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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Early on a random Tuesday morning, I walked into the burn unit and found my 87-year-old patient, Mr. Gray, in septic shock. While Mr. Gray’s burn injury was small by our standards, it appeared that the sequelae of the injury might prove fatal. I called Mr. Gray’s wife to obtain consent for a vascular catheter through which I planned to begin continuous dialysis and was surprised when she declared, “No ...

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As physicians, we often don’t have time to down a cup of coffee, much less spend extra time on patient education, but we might want to rethink this. I’ve been involved in a study that illustrates a strong connection between educating patients about medical technologies and their decision to go forward with necessary treatments. This study assessed sinus surgery candidates’ opinions on endoscopic sinus surgery before and after the ...

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Are you 100 percent sure your customers know where you are located? If you are like me, you think the answer is an obvious "yes." But in reality, I did not have a clue because I wasn't aware of local SEO. SEO, traffic and ranking on the "first page of Google" are what marketing agencies stress to physicians, but I found out there is a side branch of SEO called local ...

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“We do not remember days, we remember moments.” - Cesare Pavese “A plane! A plane just crashed into the World Trade Center.” The surgical case was moving along steadily. Another surgeon had removed a skin lesion from the patient’s neck, and the pathologist had not been certain if it was a cancer. I had recommended removing the scar and several of the nearby lymph nodes. The surgery had just started and was going ...

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