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Welcome to the Fourth Issueof
Our "Spotlight Feature" Series in which we will highlight;
Dr. Douglas M. Iddings FACS Fellowship Trained Surgical Oncologist Special Expertise: Endocrine Surgery; Thyroid, Parathyroid, Adrenal. Gynecologic Oncology; Head and Neck Squamous cell carcinoma. Hepatobiliary Surgery; Liver, Pancreas, Melanoma. Robotic Oncologic Surgery; Soft Tissue Cancer Sarcoma. Surgical Oncology
This I believe… "World-class surgical training provides the knowledge and skill, while state-of-the-art technology allows surgery to be taken beyond the limits of the human hand. I believe in this mission, with courage and determination even the seemingly impossible, is possible…it can be done. I have made a total commitment to the treatment of complex cancer problems; I put everything I am into it – mind, heart, soul and sprit – this is purpose."
-Dr. Douglas M. Iddings-
Dr. Douglas M. Iddings., FACS
About Dr. Douglas M. Iddings DO, FACS.
is a fellowship trained surgical oncologist from the prestigious, world-class, John Wayne Cancer Institute. Dr. Iddings is a native of Michigan who attended Michigan State University medical school and is dedicated to serving the people of this community, and region. In order to provide the highest level of care, Dr. Iddings completed 8 years of additional surgical training after medical school and specializes in the surgical treatment of cancer patients. As a surgical oncologist, Dr. Iddings has unsurpassed surgical training regarding the critical and up-to-date surgical treatment of cancer and orchestrates the best timing of different additional therapies such as chemotherapy and radiation if and when indicated. This comprehensive specialty care results in better outcomes when treating the most serious conditions.
Dr. Iddings is a surgeon scientist and is an associate clinical professor of Michigan State University as well as a fellow of the American College of Surgeons. Dr. Iddings actively participates in clinical trials and through research can find solutions to currently unsolved cancer problems. Widely recognized as an expert in the field, Dr. Iddings serves as a reviewer for the most prestigious surgical journals and frequently participates in national and international cancer symposiums.
Dr. Iddings is consistently recognized as one of Michigan’s favorite physicians and has been awarded the “Patients Choice” award every year since starting practice. While in the office you may hear the “cancer victory bell” ring (pictured above), this signifies a significant milestone in a patient’s life such as complete remission of disease or cure; moments like this give us all strength. This type of care, delivered in this way, makes a difference that cannot be measured.
Dr. Iddings utilizes state-of-the-art surgical techniques including: the most comprehensive standard open surgery, minimally invasive surgical techniques and even nonsurgical, image-guided thermal ablation of solid tumors (radio-frequency ablation). An innovative area of minimally invasive surgery includes robotic surgery which has a developing role in the treatment of cancer. Dr. Iddings is a leader in the field of robotic surgery and performs a wide range of complex robotic procedures in his efforts to treat cancer. These efforts, on the frontier of minimally invasive surgery, result in maximal surgical effectiveness while limiting the physical and emotional pains of treatment.
Think about it, it just makes sense, the future of surgery includes: enhanced visualization, superior instrument dexterity, optimization of surgical efficiency – particularly when there is no margin for error. This existing technology is taking surgery beyond the limits of the human hand.
What is Surgical Oncology?
Surgical oncology refers to the type of oncology that treats cancer via surgery, generally by removing tumors or cancerous tissue. There’s some confusion on exactly who practices surgical oncology and this may vary. Many times when surgical treatment of cancer is warranted, doctors called upon are general surgeons. Yet other times, those who practice surgical oncology have trained specifically in this subject for some time and are part of a small group of specialists.
Anyone who practices surgical oncology, regardless of title, can be skilled at the surgical removal of tumors in most of the body. Other types of surgeons might remove tumors in the spine, skeletal structure or brain. This is usually only the beginning of cancer treatment for people. After undergoing tumor removal, patients may require the services of a medical oncologist who will help administer chemo and look for signs of remission or recurrence. In fact, it may frequently be the case that a medical oncologist, who is not a surgeon, will refer a patient to a surgical oncologist first for surgery prior to chemotherapy. Medical and surgical oncologists may work closely together to provide best care for patients.
This specialty is considered one of the surgical disciplines and it has different training than non-surgical forms of oncology. At minimum, general surgeons must complete about 5 years of post-medical school residency training in general surgery.
Then competition gets extremely fierce for surgical oncology. There are less than 20 programs in the US offering this specialty. If surgeons get accepted to one of these programs, they spend three more years studying. Moreover, there are now some surgical oncology subspecialties like breast cancer surgery, which may extend length of study time.
While this extra training certainly trains the surgeon well, many people may not every meet a surgical oncologist because they’re few in number. Though surgical oncology is a specialty, the term may only define a way of treatment practiced most by general surgeons. It’s obvious surgical oncologists are very highly trained specialists, but many times this extra specialization isn’t required for excellent care.
Since the term is evolving, it might be better to call surgical oncology both an approach and a discipline. General surgeons practice it when needed to treat cancer, and without having completed a residency in the field they may choose to focus their careers on surgical cancer treatment. On the other hand, a general surgeon might do the occasional oncology surgery and lots of other procedures. This could be true for surgeons in smaller communities who serve a varied population. Source: wisegeek.com
Robotic Surgery videos performed by Dr. Iddings
Total Robotic Whipple with pancreaticojejunostomy performed by Dr. Douglas M. Iddings FACS 2010. This was an "R0 resection" with 26 lymph nodes in a very complex patient. Final Pathology = 3.5cm adenocarcinoma.
