Category: Ethics

Responsibility for your own health

I was shocked to see that the NHS could ban surgery for the obese and smokers.  That’s socialized medicine.  You take a conglomerate group of people (the UK) on a limited budget for healthcare… and basically find the cheapest most cost-effective way to deliver healthcare.  But in a way, it’s empowering patients to take responsibility

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The physician anesthesiologist vs. CRNA debate

Why is this even a debate? It seems to me that the CRNA-led debate is financial… once you tease through all the fluff. So here’s some literature I found: Evidence-based review did NOT find nurse anesthetists’ care equal to that of physician anesthesiologists Unsupervised anesthesia care by a nurse anesthetist is a threat to patient

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The healthcare debate

KAREN BLEIER/AFP/Getty Images/MarketWatch

Here it is.  I didn’t want to opine, but it’s here and I can’t get away from the topic.  I see it at work.  I watch it at home.  It comes up in discussions…  so in order to make it stop, I’m going to give you an idea of what I see and what I

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Oppose AB 72 #politics #healthcare #anesthesia

Subject: I’m strongly “Opposed” to AB 72 (Bonta). As a physician anesthesiologist, I routinely treat patients during life’s most difficult and uncertain moments, often in life-sustaining surgeries. I agree that patients should not be surprised by out-of-network charges that can arise during these difficult times. However, AB 72 (Bonta) shifts the onus of arranging for

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Not everything is taught in med school

I came across this excerpt from Atul Gawande while browsing the TED articles. What doctors don’t learn about death and dying It made me realize that only the basic factoids for a foundation in medicine are taught in medical school.  The article should open the eyes of my peers; it is ok to accept and understand

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How long have I got left?

A beautifully written piece regarding the amazingly brave and young neurosurgeon who grappled with his own mortality from the perspective of the physician as well as the patient.  A truly excellent read. http://www.nytimes.com/2014/01/25/opinion/sunday/how-long-have-i-got-left.html?fb_ref=Default&_r=0 http://med.stanford.edu/news/all-news/2015/03/stanford-neurosurgeon-writer-paul-kalanithi-dies-at-37.html When great souls leave this earth, we mourn. My condolences go out to his family, friends, patients, and everyone’s lives he

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Don’t Dismantle the TAVR Heart Team

Originally posted on invasivecardiology:
There is global debate how to make TAVR procedures less expensive. Some sites changed from general anesthesia to sedation, some go even beyond that and keep patients fully awake during the procedure. Some sites eliminated anesthesiologists, some even eliminated the surgeons, as well. All this in the name of cost reduction,…