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Surgery General

A Question About Today's Standard of Care

Feb 20, 2015

To all of my medical friends and colleagues, especially to PA’s, NP’s, and Nurses, I need some guidance. Is it acceptable for a specialty surgeon, for example and orthopedic surgeon, to leave r...

Nanotechnology: Swallow the Surgeon? - Video

Feb 10, 2015

Nanobots could be small solutions to big problems. Brad Nelson, a mechanical engineer at ETH Zurich, discusses potential applications for his nanobots in medicine. ...

“Doctor Shopping†After Orthopedic Trauma

Feb 09, 2015

Recent reports have shown that the negative consequences of narcotic use are increasing, and diversion of these drugs for non-medical use is growing, with Americans consuming about 80% of the global o...

Predicting Home Discharge After Surgery

Feb 09, 2015

Most surgical patients want to know whether or not they will need to prepare for care at a rehabilitation facility. “If prolonged postoperative care will be required, it’s helpful for patients to ...

Judgments

Jan 28, 2015

About five in the afternoon on a weekday trauma shift we got a call from Native Air, a helicopter medical transport service, about a 17-year-old they were bringing us with multiple fractures sustained...

Expert Recommendations for Below-the-Knee PAD

Jan 25, 2015

Infrapopliteal (IP) arterial disease, also known as “below-the-knee†or tibial disease, is a condition commonly seen in the elderly or patients with long-standing diabetes or chronic kidney diseas...

Refining Neurosurgery Practices

Jan 23, 2015

The American Association of Neurological Surgeons and the Congress of Neurological Surgeons recently joined the American Board of Internal Medicine’s Choosing Wisely campaign with their own list of ...

Assessing the Surgical Care of Breast Cancer

Jan 23, 2015

Clinical trials have shown that survival rates appear to be similar for patients with early-stage breast cancer who are treated with breast-conserving surgery and radiation or with mastectomy. “Howe...

New Options for Treating Opioid Addiction

Jan 12, 2015

The quest for improved outcomes in the treatment of opioid addiction is accelerating on several fronts. Buprenorphine is widely used for the treatment of opioid dependence. Studies have shown that itâ...

Enhancing Care With Robotic Prostatectomy

Jan 12, 2015

During the last decade, the number of robot-assisted prostatectomies performed in the United States has risen steadily throughout the country. Several factors have led to more complex patients being o...

Comparing Approaches to ACL Tears

Dec 22, 2014

Value-based medicine has gained more attention in recent years, leading many providers and healthcare systems to focus on the cost effectiveness of services they offer. This focus is important in orth...

ICD Use in the Under-Represented

Dec 22, 2014

Implantable cardioverter-defibrillators (ICDs) have emerged as an important treatment option for select patients with heart failure, those with reduced left ventricular function, and individuals at ri...

Presiding Over The Death of a Child

Dec 12, 2014

Last night, I presided over the death of a child. To the world he was a young man of 20, but as the paramedics rolled him into the trauma bay, pumping on his chest, I felt a momentary stab of panic. H...

Diagnosing Stroke in the ED

Dec 07, 2014

Studies suggest that there are missed opportunities to diagnose cerebrovascular causes for stroke symptoms. “While traditional stroke symptoms are rarely missed,†says David E. Newman-Toker, MD, P...

Reducing Post-Op VTE Complications

Dec 07, 2014

At Boston Medical Center, researchers learned in 2009 that their institution was a high outlier for postoperative venous thromboembolism (VTE). Their data were derived from the American College of Sur...

Health-Related Web Searches: Examining Quality

Dec 07, 2014

Most adults in the United States seek health information online, and many report that these searches influence their health-related decisions. About two-thirds of people who obtain health information ...

Standards for Child Surgical Care

Nov 24, 2014

Studies indicate that newborns and children who undergo surgery in environments with pediatric expert resources have better outcomes, fewer complications, and shorter hospital stays when compared with...

The Impact of Obesity on Total Knee Arthroplasty

Nov 24, 2014

According to recent data, more than one-third of American adults were obese in 2010, and studies continue to show that obesity prevalence is rising throughout the United States. Research has shown tha...

I Am Not a Patient Advocate

Nov 19, 2014

People have commented on some of my posts, expressing appreciation for my ‘patient advocacy.’ I hate that term. Let’s get something straight. I am not a patient advocate. Patient advocates are n...

2014 VEITH Symposium: Ultrasound-Accelerated, Catheter-Directed Thrombolysis for DVT

Nov 19, 2014

The Particulars: Interest in catheter-directed thrombolysis to treat lower extremity DVT has led to the development of aggressive approaches using ultrasonic augmentation. However, few studies have co...

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