Enhancing the Care of Frail Older Adults With Complex Needs Through Home Visits

In this bird's eye view, a female doctor sits on a living room couch with a senior female patient. She holds a clipboard as the patient gestures and speaks. There is a doctor's bag and medical equipment on the coffee table.As a primary care physician at Brigham and Women’s Hospital, Laura N. Frain, MD, MPH, saw firsthand the challenges of caring for older adults, particularly those living with frailty, cognitive impairment/dementia and multiple geriatric syndromes within the primary care system. Now, as a geriatrician in the Brigham’s Division of Aging, she leads collaborations with primary care to develop and implement new models for co-managing outpatient geriatric patients.
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Pushing the Boundaries of Robotic-Assisted Colorectal Surgery

3D illustration of surgical robot on white backgroundIn 2017, nearly 700,000 robotic-assisted procedures were performed in the United States. Robotic surgery is fast becoming the preferred method for procedures in gynecological, thoracic, urologic, colon and rectal surgery. Today, a wide range of colorectal problems can be treated with robotic surgery.
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A Biopsychosocial Treatment Model for Inflammatory Bowel Disease

Closeup showing a hand checking off goals that were accomplished.Absent of a cure for inflammatory bowel disease (IBD), physicians at Brigham and Women’s Hospital have pioneered a broader approach to improving the health of patients with ulcerative colitis and Crohn’s by focusing on lifestyle, health education and psychosocial aspects of disease.
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Leading the Country in the Care of Patients with Hereditary GI Cancers

Blood samples in laboratory (coagulation test)Over the past two decades, the Dana-Farber/Brigham and Women’s Cancer Center  (DF/BWCC) has become a national leader in the care of patients with hereditary gastrointestinal cancers, from Lynch syndrome to polyposis syndromes.
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Venous Thromboembolism Prophylaxis Program and Innovations Advance Quality of Care in Radical Cystectomy

Mature couple walking together with water bottles. Copy space.Complications and high readmission rates are a persistent challenge following radical cystectomy for the treatment of bladder cancer. The complex, intrabdominal operation, which  includes replacement of the bladder or creation of a stoma, and often includes removal of reproductive organs as well, is associated with a high rate of morbidity. Patients undergoing the procedure often have additional risk factors for venous thromboembolism (VTE), such as pre-operative chemotherapy, older age and a history of smoking, and VTE is estimated to occur in 5.5 to 8.5 percent of patients and cost more than $10,000 per event. In a comprehensive effort to reduce risk of VTE, reduce length of stay and improve other measures of quality of care, Brigham and Women’s Hospital urologists have implemented a perioperative VTE prophylaxis program and analyzed its results, reporting key quality of care improvements. In addition, in collaboration with nurses, anesthesiologists, pharmacists and other members of patients’ care teams, clinicians in the Division of Urology are exploring innovative initiatives to continue to make strides in improving patient care.
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Urology and Oncology Work Together to Advance Treatments for High-Risk Prostate Cancer

Doctor consulting male patient, working on diagnostic examination on men's health disease or mental illness, while writing on prescription record information document in clinic or hospital officeUrologists and oncologists at Dana-Farber/Brigham and Women’s Cancer Center have laid the groundwork for what would be the first Phase III international, randomized trial of a new treatment for patients with high-risk prostate cancer in more than a decade. The treatment involves using novel, potent neoadjuvant hormone therapy for six months prior to prostatectomy surgery, an approach that has been shown to improve both tumor pathology and long-term remission.
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Developing a Novel, Off-the-Shelf Vocal Cord Augmentation System

Silk-HA delivery deviceFor decades, the medical and scientific community has looked for ways to repair damaged vocal cords through injectable agents. Current best practices involve the use of carboxymethylcellulose, hyaluronic acid or calcium hydroxylapatite (CaHA). However, these injectable agents do not provide permanent effects and typically carry the additional burden of requiring two people to perform the medialization procedure, thus adding to their cost.
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Brigham Remains a Leader in Full and Partial Face Transplantation

2011, Boston, MA, USA, LIGHTCHASER PHOTOGRAPHY, Brigham and Women's Hospital Department of Plastic Surgery in coordination with the hospitals entire transplant team and the New England Organ Bank worked throughout an entire day to replace the soft facial tissues of Dallas Wiens, 25, from Dallas TX, who flew to Boston late at night for the procedure. The transplant team, led by Dr. Bohdan Pomahac, began their surgical procedures shorty after 3 a.m. and Dallas Wiens was transported to the BWH ICU shortly before 9 p.m. at night.  ( lightchaser photography image by j. kiely jr. © 2011 )Face transplants are still infrequent enough that every one of them is considered a remarkable feat of medical collaboration and expertise. However, they no longer garner the news headlines that the first transplant did when it was performed in France in 2005.
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The Brigham Makes The Push Toward Same-Day Joint Replacement

"Arrow sign for outpatient parking in front of parking lot, horizontal with copy space to right."Five years ago, Vivek Shah, MD, a hip and knee replacement surgeon, replaced the right hip of an 85-year-old woman. After the routine surgery, she stayed in the hospital for three days. A few years later, she visited Dr. Shah when she needed her left hip replaced.
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Microendoscopic Surgery Offers Alternative for Spine Patients

microendoscopy image of a spineAt Brigham and Women’s Hospital, spine surgeon Andrew Simpson, MD, focuses a large portion of his practice on microendoscopic spine surgery, a minimally invasive technique used to treat patients with a range of spinal disorders—including disc herniation, spinal stenosis and sciatica.
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