After breast cancer, IVs and blood pressure cuffs can cause swelling in arm
Dear Dr. Roach: I had breast cancer in my right breast when I was 45. I had a lumpectomy, underwent radiation treatments and had seven lymph nodes removed. My breast doctor told me not to use my right arm for any injections, IVs or blood pressure checks. He also advised me to use an elastic pressure arm band when travelling by plane.
For those with no risk factors, blood pressure readings and blood draws did not increase the risk of developing lymphedema in a recent study. However, even though there might not be much risk, my opinion is that people with breast cancer and risk factors for developing lymphedema should continue to avoid IVs, blood draws and blood pressure readings if possible.
Dear Dr. Roach: I am a 76-year-old male who recently had an MRI that revealed a slightly torn tendon in my shoulder. My doctor suggested that I see an orthopedist for further treatment. When I asked if he could recommend one, he said that I should “do some research” and select one myself. I was really disturbed by this. Should I have been?Ideally, your doctor would have knowledge about the specialists available to you and recommend one who has expertise with this kind of shoulder problem.
I do have to say that, from the standpoint of a primary-care doctor, it is increasingly difficult to maintain that expertise. Health-care systems constantly change, and some of the specialists your doctor would like to refer you to might be unavailable.
France Dernières Nouvelles, France Actualités
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