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…
Category: surgery
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…
The hospital CEO who made a surgical incision. What happened?
Recently on Twitter, I asked this question above. The 130 (2.5 percent) of 5,213 respondents who said they would allow a CEO to make a skin incision highlight the unscientific nature of Twitter polls. Restricting voting to surgeons only is not possible…
Issues faced by LGBTQ individuals in the operative setting
This was the first time that I was unsure of how to respond when a patient cried. Usually, as a medical student, compassion and understanding helped make up for obvious gaps in our knowledge. It just comes with the territory. But this time was diffe…
A surgeon’s medical mission experience in his own town
Many physicians would like to use their skills on the mission field, but have a hard time finding an option that fits into their busy schedules. Several years ago, I looked for a medical mission, but I couldn’t find one that would work for me, so I cam…
A discussion about unprofessional behavior: a play in 1 act
Setting: An impersonal, windowless conference room within a hospital Characters: A nurse in charge (NIC), a department chair (DC) and me (ME) *** NIC: Thank you for joining us to discuss the report you made of unprofessional behavior in the operating r…
What physicians today can learn from the history of surgery [PODCAST]
“Billroth spent long hours dissecting cadavers and planning on surgical interventions. He was able to pioneer abdominal surgery with careful preparation and strict adherence to meticulous antiseptic technique. Animal experimentation and cadaveric…
