If you or someone you love is considering surgery or an intensive treatment, it really pays to be sure you understand the pros and cons. While that seems like common sense, millions of people say "yes" without learning all the facts. Some simply rely on the trust they have in their physician. Others assume the known benefits and risks are too complicated to fully understand. And some people just want to get ...

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She was in her late thirties when her medical oncologist asked me to see her.  Five years before, one of our community surgeons had removed part of her colon for cancer.  She also had a recognized, single metastatic tumor in her liver at the time of that original surgery. The contemporary standard of practice was to treat for a prescribed period of time with chemotherapy and then re-evaluate for the appearance ...

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When I clicked on the “View Your Exam Results” link on the American Board of Anesthesiology website, I thought something rashly exuberant would engulf me. I thought that everyone in the lunch room would turn suddenly, throw their reheated pasta and cafeteria sandwiches high aloft with glee and balloons would gush from the cracks between the fluorescent lights on the ceiling as the whole world burst into song. But instead, there ...

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An elderly man startles awake after a man in a white coat touches his shoulder.  He looks around and sees three other white-coated people standing around his bed. “Sir? Good afternoon, sir. How are you?” says the man who touched the patient’s shoulder. “Oh, I’m fine.”  He’s perfectly calm. “I know this is a silly question,” continues the man, “but do you know where you are right now?” “Of course, of course. I’m at ...

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Doctors don't like to go to doctors. I suppose we might see it as a failure or more likely it is pure intellectual arrogance. Whatever the reason, there can be no excuses when you need to get an insurance examination form filled out. One way of taking the edge off it is possibly to try to use your conversational skills to awe the poor general practitioner forced to see a ...

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I never gave my hands much thought until a few years ago. They were never pretty, but they were functional serviceable hands that did what they were asked—I could examine a patient, type fast and accurately enough, and everyone always told me that my handwriting was outstanding. That has always been a point of pride for I knew that I was never going to kill a patient because a pharmacist ...

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The call comes in at 9pm or so.  The patient sounds sick as all hell.  The Surgeon listens to the random assortment of numbers and vitals the nurse provides and clicks off his cell.  He finishes reading a boring Berenstain Bear story to his daughter and tucks her into bed.  He looks at the clock and runs some mental numbers.  By the time he arrives at Hospital, close to ten.  See the ...

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It was a cold winter day in 2009 when my life changed forever, however, it would be months before I figured that out.  On that fateful day, a drug-addicted surgical scrub tech assigned to my operating room stole syringes of fentanyl, a potent intravenous narcotic, from my anesthesia cart.  According to news reports, investigative summaries, and the scrub tech’s confession, once she took the syringes, she used them on herself. It’s ...

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It was Trevor's first weekend to relax since moving to Seattle.  He was out in a park walking Bailey, his year old lab, when his pager unexpectedly beeped.  He called in to the operating room office, where the frantic head nurse told him he had to come in.  The scheduled anesthesiologist was very ill with the flu, and no one else was available.  He had to come in for at ...

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The popularity of plastic surgery today is no secret; 13.8 million cosmetic procedures were performed in 2011 alone. Unfortunately, however, an increasing (and unsettling) number of people in the United States are undergoing procedures conducted by unlicensed, so-called “underground,” individuals these days—individuals who have no business billing themselves as plastic surgeons. The primary factor leading people to the doors of these backdoor doctors is, of course, cost. There’s no way around ...

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