During my training, I took care of a man in his 50s with a devastating surgical complication: His abdominal incision had split open a week after an emergency operation. Even after we had taken him back to the operating room, sewn the deepest layer of his abdominal wall closed and treated the infection that had caused his wound to fall apart in the first place, he still had a three-inch long crevice along the middle of his belly.
How to achieve compliance to increasingly robust standards for improved patient safety, risk reduction and staff safety. February 8, 2010 The trend over the last five years has been a continued, dedicated effort to establishing standards and steps for improving patient safety.
By Zoe Kiren Deol, MD, FACS Most every physician I know has hilarious stories of doctor-patient encounters where the patient, when asked his or her medical history, had trouble conveying the name of a medication or procedure that they had taken or had undergone. I distinctly remember my first such encounter with medical translation.
According to an abstract in the September 2009 issue of the supplement to the Journal of the American College of Surgeons, ventral hernia repair (VHR) has been identified as one of 10 general surgery procedures responsible for over half of complications and extended hospital stays. The researchers included Brook V Nelson MD, Fengming Tang MS, Philip Jones MS, John Spertus MD, MPH and Kimberly Brown MD, of the University of Missouri-Kansas City, St.
Except, of course, that it did… A patient comes in with the entirely understandable complaint of “I have a fishbone lodged in my throat”. Came straight from dinner to the ED. When I ask a stupid question I’m given a stupid answer: “It feels like…a fishbone…”.
By Zoe Kiren Deol, MD, FACS When my good friend, Amy, called to tell me that her new house in the Chicago suburbs had been broken into, I didn’t realize that was only half of the problem. The other half was that she had also injured her neck and was losing sensation and strength in her right hand.
Reiza Rayman, MD is the president of Tital Medical and holds a destinctive PhD in robotic surgery.. Reiza Rayman MD, is the president of Titan Medical and also holds a distinctive PhD in robotic surgery. This rare combination of knowledge and perspective has helped spearhead what may be the first significant competitor to Intuitive Surgical’s da Vinci® surgical system.
One of my favorite patients died last week. My reaction to this was not quite what you would think: I smiled. No, I didn't smile because of his death; I smiled because of his life. I smiled because I got to be a part of that life. His death wasn't his tragic end, it was the exclamation point to his life.
The march is on across the American healthcare landscape to implement electronic health records that also function as decision-support systems. These “advanced” electronic health records will both provide centralized records and assist providers in making care decisions such as implementing therapy and utilizing evidence-based practice on the individual patient level.
A few weeks ago Apple announced an event to be scheduled on January 27th, at 10am. The invitation read, “Come see our latest creation.” Most of the tech community has all but assumed this event will be used to launch the much anticipated and hyped Apple tablet. The hype machine has reached fever pitch, with analysts and bloggers salivating at how this Apple product will "revolutionize" the Tablet platform, similar to what the iPhone did for the mobile phone.
Early this year, TransEnterix plans to launch its SPIDER™ Surgical System, a completely new and innovative platform to facilitate minimally invasive surgery in the OR. In an exclusive interview, Surgical Products talked with Todd M. Pope, CEO of TransEnterix about the development of this technology and how the company is looking to create a ‘new class of surgery’ as procedures continue to become less invasive.
When a reader responded to Dr. Zoe Kiren Deol’s column in Monday’s First Cuts e-newsletter it sparked her to write another column in response. I think you did a great job explaining your thoughts on medicine today. I am a general surgeon in my 35th yr of practice and trying to decide when to retire.
Not long ago, a friend confessed that her son, who spends much of his free time volunteering at a children’s hospital and who is applying to medical school, has been particularly anxious about his future. “His test scores are just O.K.,” my friend said, the despair in her voice nearly palpable.
Dr. Shawn M. Garber, MD, FACS, is the Director of the Long Island Institute for Minimally Invasive Surgery and New York Bariatric Group in New Hyde Park, NY. He also works as Chief of Bariatric Surgery and Chief of Mid-Level Practitioners at Mercy Medical Center in Rockville Centre, NY.
By Zoe Kiren Deol, MD, FACS Back in the day (oh how I hate the fact that I am old enough to say that!), there was one question that never entered my mind as I made my way through medical school. That question was, “Do I want to practice medicine?” Today, it is a different story.