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Surgical Products Daily

They Call Me ‘Dr. Kevorkian’

November 15, 2013 9:41 am | by Jessica Nutik Zitter, M.D. | Comments

I believe in letting the dying determine how and when they die, as opposed to coaxing their organs along at all costs. As one of the only doctors I know who straddles these two worlds, I am struck by how many of my colleagues are surprised, even disturbed, by this pairing...

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Solving The Weekend Effect For Patients In The Hospital

November 14, 2013 9:24 am | by Robert Pearl, M.D. | Comments

If you knew you were going to be admitted to the hospital for a serious and unexpected medical problem, which day of the week would you pick. It sounds like a silly question. You don’t get to pick the day you will become sick, of course. It’s unexpected. And why should it make a difference? Isn’t a hospital with a 24 hour nursing staff and on call physicians the safest place you can be? Not always...

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Everything’s My Fault: How A Surgeon Says I’m Sorry

November 13, 2013 8:58 am | by Lara Devgan, M.D., M.P.H. | Comments

When something went wrong with one of my patients — whether it was his fault, my fault, or someone else’s — it was always my responsibility. When a person trusts you with his life, the buck stops with you...          

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Are 'Safety Scalpels' Safer Than Standard Scalpels?

November 12, 2013 9:17 am | by Skeptical Scalpel | Comments

In their discussion, the authors of a recent study point out that the introduction of safety scalpels might have the opposite effect on safety due to factors such as personnel not being familiar with how they work and that safety scalpels have never been subjected to rigorous evaluation by failure mode and effects analysis. And they noted that injuries related to the use of safety scalpels have been reported...

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The Benefits Of A Free, Web-Based EHR

November 11, 2013 9:05 am | by David Wyatt, M.D. | Comments

As a physician who uses a free EHR, I chuckle at stories trying to drum up fear and uncertainty about these systems. Though free EHRs have become mainstream, there still seems to be a clever news angle in highlighting their supposed pitfalls. We live in a time when Google offers all of its services online for free, but many doctors question that you can have a free EHR with no strings attached...

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Physicians Are The Biggest Driver Of Health Costs

November 8, 2013 9:20 am | by Kenneth Lin, M.D. | Comments

The U.S. healthcare non-system provides physicians with numerous incentives to “do the wrong thing” in patient care. The more services we provide, the more money we make...             

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Do More Hospital Resources Equal Better Care?

November 7, 2013 9:13 am | by Skeptical Scalpel | Comments

For surgical patients, the answer is "Yes." A recent study from England found that mortality rates for patients admitted with high-risk general surgery diagnoses were significantly lower in National Health Service Trust hospitals that used more CT scans and ultrasounds and had more ICU beds...

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Should All Surgeons Have Video Assessments Of Their Skills?

November 6, 2013 9:30 am | by Skeptical Scalpel | Comments

Last month, a superb study by the Michigan Bariatric Surgery Collaborative showed that the more skilled surgeons were, the better were their outcomes. I agree that the study was well-done and shows that technically better surgeons have better outcomes. But there are some problems with generalizing this to all surgeons...

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Why Insurance Is The Wrong Model For Healthcare

November 5, 2013 10:17 am | by Paul Laband, MD | Comments

Insurance, in its traditional form, is the wrong model for healthcare financing. It is the wrong commodity to be bought and sold. We don’t need health insurance, and I will tell you why. I will also tell you what we do need...    

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A Window Into The Inner Sanctum

November 4, 2013 9:15 am | by Bruce Campbell, MD, Medical College of Wisconsin Otolaryngologist | Comments

I love my work and I still have a sense of coming home every time I enter an operating room. When I started, crossing that threshold always felt like stepping into an inner sanctum. Even after forty years, as I greet my co-workers, it still feels that way...

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A Vital Measure: Your Surgeon’s Skill

November 1, 2013 9:35 am | by Pauline Chen, M.D. | Comments

To those of us in training, the hospital was cursed. At least when it came to a certain operation. We dreaded being asked to scrub in at these operations because we knew we would be forced to hold patient parts until our fingers went numb and arms quivered...

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Two Kinds Of Hospital Patients: Admitted, And Not

October 31, 2013 9:30 am | by Paula Span | Comments

Legislation to allow any time spent in a hospital — as an inpatient or outpatient or both — to count toward the three-day requirement for skilled nursing coverage has gone nowhere in two Congresses, but it has acquired more than 100 House sponsors from both parties and more than 20 in the Senate. That may be the more likely situation, someday...

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The Anatomy Of A Good Doctor

October 30, 2013 9:55 am | by Elizabeth Scarboro | Comments

I met Dr. Stulbarg when I was twenty-two, and had just moved in with my boyfriend Stephen. Stephen had cystic fibrosis, but he’d been unusually healthy until now, when his lung collapsed on the way to a party. Then, in the hospital, his lung collapsed a second time. We sat on his bed together, talking with Dr. Stulbarg about what would happen next...

How Video Can Reduce Medical Errors And Improve Patient Care

October 29, 2013 9:11 am | by Bob Wachter, M.D. | Comments

With tools like smart phones and Google Glass, the technical obstacles to the widespread use of video are beginning to melt away. Of course, other barriers — patient privacy, clinician pride, archiving, cost, the “eewww” factor – will remain. Let’s work through these quickly...

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HealthCare.gov Needs More Than A Tech Surge

October 27, 2013 5:45 pm | by Kevin Pho, M.D. | Comments

The Affordable Care Act is off to a rocky start, to say the least. So Let’s think of HealthCare.gov like the American patient...                                

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