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My Personal Continuing Medical
Calvin Lee, MD
Surgeon, Acupuncturist, Botox & Juvederm Injector, Cosmetic Vein Specialist
Because I care deeply for all my patients who have put their trust in me, I strive to hone my knowledge and skills to the highest level I can. Formal Continuing Medical Education (CME) credits are measured in hours. But there are also many other forms of medical education which do not have formalized CME credits, and I will list some of them here as well.
I've come to realize that I need to design and be in charge of my own continued education because my professional interests don't exactly follow the path of other established groups of physicians.
Most recent continuing education/self improvement activities on top of the list, and oldest on the bottom. This list starts 3/19/2013. This page is sort of an experiment. I'm pretty sure that I can't list everything I do here. But I'm using this page as a note pad in which I can refer back to. There is no medical advice intended on the page.
4/20/13 - lectures given by Dr. Grace Nadolny (Pharmacologist and Psychiatrist), Dr, Trung Nguyen (Gynecologic Oncology), Dr. Nguyen Do (Neurosurgery). These are Sutter Gould Physicians working at Memorial Medical Center in Modesto, CA.
4 hours of CME lecture credit given.
Some key points: First line EBM (evidence based medicine) approaches to the treatment of depression in the 21st century includes methylphenidate, exercise, and sertraline.
3/30/13 - link:
Academy of Dermatology position paper on Vitamin D (2009),
The Academy of Dermatology continues to recommend that the public obtain vitamin D from a healthy diet that includes food naturally rich in vitamin D, foods and beverages fortified with vitamin D, and/or dietary supplements. The Academy reaffirmed its position that vitamin D should not be obtained from unprotected exposure to ultraviolet (UV) radiation from the sun or indoor tanning devices, as UV radiation is a known risk factor for the development of skin cancer.
Adults who regularly and
properly practice photoprotection may also be at risk for
vitamin D insufficiency, and may be considered for a daily total supplementation dose of 1000 IU vitamin D
There is no scientifically
validated, safe threshold level of UV exposure from the sun
or indoor tanning devices that allows for maximal vitamin D synthesis without
increasing skin cancer risk.
Many epidemiological studies suggest
an association between low serum vitamin D
levels and increased risk of certain types of cancers, neurologic disease,
autoimmune disease and cardiovascular disease. It should be emphasized that the causal relationship of vitamin D to these
diseases has yet to be demonstrated with clinical trials.
A blood test to measure serum
vitamin D level, expressed as the 25-
hydroxyvitamin D [25(OH)D], is widely available. Further research is needed to determine the appropriate serum
concentration of vitamin Drequired for overall good health.
For more information about skin cancer, please visit the SkinCancerNet section on www.skincarephysicians.com, a website developed by dermatologists that provides the public with up-to-date information on the treatment and management of disorders of the skin, hair and nails.
Two forms are important in humans: ergocalciferol (vitamin D2) and cholecalciferol (vitamin D3). Vitamin D2 is synthesized by plants. Vitamin D3 is synthesized by humans in the skin when it is exposed to ultraviolet B (UVB) rays from sunlight. Foods may be fortified with vitamin D2 or D3.
3/27/13-3/30/13 I am writing an article about sunscreens: Sunscreens to keep wrinkles away. We carry sunscreens in our Modesto, CA office.
Sunscreening agents approved by the US FDA or other agencies
UVA: 400–315 nm • UVB: 315–290 nm • chemical agents unless otherwise noted
4-Aminobenzoic acid (PABA) • Cinoxate • Ethylhexyl triazone (Uvinul T 150) • Homosalate • 4-Methylbenzylidene camphor (Parsol 5000) • Octyl methoxycinnamate (Octinoxate) • Octyl salicylate (Octisalate) • Padimate O (Escalol 507) • Phenylbenzimidazole sulfonic acid (Ensulizole) • Polysilicone-15 (Parsol SLX) • Trolamine salicylate
Bemotrizinol (Tinosorb S) • Dioxybenzone • Drometrizole trisiloxane (Mexoryl XL) • Iscotrizinol (Uvasorb HEB) • Octocrylene • Oxybenzone (Eusolex 4360) • Sulisobenzone • hybrid (chemical/physical): Bisoctrizole (Tinosorb M) • physical: Titanium dioxide, Zinc oxide
3/20/13 Reviewed by Louise Chang, MD on WebMD.com
This presentation showed anatomical pictures of the sciatic nerve, and discussed bulging or ruptured discs causing sciatic pain. It also discusses muscle strain. There are also great anatomical slides showing herniated discs. It defined spinal stenosis, a narrowing of the space around the spinal cord. And spondylitis, chronic back pain and stiffness due to severe inflammation of the spinal joints. It also discussed stretching, yoga, physical therapy, massage therapy (a study showed that after 10 weeks, people got benefits which lasted at least 6 months. It mentioned that acupuncture results were mixed. It also briefly described nerve root blocks, and of course mentions surgery: removal of a herniated disc, widening the space around the spinal cord, or fusion of two spinal vertebrae together.
My thoughts: the pictures were beautiful. It was good for me to read what the general public is reading about back pain. For me, I wish there was more detail about just about every slide presented here. There were about 25 slides in all. Regardless it was a good introduction to the world of lower back pain, and I was introduced to the terms flexion exercises for the back vs. extension exercises for the back.
3/19/13 (CME 1.5 hours) Memorial Medical Center, Modesto, CA. Talk by Kerry Johnson, Founding Partner and Chief Innovation Officer. Phone 602-617-4261. kerry [at] hpiresults.com
Topics included Principles of High Reliability Organizations (HROs). Risk = Probability x Consequence. We make about 20 mistakes per day. Make patient safety a top priority and a core value.
Great quotes from the talk "Stupidity should be painful." "Don't expect, inspect." "Turn Swiss cheese into American cheese" (this is about having holes in our defenses against mistakes).
My favorite take home application to what I do is to try to inspect more items and details and thus have greater results.
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www.surgerytoday.com homemade website by Calvin Lee, MD and Tzuying Tammy Wu, MD, Modesto, CA
Date of edit: 04/20/2013
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