Notes to myself – 2
Pentobarb coma – BIS should be 10-20 and SR (suppression ratio) should be 70-80 Consider lev albuterol Should give vaccines after coiling of spleen or before if possible No calcium channel blockers post MI definitely and post op in general Toradol inhibits spine healing Don’t do endoscopes with patients in supine position don’t ambulate patients with known dvt’s. wait 2-3 days until clots get stuck. dvt’s even with filter get heparin as much as possible for post phlebitic syndrome and to retard new clot formation diffuse alveolar hemorrhage – secondary to chemo, goodpasture’s, wege...
Source: Inside Surgery - December 31, 2016 Category: Surgery Authors: Editor Tags: General Source Type: blogs

An Interview with Noted Pancreas Surgeon Dr. Charles J. Yeo
Recently, InsideSurgery had a chance to speak with Dr. Charles J. Yeo about his career as a top Whipple and pancreas surgeon and his ongoing role as a surgical leader and educator. As the Samuel D. Gross Professor of Surgery and Chair of the Department of Surgery, you welcomed your second intern class to Thomas Jefferson University in Philadelphia, Pennsylvania last month. What one piece advice do you have for your new trainees? One piece of advice….that’s tough! Several pieces of advice….enjoy the challenges and experiences of internship; read and increase your knowledge base outside of that 80 hours; ...
Source: Inside Surgery - August 12, 2016 Category: Surgery Authors: Editor Tags: Interviews Source Type: blogs

Luray – #1
I did only the caverns. I drove down Interstate 81 and turned off the highway for the 15 mile drive to Luray. The signs are clearly marked and the entrance to the caverns is covered by a rather ugly spanish style pavilion. It was a Sunday and the parking lot was crowded – lots of Japanese tour buses. The admission fee is $19 for adults. You assemble in the waiting area and they let groups in every 5 minutes or so. There are no guided tours really. You walk along the pathways and every little bit there is a “guide” but they don’t really give a spiel. The walking tour takes about an hour and the verti...
Source: Inside Surgery - July 13, 2016 Category: Surgery Authors: Editor Tags: General Source Type: blogs

Acupuncture Notes
Jackie Doyle Used Japanese moxa did lots of ear stuff circled the dragon put needles in wrist heart 6, master of the heart (pericardium) -7, lung 9 (I think this it) Jiang- Did lots of command points, used governor vessel-20 (he always takes this) Stacy Roman – Morgantown yin tang and Bl 2 for headache One treatment Stacy gave me was CV 17 CV12 CV3 LI4 Liver3 GV20 KI3 St 44 Large intestine-4 and Stomach-44 bilaterally for frontal headache (very effective) Kidney-3 bilaterally for general tonification and energy Stomach-25 and Ren-6 and Ren-9 (conception vessel) for energy, tonify lower Jiao and helps out bladder Ren-...
Source: Inside Surgery - April 3, 2016 Category: Surgery Authors: Editor Tags: General Source Type: blogs

Extremely Drug Resistant TB Diagnosed in Maryland Patient
Extremely drug resistant TB has been diagnosed in a man who traveled from India and then through 3 states before he presented for evaluation. He is now being treated at the National Institutes of Health in Bethesda, Maryland. Extremely drug resistant TB is defined as being resistant to four of the major drugs used to treat the infection. The post Extremely Drug Resistant TB Diagnosed in Maryland Patient appeared first on InsideSurgery Medical Information Blog. (Source: Inside Surgery)
Source: Inside Surgery - June 9, 2015 Category: Surgery Authors: Editor Tags: Infectious Disease expressions extremely drug resistant National Institutes of Health phrases slang surgery TB tuberculosis words Source Type: blogs

Landmark Cases
District of Columbia vs. Heller (2008) First US Supreme Court Case on the Second Amendment Right to Bear Arms. Holding – struck down DC law preventing citizens to own handguns and having rifles disassembled. The post Landmark Cases appeared first on InsideSurgery Medical Information Blog. (Source: Inside Surgery)
Source: Inside Surgery - May 27, 2015 Category: Surgery Authors: Editor Tags: General Source Type: blogs

Body of Proof Star Dana Delany Uses Incorrect CPR Technique and Protocol
In the opening scenes in the last episode of Body of Proof, a television series starring Dana Delany as medical examiner Dr. Megan Hunt, a patient was given CPR after being shot in the back. While the writers of Body of Proof, no doubt, will claim dramatic license in the depiction of the scene to further the episode’s story line, the technique and protocol used by Dr. Hunt does not fit with the standard diagnosis and treatment steps as described in the 2010 guidelines for cardiopulmonary resuscitation and practiced in real-life resuscitations by trauma surgeons, intensive care physicians, emergency medicine physician...
Source: Inside Surgery - May 15, 2015 Category: Surgery Authors: Editor Tags: Musings Body of Proof CPR Dana Delany Megan Hunt protocol Source Type: blogs

