Showing posts with label invisibleillnesses. Show all posts
Showing posts with label invisibleillnesses. Show all posts

Wednesday, March 9, 2016

CLINICAL TRIALS: HIGHLIGHTING CHIARI TYPE I

The Focus For Invisible Illnesses and Disabilities: SOLUTIONS

by Dr Margaret Aranda

Instead of accepting your illness or malformation, have you given some thought to participating in a clinical research study? The goal is for doctors and scientists (or physician/scientists, the MD, PhDs) to learn from you, to increase the knowledge base, so that doctors can help the next person.

It is considered to be a very selfless and benevolent thing for a patient to do, an honorable and respectable decision to make. We are all focused on "Solutions for the Future" by learning from today. It could mean someone else's "miracle" tomorrow.


Image. MRI Sagital cut of Chiari Type I Malformation. Look at the ARROW ~ the Arrow points to an area of the bony brain, the uncus, that the actual brain itself is herniating down into, below into the spinal cord. Ouch! Not only does this cause pain and headaches, but it blocks the cerebral spinal fluid (CSF) from being passed down the spinal cord. The head would blow up if it was a baby with head bones that are pliable and have not fused together yet. But in adolescents and adults, a drain is often needed to re-route the CSF from the brain to the abdominal cavity, where it gets absorbed by the body.



Participating in a Clinical Study is one way to contribute to the amount of medical knowledge that physician/scientists have in their own armamentarium against illnesses, syndromes, and anatomical malformations. Have I ever been a patient in a Clinical Study? Yes. Have I ever been the Principal Investigator who wrote the original study that went to the Institutional Research Board (IRB) for approval? Yes. Have I ever written the National Institutes of Health (NIH) to apply for a grant to do such research? Yes. $3 million worth. Even amongst the MD, PhD researchers, this is just grand.

Have I ever sat on an IRB and pored through research proposal after research proposal to put in my own vote on whether it should or should not be approved? Yes. Have I stopped certain studies from being approved, based on my experience as an anesthesiologist and Critical Care doctor? Yes.

Have I ever sat on a Hospital Ethics Committee that looks at all aspect of ethical questions that arise from patient care or research? Yes. I was a member of the Ethics Committee at the University of Pennsylvania, and I believe that I was asked to be placed there because I had a reputation for my high sense of ethics.

Can I vouch for each/any of these researchers? No. They aren't me. I could only vouch for myself. But this is what the NIH is funding, these are the MDs and PhDs and MD, PhDs that have dedicated a fair amount of "headache" time just to write up a clinical study protocol and get it through their own IRB AND get it funded through the NIH. So, I gotta hand it to them ~ They must have dedication.

I don't expect the general public to know how to look up the available Clinical Trials that are opened to receive patients, and some studies open and close with changing schedules depending on a multitude of reasons.

So, here's my MEDICAL DISCLAIMER: Not intended as an endorsement, recommendation, or suggestion for any one patient, because I have not met you in person. Not responsible for any adverse effects whether due to studies being closed, the researchers not accepting you, the study being in another city or country, pain, suffering, or side effects from being a research participant, or providing you with this list. You are responsible for yourself. This is public information that any one can access; I am only simplifying the access for you here. If you proceed further with contacting any person on any study listed, you do so at your own risk, absolving me of any responsibility at all.

Such is the world that we live in, and all we are doing is trying to help find SOLUTIONS.  In my opinion, this is an open door to a new world of clinical research that has been largely untapped because of lack of awareness, knowledge, or inspiration. Bon voyage!


