A surgeon discusses why retained surgical items occur, and what needs to be done to prevent this problem. May 25, 2011 For the past 10 to 12 years, Verna Gibbs, MD, a general surgeon at San Francisco Veterans Affairs Medical Center and professor of clinical surgery at the University of California-San Francisco, has been pondering the issue of retained surgical items (RSI).
By Alfons Pomp, MD, FACS, FRCSC Leon C. Hirsch Professor, Vice Chairman, Department of Surgery, Chief, Section of Laparoscopic and Bariatric Surgery Weill Medical College of Cornell University New York Presbyterian Hospital May 23, 2011 Twelve years of doing laparoscopic weight loss surgery permits a surgeon to have a robust series of memorable cases.
Every Friday morning, the patient, a homeless man in his 60s, lumbered into one of our exam rooms, slipped off the running shoes he wore like bedroom slippers and gingerly lifted his swollen legs so we could remove the medicated bandages and examine the raw wounds on his inner ankles. Those baseball-size leg ulcers were only one of his many medical problems.
The best laid plans of mice and men often go awry. -Robert Burns Her eyes were lowered, and she would not meet my gaze. I was certain I knew why. I skimmed her chart and reviewed my notes. “How have you been doing since your last clinic visit?” I asked.
This was a female patient, about 40 years old, who had a prior gastric bypass done by another institution. About eight years later, she came to us with chest pain, nausea, vomiting and a bowel obstruction. When we worked her up, we realized she had a herniation of her gastric pouch and Roux limb into the posterior mediastinum.
I was in practice about five years and was about to do a radical nephrectomy on a patient. I met with the patient and his son in my office and the son informed me that he and his father were Jehovah’s Witnesses and that he didn’t want his father to receive any blood or blood products before, during, or after surgery.
What was one of your most challenging bariatric surgery cases? How did you handle it, and what advice do you offer fellow surgeons facing a similar case? May 17, 2011 One of the most challenging cases I had to deal with was a female with a previous history of gastro esophageal reflux that underwent a laparoscopic Nissen fundoplication five years prior.
Whenever I speak about social media to doctors across the country, I often get asked, “How do I deal with a negative online review? ” Here’s one way not to handle it: sue the patient writing the review.
LED technology has come a long way. Today’s systems provide exceptional illumination, lightweight designs and extended battery life. While the technology does not yet match the intensity output of the more common Xenon powered light source, there is certainly a place in the medical arena for these systems.
Two life-sciences entrepreneurs are launching the first procedure-specific software modules for robot-assisted surgery. Through a combination of simulation and haptic technologies, these first-of-their kind training modules guide novice surgeons' hands through every step of four key robot-assisted surgical procedures, helping users to become proficient in these highly complex operations, toward the goal of ensuring patient safety and improving surgical outcomes.
Recently the college-age daughter of a friend talked to me about her dream of becoming a doctor. She was doing well as a psychology major and in her pre-medical courses, was working as a research assistant for a pediatrician at a nearby medical school and volunteered on the cancer ward at a children’s hospital.
Most OR Manager’s will only purchase new surgical lights once during their tenure at a specific facility. Needless to say you want to explore all your options before making a decision. The first and easiest decision will be choosing between the benefits of LED (light emitting diode) surgical lights or conventional halogen surgical lights.
A failed treatment, a surgical complication, a medical error, a patient death. When the going gets tough, even the toughest clinicians should get help. Physicians and nurses who feel personally responsible for a medical error or a patient’s injury face an immediate quandary—their next patient.
The iPad has received a significant amount of attention in the health care arena since its introduction last year. The attraction is fairly obvious; it is a portable, lightweight, powerful computing device with an intui-tive interface and a large library of built-in applications. In fact, major medical schools such as Stanford and University of California, Irvine have made decisions to provide iPads to all incoming medical students this year.