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A First Responder’s Top 4 Items Of Medical Equipment: Lessons From Haiti

Prior to departing for my assignment in Haiti for International Medical Corps, I didn’t have much time to pack, so wasn’t able to bring everything I might need. However, I was able to carry a few items that proved quite useful. First and foremost was a new EMS-type trauma shears. Scott Forman, MD of Adroit Innovation, LLC has created a very functional titanium shears in which one finger loop has been replaced by a carabiner, so the shears can easily hang from a belt or other loop. I used them all the time to cut tape, change dressings, slice through wire, and other assorted tasks. I just purchased one for each member of the Stanford team. Read more »

This post, A First Responder’s Top 4 Items Of Medical Equipment: Lessons From Haiti, was originally published on Healthine.com by Paul Auerbach, M.D..

Gallbladder Surgery, Medical Errors, And John Murtha

While the news reports that Representative John Murtha of Pennsylvania died after complications from gallbladder surgery, the question no one is asking is whether his death was a preventable one or simply an unfortunate outcome. According to the Washington Post, Murtha had elective laproscopic gallbladder surgery performed at the Bethesda Naval Hospital and fell ill shortly afterwards from an infection related to his surgery.

He was hospitalized to Virginia Hospital Center in Arlington, Virginia, to treat the post-operative infection. His care was being monitored in the intensive care unit (ICU), a sign which suggests that not only was the infection becoming widespread but also that vital organ systems were shutting down. Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

The Friday Funny: A Retired Veteran’s Surgical History

So I’m working on my history and physical examination and I ask my 87 year old retired vet what types of surgeries he’s had done.

“I’ve had every surgery in the book”, he says
So I asked him, “Have you had a sex change operation?”
“Well, no.  I guess I haven’t had everything done.”

After a good group laugh, I went off to eat lunch.

*This blog post was originally published at The Happy Hospitalist Blog*

Leaving Haiti: Small Child – A Triple Amputee – Offers MD A Cracker With His Remaining Hand

We found out today that we are going to ship out tomorrow. My feelings are certainly mixed. There is an incredible amount of work to be done here – we have only contributed to the first wave of what is necessary. This may sound strange, but I cannot remember the details of much of what we did the first three days, when we were functioning on hyperdrive in a battlefield setting. My recollections become detailed after the third day, when we were able to see only four or five patients at a time, and we stopped triaging amputees to the operating room.

Now the hospital has been substantially augmented. Teams of foreign (to Haiti) surgeons have left to go home, because the operations to be performed now are largely orthopedic and plastic surgery, as well as specialty cases. Sadly, there are scores of patients with spinal fractures who are paralyzed, and little can be done for them this far out from the initial injury. Children continue to break our hearts. I had a small child who is a triple amputee offer me his cracker with his remaining hand. One can only pray that the memories he carries of this tragedy are erased swiftly, that he is assisted in his rehabilitation, and that his life improves. All of these will, of course, be hard to achieve. Read more »

This post, Leaving Haiti: Small Child – A Triple Amputee – Offers MD A Cracker With His Remaining Hand, was originally published on Healthine.com by Paul Auerbach, M.D..

The American College Of Surgeons Creates Case Log For Surgeries Performed In Haiti

My friends at the American College of Surgeons’ Operation Giving Back have come up with a really smart strategy to collect as much information as possible about surgical cases in Haiti. Thanks to a new data collecting tool, every surgeon who volunteers in Haiti can contribute to this case log. The potential result will be one of the most comprehensive registers of surgical care in a disaster situation. Depending on what we find, I think that this data could make a big difference in preparing surgical responses for future missions.

This is an example of crowd-sourcing at its best.

Here is a summary statement from ACS: Read more »

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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