1. Genetic origin of smaller lower skull gene.
ClinicalTrials.gov identifier: NCT00004738
Contact: Gretchen C Scott, R.N.
Email: SNBrecruiting@nih.gov
WEBSITE: Clinical Study on Genetics of Chiari


2. DECOMPRESS Study: Compares superiority of autologous vs non-autoloous grafts for decompression surgery.
LOCATION: Phoenix, ARIZONA
ClinicalTrials.gov Identifier: NCT01667770
Contact: Madelon Petersen, RN 602-406-3246
Email: madelon.petersen@dignityhealth.org
WEBSITE: Clinical Study on Decompression

3. A Prospective Natural History Study of Patients With Syringomyelia.
ClinicalTrials.gov Identifier: NCT01150708
Contact: Gretchen C Scott, R.N.
Email: SNBrecruiting@nih.gov
WEBSITE: Clinical Study on Natural History

4. Prenatal Surgical Repair of Fetal Myelomeningocele (PRIUM).
ClinicalTrials.gov Identifier: NCT01983345
LOCATION: Paris, FRANCE
Contact: Jean-Marie Jouannic, PUPH Phone: 0033144735228
Email: laurence.lecomte@nck.aphp.fr
WEBSITE:Clinical Study on Surgical Repair of Fetal Myelomeningocele

5. Efficacy of Acetaminophen in Posterior Fossa Surgery.
ClinicalTrials.gov Identifier: NCT02532322
LOCATION: Washington, DC
Contact: Srijaya K Reddy, MD, MBA (202) 476-2025
Email: sreddy@cnmc.org
WEBSITE:Clinical Study on How Efficient Acetaminophen is in Posterior Fossa Surgery

6. Treatment of Infected Surgical Wounds With Negative Pressure Topical Therapy and Instillation (With or Without Antiseptic) Versus no Instillation (PTN-INSTILL).
ClinicalTrials.gov Identifier: NCT02500875
LOCATION: Bologna, Italy
Contact: Paolo Chiari
Email: paolo.chiari@aosp.it
WEBSITE: Clinical Study on Infected Wounds

7. Fetoscopic Meningomyelocele Repair Study (fMMC).
ClinicalTrials.gov Identifier: NCT02230072
LOCATION: TEXAS Children's Hospital
Contact: Michael Belfort, M.D. 832-826-7375
Email: belfort@bcm.edu
WEBSITE: Clinical Study on Fetoscopic Meningomyelocele Repair




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Dr Aranda's Short Stories

Age 31: The Color Blue

Wednesday, December 23, 2015

Anonymous Blog Contest Entry: "Invisible No More!"

by Dr. Margaret Aranda


Well, today, an anonymous and kind person entered me into this Contest! I'm so proud to represent you, the patients, in what I do.

Here's the voting site: Healthline Best Blog Nominee

and here's the blog that was entered, "Invisible No More!" :
Blog Contest Entry



Rules: The Top 3 with the most votes wins. You can vote for me 1x/day. Contest ends Jan 21.
Thank you! It is my pleasure to "Keep you in the Community" and out of the ER and out of the Hospital! And advocate for you in Washington and before the National Board of Medical Examiners and the American Medical Association! If you haven't already, please also sign the

Invisible Illness Petition! 570 Signatures needed to reach 2,500!
Sign and get your spouse/parents/friends/employee peers to support you, too!

LET'S GET IT MOVING! 
WE CAN DO THIS! WOMEN HELPING WOMEN! GET UP & VOTE!



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Dr Aranda's Short Stories


Age 31: The Color Blue

Monday, December 21, 2015

Who Am I - Casting Crowns (w/ lyrics)







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Dr Aranda's Short Stories

Age 31: The Color Blue

Hormones Matter’s Top 100 Articles for 2014


...AND guess who made it to #92?
Women Helping Women.
Quality of Life and Longevity through education. That's the Name of the Serious Game of Life.

When I talk to women, I say, "That's in my book!" ...and 10 minutes later, "I talk about that in my book, too!" .....and 5 minutes later, I say, "You know, you would really like my book. I go over all of this in a whole chapter."

Which book on Women's Health am I talking about? Oh! The one that's 300 pages + for $30.00? Yes.

Hormones Matter’s Top 100 Articles for 2014


Multiple Choice Answer:

a. No More Tears: A Physician Turned Patient Inspires Recovery
b. Stepping from the Edge
c. Little Missy Two-Shoes Likes a Ladybug
d. Little Missy Two-Shoes Likes to go to School
e. Archives of the Vagina: A Journey through Time 

We can do this together, ladies! We can do this!


