Category: surgery

Surgical smoke evacuators and inertia in the time of COVID

As an anesthesiologist, I fully understand that providers in my specialty, along with emergency room and intensive care providers, must care for patients with COVID-19 at close physical range during aerosol-generating procedures (AGPs) such as tracheal…

Advice to aspiring medical students on work-life balance

I recently met a student and aspiring surgeon who asked me if I was happy with anesthesiology and a career in medicine in general. I told him that aspiring to medicine is wonderful and that while I am indeed happy with my career choice, it does come wi…

Why can’t I cover my operating rooms?

The practice of anesthesiology is the practice of medicine. People who go to medical school and do a residency in anesthesiology are best equipped to deal with anesthetic delivery because they are qualified physicians before starting four years of spec…

What type of tummy tuck is right for you?

You may already be aware of what a tummy tuck is and who should get one. One thing, perhaps, you’re confused about is what kind of tummy tuck would work best for you. If that is correct, worry not. We’ve got you covered. There are several different typ…

Will women in medicine survive COVID-19?

How are two-career households with children — let alone single-parent households — going to manage with daycare centers and schools closed, perhaps for a long time to come? What damage will this do to career progression and earning potential if one par…

Unconscious bias in the operating room

Our obstetric anesthesia team sat down to debrief after a particularly harrowing case. We had just replaced our patient’s blood volume twice over after she went into labor with a placenta previa accompanied by a placenta accreta. The operating ro…

How can you be in a relationship with someone if you don’t speak the same language?

There is nothing more indelible than the words of an unhappy patient. In fact, in the past ten years, I can count on one hand the number of patients who have expressed dissatisfaction either in person, online, or on patient portals.  Even though negati…

Inside the mind of the surgeon writer [PODCAST]

Explore why this general surgeon wrote a novel, and how writing helps with the stresses that accompany a surgery career. What is his #1 tip for those interested in surgery? What are the challenges facing the profession today? How can surgeons find that…

Death still affects me. I’m not numb. I’m human.

It had been a long day. Our progress notes were done. The last scheduled case in the operating room was done, and it was time to wrap up loose ends and sign out my patients to the night team. But that’s when Room 4 died. I walked onto the Burn Un…

The most common misconception about spine surgery

The most persistent problem I encounter is not nerve pain or slipped discs. It’s the tenacious misconception that someone can be “too old” for spine surgery when it’s truly needed. Many years ago, it was true that age played a significant factor in a p…