Thank you for nearly kicking me in the face when I tap on your knees to test your reflexes. Thank you for peeing all over me after I remove your diaper.Thank you for answering questions that, in any other context, are completely obnoxious and rude.
Experience at a single center showed an average of 47 percent excess weight loss in patients followed for more than 10 years after LAGB. A review of published studies revealed a mean excess weight loss of 54 percent at 10 years and beyond for patients treated with LAGB or Roux-en-Y gastric bypass (RYGB).
The second term of an Obama administration will be marked for implementing key provisions of the Affordable Care Act (ACA), but the president also wants to focus on lowering tobacco use and obesity rates.
A few years ago, I was sued. I know what it’s like to live with fear, up close and personal. And I know what it feels like to lose.
Physicians underestimate the fact that opening up a digital channel to facilitate post visit, post-surgery, etc. comments and questions can and does provide a very real ROI if you dive into the typical workflow pattern that evolves when a patient calls with questions.
After years of being followed by many specialists – endocrine, pulmonary, infectious disease, dermatology, GI, oncology, ophthalmology -I’ve witnessed how easily a fragmented specialty approach can result in a lack of communication between providers. I then realized the incredible value of my primary care physician. They served as the birds-eye view of my health and looked down the lens of the bigger picture, to views that specialists often overlooked.
They can shine their face upon you and keep the common bile duct from sneaking away from its normal position to a vulnerable point directly behind or even lateral to the gallbladder, or, if angry, can command the ureter to adhere to the back wall of the colon, leaving it vulnerable to division by sloppy surgeons. These gods can be vindictive if not properly appeased.
All people are fallible, and health professionals no less so than others. But medicine is usually less forgiving of simple mistakes. A technically perfect surgery is a disaster because it was performed on the wrong body part. A patient develops a life-threatening infection because a doctor forgot to wash his hands.
Even when the chances of a child’s good outcome are long, I can still proceed optimistically. I can even show my optimism to the child’s family. But, of course, I must also be honest with the family — if the situation is dire, I need to tell them that. But I don’t think those two things are contradictory.
The incredible explosion of biomedical knowledge over the past decade means that schools ask each successive class of students to absorb more knowledge. They ask us to accomplish more with less, and to do it in less time.
There is a little-appreciated issue that I see brewing: doctors (and maybe even patients) are quietly being buried by electronic information overload. As a result, I believe doctors are being placed at an increased liability risk.
I agree with those who say there are “never” events that are totally preventable and should never happen. But I want to set the record straight. Listen to me. Surgeons are not the cause of sponges being left in patients. I’ll explain.
Within the past 20 years, there were close to 10,000 reported instances when a foreign object was left in a patient, the wrong surgery was performed, or the surgery was performed on the wrong patient or wrong part of the body.
I think there are two reasons for such seemingly epic failure. First, how we interface with an EMR. Second, how the EMR tries to impose its will on to us, instead of the other way around.
Regardless of the type of pain, acute or chronic, patients seek relief. Anesthesiologists are committed to relieving pain for patients before, during and after surgery. In addition, anesthesiologists treat chronic pain unrelated to surgery. These physicians have the additional education and training to accurately evaluate, diagnose and treat patients with chronic pain through a comprehensive medical approach.