The controversial LICH closure, which health workers, unions, and politicians have fought for months with protests and lawsuits, appears to finally be coming to fruition in New York. Earlier this month, ambulances were ordered not to go to the hospital, so many went to Brooklyn Hospital a mile and a half away. But extreme temperatures, too many patients and an air conditioner problem caused Brooklyn Hospital to start diverting patients.
Experts say that unless another doctor uncovers the telltale signs of a previous surgery – or lack thereof – it is nearly impossible for a patient to know whether a surgery has actually occurred. Even other medical professionals who are in the room at the time of surgery can't always say with certainty that the surgeon has performed an intended procedure.
Obese renal failure patients who have a body mass index (BMI) under 40 kg/m2 derive the same overall survival benefit from kidney transplantation as non-obese patients, researchers found. Standard-criteria donor transplantation was associated with an average 66 percent reduction in risk of death one year after transplant surgery for patients with a BMI under 40.
Despite writing post-operative notes stating that he had performed six procedures on one particular woman, including the removal of torn cartilage, smoothing areas of arthritic wear and removal of soft tissue from within the knee joint, the autopsy and hospital records revealed orthopedic surgeon Dr. Spyros Panos did none of those things.
Telephone follow-up after ambulatory surgery proved acceptable to most patients, saved time and money, and was associated with few complications, investigators in a pilot program reported. Three-fourths of patients contacted by telephone after hernia repair or laparoscopic cholecystectomy accepted the contact as the sole means of follow-up.
Elderly men with elevated levels of low-grade inflammation measured by high sensitivity C-reactive protein (hs-CRP) are more likely to break a bone, particularly vertebrae, a Swedish population-based study showed. Fracture risk was 48 percent higher for the top hs-CRP tertile than all others combined, independent of bone mineral density.
Obese patients who have laparoscopic sleeve gastrectomy keep the weight off in the long run, researchers found. In a single-center study, patients who underwent the procedure lost an average 57.4 percent of excessive body mass index (BMI) over five years, Ralph Peterli, MD, of Claraspital in Basel in Switzerland, and colleagues reported online.
Johns Hopkins Hospital is back on top. After spending 21 years as the country's best hospital, according to U.S. News & World Report, Johns Hopkins Hospital relinquished its crown to Massachusetts General Hospital in Boston in 2012. This year, the roles have reversed yet again.
The brutality of the procedure vividly illustrates the adage that surgery is barbarism with a purpose. But decompressive craniectomy also raises difficult questions regarding trade-offs between quantity and quality of life. Despite many successful recoveries, some remarkable, significant numbers of patients who receive the operation die, or are left profoundly disabled.
Restricting work shifts for postgraduate year one residents to 16 hours appears to have reduced the operative experience of general surgery interns, researchers found. Compared with the four academic years before the change, the year immediately following the restriction saw significant declines in total operative cases, major cases, and first-assistant cases performed by the intern.
We recently spoke with Dave Chavez, CTO of zSpace, Inc. about the future of efficient healthcare. Zspace is a leading-edge technology provider that enables natural interaction with virtual-holographic 3D imagery through its flagship product, zSpace.
Richard Lee Norris made headlines in 2012 when he received a full face transplant – the result of a 36-hour operation that swapped his scarred skin and shattered bones with tissue from a donor. The story begins on Sept. 10, 1997, when the Remington 12-gauge pump shotgun Norris was repositioning in a gun cabinet emptied a round in his face.
It was exactly midnight when Caroline Burns eerily opened her eyes and looked at the operating lights above her, shocking doctors who believed she was dead and were about to remove her organs and donate them to patients on the transplant waiting list.
By self adjusting to the patient in a rapid and reproducible manner, a new positioner may allay ancillary staff anxiety about positioning and allow more effective team participation during the time consuming positioning of the shoulder patient. In this way, the hidden cost of delayed OR turnover and poor positioning may be averted. Moreover, reproducible and rapid positioning may be achieved.
Multiple gunshot wounds to a 36-year-old man's abdomen and right groin led to one difficult case for surgeons at Chicago's Cook County Trauma Unit. The patient developed a massive SIRS response and remained non-closeable for several weeks.