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In this episode, anesthesiologist Matthew Sherrer and health care consultant Martin Nowak join us to explore the evolving landscape of anesthesia care in the era of AI and automation. We’ll discuss the rise …
AI-driven anesthesia: a threat to jobs or a new era of care? [PODCAST]
As a fourth-year medical student on the cusp of entering neurosurgery, I am constantly amazed by the innovations revolutionizing this field. These advances promise not only to transform the practice of neurosurgery but also to redefine the training and skill set required for the next generation of neurosurgeons. From virtual reality (VR) for surgical planning to novel minimally invasive techniques and the emergence of personalized medicine, these cutting-edge technologies hold …
Neurosurgical innovations that could define my generation of surgeons
An excerpt from Krooked Ketamine.
OK, here’s the thing: I had a little problem that needed correcting if I wanted to continue to work as a government surgeon. I had a janky heart, and it had a tendency to fire off at the absolute worst possible moments. I needed a pacemaker to help with the recalcitrant muscular metronome, but I absolutely hated the thought of lying down and feeling, at …
A surgeon’s battle with ketamine-induced hallucinations
Neurosurgery has always been at the forefront of medical innovation, but recent technological advancements are poised to transform the field even further. As a fourth-year medical student applying to neurosurgery residency, I’ve been fascinated by how emerging technologies are reshaping the landscape of neurosurgery. From artificial intelligence and robotics to augmented reality and minimally invasive techniques, these innovations promise to enhance surgical precision, improve patient outcomes, and expand the possibilities …
How neurosurgery is evolving with technology: a student’s perspective on the future of the field
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In this episode, we sit down with vascular surgeon Adam Tanious to explore the complex relationship between “big business” and modern medicine. Drawing from his experience in the operating room and his deep …
Is big business controlling your surgeon’s decisions? [PODCAST]
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In this episode, Shirin Towfigh, a surgeon and hernia specialist, delves into the often-overlooked issue of hernias, particularly in women. The discussion highlights the challenges patients face when dealing with chronic pelvic pain …
Why hernias are a silent threat to women’s health [PODCAST]
As I neared the end of my second year of general surgery residency, I had spent almost an hour comforting an anxious patient, assuring her that her bedside abscess drainage would be simple and quick. Finally, I put on my sterile gloves to begin. Before I could start, a nurse who embodied the “Karen” stereotype entered the room and asked, “Are you cleared to perform this procedure alone? Where is …
Diary of a resident: Dr. Punching Bag, MD
You’d think surgeons would be the first to know when to hang up their scalpel, but alas, they’re as stubborn as a rusted bolt. When should a surgeon put down the knife and stop pretending they’re not going blind? It’s a question of cognitive decline, ego, and knowing when to pass the baton—or in this case, the scalpel.
Unlike our colleagues in internal medicine, surgeons wield sharp objects, making the temporal …
Cognitive decline and surgery: the silent struggle doctors don’t talk about
It’s one thing to choose a career dedicated to saving lives; it’s another altogether to confront the harsh reality of death. As a third-year medical student, my trauma surgery rotation highlighted that distinction. For all the patients we saved, there were also those who, despite the team’s best efforts, succumbed to their injuries amidst trauma activations. The protocol for a patient’s death in the trauma bay was always followed to …
The unspoken emotional toll of trauma surgery: a medical student’s journey
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In this episode, we dive into the fascinating world of rituals and superstitions in surgery with Carmen Fong, a colorectal surgeon. Discover how these seemingly irrational practices impact surgeon performance, confidence, and patient …
Why surgeons are superstitious [PODCAST]
With an expected 80 percent increase in demand for spinal surgery by 2060, particularly among older patients, the need for advanced technology driving personalized treatment is clear. Achieving optimal spine outcomes while deriving critical data that facilitates continuous improvement is limited in the current state by operating room technology narrowly focused on optimizing safe screw placement. While this is a valuable capability, integrating more advanced surgical navigation and artificial intelligence …
Spinal revolution: Navigating a digital future in surgical precision
Today, in the mail, I received a claim summary for medical care that my wife received. She saw an orthopedic PA for an achy knee and got a shot of a slippery substance that was supposed to be superior to steroids. “Is this stuff expensive?” she asked him. “Don’t worry about it,” he said. “You have Medicare. It will cover it.”
It didn’t help her knee, though, and she moved on …
Why I won’t let my wife see her EOBs anymore
For decades, the medical community has wrestled with the role of race in research and practice, a tug-of-war steeped in historical, social, and political entanglements. While some argue for discarding race, in doing so, we overlook the nuanced interplay between genetics and lived experiences. Does race carry explanatory power, or are there better alternatives to this surrogate?
Race presents a complex interplay of benefits and challenges as a variable in health …
Medicine’s struggle with genetic and social realities
When actress, model, and reality star Denise Richards came into my office, she had been suffering from chronic pelvic pain for years. Doctor after doctor had given her the same advice: ignore it.
It’s just a hernia.
By the time Richards consulted me, she was experiencing more than just a hernia. It was four: two inguinal hernias and two femoral hernias, all needing immediate repair.
Richards’ situation is far from unique.
In case after …
Ignored and misdiagnosed: the truth about hernias in women
My deep dive into this topic started after examining a New York Times article regarding the abuse of medical technology within my specialty of vascular surgery. The knowledge this article presented, along with my love of innovation and acquisition of an MBA focusing on entrepreneurship, prompted further probing into the field. Ultimately, my work led to an editorial in the periodical The Vascular Specialist and, subsequently, a TEDx …
Big business and surgery: Who belongs in your operating room
Recently, I completed a rotation at the plastic surgery department of Korle-Bu Teaching Hospital, Ghana. Reflecting on this experience, I realized a few things. My perception of plastic surgery practice was naive and uninformed. This experience has been an eye-opener as it has challenged preconceived notions and revealed the multifaceted nature of this wonderful specialty. However, I recognize that most African students do not have the same opportunity. Only a …
Building the future of African plastic surgery: Igniting passion in medical students
Clueless at the time, when I applied to medical school, I imagined myself one day making house calls, good ol’ Doc Schwab, paid in chickens and pies, smiles, and blackberry jam. There I’d be, delivering babies on kitchen tables, patching up Old Lady Jones’s leg on the sofa, shaking out thermometers, and feeling foreheads. One of my roommates in med school was the son of such a doctor, although instead …
From house calls to the OR: a surgeon’s journey and unexpected lessons
When I joined The Everett Clinic forty-two years ago, we were thirty-some physicians. The main campus consisted of what’s now called the Founders’ Building and a couple of parking lots. The building was industrial and off-putting, guiding patients to various locations by way of colored stripes on the floor. TEC had just opened its first satellite office in Marysville and had negotiated an exclusive contract with a now-defunct health insurance …
The demise of doctor-owned medicine?
In modern medicine, the operating room epitomizes precision, expertise, and innovation. While we’ve made incredible advancements in medical science and patient care in recent decades, operating rooms have faced their share of challenges, from inefficiencies to outdated technology. However, the OR is poised for transformation as health care embraces computational care and digitization, revolutionizing surgical practice and patient care.
The traditional challenges in operating rooms encompass various issues, such as technical …
Embracing innovation in the digitized operating room
I always said yes, taking on numerous tasks and roles, but now I question the value of unpaid work in my career trajectory as a colorectal surgeon. I always said yes. That’s what you’re supposed to do, right? Always say yes because you don’t know which opportunity will be “the one” that launches your career into orbit. So I said yes to organizing the lunch orders when the drug reps …
The unseen work of women surgeons
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