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Surgery General

Calling Responsible Parties to Task for their Role in the Opioid Epidemic

Jan 30, 2018

In October 2017, President Donald Trump announced that the opioid epidemic is a public health emergency. Earlier the same week, the FDA declared that since 2001, prescription drugs (largely opioids) h...

Robotically Assisted PCI for Complex CAD

Jan 29, 2018

The use of robotics in interventional cardiology offers operators the ability to safely and successfully complete percutaneous coronary intervention (PCI) while minimizing occupational hazards due to ...

Patients Treated by Male vs Female Physicians: Who Fares Better?

Jan 23, 2018

Do patient outcomes differ between those treated by male and female physicians? In a cross-sectional study published in JAMA Internal Medicine, researchers examined nationally representative data o...

Guidelines for Reducing Catheter-Associated UTIs

Jan 21, 2018

Urinary tract infections (UTIs) are among the most common hospital-acquired infections (HAIs), and studies show that 70% to 80% are attributable to an indwelling urethral catheter. To help clinicians ...

Three Effective Ways to Pick Quality Improvement Targets

Jan 18, 2018

My first exposure to Lean as a quality improvement (QI) approach was at a well-known automotive producer, and it was alarming. The Master Black Belt Sensei flown in from Japan spoke in short, clipped,...

Examining Dietary Supplement Use

Jan 17, 2018

According to data from the 2012 National Health Interview Survey, approximately 18% of American adults take dietary supplements, amounting to more than 40 million people. The CDC recently reported tha...

Dutch physician Lars Brouwers driving to Africa to deliver 3D printed hands

Jan 16, 2018

A physician from the Netherlands is attempting to drive to Sierra Leone in order to set up a program for 3D printing hand prostheses. Dutch 3D printer manufacturer Ultimaker is supplying an FDM 3D pri...

Three Ineffective Institutional Approaches to Quality Improvement in Healthcare

Jan 09, 2018

In 2012, there were estimates of waste in US healthcare amounting to $750 billion per year, or approximately 30% of overall spending. The leading causes of waste are broken out in the Table, with low ...

Continuing Life Sustaining Therapy in the Face of Futility

Jan 01, 2018

One of the most difficult challenges physicians encounter is assisting terminally ill patients who are nearing the ends of their lives. These patients and their families are faced with the decision of...

Conference Highlights: SABCS 2017

Jan 01, 2018

Arm Morbidity Rates in Young Breast Cancer Survivors With the move away from axillary node dissection among breast cancer patients in recent years, the incidence of arm morbidity in this population w...

Surgeon sued for talking on cell phone during an operation

Dec 28, 2017

A surgeon took a Spanish language proficiency test while performing varicose vein surgery on a 70-year-old woman. The doctor said he had to take the test during the procedure because no other time was...

3D Printing an Osteoporotic Mandible to Aid in Surgery

Dec 14, 2017

Together with maxillofacial surgeon, Erik Nout, MD, DDS, PhD, I prepared a stereolithography file of the above 3D-printed mandible. Speaking about the 3D print, Dr. Nout says: “The 3D-printe...

3D Printing Aids Fistulotomy

Nov 28, 2017

Together with colorectal surgeon David Zimmerman, MD, PhD, FEBS, I’m exploring the world of fistula surgery. We just printed our first and second fistula to investigate the benefits of this type of ...

3D Printing a Q Fever-Infected Aortic Aneurysm

Nov 20, 2017

Aortic infection is a rare, but severe condition. Primary infection with Coxiella burnetii bacteria in patients with chronic Q fever is notorious in the southern part of The Netherlands. Leaving the i...

#PWChat - Why Doctors Are Losing the Public's Trust

Nov 17, 2017

Join us Wednesday, December 13 at 3:00pm ET for PART II of our live, interactive tweetchat with Linda Girgis, MD, based on her blog post on why doctors are losing the public's trust. Joining us as a c...

Bringing 3D-Printed Prosthetic Hands to Third-World Countries

Nov 07, 2017

3D printing is commonly used in first-world countries. However, 3D printing can be of added value in third-world countries as well. Prosthesis for children are normally handmade and expensive. e-NA...

A surgical resident’s legal battle with her program

Oct 26, 2017

  A surgical resident is suing St. Louis University, its surgical residency program director, and its trauma service chief for what she claims is an unjustified decision requiring her to repea...

Hospitals, Third Parties, and Physicians: Opposing Roles in Containing Healthcare Costs

Oct 25, 2017

Patients do not have carte blanche when it comes to decisions about their medical care. The type of insurance they have dictates which hospitals they must use, which specialists they’re allowed to s...

3D Printing Shows Talocalcaneal Joint Very Well!

Oct 19, 2017

A surgical resident used the above 3D-printed calcaneal fracture to gain more insight in the fracture pattern during preoperative evaluation. Using this 3D printed model, the surgical resident was abl...

Surgeries Performed Later in the Day Have More Complications

Oct 16, 2017

A new study published in Neurosurgery finds that patients who undergo a neurosurgical procedure with surgical start times between 9 pm and 7 am are at an increased risk of developing complications c...

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