Category: surgery

Poor patients get poor positions on the OR schedule and poor continuity of care

I have been an academic surgeon in a large medical center in New York City for the past 20 years.  The current climate of scrutiny to systemic racism and bias (including prejudice against all “different” populations) coupled with our own struggles with…

I don’t care what your cardiologist says

Yeah. I said it. As an anesthesiologist, especially as a cardiothoracic anesthesiologist, there are few things I am more interested in than how well or how poorly your heart functions and why.  And a cardiologist can help me obtain a lot of vital infor…

Spare older anesthesiologists COVID-19 coronavirus risk [PODCAST]

“This pandemic presents a unique opportunity for senior anesthesiologists to see the benefit of accommodating the health care needs of our workforce. Just as I tried to avoid the teratogenic effects of certain cases when pregnant, we should consi…

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…