Category: surgery

Patients in Sweden received fewer post-op opioids. Why is that?

When I was in Sweden, I heard this phrase several times: “There is no such thing as bad weather, just bad preparation.” They said this when we asked them what they did with their children in dead of winter. The proud parents made it very clear that no …

When Brooklyn meets Alabama: a physician story from a 50-year career

I never expected to have a friend from Alabama. My upbringing in Brooklyn, New York, didn’t include anyone from the South, and this was a time in American history when the South was in turmoil. I recall black and white images on our family’s TV showing…

The similarities between surgeons and bomber pilots

Recently surfing the far reaches of Netflix for a program on World War II that I hadn’t yet seen, I found a low budget serial documentary dealing with air power in war and in peace. The producers profiled individuals who had contributed to the eventual…

Questions you should ask before elective surgery during the COVID-19 pandemic

Many states are beginning to reopen, and hospitals are once again scheduling elective surgeries. The question on many patients’ minds is, “Should I undergo elective surgery right now?” Although 31 percent of people have chosen to delay care and 50 perc…

Why this anesthesiologist has a problem with monitored anesthesia care (MAC)

I have a major issue with MAC. To be more specific, I have a major issue with how we communicate the concept of MAC to our patients, anesthesia care team members, and proceduralist colleagues. MAC stands for “monitored anesthesia care,” and…

Maternity leave in a post-COVID world

I am a female surgical resident. I signed up for this. I chose four years of medical school, five years of residency, two years of research, a year of fellowship, and finally attending surgeon life. I’d choose it again. And I want this road to be hard….

We need to stop seeing patients as dollar signs

I am a newly minted surgical specialist, less than one year into practice. Residency was no walk in the park, but the clinical experience, along with hours of studying, reading papers, and reviewing practice guidelines, undoubtedly gave me the tools to…

Health care delivery after COVID-19: Move more procedures to the outpatient setting

The United States has some of the most advanced medical technology in the world, yet COVID-19 has exposed significant deficiencies in our health care system. As nothing will be the same after coronavirus, our health care system must also change as we m…

The safe return to elective surgeries during the COVID-19 pandemic is vital for the economic viability of health systems

A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. It is the ultimate irony that health care professionals on the front lines of the COVID-19 pandemic are among the highest risk, not only for exposure to the deadly v…

Amid COVID, first do no harm

I am a surgeon, mother, daughter, researcher, and ethicist. These multiple roles dancing together to a more discordant tune amid this unprecedented time. The “daughter” has managed to convince her ageing parents that they really ought to no…