Around 10 a.m., I had just finished seeing a patient in office when my pager went off: “Yellow Trauma -- 3 y.o. male: Alleged fall down 7 cement steps, suspected abuse.” Our team dropped everything and descended upon the emergency department in our hospital. By the time we had reached the patient, a dozen ER nurses and doctors had already surrounded his bed in the trauma bay. The patient had been intubated ...

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Liver transplantation for alcoholic liver disease has been controversial since the advent of the procedure. The perception that alcohol-related liver disease is self-inflicted combined with concerns of a high risk of recidivism to alcohol use, recurrent alcoholic liver disease, and non-compliance post-transplant has led a lack of support for transplantation for alcoholic patients in the public and among physicians. After initially avoiding transplants in this group of patients, the majority ...

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You may have read about the recent tragic deaths of two healthy children -- Marvelena Rady, age 3, and Caleb Sears, age 6 -- in California dental offices. Unfortunately, they aren’t the first children to die during dental procedures, and unless things change, they probably won’t be the last. State Senator Jerry Hill has asked the Dental Board of California (DBC) to review California’s present laws and regulations ...

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We are in the middle of an all-day ENT screening clinic at Moi Teaching and Referral Hospital in Kenya. The local ENT physicians have scheduled about 100 patients to return to see our American team to be evaluated for surgery during our visit. We have already seen several people with baseball-sized tumors in their parotids, thyroids, or necks. The surgical schedule for the next few days is getting full. A thirteen-year-old ...

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Coming in to work at 8 a.m. was indeed a luxury for me. As my fellow anesthesiologists would concur, our life begins at 7 a.m. on a daily basis. Some administrative duty made this possible for me one day. This was a first for me, and I felt compelled to put down my musings in writing. Preparing for this morning treat, I had made sure to set my alarm for thirty ...

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“I come as one. I stand as ten thousand.” - Maya Angelou I am a surgeon. I am proud of this fact partly because I am the first in my family to go to medical school. I am also proud of this fact because I recognize that me becoming a surgeon has been less about me and more of a collective and cumulative effort of my parents, grandparents, great-grandparents, and countless other ...

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Dr. Kwadwo Owusu-Akyaw is an orthopedic surgery resident at Duke University Hospital.  Watch his journey. Courtesy of Black Men In White Coats and Diverse Medicine.

This foreign body was removed from a non-healing abdominal wall incision in an elderly lady with many comorbidities and previous operations. It was a rigid plastic tube which was 7 cm long and 2 to 3 mm in diameter. There were four transverse grooves at either end. foreign-body Physicians caring for her were unable to identify it. One of them emailed me the photos ...

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Like much of America, my family is obsessed with everything Hamilton. We jammed to the soundtrack all summer. The season culminated with a late August trip to the show which I described on social media as the best day of my life. Seeing the show, the actors, the set, and choreography, come to life with lyrics we had all memorized was such an amazing experience. I cried. Part of that was pinching ...

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Online reviews for doctors are here to stay. Letting patients review their doctor sounds great right? What could go wrong? That being said, there are several things that reviews do that is, in fact, damaging to the care of patients in medicine.  Here are six things that many physicians now do in the world of online reviews. Focus on showmanship not results. Sometimes I spend extra time on the exam even when I ...

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