Dennis L. Atienza, MD - General Surgeon

03/07/2025

Gallbladder removal surgery Open cholecystectomy is a surgery where your gallbladder is removed through a single, larger incision in your abdomen. The proced...

02/07/2025

Gallstones….

23/05/2025

MUST READ FOR ALL KIDNEY PATIENTS..

Should you completely stop eating protein if your kidneys are sick? You are totally wrong! Today I will tell you a truth that subverts your cognition: you need to eat the right protein when your kidney function declines! Come and see the secret of eating protein wisely~
🔍Although the kidneys are damaged, the body still needs protein every day👇:
✅ Prevent muscle loss (kidney patients are most afraid of being skinny!)
✅ Maintain immunity (avoid colds and infections every other day)
✅ Help wound repair (especially important when undergoing surgery or injury)
✅ Produce important hormones (such as hematopoietic hormones)
⚠️ But eating protein randomly will make the kidneys more tired, so you must master the "golden way of eating"!
🎯 The "Diamond List" of Protein
These high-quality proteins are most recommended👇:
1️⃣ Eggs - Champion in bioavailability!
2️⃣ Fish - Rich in anti-inflammatory omega-3
3️⃣ Chicken breast - Low fat and high protein
4️⃣ Tofu - Top student among plant proteins
🚫 Be careful with these proteins👇:
✖️ Sausage and ham (additives hurt kidneys)
✖️ Animal offal (purine bomb)
✖️ Protein powder (doctor's guidance required)
💡 Tips: Eat protein "in small amounts and multiple times", don't concentrate on one meal!
❗ Important reminder
1. Different kidney disease stages have different needs
2. Dialysis patients need more protein
3. Be sure to cooperate with regular blood tests
❓How do you usually supplement protein? Leave a message to share your eating method!


Repost from Philip Mendoza Cabrera

23/05/2025

12/04/2025

Here are the common signs and symptoms of breast cancer explained in simple terms:

*Common Signs:*

1. *Lump or thickening*: A new lump or thickening in your breast or underarm area that feels different from the rest of your breast tissue.
2. *Change in size or shape*: A change in the size or shape of your breast, such as one breast becoming larger or lower than the other.
3. *Dimpling*: Dimpling or puckering of the skin on your breast, making it look like the skin of an orange.
4. *Redness or scaliness*: Redness, scaliness, or inflammation on your breast or ni**le.
5. *Ni**le discharge*: Discharge or bleeding from your ni**le that's not milk.

*Common Symptoms:*

1. *Pain or tenderness*: Pain or tenderness in your breast, especially if it's new or persistent.
2. *Swollen lymph nodes*: Swollen lymph nodes under your arm or near your collarbone.
3. *Numbness or tingling*: Numbness or tingling in your breast or underarm area.
4. *Skin irritation*: Skin irritation, such as itching, burning, or rash.
5. *Change in ni**le position*: Your ni**le turning inward or becoming inverted.

*Less Common Signs and Symptoms:*

1. *Swollen veins*: Swollen veins on the surface of your breast.
2. *Peeling or flaking skin*: Peeling or flaking skin around your ni**le or breast.
3. *Change in breast temperature*: A change in breast temperature, making one breast feel warmer or cooler than the other.
4. *Enlarged pores*: Enlarged pores on your breast skin.
5. *Discharge or bleeding*: Discharge or bleeding from your ni**le that's not milk.

*Important:*

- Most breast lumps are not cancerous, but it's essential to get them checked by a doctor.
- Some breast cancers may not show any symptoms until they're quite large.
- Early detection is crucial, so perform regular breast self-exams and get annual mammograms starting at age 40.

If you notice any unusual changes or symptoms, consult your doctor or a breast cancer specialist.

Source:

- American Cancer Society (ACS)
- National Breast Cancer Foundation (NBCF)
- World Health Organization (WHO)

Please consult your surgeon for personalized advice and diagnosis.

02/11/2024

If you suspect you have an inguinal hernia, here are some common signs and symptoms to look out for:

*Common Symptoms:*

1. *Bulge or lump*: A noticeable bulge or lump in the groin area, which may be tender to the touch.
2. *Pain or discomfort*: Aching, burning, or sharp pain in the groin, thigh, or sc***um, especially when coughing, lifting, or bending.
3. *Heaviness or pressure*: Feeling of heaviness, pressure, or dragging sensation in the groin.
4. *Swollen sc***um*: Swelling of the sc***um in men.
5. *Nausea and vomiting*: In severe cases, especially if the hernia becomes incarcerated (trapped) or strangulated (cut off from blood supply).

*Other Signs:*

1. *Increased pain with activity*: Pain worsens with physical activity, heavy lifting, or straining.
2. *Relief with rest*: Pain subsides when lying down or resting.
3. *Visible bulge when coughing*: The bulge becomes more pronounced when coughing or straining.
4. *Difficulty lifting*: Struggling to lift heavy objects due to discomfort or pain.
5. *Burning sensation*: Feeling of burning or warmth in the groin area.

*Red Flags:*

Seek immediate medical attention if you experience:

1. *Sudden severe pain*: Intense pain in the groin or abdomen.
2. *Vomiting blood*: Vomiting blood or passing black, tarry stools.
3. *Fever*: High fever, usually above 101.5°F (38.6°C).
4. *Tenderness*: Severe tenderness or swelling in the groin.
5. *Inability to pass stool or gas*: Difficulty passing stool or gas.

*What to Do:*

If you suspect you have an inguinal hernia:

1. *Consult a doctor*: Schedule an appointment with your primary care physician or a general surgeon.
2. *Get a physical exam*: Your doctor will perform a physical examination to confirm the diagnosis.
3. *Imaging tests*: Your doctor may order imaging tests, such as an ultrasound or CT scan, to confirm the diagnosis.
4. *Follow treatment recommendations*: Your doctor may recommend watchful waiting, lifestyle changes, or surgery, depending on the severity of the hernia.

Remember, if you're experiencing severe symptoms or red flags, seek immediate medical attention.