One morning during my training, I noticed that the belly of a patient in the I.C.U. had grown rounder and tighter overnight. The patient had gone through a difficult liver transplant a day earlier and was bleeding, it seemed, into his abdomen. I was the newest member of the transplant team, but even so, I knew what had to be done right away: We had to take this man back to the operating room.
It was in my second year of medical school that I learned one of the most important lessons of my career: That it can be hard to distinguish truth from a perfectly good answer. Certainty was what I craved the most back then, poised as I was on the threshold of my medical career. But my first patient would cure me of certainty forever.
WakeMed Health & Hospitals is an 870-bed private, not-for-profit healthcare system based in Raleigh, N.C. Its system includes two full-service hospitals, two stand-alone emergency departments, Children’s Emergency Department, Children’s Hospital, Rehab Hospital, Heart Center as well as multiple outpatient centers and rehabilitation facilities.
Earlier this month, at the third annual American Medical Student Association Patient Safety and Quality Leadership Institute, I listened with sympathy — and, frankly, a certain amount of discomfort — to a fourth-year medical student’s account of his grandmother’s recent hospitalization at a well regarded inpatient facility in New York City.
January 31, 2011 The answer to that question is a surprisingly resounding “No!” The medical software industry is far from supporting the iPad on a meaningful scale. Buyers would think that vendors eager to grow market share would quickly adopt new, flashy technologies, but software vendors are surprisingly slow to react.
This past week while spending time with nonmedical friends, I found myself referring to what health care experts have been touting as the system’s best hope for the future. My friends, eager to learn more and always game for any clarification of the health care system, leaned in to hear me expound on accountable care organizations, or A.
With the increasing concern about healthcare-associated infections (HAI), health care facilities are looking to new technology to help them prevent infection. Here, Surgical Products talks with Valerie Martinez, RN, Head of Infection Control for Palomar Pomerado Health System (PPH) as its facilities begin using the Xenex Disinfection System , a pulsed xenon UV room disinfection technology that has been proven effective in deactivating and removing infection-causing bacteria, viruses, mold, fungus and spores from both surfaces and the air.
Truth, and goodness, and beauty are but different faces of the same all. -Ralph Waldo Emerson A smile filled her face eternally and she seemed incapable of ever being self-conscious. Despite that, the first time she arrived at my office for an appointment, my eyes were drawn — not to her smile or the twinkle in her eye, nor to the stark whiteness of her upper denture — but to the surgical scars crisscrossing her lower face and cheek.
A Q&A with John S. Foor, MD, a vascular surgeon and infection prevention specialist at Mount Carmel Vascular and Vascular surgeons of Ohio, Mount Carmel Medical Center in Columbus, Ohio. January 26, 2011 The government has cut reimbursement for treating certain healthcare-associated infections and has issued an action plan to prevent infections, including vascular catheter-associated bloodstream infections (BSIs) and surgical site infections (SSIs) following coronary artery bypass graft.
Professors at the University College London (UCL) have helped an engineer develop and evaluate a device to repair a defect in his own heart. The extraordinary collaboration has proved so successful that a further 19 people have undergone the same pioneering operation. Engineer Tal Golesworthy was suffering from a defect in his aorta — the main artery for carrying oxygenated blood — that left it in danger of splitting.
As Doctors Age, Worries About Their Ability Grow About eight years ago, at the age of 78, a vascular surgeon in California operated on a woman who then developed a pulmonary embolism. The surgeon did not respond to urgent calls from the nurses, and the woman died. Even after the hospital reported the doctor to the Medical Board of California, he continued to perform operations for four years until the board finally referred him for a competency assessment at the University of California, San Diego .
Background: Valley Medical Center Valley Medical Center (VMC), Washington State’s first public district hospital, is the largest nonprofit healthcare provider between Seattle and Tacoma, serving over 400,000 residents as a regional center op erating a network of 12 community clinics throughout King County.
One of my best friends in med school was an O.B. nurse. Though she has moved almost all the way across the country and I haven’t seen her since I was in school, we’re still in touch and expect to be seeing each other at last in a couple of months. By some coincidence one of my best friends now is also an O.