Anesthesiology
Anesthesia is not my name: Knowing each other’s name improves results in the OR
As an anesthesiologist, I recall countless occasions when colleagues from the other side of the drape addressed me, like, “Anesthesia, did the patient receive antibiotics?” or “Anesthesia, I need more muscle relaxation here!”
Especially in my first years as a young physician full of insecurities, it intimidated me, so I never complained and only spoke up when vital.
Nowadays, I grasp the unspoken rules of the OR and can navigate the daily …
The ultimate guide to child dental sedation
Cavities in kids are common, and many children are unable to complete dental work without sedation. Dental anxiety must be balanced with safe and expedient dental treatment. Further information about early childhood caries can be found here. The prevalence of dental decay in children varies in different groups but is as high as 85 percent in some populations.
Sedation is recommended for the completion of dental work in children with …
Why immigrant physicians struggle to bring their aging parents to the U.S.
In the United States (U.S.), immigrating physicians typically fall into three categories: those working temporarily on nonimmigrant visas, those permanently residing on immigrant visas, and those who have become U.S. citizens through naturalization.
While immigrating physicians can easily move from their home countries to the U.S., they often encounter challenges when considering bringing their aging dependent parents with them. The U.S. offers temporary nonimmigrant pathways for parents of immigrating physicians who …
The hidden dangers of prioritizing patient happiness
The concept of patient-centered care has become pervasive in the health care industry over the last decade. However, as a health care provider, I often wonder if this approach is truly effective in improving patient outcomes and satisfaction. With the continuous emphasis on patient-centered care, I can’t help but question if it is actually a fallacy disguised as a solution.
In the past, patients had a strong relationship with their physicians, …
The adversarial system in perioperative medicine
It is always assumed that the prosecution and the defense in the adversarial system may be searching for the facts that can then discover the truth. However, the whole truth may always remain undiscovered when the complete facts may not get uncovered due to competitive differences among the prosecution and the defense. This unbalanced competitiveness may arise from the perceived power held by the prosecution’s law offices contrasting with the …
Sensitivity vs. sensibility in a modern world
There may be a distinction between sensitivity and sensibility; however, these lines often blur and even overlap rapidly. Conducting oneself sensibly both at and outside of work automatically assumes that one’s sensitivity is well-attuned to the present times. Simultaneously, regularly refreshing sensitivity presumably ensures that one always carries oneself sensibly, both at and outside of work. Yet, it’s worth pondering: what is the origin of human common sense? Has our …
Navigating life stories and medical decisions
As a physician, I am given both the gift and the burden of another’s most intimate moments or even their indiscretions. There is a cloak of invisibility that wraps around a patient and me when behind a closed door. Almost as if the concept of guilt, innocence, opportunity, loss, life, and death are all present together with us in a room, while the rest of the world goes on outside. …
Transforming the preoperative patient consultation: from “clearance” to “evaluation and optimization”
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.
Put yourself in the anesthesiologist’s shoes. It’s 7:00 a.m., and you’ve just finished setting up the operating room (OR). You make your way to the preoperative unit to evaluate your patient and find a prescription pad note that says, “Patient cleared for …
The perils of work and research addiction
This is the story of an addiction, one that walks the fine line between construction and destruction. It’s a tale of work addiction, a cautionary tale for those who find themselves choosing work over home or self. But the narrative doesn’t end there, for it remains perplexing how work, while constructing livable lives for those ensnared by its allure, simultaneously dismantles their existence.
The addicted seek solace in mythologies that exalt …
Physician return-to-work policies
Police officers are required to undergo second-victim counseling before returning to duty. Should physicians also undergo such counseling before resuming their work? This question arises, especially in light of the ongoing shortage of health care professionals. It prompts us to consider whether the prerequisites for returning to work are deemed more critical for police officers than for doctors. Perhaps physicians should establish specific scenarios where taking time off before returning …
Air quality alert: Reducing our carbon footprint in health care
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.
Do no harm. We learn this throughout our medical education and training, and in practice it is a keystone for clinical decision making. This principle continues to inspire patient safety, quality improvement, and better patient care. Do no harm also applies to …
Ensuring compensation during absences
As human needs continue to evolve, it is essential for our systems to adapt accordingly. One perplexing question is who bears the cost of human work. Do the systems pay for human labor, or do humans contribute to the systems, which, in turn, pay for their work? From an economic perspective, it boils down to humans paying for humans to work through human-devised systems. We won’t delve into the idea …
When death comes to your job: Grieving what was and moving on
It has been only two weeks since I realized the job I had was gone. As physicians, I think we have this idea of what our work will look like into the future. It is enshrined in pomp and circumstance from the start as we take an oath to “do no harm,” it’s encrusted with an unspoken culture of medicine that often asks us to give more than we thought …
A physician’s rewarding medical missions [PODCAST]
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Join David Alfery, a cardiac anesthesiologist and author of Saving Grace: What Patients Teach Their Doctors about Life, Death, and the Balance in Between. David recounts a transformative moment from his medical mission trip to Nicaragua, where …
Should physicians defend their “Dr.” title amidst changing entitlements?
In these uncertain times regarding entitlement, physicians find themselves unsure whether they should continue defending their use of the title “Dr.” There are instances where teachers can hold the title of Dr., as can individuals with PhDs. Additionally, nurses can also obtain PhDs and subsequently be addressed as Dr. Given the evolving climate of reducing privilege, should physicians still assert their entitlement? It is believed that patients desire to know …
Unveiling the remarkable journey of a doctor turned singing sensation
When I was six years old, I made a public declaration that I would become a singing doctor. I knew I wanted to be a doctor, influenced by my pediatrician, and I also loved singing. So, at that time, it made perfect sense to me that I should be able to do both when I grew up. I had a vivid vision of singing to children while taking care of …
Adapting to health care’s financial maze: Anesthesiologists tackle AI, competition, and soaring costs
In the health care business, as in other industries, there are marginalized and privileged payers. The number of patients covered determines which health care payers can sell at wholesale pricing, benefiting themselves while expecting providers and institutions to make up for lower reimbursements with patient volume. Uninsured patients typically pay retail prices unless they can secure rare waivers from providers or institutions. These waivers are uncommon due to the complex …
U.S. maternal death rate keeps climbing: Understanding root causes can help reduce maternal mortality
As we recognize Mother’s Day on May 14, let’s take this time to reflect on how we can help ensure all moms celebrate with us, year after year. A recent report by the Centers for Disease Control and Prevention (CDC) shows the U.S. maternal mortality …
Empowering anesthesia residents: lessons in trust from an anesthesiologist [PODCAST]
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In this episode, we speak with George Tewfik, an anesthesiologist, about the importance of recognizing and addressing knowledge gaps in anesthesia residents. George discusses how new residents may arrive with a sense of false confidence that can …
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