Surgery

If surgery is so precise, why are we leaving outcomes up to chance?

Tech
March 7, 2024

It is well known that today there is significant variability in surgical outcomes – not only in different parts of the world, but even within the hospital. And, little understanding as to why. While video is becoming a key component of surgery, up until now, it has gone largely uncaptured, making it impossible for surgeons to surface how different techniques and surgical practices impact quality and efficiency. Compounding the problem …

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Heart-stopping brain surgery: a surgeon’s harrowing dilemma

Conditions
February 29, 2024

An excerpt from of Paint and Pancakes.

The epicenter of Jane’s cancer occupied some very expensive real estate between Broca’s area and the motor strip. Her ability to speak and form coherent words resided in Broca’s. A little further back was the Motor Strip, which controlled the movement of the right side of her body.

It all looks the same … so damned normal. Mike cleared his throat. High-price …

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How a ruptured spleen saved a life

Physician
February 17, 2024

Of the many thousand operations I did in my surgical career, most were life-improving rather than life-saving. To me, life-saving implies immediate or imminent risk of death: gunshot wounds, stabbings, gastrointestinal bleeding or perforations, punctured lungs, and cracking a chest in the ER for a stab wound to the heart. Potentially life-saving but less dramatic is removing a malignancy that, untreated or treated later, would likely have killed the person.

Most …

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The secret superstitions of surgeons: How rituals impact surgical success

Physician
February 13, 2024

“Man is a dupeable animal. Quacks in medicine, quacks in religion, and quacks in politics know this, and act upon that knowledge. There is scarcely anyone who may not, like a trout, be taken by tickling…there is scarcely a disease for which a charm has not been given.”
– Thomas J. Pettigrew

As a surgeon, when I routinely went to the OR, I had a ritual. I would …

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Unleash your healing superpower: Sorting emotions in health care

Physician
February 7, 2024

We don’t always choose to tap into the power of our emotions. Our reluctance frequently comes from our background, as the transformation required to channel our feelings is uncomfortable, forcing us to examine our biases and sit with them. Even though we are inherently born with this ability, there is a catch. Like any wild force, our emotions can be unruly and hard to contain, even dictating our actions if …

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Taylor Swift in the operating room: the surgeon who found strength in song

Physician
February 4, 2024

Every surgeon dreams of the day when they’ll wield the cold steel of the scalpel independently. Of the day they’ll see their name on the daily operating room (OR) schedule. Of the day they’ll be the one leading the surgery team. Of the day they will finally get to choose the music.

Surgeons are particular people, and our music choice is no exception. …

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Tragic turn in the OR: A rookie doctor’s race against time

Physician
January 26, 2024

An excerpt from A Surgeon’s Knot.

The phone jarred Jackson Cooper, MD’s weary, anxious brain into consciousness from the edge of sleep. He jumped up, dropping the receiver on the cold floor of the call room. “Hello,” he said, tension entering the new intern’s mind.

“Dr. Cooper,” the nurse’s voice said nervously. She almost stuttered as she spoke. “It . . . it’s . . . Mr. Simpson, he’s bleeding. I …

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5 days, 5 minutes: life-changing daily habits for health care professionals

Physician
January 12, 2024

It’s no secret that health care workers are some of the most stressed and burned-out professionals in the workforce. Health care was a tough job even before we had to bear the brunt of the worst of the pandemic. Even now that we’re nearly four years out from the initial outbreak of COVID-19, we’re still contending with a myriad of challenges, such as mental health disorders and ever-diminishing staff.

Amidst …

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Why physicians are leaving: Exploring the burnout crisis

Physician
December 14, 2023

The alarming rise in physicians resigning from their roles is a testament to the severity of the crisis. Where physicians were once the pillars of health care, delivering vital services to their communities, they now find themselves struggling with diminishing job satisfaction, declining productivity, and inadequate self-care routines. The result is a mass exodus from the profession, leading to a shortage of health care professionals and jeopardizing patient care.

The advent …

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A neurosurgeon’s quest to solve medication nonadherence [PODCAST]

Podcast
December 12, 2023
YouTube video

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Join neurosurgeon Katrina Firlik as she delves into the world of health care data and the importance of citing sources. Explore her journey from treating patients to becoming an entrepreneur, and learn about the challenges of addressing …

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Tips for success as a plastic surgeon [PODCAST]

Podcast
December 9, 2023
YouTube video

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Join Mossi Salibian, a plastic surgeon, as he shares his journey from a background in biochemistry to becoming a successful practitioner in the field. Mossi delves into the intersection of art and science in plastic surgery, the …

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Top tips to find success as a plastic surgeon, according to an industry veteran

Physician
November 27, 2023

Over the past 20-plus years, I have made my mark within the plastic surgery field. I firmly believe that dedicating valuable time to understanding each patient and grasping their sense of aesthetics and beauty is essential in providing exceptional patient care. My goal is to not only meet their expectations but also bring their unique vision to life.

Since my childhood, I have been known for my artistic and creative nature. …

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Neurosurgeons fail to fix a wayward night owl

Physician
November 25, 2023

My tribe consists of competitive overachievers. We used to call them “gunners” in medical school, and Gunners tend to be morning people, or “larks.” Let’s be honest; people are impressed by those who are up at 4 a.m., training for their next ultramarathon before heading to their noble jobs. A typical conversation among neurosurgeons at a morning conference might go something like this:

Ned: “How are you this morning, Rena?”

Rena: “Great, …

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The shoulders of giants

Physician
November 20, 2023

I regretfully told my 65-year-old patient in the preoperative area, “I’m going to have to cancel your case.” We both knew this was coming. He suffered from a large inguinoscrotal hernia that was symptomatic but not dangerous, a condition that had threatened his welfare for the past several months. Given his education level and social issues, his career prospects were limited to manual labor. I sensed his desperation to return …

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Life and death in the trauma unit [PODCAST]

Podcast
November 9, 2023
YouTube video

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Join Stephen Cohn, a trauma surgeon, and the author of All Bleeding Stops: Life and Death in the Trauma Unit. In this conversation, Stephen shares his experiences and insights into the complex world of trauma surgery, where …

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A surgeon without health care

Physician
November 4, 2023

I’m squished in an unnaturally upright seat. My elbows slowly develop pressure sores atop rigid armrests, with my wife on one side and a semi-uncomfortable stranger on the other. I stare at my lopsided gray tray table, sporting a Styrofoam cup of lukewarm coffee, the chalice special of Sky Chefs. My ears have become one with the perpetual background hum of engines, a prelude to the impending orchestra of jet …

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Learning health equity from activists: a paradigm shift for physicians

Physician
October 23, 2023

The practice of evidence-based medicine and lifelong learning are core tenets of medicine. Through courses, conferences, and lectures, physicians have regularly turned to their colleagues for continuing education. For decades, this reliance on physician-to-physician teaching has been a fitting choice for the subjects at hand, which usually related to clinical practice. In recent years, there has been widespread development of diversity, equity, and inclusion (DEI) initiatives. Holding to previous patterns, …

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Inside the life of a transplant physician [PODCAST]

Podcast
October 19, 2023
YouTube video

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Join David Weill, a pulmonary and transplant physician and author of Exhale: Hope, Healing, and a Life in Transplant. In this episode, we explore the emotional and ethical challenges faced by David during his career, where every …

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Mental health matters: lessons from a surgeon’s journey [PODCAST]

Podcast
October 18, 2023
YouTube video

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Join Mohini Dasari, a general surgeon. She shares her personal journey through the demanding world of surgical training, touching on her experiences with mental health challenges, the difficult decision to leave a prestigious transplant surgery fellowship, and …

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