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Surgical Products Daily

I No Longer Wanted To Be A Surgeon

October 16, 2013 9:24 am | by Bongi, M.D. | Comments

I no longer wanted to be what I am. I no longer wanted to struggle and fight in theater against the odds to stave off the inevitability of death. I no longer wanted to see the snuffing out of promise and life. I no longer wanted to think about the devastation left in the wake of the disasters that cross my table. I no longer wanted to be a surgeon...

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Medical Students May Find Themselves Without A Job

October 15, 2013 10:12 am | by Christy Duan | Comments

I once thought that the prospect of medical students being unable to become practicing physicians was inconceivable, even absurd. But soon, despite the nation’s physician shortage of more than 16,000, it’s possible that MD students will be graduating with four years of intensive schooling, an average debt of $166,750 — and no job...

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Healthcare Fraud: A Hospital Rolls The Dice And Loses

October 14, 2013 9:29 am | by The Pathology Blawg, M.D. | Comments

A U.S. District judge in South Carolina has ordered Tuomey Healthcare System (THS) to pay $238 million for violations of the Stark Law and False Claims Act (FCA).  The judge originally ordered Tuomey to pay $277 million, but one of the government attorneys pointed out the judge had awarded $39 million more than the government had asked for, and the penalties were immediately reduced...

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On The Wrong Side Of The Knife

October 11, 2013 9:10 am | by Skeptical Scalpel | Comments

Two weeks ago, I underwent surgery for what proved to be an extensive tear of my right rotator cuff. I have never had a major operation before. Here is how it went down. The bad news is I will be in a sling for six weeks and under activity restrictions for four months in total. You have no idea how important your right arm is until you can't use it...

To Cut Hospital Costs, Look At The Supply Chain

October 10, 2013 9:27 am | by David Nash, M.D., MBA | Comments

As deliberations over how to make healthcare more cost-effective continue to play out in forums across the country — from the U.S. Congress to state governments to health systems and hospitals — it strikes me that we are paying insufficient attention to what should be an obvious consideration – the cost of supplies...

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Doctors Can Learn From How Nurses Provide Care

October 4, 2013 4:26 pm | by Kevin R. Campbell, M.D. | Comments

The very best nurses that I have worked with over the years are advocates for those who are too scared or too debilitated to advocate for themselves.  Many times early in my career, I did not pay attention or listen to the lessons that were all around me on the hospital wards.  However, as I approach mid-career I am much more attune to these very same lessons that I may have missed earlier...

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The Fallacy Of The Current Resident Duty Hour Rules

October 4, 2013 3:42 pm | by Akhil Narang, M.D. | Comments

The brutal hours that generations of past trainees faced was suboptimal. but it appears as if the current duty hour rules also might be less than ideal from a learning perspective. Hopefully, in the coming years, the ACGME will reevaluate its policies in light of the data they will see...

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Easing Doctor Burnout With Mindfulness

October 3, 2013 4:41 pm | by Pauline Chen, M.D. | Comments

Research over the last few years has revealed that unrelenting job pressures cause two-thirds of fully trained doctors to experience the emotional, mental, and physical exhaustion characteristic of burnout. Healthcare workers who are burned out are at higher risk for substance abuse, lying, cheating, and even suicide...

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Six Thoughts After Testifying At A Medical Malpractice Trial

October 3, 2013 2:18 pm | by Robert Centor, M.D. | Comments

A few weeks ago I was an expert witness in a malpractice trial. I first became involved in this process several years ago. My involvement included a deposition, reviewing medical records, reviewing other expert depositions, discussing the patient’s most unfortunate story with lawyers for two different defendants, and finally testifying. This most unfortunate patient died but I do not believe that the defendants did anything wrong...

Recent Health Scare Proves A Patient's Best Interest Doesn't Always Matter

October 3, 2013 11:40 am | by Mike Schmidt, Editor, Surgical Products | Comments

Days, weeks, and months can go by before a patient is notified about an unsafe healthcare practice. How the situation between the state Health Department and this particular Spokane surgery center has played out is an unsettling reminder that the patient’s best interest can go overlooked in the face of negative publicity...

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Why Physicians Will Never Learn To Like EMRs

October 2, 2013 9:11 am | by Margalit Gur-Arie | Comments

To be clear, most EMRs can’t do all these things just yet, but they are being redesigned along these lines, because these new EMRs are foundational to what David Cutler, a Harvard applied economics professor and one of the most influential health care policy makers, calls the “information technology revolution...”

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What To Do After You Make A Medical Error

October 1, 2013 9:31 am | by Brian Secemsky, M.D. | Comments

While caring for Ms. A overnight, I made the incorrect decision to administer a cardiac medication to treat her disease that is known to increase the risk of bleeding during surgery.  Given her need for the operation, the benefit of providing this medication to safely temporize her heart condition in the short-term did not outweigh the risk of delaying the intervention that she ultimately needed. I made the wrong call...

Medical Errors And Deaths: Is The Problem Getting Worse?

September 30, 2013 9:39 am | by Skeptical Scalpel | Comments

Medical errors are a real problem. I won't deny that. It was bad enough when the often-quoted Institute of Medicine figure that 98,000 deaths per year in the U.S. are caused by medical errors was in vogue, but now a paper in the Journal of Patient Safety states that adverse medical events result in 210,000 to 400,000 deaths per year and 10 to 20 times those numbers of serious harms...

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Wearing Her Heart On Her Sleeve

September 27, 2013 9:34 am | by Bruce Campbell, M.D., Medical College of Wisconsin Otolaryngologist | Comments

As a profession, we physicians are rarely accused of being overly empathetic despite the oaths we swear as we enter our careers (“May I see in all who suffer only the fellow human being…”). Even when we strive to be consistently caring, our execution often falls short, yielding to the pressures of our own lives and the need to get long lists of tasks accomplished...

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After A Creutzfeldt-Jakob Exposure, Should Patients Be Told?

September 26, 2013 9:37 am | by Timothy Lahey, M.D. | Comments

The question then is whether there is something, anything, to be gained from knowing that somewhere deep in the brain a rampaging misshapen protein with an appetite for global domination is quietly, mercilessly, taking apart the very substance of who you are. Or not. Personally I would rather live without that kind of shadow hanging over me...

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