Category: surgery

Undergoing an appendectomy in a pandemic

The world is paused. But is it? Just because the world is experiencing a pandemic does not mean that the rest of the world’s ailments all of a sudden go away.  Their priority may fall in ranking, but they persist. Health and disease continue. I ate lun…

Are Boston hospitals prioritizing money over the safety of their employees and patients?

Growing evidence suggests that the novel COVID-19 virus can be aerosolized.  To adequately protect employees, providers require not just “droplet,” but “airborne” precautions and the appropriate healthcare worker personal protective equipment (PPE). Ap…

Our work as anesthesiologists in the post-normal era

Traffic is non-existent. Schools are closed. Restaurants are only offering take-out and delivery. Parking lots at strip malls are empty on weekends. Only a limited number of people at a time are allowed inside the grocery store. Welcome to the post-nor…

I am an anesthesiologist. I am preparing to potentially die for you.

I am an anesthesiologist. I am trained to stay calm when everything surrounding me is going downhill. In the OR, I am the anchor. The steady hand, the ready plans. I work with skilled CRNAs who are an integral part of the team.  We do critical care med…

Leading your medical practice through crisis

The conversations we’ve had with physicians this week confirmed that the primal fight-or-flight response has kicked in as physicians across the nation recognize the COVID-19 pandemic as an imminent threat to the survival of their practices. Some are re…

An anesthesiologist’s message to her community

I am an anesthesiologist who practices in Omaha, Nebraska at a large university. Our institution is preparing around the clock to care for our community in the midst of the COVID-19 virus. We are all coming together – doctors, scientists, nurses, techn…

Closed-loop communications: Good for codes and for marriage

Recently, I realized that something needed to change in my family life. With three busy daughters at three different schools who participate in multiple activities along with my full-time job as an anesthesiologist, my life depended on accurate and con…

It’s time to stop treating suffering like a necessary rite of passage

Once, when I was a senior resident covering a busy trauma service at a county hospital, I was on call for nine days in a row while my co-chief had an uncovered vacation. It was July, and we were all — interns, junior residents, and me — new…

Please tell us your cosmetic secrets. We promise not to tell.

I live and work in Los Angeles, one of the plastic surgery capitals of the world. Quite a few of my patients have “had a little work done” — the blandly euphemistic term you’ll hear for plastic surgery makeovers of all kinds. That’s fine. Plastic surge…

Surgery is nothing short of a stupendous magic act

An excerpt from The Invention of Surgery: A History of Modern Medicine: From the Renaissance to the Implant Revolution. Johns Hopkins University was unlike anything ever built. Armed with an enormous endowment from a wealthy industrialist, the hospital…