Surgery

Physicians are punished for missing the rare diagnosis

In the article, Why do doctors use treatments that do not work?, several interesting points were made. It is making a case that we need to continually rely on the evidence, and less on empiricism. This is why it is so frustrating when I hear stories where EBM is tossed around like a “dirty word” and when physicians are making treatment decisions that are evidence-bereft.


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Hiccups

Medpundit wrote about hiccups today. It reminded me about one of my patients who had protracted hiccups for 5 years – you could only imagine how frustrating this was. He was a 70-yo male who started having hiccups after surgery. Multiple medications were not successful: PPIs, H2 blockers, Thorazine, Reglan, Compazine, Neurontin and Dilantin were given without success. Endless GI and neurology consults were not …

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Comeback for laparoscopic colectomy

A laparoscopic approach to colon cancer was initially explored in the early 1990’s, but then abandoned due to questions regarding the efficacy for achieving appropriate resection. A recent study from the NEJM, did a controlled trial which concluded similar rates of cancer recurrance between open and laparoscopic resection.

Here is an excerpt from the accompanying editorial:

Approximately 250,000 colonic resections are performed each year in …

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How to prevent blood clots when going on airplanes

I’m flying soon, and thought this would be a relevant article to share.

Prescriber’s Letter:

Practical Tips for Avoiding “Economy Class Syndrome”

What Is Economy Class Syndrome?

Economy class syndrome is a condition that can happen after sitting in a cramped space, such as the economy class section of an airplane. This can lead to blood clots in the legs and sometimes the …

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