Every time I walk through the automatic sliding doors, that strong smell of ammonia stings my nose. The lobby is clean -- too clean -- with a vast amount of open space leading to the front desk. The just-below-comfortable air brushes against my skin, raising the hair on my arms and legs. Almost cold enough to be a morgue -- but that’s later. The room is silent, except for the ...

Read more...

Relax to the smooth harmonies of Gary Corzine's singing anesthetists, the Laryngospasms.

In recent months, widespread media coverage regarding second opinions for breast cancer diagnosis has sparked a dialogue about if -- and when -- a patient requires a second opinion. Seventy percent of all medical treatment plans are driven by laboratory test results, and every treatment begins with a diagnosis. That’s where pathologists come in. As professor and chair of pathology at Albert ...

Read more...

"Knowledge is power. Information is power. The secreting or hoarding of knowledge or information may be an act of tyranny camouflaged as humility." - Robin Morgan Fifteen years into the future, in 2030, a patient returns home after a stay in the hospital. He powers up his mobile device and finds a file that was created during his surgery. “Let’s see,” he says. “I think I’ll turn off the ‘commentary’ for now. Maybe ...

Read more...

Since the introduction of the robotically assisted laparoscopic radical prostatectomy (RALP) in 2000, the long-term prostate cancer control has been uncertain. We now have the first long-term cancer control study that compared the results of the earliest RALP with historical open radical retropubic prostatectomy (ORP) outcomes. Diaz and associates from a recognized RALP center of excellence concluded that RALP has similar long term cancer control compared to open ...

Read more...

“I admire anyone who has the guts to write anything at all.” – E. B. White “All you have to do is write one true sentence. Write the truest sentence that you know.” – Ernest Hemingway “Writing is easy. All you have to do is cross out the wrong words.” – Mark Twain “There is no greater agony than bearing an untold story inside you.” – Maya Angelou “There is nothing to writing. All you do is sit down at ...

Read more...

unknown Born to a family of scientists --  my father an engineer and my mother an oral surgeon -- I was given a clear message that I could do anything. Case in point: At age nine when I declared my career goal of being “president of the world” nobody batted an eyelash. Their unwavering confidence followed me through college at UC Berkeley and ...

Read more...

american society of anesthesiologistsA guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Physicians who care for surgical patients witness the devastating consequences of cigarette smoking almost every day.  For example, smoking increases the risk of acute complications such as pneumonia and wound infections, and adds to the burden of smoking-related diseases such as heart disease. As ...

Read more...

In July the investigative journalists at ProPublica released an analysis of 17,000 surgeons and their complication rates. Known as the Surgeon Scorecard, it set off a firestorm. In the months following, the primary objections to the scorecard have become clearer and were best distilled in a terrific piece by Lisa Rosenbaum. As anyone who follows me on Twitter knows, I am a big fan of Lisa -- ...

Read more...

“For some must watch, while some must sleep.” – William Shakespeare, Hamlet I admit, I was taken aback at the headline that ran in the Houston Press today: "Going under:  What can happen if your anesthesiologist leaves the room during an operation." It’s bound to make the curious reader wonder why the anesthesiologist would leave the operating room in the first place. Of course, reporter Dianna Wray explains that in many hospitals, one ...

Read more...

Most Popular