Program 486,
  August 19, 1997

 

A. The Magic Wand Of The Future
B. How To Reduce Radiation Exposure At The Dentist
C. Better Ways To Treat Carpal Tunnel Syndrome
D. Treating The Mind, Body & Spirit
E. The Facts About Fibroids


A. The Magic Wand Of The Future

Narrator: This is Science Today. Imagine a surgical future without stitches or scarring? Well, researcher Luiz Da Silva of the Lawrence Livermore National Laboratory says such an idea has been in the works a while.

Da Silva: It's kind of the vision we all have. You walk into the emergency room with a big cut, the doctor pulls out a magic wand, waves it over the cut and you walk away healed.

Narrator: The magic wand would be a laser which would seal tissues together with a strong solder made of human proteins.

Da Silva: The consistency is like egg white. It does a better mating of the two surfaces - that's important in the whole healing and welding process. The solder just basically acts, we hope, for a week or two weeks, eventually the body takes over and starts to really put in the correct bonding and welding.

Narrator: The main problem now is the strength of the solder, which Da Silva is working to improve.

Da Silva: Until it's 100 percent and has comparable strength to sutures, there's going to be a real barrier to getting it into the clinical.

Narrator: Once that barrier is overcome, Da Silva says the potential market is huge. For Science Today, I'm Larissa Branin.


B. How To Reduce Radiation Exposure At The Dentist

Narrator: This is Science Today. Dental x-rays, are key to diagnosing and treating a patient's condition. But Dr. Stuart White, who heads UCLA's Oral Radiology Department, says patients should work with their dentist to minimize their radiation exposure.

White: The name of the game is getting the most diagnostic information with the least amount of radiation. The amount of radiation one gets from a dental x-ray exposure is very low. But it's not zero.

Narrator: White recommends patients bring records of old x-rays to new dentists and be aware of tools of the trade, such as film speed..

White: Dentists have been using D speed film, but for about the last ten years, there's a new type of film called E speed film, and it requires only half the exposure of D speed film.

Narrator: Another tip, is to ask if your dentist uses rectangular collimation, which reduces radiation exposure.

White: You know your dentist is using rectangular collimation when the shape of the tube coming from the x-ray machine pointed towards your jaw is a rectangle, rather than a large circle.

Narrator: For Science Today, I'm Larissa Branin.


C. Better Ways To Treat Carpal Tunnel Syndrome

Narrator: This is Science Today. A more efficient, less-invasive technique to treat carpal tunnel syndrome is being worked on at the Lawrence Livermore National Laboratory. Engineer Robert Van Vorhis (VORS) says the new technique involves endoscopes.

Van Vorhis: Endoscopes are like little telescopes that you go into the body with and traditionally, they've been used in the abdomen and in the abdomen all the organs are different colors.

Narrator: But in joint spaces, the tendons, ligaments and nerves are the same white color, which make visualization a problem and can impede the success rate of surgery. So, Van Vorhis and his colleague, Lee Haddad (HUH-DAD), are using advanced optics to get a clearer picture without all the glare.

Van Vorhis: You can think of it as image processing at the speed of light. The optic solution will become potentially part of the endoscope itself and the physician may never even know about this part in specific, but they'll be able to benefit from it's function.

Narrator: And so will patients. The Lab is currently working with an industrial partner to create a cost-effective prototype. For Science Today, I'm Larissa Branin.


D. Treating The Mind, Body & Spirit

Narrator: This is Science Today. A recent survey published in a major medical journal reported up to half the patients interviewed participated in some type of alternative or complementary therapy. Dr. Jason Tokumoto, an AIDS specialist at the University of California, San Francisco, says these statistics are hard to ignore.

Tokumoto: I think that for the medical profession to dismiss that, it's a real big mistake. because I think that it is something that's going to continue to expand and grow.

Narrator: Among his HIV-positive patients, Tokumoto is finding good results combining standard treatment with spirituality support.

Tokumoto: For different people it means different things and I think just the word Aspirituality@ often can turn off people. I've always felt that the spiritual aspect of a person to be very critical in maintaining good health.

Narrator: Tokomuto says that's because maintaining hope can boost the will to live. For Science Today, I'm Larissa Branin.

E. The Facts About Fibroids

Narrator: This is Science Today. Every year, nearly six hundred thousand women have hysterectomies, making it the country's second most common major surgery after cesarean. Dr. Scott Goodwin, an interventional radiologist at UCLA, says one of the most common reasons for a hysterectomy is fibroids.

Goodwin: Fibroids are benign tumors of the muscle of the uterus. They tend to affect women who are in their forties or are approaching menopause. No one knows for sure why some women get fibroids, although there does seem to be some genetic component.

Narrator: Goodwin has been treating patients with a non-operative alternative to hysterectomy called embolization, in which the blood flow to the fibroid is blocked off and essentially dries up.

Goodwin: The way it's done is to put a small plastic tube or catheter in the arteries to the uterus and then inject some small plastic particles and they float out in the bloodstream and they mechanically block the blood flow.

Narrator: For Science Today, I'm Larissa Branin.

 

 

 

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