Wednesday, March 22, 2017


"↓ Full text

"United States Epidemiology of Breast Implant-Associated Anaplastic Large Cell Lymphoma.

Doren EL, et al. Plast Reconstr Surg. 2017 "

Pub Med tonight

Terms - BI-ALCL   is Breast Implant associated ALCL

"CONCLUSIONS: This study suggests a statistically significant association between textured breast implants and BI-ALCL....... "

OR Just Google

"9 Deaths Are Linked to Rare Cancer From Breast Implants"   NYTimes

I wish you health.

IMPLANTS? READ Coffee Break Bulletin See MEDSCAPE

If you missed this news in 2011, IT'S BACK.

On Twitter yesterday, MEDSCAPE notified us that a "maybe associated"  type of lymphoma,  ALCL has now more than "maybe" association with implants.

The article quotes FDA as saying they

" concur with the World Health Organization designation of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) as a rare T-cell lymphoma that can develop following breast implants,"

The article puts textured implants under a grey cloud.  The  Medical Device Reports FDA received that do mention surfaces far more often mention textured surface implants.

Of course, there are reminders that DEVICE problem reporting isn't gospel, etc.  but they're not ignoring the preponderant mentions of textured implants. And as for research as a whole, the agency says:

 "All of the information to date suggests that women with breast implants have a very low but increased risk of developing ALCL compared to women who do not have breast implants."

I wish  you health.

Source : Tw and view article/877518?src=soc_tw_170321_mscpedt_news_onc_implants

Thursday, March 16, 2017

A Ray of Sensible Med Thought to Save our pocket book Midnight Special

Bishal Gyawali got a re-tweet today referring to his list of what medics should stop to avoid wounding our pocketbooks (I love his phrase "avoiding financial toxicity" for patients.

One of the low-value practices to stop was ignoring cheaper drugs in supportive care.

Even though BC is not mentioned, the list gave me some hope for the future.  Also, if you can't get this on twitter, watch your sources for possible lists later of more low value behavior to drop.

Surely this will be more important if we end up short on insurance.

Tuesday, March 14, 2017


CT Center for patient safety announcement in my e-mail

Participate in the national Twitter chat on Tuesday March 14th at 1:00pm entitled: Patient Safety: What Patients Want (and Need) to Know.  Join Tuesday's Twitter chat with  #PSAW17chat.  The Connecticut Center for Patient Safety uses the Twitter ID @CTPatientSafety.