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 September/October 2018
Focus on Health

UC San Diego Health

Opening Eyes About Open Enrollment

It's that time of year when you are asked to choose or reaffirm a health care provider for you and your family. It's a decision with big ramifications, now and later. Choosing wisely means looking not just at the price of premiums or out-of-pocket costs, but a host of other considerations, such as convenience, quality of care, access to new technologies and how much you will be part of a team and not just patient and doctor. Here are some things to consider.

Relieving a Stream of Problems

Frequency of urination, or difficulty in urinating, are among the frustrations that some men face with age. These are often symptoms of an enlarged prostate and something that, for the past few decades, men simply lived with. For the first time, UC San Diego Health physicians are offering prostate artery embolization (PAE), a new, minimally invasive procedure alternative to surgery, that requires no hospital stay, involves little post-operative pain and is less expensive.

The Taboo of Drinking for Two

The newborn is small and will not eat. On his second day of life, he is wracked by seizures. Doctors move the newborn to the neonatal intensive care unit, not yet certain why the baby struggles. They interview the mother. She admits to heavy alcohol consumption while pregnant. The newborn has fetal alcohol spectrum disorder, which researchers at UC San Diego Health say may be as prevalent as autism, if not more.

An Unsightly Guide to 10 Skin Conditions

Your skin does a good job of keeping you together, though it doesn't always look so good doing it. Take our picture quiz of some of the various common ailments, afflictions and assaults visited upon our largest organ. Warning: Not for the visually thin-skinned.

The Labor of Labor

Like the ocean, labor is a force of nature that can be unpredictable with pain that washes over you in waves. Erica Vu, CNM, WHNP, certified nurse midwife at UC San Diego Health, talks about the stages of labor, related pains and interventions both medical and non.

What Happens When We Sunburn

What you're looking at is a micrograph of superficial keratinoctyes, or skin cells. The image doesn't get any prettier when those cells are overexposed to ultraviolet radiation, triggering a cascade of inflammatory reactions.

October is Breast Cancer Awareness Month, so stop, pause and check. Roughly one in eight American women will develop an invasive breast cancer over the course of her lifetime. That works out to an estimated 266,120 new cases diagnosed each year, plus almost 64,000 new cases of non-invasive breast cancer. (Men aren't exempt, with about 2,550 new invasive cases annually; 1 in 1,000 lifetime odds.) Death rates are declining, but almost 41,000 women in the U.S. will die this year from breast cancer. For more information, visit the Comprehensive Breast Health Center at UC San Diego Health.

Back in the Saddle

When severe pain from osteoarthritis threatened to put an end to former Green Beret Scott Ellinger's athletic passions, he turned to UC San Diego Health for help. Krishna R. Cidambi, MD, performed a bilateral hip replacement using advanced surgical techniques. After only 39 days, Ellinger was pain-free and back on his road bike.

The Swellness of Wellness Exams

Whether it's a toddler taking first steps or a senior walking with assistance, getting annual wellness exams is a critical part of health care. From head-to-toe, physicals to blood tests and screenings, wellness exams also provide an opportunity to talk to your doctor at length. Learn how wellness exams for kids, adults and Medicare patients are different and what to expect at each.

Your Prescription is Ready. But is it Correct?

Pharmacists are among the most accessible health care providers within the medical community, but a recent study found approximately 21 percent of medication errors that affect patients happen behind the pharmacy counter. Learn how pharmacists are specially trained and the safeguards you can put in place to prevent mistakes.

Researchers characterize the "mutational burden" of stem cells; a potential diagnostic test for Kawasaki disease; a promising neural stem cell line for repairing spinal cord injuries; genetic mutations of appendix cancer identified; parental life span predicts daughters living to 90 without chronic disease or disability; marijuana found in breast milk; and new drug combinations for toughest breast cancers.

Powered by Chemo

Despite a diagnosis of stage IV pancreatic cancer and ongoing chemotherapy, Mike competed in one of the most grueling of physical competitions: the Ironman World Championship. When Mike's cancer spread to his lungs, he began end-of-life planning, but a second opinion at Moores Cancer Center at UC San Diego Health, gave him one more chance to compete in the sport he loves.

Corner Clinic: Eating When Sick, Bunions and Migraines



L-R: Heather Diamond; David Dalstrom, MD; Nathaniel M. Schuster, MD
  1. What to eat when I'm too sick to eat?
  2. I think I have a bunion. Do I need surgery?
  3. What drugs are recommended for debilitating migraines?

Taking Stock: the Health and Hype of Bone Broth

When the weather starts to cool and noses start to sniffle, soup is often what we turn to for relief. There are many advantages to making homemade soup. Christine Zoumas, senior dietician at UC San Diego Health, talks about the health benefits of this comfort food, the pros and cons of bone broths and shares a favorite recipe.

Clinical Trials

Clinical trials are the last and most important step before scientific discoveries can be delivered to patients in the form of new diagnostics and therapies. Each year, UC San Diego Health researchers and doctors, including those at Moores Cancer Center, conduct hundreds of such trials involving a vast array of diseases, disorders and conditions. Among studies currently recruiting participants are:

Effects of avocado intake on the nutritional status of families

Comparing axillary lymph node dissection with radiation for breast cancer patients with positive nodes treated with chemotherapy

Electrical stimulation for pain treatment after a total knee replacement

Fit for two: incorporating wearable trackers into clinical care for pregnant women with diabetes

Contrast-enhanced ultrasound imaging in diagnosing liver cancer in patients with cirrhosis

Effect of packaging on smoking perceptions and behavior

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