Donda West Death Results in New Law
December 10th, 2009
In response to the death of Donda West, Kanye West’s mother, the California State Senate recently approved a requirement that patients must be given a physical exam before elective surgery, according to the Los Angeles Times. The new law, AB 252, passed by an overwhelming margin. The vote was 37 to 1. This new California statute requires a history and physical examination be done prior to any elective cosmetic surgery or cosmetic medicine procedure that is performed in physician offices. The goal, of course, is to reduce the risk of death or serious impairment associated with surgery. Unfortunately the law does not address cosmetic surgery done in dentist offices or surgery related to body modifications carried out in non-medical facilities or surgery done by unqualified personnel.
I have always insisted that my patients have a History and Physical completed by their primary physician before having elective surgery. The most important philosophy guiding most surgeons, in an effort to avoid complications from cosmetic surgery, directly relates to patient safety. Risks are present in all medical procedures and surgical treatments, but certain steps minimize this risk. Yet complications occur and cannot be eliminated entirely. It is important to know that your surgeon has made every effort to reduce the risks and incidence of complications for any cosmetic surgery.
One of the cornerstones making cosmetic surgery safer is the pre-operative History and Physical. This medical evaluation is usually completed in advance of having cosmetic surgery. I require this evaluation to be done within two weeks prior to a patient’s surgery date. It was my practice as I began my career as a surgeon and it is a policy that I have continued for the past twenty-five years. However, I do not do pre-operative history and physicals on my own patients. I prefer that an independent, unbiased physician complete the examination, order necessary laboratory tests and finally interpret the results and confirm that the patient is healthy enough for surgery. I like to think of this division of patient care as an effective tool used to uncover any underlying medical condition that might lessen the safety of having elective surgery.
Whether or not your state requires this extra step, please consider having a pre-operative medical examination before all elective surgery.
Leah Blog: Introduction
December 8th, 2009
Hi, I’m Leah and I have always been in good shape. I like to walk and eat healthy (most of the time), so I have always had a body that I felt comfortable in. That was until I had my first child. I gained 60 pounds during the pregnancy and only lost 40 of those pounds during the first year. It was such a struggle for me because I knew that I wanted four children, but I didn’t want to gain any more weight. So I worked very hard to keep my weight down were I liked it. After my fourth child, I vowed to take all my extra weight off. After a year, I had lost any pregnancy weight, plus an extra 10 pounds!! I was so excited to have the weight gone, but I was upset when I saw what my stomach looked like. I had extra skin that looked liked an extra “buttâ€. My pants fit, but the skin hug over the pants. UGLY. I had worked out, gained muscle, but I couldn’t really do anything to loose the extra skin.
My husband has always been supportive of me. He knows that when I look good, I feel good. He also knows how hard I have worked to get this body back into shape! We talked about the fact that I need to focus on myself every once and a while, not only our four children but, I love those kids SO MUCH and I don’t want to take time out to worry about myself. I don’t want to take any time away from them, but then when do I have time to think about myself????? We decided to get a consultation and see what a tummy tuck entails. If it is too much to deal with, if it is too much money, I can forget about it. BUT, if it is something manageable and something I can handle…
OK, I am going for it. I am at my skinniest and I want to reward myself for all this hard work. I decided to get a cosmetic surgery consultation.
Please check back to read about my consultation for a abdominoplasty or more commonly referred to as a tummy tuck.
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