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Surgery General

Woman Refuses Episiotomy, Gets One Anyway

Jun 15, 2015

A woman in California is suing her obstetrician because he performed an episiotomy that she had specifically requested not be done. A relative of the patient shot a video of the entire delivery, Showe...

Guidelines for Metastatic Castration-Resistant Prostate Cancer

May 28, 2015

According to current estimates, prostate cancer is the second leading cause of cancer deaths among North American men, with more than 33,000 dying from the disease in 2013. For men with androgen-sensi...

Surgeons Who Can't Perform Open Surgery

May 26, 2015

Now I'm really worried about surgical education. Here's why: A friend told me that a new attending on his staff was having some problems. Although the young surgeon was a graduate of 5 years of gen...

Just Culture? Just Kidding.

May 26, 2015

The big health system that owns the hospital where I do much of my elective scheduled surgery has recently embraced the “Just Culture” model of peer review. A part of this change is the eliminatio...

Post-Op Pain in Pediatric Urology

May 25, 2015

Management of pain is a critical aspect of postoperative care in pediatric urology. Currently, clinicians who aim to control postoperative pain in children use a combination of both opioids and anti-i...

AATS 2015

May 25, 2015

New research was presented at AATS 2015, the annual meeting of the American Association for Thoracic Surgery, from April 25 to 29 in Seattle. The features below highlight some of the studies emerging ...

Lung Flute COPD Therapy - Video

May 18, 2015

This video features Sanjay Sethi, MD, and one of his patients who uses the Lung Flute. This device has been prescribed by doctors all over the USA and has been clinically proven to provide natural res...

Guidelines for Managing ACL Injuries

May 11, 2015

Anterior cruciate ligament (ACL) tears are among the most common injuries that occur in athletes participating in high-demand sports. Research has shown that people who suffer these injuries are at hi...

Wisconsin Bill: Cameras in the OR

May 04, 2015

A legislator in Wisconsin is proposing a bill that would require facilities to record both video and audio of any operation requiring general anesthesia if requested by a patient. The focus is apparen...

Bariatric Surgery: Looking at Long-Term Follow-Up

Apr 27, 2015

Many published studies on bariatric surgery are retrospective, short-term analyses with insufficient follow-up. “Obesity is a chronic illness that is linked to important comorbidities,” says Nancy...

AAOS 2015

Apr 27, 2015

New research was presented at AAOS 2015, the annual meeting of the American Academy of Orthopaedic Surgeons, from March 24 to 28 in Las Vegas. The features below highlight some of the studies emerging...

Perioperative AF: Assessing Long-Term Stroke Risks

Apr 20, 2015

Studies have shown that atrial fibrillation (AF) and flutter affect more than 33 million people throughout the world, and the presence of chronic AF has been associated with a three-fold greater risk ...

Trauma Surgeons: Lifeguards at the Shallow End?

Apr 13, 2015

There was a time, during my training and early in my career when the trauma surgeon was the fighter pilot of the surgical world. We were the Top Knives, the Master Surgeons, of our respective hospital...

Renal Artery Stenting: Coming to a Consensus

Apr 13, 2015

Renal artery stenosis (RAS)—narrowing of the renal arteries—is often asymptomatic, but studies show that it may lead to hypertension or worsening of blood pressure (BP) control. If left untreated,...

Lower-Extremity Amputations: Assessing Variations

Apr 13, 2015

Studies have shown that people with diabetes are about 10 times more likely to undergo a lower extremity amputation (LEA) than those without the disease. About 90% of diabetics who undergo an LEA have...

Disability Among the Elderly

Apr 06, 2015

The following depicts the population aged 65 and older by number of disabilities and age, based on data from 2008 to 2012. ...

Age and the Trauma Surgeon

Apr 02, 2015

I’m on day 5 of an 8-day run of Port-and-Starboard trauma call (Navy talk for every other night) and am feeling my age. There was a time when I could do this for weeks at a time and still have the e...

Elective Major Orthopedic Surgery in Octogenarians

Mar 31, 2015

By 2030, patients aged 85 and older are projected to account for 2.3% of the United States population, but this figure is expected to nearly double by 2050. There has also been an increasing trend in ...

Hello Darkness My Old Friend

Mar 26, 2015

My friend Nick, the ER doctor, called me the other day to tell me that one of my patients had died under his care. He didn’t have to do that, but he knew I had followed this woman for several years ...

Doctors Make Mistakes - Video

Mar 25, 2015

Every doctor makes mistakes. But, says physician Brian Goldman, medicine's culture of denial (and shame) keeps doctors from ever talking about those mistakes, or using them to learn and improve. ...

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