The best lens for reflection is to be immersed in the places and people that spawned those memories. Why else would reunions matter? Twenty years after we graduated the Yale School of Medicine, I found myself on campus embracing my classmates again. But it didn’t take long before I felt something creeping up behind the celebratory mood. Amid storytelling and laughter, I couldn’t help reflecting on some of the more ...

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After a severe fracture or removal of a tumor, what happens if a segment of bone is missing? The bone ends will try to grow into one another just as they do after routine fractures, but the lack of immobilization and the gap may be insurmountable despite how hard the bone tries to repair itself. The void instead fills with gristle-like scar tissue, which cannot restore stability. A wobbly false ...

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As a female orthopaedic surgeon, I am often asked how I ended up in this field. Although seeing women in orthopaedic surgery is becoming more common, we are still makeup only 6 percent of the orthopaedic surgeons in the U.S. I actually had no idea what orthopedic surgery was before medical school. In fact, I started medical school thinking I would be an internist, but it really didn't take me very ...

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Would you take an exam without studying? Would you run a marathon without training? If not, why would you show up for surgery without physical preparation for a life-changing event? Few patients capitalize on the opportunity to improve the odds of a successful surgery and a speedy recovery. Recently, an explosion of medical research suggests cardiovascular training before surgery, or “prehab,”can make this happen. As operating room ...

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STAT_LogoAs a surgeon who specializes in gynecologic cancer, I have performed thousands of operations over my two-decade career. But the ones my team and I have done since the beginning of this year have been the most fulfilling. The reason? A simple yet remarkable adjustment in how we prepare for surgery has forever changed the way we ...

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A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. I vividly remember the first time I saw someone who had died. She was in her late 20s, wearing tattered clothes, and alone. Her friends and family never came. I watched from a distance as police and crime scene investigators worked. I had just started ...

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There is a species of jellyfish that exists only in one lake on this entire planet.  Every morning, before the sun rises, these jellyfish travel to the surface of the lake so that algae that live within them can photosynthesize and produce glucose for the jellyfish to survive.  Every day, these jellyfish travel from east to west along the surface of the lake, chasing the rays of the sun, chasing ...

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When I was five years old, I wanted to be Aurora from Sleeping Beauty. I admired her because I, too, had long, blonde hair and loved to play in the woods. During the movie, I sang with the music. “I know you. I walked with you once upon a dream. I know you. That look in your eyes is so familiar a gleam … Once upon a dream.” However, I didn’t ...

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Separating fact from fiction had once been her favorite activity. Going over research with a fine-toothed comb, she caught the inaccuracies that riddled popular culture like unruly strands of hair. It came down to this simple algorithm: there were things that could be proven and things that could not. In other words, there were things that would happen consistently given the same set of conditions, while other things were random. ...

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When it comes to plastic surgery, I have found that many people -- doctors included -- expect post-surgical pain, so they plan for that assumption. This means preparing for days, weeks, or months of narcotics use. This mode of thinking begins long before any incisions are made, virtually guaranteeing a patient will be taking opioids. Instead, I advocate for pain prevention. This approach requires strategizing ahead of any procedure, making use ...

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