All of us hate waiting in lines.  Our society breeds a “me-first” attitude.  Often the lines in which we wait are slow to move and, we become irritable and angry.  Somehow there is always someone who is able to outsmart the system and get served ahead of their place in the queue. In the typical queue at the grocery store, (or at the apple store genius bar) we become impatient because ...

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This series is brought to you by MedPage Today. 1. Going to Work when You're Sick: Docs Do It, Too. A sense of duty appears to be driving the common practice of coming to work with the flu among resident physicians. 2. Rules Will Hurt Training, Surgery Interns Say. Restrictions on the length of time that residents can be on duty will have a ...

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Robots for surgery arent ready for widespread use in hospitalsThe following column was published on June 5th, 2012 in USA Today. I recently had the opportunity to try out a surgical robot, a medical device that has excited doctors, patients and hospital marketing departments. During the demonstration, I was able to precisely manipulate the robotic arms using joysticks. The experience felt right out of a Hollywood movie, as I was ...

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"Great interview, darling, but there’s one question you didn’t quite answer." My wife is my best coach. She thought the question about a busy orthopedic surgeon not having time to relate to his patients deserved a better response. My interviewer, a psychiatrist, said he once accompanied a surgeon friend on his Saturday morning round of post-op cases. On the drive home, he challenged his friend with the observation that many of the ...

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One of the most memorable discussions regarding the cost of care was at 4:45AM during surgical morning rounds. As usual, the interns would present the overnight events of their patients to the chief resident and a plan for the day would be agreed upon.  These morning rounds were particularly intense: in addition to the 30 patients that an intern had to manage solo over night, the brutal hours that the surgical ...

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I got into medicine because it is fun, and, of course, to help people. I think most of my colleagues did so as well. I get up every day and I get to go to work and figure out puzzles all day. How cool is that? Sure, it may not always be unwarranted or a bad thing, but testing and more testing can definitely take the fun out of taking ...

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The end of my residency and beginning of my practice was the most wrenching experience of my life.  I was woefully prepared for the transition.  Full disclaimer: I was trained many years ago when residencies were acknowledged brutal demeaning processes.  Things have changed considerably, but the psychological passage I endured still holds. I think my process of becoming a surgeon was fairly typical, with the exception that there was no one ...

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A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. On March 28, 2012, Governor Scott Walker signed into law SB383, a bill to license Anesthesiologist Assistants (AA) in Wisconsin.  The Wisconsin Academy of Anesthesiologist Assistants (WAAA), the Wisconsin Society of Anesthesiologists (WSA), the Wisconsin Medical Society, numerous other medical specialty societies, the Medical Examining Board, and six major hospital systems supported the bill.  Since 2001, seven states ...

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Another call night in downtown L.A. It had not been a particularly eventful day: the usual offering of people hit by cars, falling off of things, and victims of man-made violence. Some injuries happen as a result of an accident, some as a result of carelessness, and of course many happen because of an intentional act. At about 1am the trauma pager went off; the text announced a "Level 1 ...

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The phone conversation, as my dad, in the bed next door, recalls it, went something like this. “Hello?” “Hi, is this Jim? Where are you?” “No, it’s not Jim.  I’m John, and I’m in hospital.” “Oh sorry, John, I was looking for Jim the refrigerator mechanic.  Wrong number.  Hope you’re okay!” “I’m not okay. Just had both my knees replaced and I’m very sore.” “John, I’m sorry.  I got problems too.  I run an ice cream ...

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