Surgical Products: Can you discuss how new health care legislation could affect hospital protocols for preventing infection? How will this change the standards hospitals have in place for preventing infection? Crosby : The Patient Protection and Affordable Care Act contains a national quality improvement strategy that includes improving patient health outcomes such as infection rates.
Imagine having a medical device that is being tested in multiple centers, but one doctor thinks the device has problems. He says so at a national conference despite glowing reviews by others. Should the company sue the doctor for liable and remove him from their investigative panel? Today, it seems that might not be such a good idea.
“I need you to do me a favor,” my nurse asked me at the end of our day on Friday. “Sure,” I answered, “what do you want?” “Please have a better week next week,” she said with a pained expression. “I don’t think I can handle another one like this week.
When doctors want their patients asleep during surgery they gently turn the gas tap. But Anaesthetic gasses have a global warming potential as high as a refrigerant that is on its way to be banned in the EU. Yet there is no obligation to report anaesthetic gasses along with other greenhouse gasses such as CO2, refrigerants and laughing gas.
Medical errors have been in the news lately. An Ontario provincial review probing unnecessary surgeries at a Windsor hospital found significant concerns with the work of a pathologist involved in a mistaken mastectomy case.
Dr. Vipul Patel Surgical Products recently had the opportunity to discuss current and future trends impacting robotic surgery with Dr. Vipul Patel, medical director of the Global Robotics Institute at Florida Hospital in Orlando. Dr. Patel has peformed over 4,000 robotic prostate removal surgeries in his career and been involved with robotic surgery techologies from its beginnings more than 10 years ago.
For those of you who didn't know, I entered the National Novel Writing Month contest (which has no winners). I got to the goal of 50,000 words yesterday. One of the main questions that is asked in my novel (which may or may not ever see the light of day) is this: What would happen if a wonderful cure came along that would take away most, if not all sickness? Remember, it is fiction.
So there was a neurosurgeon who called a plumber for a house visit. The plumber arrived and after spending an hour bestowed the neurosurgeon a bill of $500. The surgeon was stunned; he said, “Even I don’t charge this much after a surgery.” The plumber stood up, gave him a sly look and said, “well that is why I am a plumber now; I used to be a neurosurgeon.
What makes a good surgeon? Pushing the acceptance of new technologies in the name of improving patient care and outcomes? Earning respect amongst one’s peers and co-workers? Being recognized with academic accreditations and awards? Staying in touch with patients and showing concern for more than just the procedure at hand? The answer, of course, is yes to all these questions.
There’s little question that CT scans are on the rise, especially in the emergency department. A recent paper from Radiology put a number to the increased frequency of the test, concluding, CT, a radiology tool that once took nine days to finish, was used 16.2 million times in 2007 to diagnose headaches, stomach aches, back pain, chest pain and the like.
“Write only if you cannot live without writing. Write only what you alone can write.” -Elie Wiesel My patient needed a way to deal with his loss. Between the loss of his lung function and my surgery to remove his voice box, his life had really changed. Two of his biggest pleasures, an energetic round of golf and a ride in the hills on his bicycle, were no longer possible.
There are some lessons we learn and keep re-learning in medicine. For me some of these recurring lessons are, Listen to your “gut.” Pay attention to the clues. Listen to your team. Don’t be afraid to call for help. and Stick to your guns when advocating for your patient.
A fellow physician called me with a consult this afternoon. He described the case as a 60 year old who had stridor (difficulty breathing) for the past week and was admitted to the hospital recently. A CT scan showed lymph nodes in his neck which was compressing the trachea, and other scans didn’t show much better.
At the start of my surgical training, I helped to care for a middle-aged patient who was struggling to recuperate from a major operation on his aoarta, the body’s central artery, and the blood vessels to his legs. As the days wore on, the surgeon in charge began consulting various experts until the once spare patient file became weighted down with the notes and suggestions of a whole roster of specialists.