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Biomedical subjects

R C Goodman

Publications and source records attributed to R C Goodman.

10 recordsLinked to original sources
PubMed1994

The silicone gel breast implant controversy: current status and clinical implications.

The silicone breast implant controversy has amassed a great deal of media coverage in the past year. Unfortunately, separating fact from fiction has been extremely frustrating and difficult, not only for physicians but for women who have either had or are considering cosmetic or reconstructive surgery of the breast. At a recent meeting attended by most of the board eligible and certified Plastic and Reconstructive Surgeons in the State of Arkansas, it was felt that a consensus statement was needed to clarify the issues and inform other Arkansas physicians of the most up to date information. The result is a fairly comprehensive review which will require your indulgence. Breast implants are placed not only by Plastic and Reconstructive Surgeons, but by Otolaryngologists, "Facial Plastic Surgeons", Obstetricians/Gynecologists, General Surgeons, Dermatologists and Family Practitioners. We believe it is the ethical and legal responsibility of the physicians who elect to perform these procedures to provide adequate care and follow-up for these patients when either real or perceived problems arise. Accurate information, reassurance and occasionally re-operations are required for many of these patients.

Autoimmune Diseases↗
PubMed1993

Systemic vasculitis following influenza vaccination--report of 3 cases and literature review.

Influenza vaccination is a widely accepted practice particularly among the elderly and high risk individuals. Minor and transitory side effects following the vaccination are common while systemic complications are infrequently reported. We describe 3 patients who developed systemic vasculitis following influenza vaccination. With increasing use of influenza vaccination, attention should be drawn to the possible expression of systemic adverse effects such as vasculitis.

Aged↗
PubMed1992

An aggressive return-to-work program in surgical treatment of carpal tunnel syndrome: a comparison of costs.

Carpal tunnel syndrome is a common malady associated with modern manufacturing. An aggressive return-to-work program was begun in 1980. A prospective study was begun in 1982, and data matured through 1988 comparing the costs of a control group of patients treated by the more traditional method (in the author's geographic area) and the author's aggressive return-to-work policy. Sixty-seven patients with 94 carpal tunnel surgeries were studied. The results reveal that the aggressively treated group had 1 of 44 patients fail to return to work following surgery, and 3 of 23 failed to return to work from the control group. One patient of each group developed a recurrence. The tangible costs that could be computed were found to be 58 percent less in the aggressively treated group than in the control group. At the same time, the patients can maintain their standard of living.

Carpal Tunnel Syndrome↗
PubMed1990

Benign fibrous pleural tumor with elevation of insulin-like growth factor and hypoglycemia.

We have reported the case of a 69-year-old woman with a hugh benign fibrous tumor of the left pleura and hypoglycemic seizures. Increased preoperative levels of insulin-like growth factor (IGF II) were present; insulin level was low and plasma levels of somatomedin C were normal. After resection of the 2,400 gm tumor, blood sugar level has remained normal, and IGF II has fallen to normal limits. This appears to be the first reported case documenting elevated serum IGF II in association with a benign fibrous pleural tumor.

Aged↗
PubMed1990

Total reconstruction of a two-compartment scrotum by tissue expansion.

A case report is presented showing the reconstruction of a two-compartment scrotum out of hair-bearing perineal skin following a severe degloving injury of the scrotum and testicles. We feel that this is an appropriate procedure to be used in patients who have lost the testicles and scrotum traumatically, either one or both testicles, or in the situation where both testicles have been spared. Aesthetically, the result in this patient is superior to skin grafting and should be readily reproducible.

Adult↗
PubMed1987

Glyburide-induced hepatitis.

Drug-induced hepatotoxicity, although common, has been reported only infrequently with sulfonylureas. For glyburide, a second-generation sulfonylurea, only two brief reports of hepatotoxicity exist. Two patients with type II diabetes mellitus developed an acute hepatitis-like syndrome soon after initiation of glyburide therapy. There was no serologic evidence of viral infection, and a liver biopsy sample showed a histologic pattern consistent with drug-induced hepatitis. Both patients recovered quickly after stopping glyburide therapy and have remained well for a follow-up period of 1 year. Glyburide can produce an acute hepatitis-like illness in some persons.

Biopsy↗
PubMed1979

The crocodile tear syndrome.

Gusto-lacrimation, or "crocodile tear syndrome," is a rare complication, with 95 cases reported in the literature. Two patients are presented here, one after a facial fracture which apparently extended into the temporal bone proximal to the optic ganglion, and one after a Bell's palsy. The mechanism appears to be a misdirection of regenerating gustatory fibers destined for the salivary glands, so that they become secretory fibers to the lacrimal gland and cause homolateral tearing while the patient is eating. A simple procedure, involving subtotal resection of the palpebral lobe of the involved lacrimal gland, proved to be an effective corrective measure in these cases. Although it was not done in these cases, it would perhaps be advisable to do a Schirmer's test to assist in determining the amount of gland to be removed.

Adult↗