Monthly Archives: February 2017

No music while operating for ROJoson

Personally, I am not in favor of playing music in the operating room while I operate.  It is distracting. It reduces vigilance of the surgical team and it impairs communication with other staff. ROJ@17feb14

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Breast Cancer Survivor Anna Marie Cruz – 10 Years in Remission

Dr. Anna Marie Cruz, a pediatrician, was 40 years old when I did a modified radical mastectomy on her breast cancer in February 8, 2007.  She received chemotherapy postoperatively.  She came to see me on February 9, 2017 to proudly … Continue reading

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Avoiding Hypoparathyroidism During Thyroid Surgery

There is a significant risk for hypoparathyroidism when a total thyroidectomy, bilateral subtotal thyroidectomy and central node dissection are done. Postoperative hypoparathyroidism results in hypocalcemia.  These are usually manifested as: Numbness and tingling sensations in the perioral area or in the … Continue reading

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Sample of a Medical Recording on a Patient with Watery Nipple Discharge

Sample of a medical recording on a patient with watery nipple discharge with explanation, advice and informed consent. Note: the reliance on physical examination for a diagnosis. ROJ@17feb2

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Sample of Medical Recording on a Thyroid Patient

Sample of a medical recording on a thyroid patient with explanation and advice and informed consent. Note the use of benefit, risk, cost, availability comparison of diagnostic options. ROJ@17feb2

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ROJoson’s Way – Minimalist and Vigilant Watchful Waiting Approach

ROJoson’s Way of Medical Management Minimalist and vigilant watchful waiting approach promoting value-based health services and patient experience When you call a person a minimalist, you’re describing their interest in keeping things very simple. – A minimalist prefers the minimal … Continue reading

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