It is unethical not to be compassionate when you are a physician.  Treating people or their families poorly isn't helpful to anyone in a stressful situation.  But a big problem exists there - ethics is not taught in medical school.  Then again, neither is compassion.  So where do you learn them?  Can you learn compassion, or is it something you just have? Or don't have? She could have been anyone's grandmother.  White ...

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As the number of people undergoing plastic surgery rises, the number of people who get bad results also increases. Numerous cases of botched plastic surgeries persist to linger the news which continue to put plastic surgery in a bad light. As a doctor specializing in cosmetic and reconstructive surgery myself, I am saddened by the fact that such cases carry on. With more and more people choosing to undergo plastic surgery, ...

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Google Glass has a long way to go in the OR The Royal London Hospital and the Barts and The London School of Medicine and Dentistry presented the first live-streamed surgical procedure in the UK. The operation was an extended right hemicolectomy with resection of a metastatic liver lesion. Here is what I thought about the event. The case started about 30 minutes late, which is similar to what would have happened in any ...

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Top stories in health and medicine, June 9, 2014From MedPage Today:

  1. Surgeons Not Very Involved in ACOs, Survey Says. Accountable Care Organizations have given little attention to surgery in the early years of the Medicare program, choosing to focus instead on managing chronic conditions and reducing hospital readmissions.
  2. Early Allergen Exposure Cuts Wheeze Risk. A new study confirmed that when ...

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Earlier, I wrote about the tragic case of a young girl in California who was declared brain dead after what most media sources called a tonsillectomy. In fact, the patient had a much more extensive procedure for treatment of obstructive sleep apnea. In addition to having her tonsils removed, she underwent an uvulopalatopharyngoplasty (UPPP) and resection (removal) of her inferior nasal turbinate bones. As I stated before, I will not ...

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Whatever we learn to do, we learn by actually doing it; men come to be builders, for instance, by building, and harp players by playing the harp. -Aristotle I groaned. "Don't make me operate with him again! I assisted him in surgery just last week!" I was low man on the totem pole and there was no point arguing. All of the residents and fellows kept track of the rotation and I knew ...

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Better outcomes and lower costs: The perioperative surgical homeWhether it’s a knee replacement avoided for years or an urgent life-saving tumor removal, when the decision for surgery occurs, too often the patient begins a journey into a complex system of fragmented medical care. Perioperative care, which generally refers to the three phases of surgery -- preoperative, intraoperative and postoperative -- can be variable and fragmented. ...

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When I graduated from my residency, far from my current professional home, I wanted to write a book called How Not to Get Yelled At in the Operating Room. Or How to Clear the Fear from Your OR. I had these titles in mind because I struggled so much during my intern year. It was a tough year, full of intense patient care and sleep deprivation, but the challenge that I most wanted help ...

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The Institute of Medicine in 2010 famously recommended that nurses should be encouraged to practice “to the full extent of their education and training.” Often, you’ll hear people advocate that every health care worker should “practice at the top of their license.” What this concept is supposed to mean, I think, is that anyone with clinical skills should use them effectively and not spend time on tasks that can be ...

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The idea behind surgery is a really simple one: You come to me with a specific problem, I fix it, you go away happy. And when you come back, you're still happy. What's so wrong with that? If I wanted to be miserable, I'd have gone into primary care. When a surgeon screws up, his/her role is clear: Admit it, make it better, or as good as possible, and stick with ...

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