Body Of Proof Star Dana Delany Mistakes Horizontal Tracheostomy for Cricothyroidotomy watched with interest a recent episode of the terrific ABC medical drama Burden of Proof staring Dana Delany as Dr. Megan Hunt, a neurosurgeon turned medical examiner. Although we found the Body of Proof episode much more realistic than most medical television shows, one unconventional medical decision we noted was the script calling for a tracheostomy to be performed to establish an emergency airway in the field. Dana Delany as Dr. Megan Hunt in Body of Proof This is technically not correct as an emergency airway established in the field is always a cricothyroidotomy, not a tracheostomy. No doubt, the w...
Source: Inside Surgery - May 13, 2015 Category: Surgery Authors: Editor Tags: Musings Body of Proof cricothyroidotomy Dana Delany Megan Hunt tracheostomy Source Type: blogs

Did Andreas Lubitz Have Lyme Disease?
Although the editors of did not participate in the care of Andreas Lubitz, we are following news reports closely. Multiple sources today are reporting that he was under continuing care of a physician who recommended that he stop flying as a commercial airline pilot for Lufthansa controlled Germanwings air service. Lubitz seems to be a well-liked, non-controversial young man from a stable upbringing who by all accounts loved being a pilot. What could have caused him to fly his airliner with another 149 people aboard to their certain annihilation into a French mountainside? One wonders what medical conditi...
Source: Inside Surgery - March 27, 2015 Category: Surgery Authors: Editor Tags: Infectious Disease andreas lubitz crash germanwings Lyme disease pilot Source Type: blogs

pedia notes
Acupuncture Andrographis Babesia bartonella – Scott’s website, lots of detox info Biodentistry – wholesaler for Pekana Biotensor Buhner herbal protocol Chlorella – thought to provide mercury detox, many think is best. other brands are E-lyte and Sun Cholestapure – supposedly less difficult to handle than cholestyramine Comprehensive Medical Center – Kirkland, Washington clinic that acts as home office in the United States of Dietrich Klinghardt, MD, PhD (425) 823-8818. Dr. Klinghardt visits intermittently and charges $7/minute. He has two...
Source: Inside Surgery - March 21, 2015 Category: Surgery Authors: Editor Tags: Uncategorized Source Type: blogs

Self-Gripping Hernia Mesh Technique Evolving
Surgeon J.L. Porrero and colleagues are reporting a new twist in placing self-gripping mesh in inguinal hernia repair that might prevent help prevent accidental fixation and “stickiness” during placement. He recently published a report in Hernia that suggested folding the top third of the mesh back onto the middle third to reduce the number of microgrips attaching directly to the skin. This still allows for microgrips to attach to tissue of the pubic bone and inguinal ligament in the most immediate area of the hernia space. The post Self-Gripping Hernia Mesh Technique Evolving appeared first on InsideSurgery Me...
Source: Inside Surgery - March 20, 2015 Category: Surgery Authors: Editor Tags: Hernia Surgery microgrips pubic bone Source Type: blogs

Get the Nurses on Your Side
Insiders will tell you that the quality of the nursing staff in a hospital is just as important as the quality of doctors that practice there. There is no question that a dedicated, proactive nurse can make all the difference in the care your loved one receives during a hospital stay. Try the following to totally win over the nurses: Use Names It is well known among people who do sales for a living that people love to hear their own names pronounced. And getting the best care for your loved one is one of the most important “sales pitches” you will ever make. Find out the first name of the nurse who is responsi...
Source: Inside Surgery - March 20, 2015 Category: Surgery Authors: Editor Tags: Articles Source Type: blogs

Enterococcus faecalis
is a gram positive, catalase negative bacteria that is an increasing worry for clinicians as a cause of hospital-acquired infections. It is a normally occurring bacteria in the intestines, bile ducts, and genitourinary system. However, when there is local overgrowth due to other flora being suppressed (especially by cephalosporins) it causes clinically important urinary and biliary tract infections. Interestingly, Enterococcus faecalis has an outer capsule that prevents it from being degraded by bile salts. Of particular worry is the ability of Enterococcus faecalis to enter the bloodstrean and colonize heart valves in su...
Source: Inside Surgery - March 15, 2015 Category: Surgery Authors: Editor Tags: Infectious Disease cephalosporins enterococcus UTI vancomycin resistant Source Type: blogs