癌症患者施打第三劑COVID-19疫苗之建議：

NCCN(美國國家癌症資訊網)建議癌症患者施打第三劑COVID-19疫苗：
NCCN在2021年2月建議所有接受積極癌症治療的患者都應接種 COVID-19 疫苗，並應優先接種疫苗。
2021年8月，FDA 授權為免疫系統受損的人接種第三劑BNT或Moderna COVID-19 疫苗。
符合第三劑條件的人包括：
實體器官移植受者、
接受癌症治療的人以及
患有抑制免疫系統的自身免疫疾病的人。

新的 NCCN 建議指出，根據美國FDA和CDC的最新決定，以下人群應被視為有資格立即接種第三劑 mRNA COVID-19 疫苗(BNT or Moderna)：

1.實體腫瘤（新的或複發的）在首劑疫苗接種後 1 年內接受治療的患者，無論其癌症治療類型如何。
2.有活動性血液科惡性腫瘤的患者，無論他們目前是否正在接受癌症治療。
3.任何接受過幹細胞移植 (Stem Cell Transplant :SCT) 或工程細胞療法（Engineered cellular therapy, 例如CAR T-細胞）的患者，尤其是在過去 2 年內者。
4.任何同種異體幹細胞移植(Allogeneic SCT)接受免疫抑制治療者或有graft-versus-host disease病史者，無論移植時間如何。
5.任何有其他免疫抑制疾病（例如，HIV）或正在接受與癌症治療無關的免疫抑製劑治療的患者。
補充： 2020發表的一項研究發現，與處於緩解期或沒有癌症證據的 COVID-19 陽性癌症患者相比，同時患有 COVID-19 感染和進展中的癌症患者的30天死亡率風險增加了五倍。

癌症病人施打COVID-19疫苗之建議
推薦閱讀：
NCCN 最新建議：08/30/2021
https://www.nccn.org/docs/default-source/covid-19/2021_covid-19_vaccination_guidance_v4-0.pdf?sfvrsn=b483da2b_70

Fiber-reinforced Bridge…do you know what that is?🤔

When you lost a tooth or teeth, you have a few options to replace it: denture, bridge, implant, braces or more.

She first came in with loose denture replacing her two front teeth. Denture is a good replacement option for missing teeth but with time, it tend to become loosen due to bone resorption (“bone thinning”). Loose denture can be troublesome as it falls out easily (no one wants their teeth falling out during a presentation!😱) and food often get stuck underneath it.

If you ask me, implant is the best option to replace this patient’s missing teeth. However, implants (and not forgetting bone graft) placement can be costly and she is not financially ready for it. Having the option for a new denture or a fiber-reinforced bridge, she decided to choose the latter whilst preparing for her implant budget.

The challenge in this case is the total buildup of the tooth with composite, estimating it’s size/shape/shade and not forgetting occlusion. This is a non-prep case as the patient is biting rather incisally on the anteriors while having good posterior occlusion(thus made her a good candidate for this long span FRB case).

Most of it has to be done chair-side, thus a lot of clinical time has been spent. Note that the 11,21 are shortened as well although I would LOVE to give her a perfect smile arch, due to concerns of her anterior guidance.

Patient was super happy she has semi-permanent teeth inside her mouth and don’t have to worry about her denture falling out anymore. (We both still look forward to the day implants can be placed tho!🙈)

Case selection is important in FRB treatment. It is not for patients who want an easy way out, but for patients who clearly understand ALL the pros and cons of their treatment options and are willing to accept the worst-case scenario.

Okay that’s all, I know I talk a lot but I just wanted to share some of the stuff I’ve learned through this case. 😆 Have a great day y’all!

The final recipe of my confinement food series is now live on my blog! There’s 8 recipes in total and you can search them anytime using the word ‘confinement’ in the search tab.

I am super proud to have a set of Chinese confinement recipes written in English; for new mums-to-be who will be cooking for themselves, or for asking your friends/family/doula (like my amazing doula @marvel.birth ) to help you with confinement cooking.

I’d always wanted to document the hard-graft task of making trotters in vinegar and the obvious ginger wine chicken. Now they finally have a place on my blog. Link in bio.

สวัสดีค่ะ วันนี้จะเป็นคลิปประสบการณ์พาพี่แพทไปปลูกเหงือกมา คลิปนี้ไม่มีสปอนเซอร์นะค้า ขอบอกก่อน ซึ่งที่พี่แพทจะไปรักษา ก็ได้มีการหาข้อมูล ศึกษาก่อนที่จะไป เพราะพี่แพทกลัวเจ็บมาก ไปหารูปดูคือเป็นกลัววว เลยอยากจะมาแชร์ให้เพื่อนๆที่ประสบปัญหาเดียวกัน ลองฟังดูถึงขั้นตอน และการพักฟื้นว่าเป็นยังไงบ้าง ถ้ามีคำถามยังไง สามารถคอมเม้นต์ใต้ล่างนี้ได้เลยนะค้า ลองไปฟังกันดูน้าาา

Follow me
IG : Chopluem
FB page : Chopluempatzytravelpap
For work
Line ID : patzywvq

FINALLY!!!!!

recovery vlog is here!
plastic surgery that i did
- Rhinoplasty
- Breast Augementation
- Fat Graft
- ThreadLifting

CINDERELLA PLASTIC SURGERY

ADDRESS
4F. ARA Tower 1317-16 Seocho-dong, Seocho-gu, Seoul, Korea / TEL : +82-70-7204-2884 / E-mail : cindyen@cindyclinic.com
Line ID - cinderella_en
Kakao ID: cindy0032
Whatsapp: +82-10-6717-0032
Instagram: https://www.instagram.com/cinderella_korea

----------------------- SAY HI----------------------
Coaching program: http://www.missalvyfitness.com
insta: http://www.instagram.com/missalvy

Business enquiries: Work@missalvy.com

Thank for watching, subscribe and join the family lovers!