tag:blogger.com,1999:blog-55375042024-03-21T05:36:34.400-05:00A Chance to Cut is a Chance to CureA perspective on medical and other issues from a general surgeonBard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comBlogger796125tag:blogger.com,1999:blog-5537504.post-73429051906404605732010-05-21T10:07:00.002-05:002010-05-21T10:13:58.767-05:00Time to Go Galt?The below is video of a recent Grand Rounds presented by a Chief Resident at the University of Alabama.Going Galt: When Will Surgeons Say Enough is Enough? from Daniel Cox on Vimeo.Excellent presentation by a young surgeon on the uncertainty of the future. Could have done without the Tebow love....Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-75470200463140519052009-08-09T09:37:00.006-05:002009-08-09T10:26:27.182-05:00Gone to the Dogs....A frequently heard remark about a poor physician is: "I wouldn't let him operate on my dog!" Well in the UK, sometimes the dogs have it better:As a British dog, you get to choose (through an intermediary, I admit) your veterinarian. If you don’t like him, you can pick up your leash and go elsewhere, that very day if necessary. Any vet will see you straight away, there is no Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-48403230848861512212009-07-07T06:00:00.001-05:002009-07-07T06:00:14.223-05:00Are we the Greedy Bastards Dr. Gawande Makes us out to be????The criticisms of Dr. Gwande's New Yorker article have ranged from the patients in McAllen are sicker, that the cost issues are multifactoral, and that Gawande makes his point by using the outlier.Honestly, in our own towns we see care driven by financial incentive. We see the billboard ads put up by the cardiovascular and general Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-47282797190243327252009-07-06T06:56:00.007-05:002009-07-07T06:45:04.383-05:00My Late Take on Gawande... I know I'm late with this.... McAllen, Texas is a city with a population of 101,604 people in the city proper and about 569,00 in the metropolitan area (2000 census numbers). It also has the cost for health care in the U.S. This was a topic of a New Yorker article by Atul Gawande who examines the situation. McAllen has another distinction, too: it is one of the most Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-46137302309879683342009-07-04T10:00:00.001-05:002009-07-04T10:01:18.194-05:00Happy Birthday America.....IN CONGRESS, July 4, 1776.The unanimous Declaration of the thirteen united States of America,When in the Course of human events, it becomes necessary for one people to dissolve the political bands which have connected them with another, and to assume among the powers of the earth, the separate and equal station to which the Laws of Nature and of Nature's God entitle Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-30337846761575215632009-07-02T09:52:00.000-05:002009-07-04T09:59:23.297-05:00Happy Blogday....I guess since a post is present for each calendar year I can claim that this is the 6th blogday.Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-11167886054942725062009-06-07T17:16:00.001-05:002009-06-07T17:22:10.554-05:00Kids these Days....If this post sounds like the old "uphill both ways to the hospital barefoot" rant, well it is.At the end of this month the second group of surgery residents (assuming a 5 year term) will graduate that have trained exclusively under the ACGME mandated work hour limits. As few programs extend beyond seven years, after next year there will probably not be a current surgery Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-2149362239994381472009-05-02T10:35:00.002-05:002009-05-02T11:12:19.573-05:00ATLS again....With warm weather comes misbehavior and an uptick in the trauma service business. I have also been caring for a young lady who has the worse case on pancreatitits I have seen in my career. To top it off I had ATLS yesterday and Thursday.The 8th edition course is far superior to any put forth before. The book is well-done with multiple color photographs. A DVD is included with Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-7394869274016274912009-04-17T20:29:00.000-05:002009-04-17T20:41:07.531-05:00The Government Big Enough to Give You Healthcare.....Callie Moore Is a 13 year-old young lady who lives in the Athens area and has a multitude of medical conditions: Because of strokes she suffered while in her mother's womb, 13-year-old Callie Moore of Danielsville has a host of complex medical problems. They include spastic quadriplegic cerebral palsy, refractory seizure disorder, mental Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-88936448184666013992009-04-14T12:42:00.002-05:002009-04-14T12:59:39.052-05:00Grand Rounds Vol. V No. 30....See this week's best of the medical blogosphere, hosted by Pharmamotion.Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-28897286904369829212009-04-13T21:00:00.001-05:002009-04-13T21:02:03.403-05:00Are Medical Staffs Independent or Even Relevant Anymore...I have been dragooned into a leadership position at Big Hospital. Hooray. Another physician (employed by the hospital) pointed out the multiple incestuous relationships contracts The Acme Surgical Group has with the hospital and asked was there some sort conflict associated with that. Upon a moment's reflection I was able to point out the Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-74730153910458494022009-04-11T16:21:00.003-05:002009-04-11T16:37:28.408-05:00Red 13 Black 3You know college football is big in Georgia when for your spring game: 1)About 40,000 show up, and 2)It's covered live on ESPN and Herbstreit does the play-by-play.Yes, I know that that many or more will show up for the A-day game in Tuscaloosa next week. But it is Easter weekend, and The Masters is underway, so there!Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-57227688412316683782009-04-08T14:57:00.004-05:002009-04-08T18:38:08.281-05:00Physician Thunderdome..In this post Kevin throws down the gauntlet: Make no mistake, specialist organizations are ready to throw primary care under the bus, with the opening salvo of implying that generalist doctors can be easily replaced by mid-level providers telegraphing their intentions.Let's hope that the ACP is aggressive in countering these tactics. It's becoming clear that a conciliatory Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-73460364558199778442009-04-07T09:53:00.001-05:002009-04-07T09:58:37.931-05:00Grand Rounds Vol. V No. 29Grand Rounds hosted this week by Leslie.Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-52574488424486524522009-04-06T06:00:00.004-05:002009-04-06T06:00:00.168-05:00Tales from the Trauma Service XIX.....Gentleman working on a landscpe project. The worker above him falls and drops one of these on him:And they strike him in the neck. He arrives alert and oriented, but every time he speaks or coughs air comes out of the wound on his neck. Off to the operating room...][][][][][][][THE FOLLOWING IMAGES MAY BE OFFENSIVE....blah, blah,.....[][][][][]The yellow Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-87356829880591877152009-04-02T19:37:00.001-05:002009-04-02T19:39:04.760-05:00I Haven't Watched in Years...But I will watch the last episode of "ER" tonight.Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-24443987958740615822009-03-31T12:25:00.002-05:002009-03-31T12:35:51.422-05:00Grand Rounds Vol V, No. 28Grand Rounds hosted by Paul Levy at Running a Hospital.Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-35995429653641972242009-03-30T06:56:00.003-05:002009-03-30T07:02:57.104-05:00The Gang's all Here...Maybe it has to do with spring but thanks to GruntDoc I find that both Panda Bear and my old group-blogging buddy Galen have returned.Now if Grunt Doc will only take me off the dead blog list.Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-62236559720931101692009-03-29T16:33:00.002-05:002009-03-29T16:37:43.094-05:00The Surgical Blog Carnival..Surgexperiences 2:20 hosted this week at Vagus Surgicalis.Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-4278951086915643402009-03-26T18:22:00.002-05:002009-03-26T18:48:05.564-05:00On the Wagon...First off, thanks for all of those who have welcomed me back after my hiatus.Why so long away? After boards some other things came up and I didn't have the time. Then Mrs. Parker got on Facebook and got me hooked too.Then I realized that the time spent on Facebook could also be spent on Blogger.I dislike the new Facebook format, BTW.I'm still spending time on sidebar maintenance, IBard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-84270049733825945982009-03-26T07:00:00.000-05:002009-03-26T07:00:00.535-05:00Tales from the Trauma Service XVIIIPatient comes in after a motor vehicle collision, intubated in the field for combativeness. Undergoes the Full Body Irradiation WorkupTM. Images and unpleasant surprise follows:You can see the contrast within the subclavian vein.Contrast and air within the superior vena cava.Contrast and air within the right ventricle.Contrast and air within the pulmonary Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-13984019974507147312009-03-25T12:27:00.005-05:002009-03-25T16:12:32.372-05:00Did the Medical School in Athens just Hit a Snag ???Word out today that Medical College of Georgia president Dan Rahn has accepted the position of chancellor of the University of Arkansas for Medical Sciences.Dr. Rahn was one of the driving forces behind MCG expansion to Athens and beyond. How will his departure , along with the tough economic times the state is experiencing, affect the new Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-52767171042236365722009-03-25T11:55:00.003-05:002009-03-25T12:21:34.720-05:00Epic Admissions Committee Fail....From today's New York Times:A Quandary in Sweden: Criminals in Med School A year ago, Sweden’s most prestigious medical school found itself in an international uproar after it unknowingly admitted a student who was a Nazi sympathizer and a convicted murderer, then scrambled to find a way to expel him.It is hard to imagine how the case could get any more bizarre. Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-59673134357631113892009-03-24T11:38:00.002-05:002009-03-24T11:46:48.041-05:00R-E-S-P-E-C-T..(Part Two)A commenter on this post exposes what could be the dark underbelly of the whole issue of inter-specialist respect: This leads to a another point. Could it be this very sense of superiority, that drives the attitudes of some of our surgical colleagues, and is influencing our medical students as they make their way through their training?Could that be behind their Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.comtag:blogger.com,1999:blog-5537504.post-77873885455879693972009-03-24T10:23:00.002-05:002009-03-24T11:41:18.845-05:00Grand Rounds Vol. V No. 27This week's Grand Rounds hosted at Codeblog.Bard-Parkerhttp://www.blogger.com/profile/07529042060117023381noreply@blogger.com