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March 6, 2025 32 mins

Welcome back for this Part Two conversation with host Dr. Randy Lehman and distinguished breast surgeon, Dr. Mel Johnson. Listen for a technical walkthrough on sentinel lymph node biopsy, plus a very unique bonus “How I Do It” section involving surgery on a farm! Stay through the end for Dr. Johnson’s powerful encouragement for the new resident who might wonder what life looks like ahead.

 

00:00 Introduction

02:39 How I Do It: Sentinel Lymph Node Biopsy

05:43 Ongoing Trials in Breast Cancer Surgery

13:27 How I Do It: Patient Prep

20:54 Resources for the Busy Rural Surgeon

21:57 How I Do It: Piglet Hernia Repair

26:52 Financial Corner

28:43 Classic Rural Surgery Story

 

Resources Mentioned:

 

NCCN Guidelines

CoC Guidelines

New England Journal of Medicine article: "Sentinel Lymph Node Biopsy in Early Stage Breast Cancer: Is It Obsolete?" by Monica Morrow (December 2024)

INSEMA trial - Ongoing clinical trial on sentinel lymph node biopsy in breast cancer

SOUND trial - Ongoing clinical trial on sentinel lymph node biopsy in breast cancer

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