ROJoson’s Patients Saved from Unnecessary Breast Operations – July 31, 2012 (#3)
July 31, 2012, Ms. Marilou_T, a 41-year-old female Oversea Filipino Worker in Doha came to see me for a second opinion. Prior to seeing me, she was advised by another surgeon in a so-called breast center in Metro Manila to have an immediate breast operation because of an ultrasound finding of a 2.1-cm “hypoechoic density” in one of her breasts. Aside from this “hypoechoic density” report in the ultrasound, there were also reports of multiple sub-centimenter cystic and hypoechoic densities. The patient claimed the surgeon’s recommendation was just based on the ultrasound report. He did not palpate her breasts. My palpation revealed no dominant breast mass even at the area where the 2.1-cm hypoechoic density was reported by the ultrasonographer. My assessment was that she had fibrocystic breast changes and therefore, no operation was needed. I advised her self-monitoring and monitoring and check-up by a breast specialist.
No doubt, as a result of what I did, she was very thankful to me as I saved her from an unnecessary breast operation.
History of ROJoson’s Project:
ROJoson’s Patients Saved from Unnecessary Breast Operations – June 23, 2012 (Start of Registry)
Today, June 23, 2012, I had a patient, Elizabeth_C, 40s, a sewer, whom I saved from an unnecessary breast operation. She had a macrocyst which I just aspirated. Prior to seeing me, she was advised by another physician to have a breast operation. No doubt, as a result of what I did, she was very thankful to me as I saved her from an unnecessary breast operation.
I have experienced a lot of this kind of situation before, that is, patients advised to have breast operations but which to me are not necessary, either just a needle aspiration is needed or the patient just has a fibrocystic breast condition, which is considered normal.
Today, June 23, 2012, I start a project dubbed as “Patients Saved from Unnecessary Breast Operations.” I will make a registry of patients whom I have saved from unnecessary breast operations. The main inclusion criterion will be those patients who were previously advised to have a breast operation (one that is more than a needle evaluation and aspiration with or without biopsy) and after my evaluation, I decided it is not needed and the patient appreciated my recommendation. I will target a total of 50 patients in the registry. I can backtrack, meaning those patients that I have saved from unnecessary breast operations even before June 23, 2012 can be included in the registry.
This will be another legacy that I will leave behind for my patients. The other one that I have started in December 2011 is the ROJoson’s Cancer Survivors in which I am also using “50″ as a target. As of June 2, 2012, I already have 36 survivors in the registry, 14 to go.
The ROJoson’s Cancer Survivors and the ROJoson’s Patients Saved from Unnecessary Breast Operations will be one of my end-points in which I can say I have lived a life that matters.