for movement disorders.

The most important advice I can give any patient or family is...

Swedish Heart & Vascular Institute Cardiothoracic Surgeon, Patient Featured in Fortune Magazine Article on Robotic-Assisted Surgery

Fortune-Robotic-Surgery.jpg

SEATTLE, Jan. 22, 2013 - Swedish Heart & Vascular Institute cardiothoracic surgeon Eric Lehr, M.D., and one of his patients were interviewed for an article on robotic-assisted surgery that appears in the Feb. 11 issue of Fortune magazine.

Breast Reduction

What is Breast Reduction Surgery?

A breast reduction (reduction mammoplasty) is a surgical procedure that reduces breast weight to improve both biomechanical function and aesthetics. After breast reduction surgery, the breast is ‘lighter’ and has a better shape. Many women with heavy and pendulous breasts suffer from neck pain, back pain and head aches for many decades of life. Self-consciousness in social settings and the inability to find properly fitting clothing are also frequent concerns. A breast reduction can significantly improve these functional and aesthetic issues.

Patient satisfaction with breast reduction surgery is extremely high. When the American Society of Plastic Surgeons surveyed a large group of women after breast reduction surgery recently, over 95% of patients responded that they would have the surgery done again. Breast reduction surgery consistently ranks at the top of patient satisfaction surveys for all procedures performed by plastic surgeons.

How is Breast Reduction Surgery Done?

Depending on ...

Breast Augmentation Surgery

Breast Augmentation

Breast augmentation surgery is a safe and reliable way to enhance breast shape and size. Breast enhancement using breast implants can give a woman more proportional shape and may improve self esteem.

Breast augmentation surgery is an operation designed to improve the shape and volume of the breast. The operation addresses common breast aesthetic issues, such as lack of breast volume, flattened breast shape and drooping nipple position. The operation can be combined with breast lift (mastopexy) procedures to further enhance the breast form.

To learn more about Breast Augmentation Surgery, including before and after photos, visit www.scottsattlermd.com

Liposuction Surgery

Liposuction is a cosmetic surgical procedure that sculpts and shapes the tummy, flanks, hips, thighs, arms and neck performed by Dr. Scott Sattler, plastic surgeon in the Seattle metro area

Why you should have your hernia repaired

Do you have a groin bulge that seems to come and go, often absent upon waking in the morning? Or perhaps you already know you have a hernia? Hernias are very common and occur in approximately 1 in 4 males (less common in women), so chances are you or someone you know has or has had an inguinal hernia. The main question I always get asked is "should it be fixed?"  

As a general surgeon, I see 4-5 patients every week with a newly diagnosed inguinal hernia. Many are self-referred after discovering a lump in the groin, while many others are referred from their primary care provider after the hernia is discovered during the physical exam. After verifying that a hernia is the correct diagnosis (other possibilities are a groin strain, swollen lymph node, etc.), I have a discussion which addresses the aforementioned question. As an aside, these are very common and also found in the pediatric population (see a similar discussion by one of our pediatric surgeons)

To understand hernias...

Becoming a Breast Surgeon

Surgeons are often Type A personalities, the ones who sit in the front of the class, who volunteer for everything, who stay scrubbed in the OR all day with appendicitis and do a post-op check before checking themselves into the emergency department (yes, that was me.) As such, surgeons are often dismissive of the subspecialty of breast surgery. The surgeries are not as complex as cardiac bypass surgery or Whipple procedures for pancreatic cancer. In fact, it’s often a rotation for interns. I was a Type A personality. I had no plans to do breast surgery.

Then, a funny thing happened. I had my first son during residency. Planned with military precision, of course, to coincide with the beginning of my designated research years, as I had hoped to squeeze another baby in there somewhere. After his birth, I would breastfeed, because that is what Type A mothers do these days. It’s the best! Of course, I would do the best! However, like many mothers out there, we had an incredibly rocky start. Poor latch with inadequate weight gain. Triple feeding with pumped milk. Cracked nipples leading to mastitis. As a Type A person, I threw myself into research in an effort to solve the problems. Not just the many, many baby books out there, but Medline searches on breastfeeding management. I learned more than I ever had in my surgery textbooks about the breast, the physiology of lactation that is both incredibly simple and enormously complex, and most importantly, miraculous. I was reminded constantly in my reading of the importance of preserving this ability to breastfeed my son, for his and my health, and how challenging that could be.

I would sit in my office, working on surgical infections research, as I pumped and read about normal breasts and infected breasts and cancerous breasts. Antibiotic rotations in ICUs and glucose control became less exciting than being able to offer targeted medical advice to a frustrated friend in Boston, whose refractory mastitis was being met with shrugs from some of her local doctors until we correctly identified MRSA as the source. Maybe it wasn’t saving lives, but it saved her breastfeeding relationship with her child. Who knows, maybe in the end it would be saving lives! I read more ....

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