Picture a woman with acute diabetes arriving at the emergency department at 2 a.m. Her blood glucose level is extremely high and she is experiencing chest pain. Upon ruling out a heart attack and seeing no sign of hyperglycemic crisis, the ED physician concludes the patient does not require acute care. He then pages the doctor on call to request that outpatient care be arranged.
Scott Alan Shikora, MD, FACS, FASMBS, director of the Center for Metabolic and Bariatric Surgery at Brigham and Women’s Hospital, was recently named president-elect of the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). Dr. Shikora’s official appointment will begin in July at the 25th IFSO World Congress in Miami. He is the first Brigham physician to serve as President of IFSO.
Appendiceal cancers are rare, with an estimated 1,500 people diagnosed per year in the United States. The rarity of these cancers and their diverse manifestations can make accurate diagnosis challenging.
A duo at Brigham and Women’s Hospital has developed a new intraoperative, image-based guidance system to help surgeons more accurately visualize anatomical structures. The technology uses augmented reality to precisely register operative endoscopy views with preoperative CT or MRI images, allowing for real-time adjustment and fine-tuning based on the operator’s changing visual field.
For over 20 years, the Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) model has offered improved care for patients in need of psychiatric care in the primary care setting. At Brigham and Women’s Hospital, a collaborative care paradigm modeled on IMPACT is in the final stages of being rolled out to primary care practices throughout the system.
A recent study out of Brigham and Women’s Hospital advises that older cancer patients receive routine assessments of their ability to conduct certain daily living activities to identify those who need supportive intervention. The study, led by Clark DuMontier, MD, geriatrician and research fellow in Brigham and Women’s Division of Aging, found a correlation between patients’ ability to live independently and their odds of being hospitalized or dying.
For many people, their first interaction with Brigham and Women’s Hospital is through the Emergency Department (ED). Usually, they are in a desperate state. As such, the ED is a critical place for patients who need acute psychiatric care.
For women with complex medical needs, contraception throughout childbearing years may be essential for managing their underlying medical conditions and setting the stage for a healthy pregnancy when desired. To provide the needed expertise, the High Risk Contraception Clinic at Brigham and Women’s Hospital works with patients, often in collaboration with disease sub-specialists, to provide individualized contraceptive care within the framework of the underlying condition.