What, exactly, is a difficult patient? Doctors can tell many tales of what they term as a difficult encounter. Just as many patients can recall doctors whom they would say are difficult to work with as well.
More patients are checking themselves out of the hospital against their doctors’ advice, new government data shows. The Agency for Healthcare Research and Quality reports a 40 percent increase in the number of patients who left the hospital against medical advice over a recent 12-year period.
Currently there are a wide variety of prosthetic implants available today. Choices include permanent synthetic meshes, biologic meshes (considered to be absorbable), hybrid meshes (with permanent and absorbable components) and other options that populate the shelves of our supply closets.
The use of antimicrobial dressings is being investigated to prevent post-op infection. According to Patty Burns, a clinical nurse specialist, wound ostomy continence nurse and Vice President of Clinical Affairs at Smith & Nephew, the cause of surgical site infection (SSI) is pretty straightforward: it all boils down to bacteria.
As a medical student and later during my residency, I trained for some time in a medical center known for its research and clinical trials. Every week, patients with rare diseases and cancers that had not responded to standard therapy arrived from all over the country, eager to try something new, even if the efficacy of the treatments had not yet been proven.
This new microcamera is no larger than coarsely ground salt, which is why it fits perfectly into the tip of the endoscope. (© Awaiba GmbH) There have been medical gloves and shavers for one-timeuse for a long time. In the future, there will also be disposable endoscopes for minimally invasive operations on the human body.
One of the benefits, or aberrations, depending on your point of view, of the fee-for-service model is that we surgeons are remunerated for correcting our mistakes and complications. At first glance this seems wrong. But perspectives differ, and when a doctor has to deal with serious, undeserved complications and is self-employed he deserves to be compensated adequately.
When choosing barrier fabrics such as surgical gowns and drapes for the OR, protection, safety and comfort are three key considerations. 1. Protection. Perioperative personnel need to be protected from splash, splatter, and the transfer of infectious pathogens via blood and body fluids.
“You know more than you should.” It was Saturday, three days after the surgeon’s gentle but unmistakable pronouncement that my wife, Ruth, had breast cancer. I was on the phone with a longtime colleague who was trying to talk me out of my gloomy mood. He reminded me that as a physician at Memorial Sloan-Kettering Cancer Center in New York who only takes care of patients admitted to the hospital, I often see only those who are critically ill.
In this photo taken Feb. 12, 2011, Matthew Rosiello, 21, is aided by his mother Randy as she checks his surgically placed catheter at their home in New York. Matthew is waiting for a liver transplant and is connected to port-a cath throughout the day. Soon after telling him it was time for a liver transplant, doctors gave Matthew more tough news: he wasn't likely to get one any time soon in his home state of New York.
“Give, give, give — what is the point of having experience, knowledge, or talent if I don’t give it away? Of having stories if I don’t tell them to others? … It is in giving that I connect with others, with the world, and with the divine.” - Isabel Allende My office is not unusual.
With the rise of minimally invasive surgery, imaging in the OR has become increasingly important. Furthermore, the ability for facilities to manage the image data captured is crucial. To meet this need, Pointe Conception Medical (PC Medical) in Santa Barbara, CA, has developed the EndoHub™ Hardware and EndoPresence™ Software Suites.
Are Doctors Too Quick to Cut? Does the American medical culture rely too heavily on surgical treatments? Susan Love is president of the Dr. Susan Love Research Foundation and clinical professor of surgery at the David Geffen School of Medicine at the University of California, Los Angeles.