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Dr Aranda's Short Stories

Age 31: The Color Blue

Friday, December 18, 2015

Essure® Sterilization Coils: The Good, The Bad, and The Ugly

by Dr. Margaret Aranda

The Essure ® Fallopian tube coils were manufactured by Conceptus, Inc. as a means for “permanent” birth control (click here for pictures). There was a need for something new and different that was a non-hormonal, non-invasive, and uncomplicated method of sterilization that did not require anesthesia. But after skimming through the FDA (watching the tapes is embarrassing to me), and hearing them actually LAUGH at the Principal Investigators (PIs) who did the research, it has now killed, maimed, and brought hysterectomies and anguish to thousands of women.

Joining hands with Hooman Noorchashm, MD, Ph.D. and Amy Peer, MD, Ph.D., whose mortality was "played with" due to the morcellator medical device used during her thought-to-be-benign hysterectomy, here we are. Reviewing the Essure(R) coils, responsible also for one physician suicide after threatened with a malpractice lawsuit over misplacement of the Essure(R) coils.

What the heck are they doing to WOMEN? Women's Health is affected ACROSS THE GLOBE as planes full of Essure(R) coils are flown to Third World countries for permanent sterilization. WHO DOES THAT RESEMBLE? First, dehumanize the patients, then experiment on them, and ignore the side effects, the blood, pus and DEATHS....and keep on going on as if NOTHING HAPPENED. What happened to the Hippocratic Oath of "Do No Harm?" It's a SHAME! A SHAME! A Shame!

Thankfully, the BEAT GOES ON with WARRIORS e-SISTERS and Hooman Noorchashm, MD, Ph.D., and Amy Peer, MD, Ph.D., and Erin Brockovich, and others who C-A-R-E about H-U-M-A-N   B-E-I-N-G-S!

WARRIORS! PUT ON YOUR GEAR! Get ready to STAMPEDE, if needed!

 Dr Margaret Aranda

How to be a 'Professional' Patient:
No More Tears: A Physician Turned Patient Inspires Recovery by Dr. Margaret Aranda
Archives of the Vagina: A Journey through Time by  Dr. Margaret Aranda
www.drmargaretaranda.wordpress.com

THE FIGHT IS ON!
Essure® Sterilization Coils: The Good, The Bad, and The Ugly. The Title of this blog article was used on Dr. Aranda's HormonesMatter.com article that discusses this matter in more full depth. That article is here.

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Dr Aranda's Short Stories

Age 31: The Color Blue

It Wasn’t by Choice: Dysautonomia

by Dr. Margaret Aranda

Wow. So many of us walk around with dysautonomia before it even gets an accurate "diagnosis." WHY is this so? Is it because it is a RARE disease? No. The incidence probably has not changed. It is the detection that has increased. Even so, many are "left behind" for weeks, months, or even years while the doctors (2-30 of them) scratch their heads in equal frustration, NOT KNOWING what the patient has. That's why we have the Invisible Illness Petition​ on FB, to get the ER docs to diagnose it. To get the med students to learn it. Not just dysautonomia, but ALL The INVISIBLE ILLNESSES. But here's a real, live, clinical story of my dysautonomia and how the doctors even told me, a Board-Certified Anesthesiologist with Subspecialty Critical Care Certification, Forensic Medicine Certification, and eventually, Certification in Age Management Medicine and my Ph.D. in Forensic Medicine.

One of the key things to learn? SPEAK UP! Don't let anyone talk down to you! Fight back!
Our WARRIOR MOTTO for 2016:  We are TIgers and we are going to RROOAAARRRR! Let's get back our lives!
BE YOUR OWN CHANGE!!!

For more on how doctors think, how they write their notes, and how you can be a "Professional Patient," get 1 of my books:
No More Tears: A Physican Turned Patient Inspires Recovery​
Archives of the Vagina​: A Journey through Time
www.drmargaretaranda.tateauthor.com/other-works/

Dr. Margaret Aranda

It Wasn’t by Choice: Dysautonomia


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Dr Aranda's Short Stories

Age 31: The Color Blue

WITHDRAWAL OF OPIOIDS AND PAIN MANAGEMENT WITHOUT OPIOIDS By Dr Forest Tennant   We are pleased to share information from Dr. Forest Ten...