Robotic Assisted Parathyroidectomy performed by Dr. Douglas Iddings
Image by; Matt Dixon | The Flint Journal
Robotic whipple's procedure From the article in the Flint Journal
When Orie Lewis was diagnosed with pancreatic cancer he decided to have robotic surgery.
Dr. Douglas Iddings at McLaren Regional Medical Center, performs a new robotic, minimally invasive procedure to remove pancreatic cancer. It is one of a handful of such surgeries being performed in the country and Lewis’ surgery was the first of its kind performed at McLaren.
The surgery involves removing parts of the stomach and pancreas and the entire gallbladder, among other organs, and reconstructing the digestive system. The robotic surgery typically ensures less pain and a shortened recovery, Iddings said. It’s also ideal for patients like Lewis who have pre-existing medical problems, such as heart and lung conditions.
The surgery performed on Lewis — called a whipple — typically calls for a doctor to open a person’s chest and remove cancer with scalpels and surgical tools. Robotic arms make it possible to do all the work through the small cuts in the abdomen. The robot is like an extension of a doctor’s arms and hands, Iddings said. It allows precise accuracy when maneuvering through a patient’s body — the movement of a finger or hand can send the robot to areas that fingers and hands might not reach.
Still, there can be severe complications if a whipple is performed incorrectly. Digestive fluids can eat through a person’s stomach. That can occur in regular and robotic cases.
In Lewis’ case, Iddings said the minimal approach gave his patient a better chance at life. With a few months of chemotherapy left, Lewis is looking forward to hitting the golf course and gardening once spring hits.
Dr. Iddings also uses “thermal ablation” of tumors when surgery is not possible. This technique can be among the least invasive surgical procedures that can lead to cure.
How does this thermal ablation work?
Thermal ablation is also called Radiofrequency Ablation (RFA) and a thin needle electrode is inserted into a lesion under ultrasound or CT guidance. Electrical energy is then delivered through the electrode to the lesion which produces heat within the cells surrounding the electrode.
When all cells within the lesion, as well as a margin around it, are heated beyond the lethal threshold (53°C), the procedure is complete and the tumor remains in place but is essentially “cooked” and the overall treatment effect is similar to surgical resection.
Click hereto see an animation of Radiofrequency Ablation (RFA) being used to treat a liver lesion
Publications authored and co-authored by Dr. Iddings
• Article: Muscle Testing. 2. Reliability In Clinical Use. Date: November 1998 Journal: The Physical Therapy Review
• Article: Association Of Angiogenesis Markers With Lymph Node Metastasis In Early Colorectal Cancer. Date: September 2007 Journal: Archives Of Surgery (Chicago, Ill. : 1960)
• Article: Management Of T2 Gallbladder Cancer: Are Practice Patterns Consistent With National Recommendations? Date: December 2007 Journal: American Journal Of Surgery
• Article: Gastric Carcinoma: Applying The Sentinel Node Paradigm To Improve The Understanding Of Metastatic Patterns And The Possible Role Of Selective Lymphadenectomy. Date: January 2008 Journal: Annals Of Surgical Oncology
• Article: A Rare Cause Of Primary Hepatic Neoplasm: Malignant Peripheral Nerve Sheath Tumor In The Age Of Modern Liver Surgery. Date: March 2008 Journal: The American Surgeon
Some of Dr. Iddings' Patient Reviews
From Vitals.com where doctors are examined
Dr.Iddings is the best! He is the most caring doctor/surgeon. I was sent to a different surgeon he was the rudest and uncaring person and surgeon! Dr Iddings made me feel like a person with caring and understanding. and His staff is awesome Thank you.....-Sep 29, 2011-
GIFTED.... -Sep.19, 2011-
This doctor is a lot younger than you would expect, can't be much over 40. He impressed our family. We were given no hope by another surgeon, but Dr Iddings said there was hope. He gave us the greatest gift. My father was smiling in the car on the way home. He lives still, over a year later. I am so grateful, and my mother prays for Dr Iddings and says she is just trying to help him to help others like he helped Dad. A life changing experience. From the darkness into the light.
PERSONAL CARE IS PRICELESS... -Jul 6, 2011-
One-on-one care with Dr. Iddings has made the difference in my care and in my life.
BEST OF ALL OPINIONS...-Jul 4, 2011-
Had complex problem and went to U of M and Ford. Dr. Iddings was no doubt the best and I went with him. Patients choice and I see why...best care period.
• For Dr. Iddings' Hospital Affiliations please visit vitals.com
Dr. Douglas Iddings Selected For Patients' Choice Award 2011
DAVISON, Mich., Dec. 21, 2011 /PRNewswire-USNewswire/ -- A select few physicians were honored with the prestigious 2011 Patients' Choice Award, and this year they include Dr. Douglas Iddings.
Only doctors who have received top scores by their patients and pass other quality measures are awarded the Patients' Choice Award. In fact, of the nation's 720,000 active physicians, just 5 percent were accorded this honor in 2011.
Every month, millions of patients across the U.S. access websites like Vitals (http://www.vitals.com) to share feedback about their experiences with their doctors. Patients rate various components of the care they receive, such as the accuracy of their diagnosis, the amount of time they spent with the doctor, and the doctor's bedside manner and follow-up care. Patients' Choice ranks the top reviewed physicians and looks at other quality measures to compile its yearly list.
Dr. Douglas Iddings commented on the recognition: "This is quite an honor for me. I am very pleased to have been selected and grateful to my patients who went out of their way to rate me and give me positive reviews."
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