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  • Advice  (13)
    • Give yourself a break--Don't have a baby during residency  (45)

      March 6, 2012, 05:39

      Overheard in the OR—a surgery chief resident ruefully explaining to a senior surgeon why no intern or junior resident was available to scrub in on his…

    • Don't Quit This Day Job  (3)

      June 11, 2011, 17:51

      The New York Times picked up my opinion piece about women in medicine. I’M a doctor and a mother of four, and I’ve always practiced medicine full time.…

    • Grief takes no holidays  (1)

      December 19, 2012, 05:36

      I originally wrote this column just before Thanksgiving one year, but the recent tragic deaths of the Newtown first-graders make it timely once again.  For…

    • A letter to the next generation  (4)

      February 17, 2012, 06:47

      It’s an unpopular view, but no, young ladies, you really can’t do it all. In the heady days of the 1970s and 80s, women came to believe that all a girl…

    • Don't reach out to me. Please.  (8)

      October 26, 2012, 05:36

      Every once in a while, a new catch phrase appears that you hear or read rarely at first. Then suddenly you meet it everywhere, and it progresses rapidly from…

    • My son, the doctor-to-be  (2)

      April 1, 2013, 03:59

      My son has been accepted into medical school, we learned last week, and I must say I'm about as happy a mother and a physician as you could find anywhere. …

    • No anesthesia is "minor"  (5)

      April 9, 2013, 15:45

      It's a nightmare that doesn't end for the family of 24-year-old Marek Lapinski, who suffered cardiac arrest recently during the removal of two wisdom teeth in…

    • Touch your patient. Don't wear gloves.  (23)

      August 19, 2013, 01:01

      We've run amok with wearing gloves in the hospital.  And by "we" I mean every healthcare worker in sight.  I see people putting on gloves before they'll give…

    • Questions Baby Boomers (and their parents) should ask about anesthesia  (1)

      August 25, 2013, 18:38

      Not so many years ago, surgeons wouldn't operate on patients they considered too old to tolerate the stress of anesthesia and surgery.  Today, though,…

    • To tweet or not to tweet: Social media for physicians  (3)

      April 4, 2014, 20:25

      Nepal? I don't know anyone in Nepal. Yet not long ago I received a courteous email from a physician there, asking my permission to translate an article of mine…

    • Doctor's advice: Beware of observers with clipboards  (9)

      June 25, 2014, 04:52

      Here's a doctor's health tip for patients that I'll bet you haven't heard before. If you're a patient who walks into a hospital for an elective procedure of…

    • Medical students: What no one tells you about anesthesiology  (6)

      June 9, 2015, 03:43

      This column ran first in the online magazine for medical students, "in-Training" In case you were wondering — robots won’t replace anesthesiologists any…

    • Communication, Leadership, and... Blogging?  (2)

      July 10, 2016, 16:53

      Is there a direct connection between communication skills and the art of successful leadership? Most of us would agree that there is. But is there a direct…

  • Anesthesiology  (61)
    • Let the buyer beware of cut-rate surgery centers 

      March 12, 2012, 19:33

      If you live in southern California, you can’t miss the billboards advertising laparoscopic gastric banding at “1-800-GET-THIN” outpatient surgery…

    • Shall We Toast the End of ObamaCare?  (3)

      February 1, 2012, 18:58

      This article first appeared on CSA Online First on November 21, 2011 The Supreme Court announced last week that it will hear a challenge to the constitutionali…

    • The beta-blockade rules: Still crazy after all these years  (3)

      January 31, 2012, 00:56

      As of January 1, the SCIP guidelines for perioperative beta blocker (BB) administration have changed yet again.  Has it occurred to anyone that maybe they…

    • Unsupervised anesthesia care by a nurse anesthetist is a threat to patient safety 

      February 3, 2012, 23:26

      No matter how quickly you tried to switch the television channel lately, you probably couldn’t escape the trial of Dr. Conrad Murray or avoid hearing about…

    • Handoffs: The latest buzzword in patient safety 

      February 4, 2012, 05:45

      They’re part of the game in football and relay races—but are handoffs safe for anesthetized patients? As resident work hours decreased over the last few…

    • Checklists: How a good idea gets a bad name 

      February 5, 2012, 02:06

      I’m a loyal supporter of the hospital where I work, and I think that we take excellent care of our patients. But when our administrators decided to put in…

    • A disabling injury--a lucky break?  (1)

      February 5, 2012, 03:24

      Just before Christmas, I was out walking my dog, who's a large (100 lb.) but very sweet, somewhat timid mutt.  We passed by two German shepherds who…

    • Bring in the Vikings! 

      February 1, 2012, 17:41

      Photo by Panoramas on Flickr If you can possibly avoid it, don’t have elective surgery in any hospital when Joint Commission surveyors are on site,…

    • When is it better for doctors to make mistakes?  (2)

      February 15, 2012, 06:55

      Photo credit:  Dan Saelinger My husband and I once spent a year working at one of the largest hospitals in West Virginia.  The patients were the nicest…

    • Bridging the disconnect between medicine and surgery  (8)

      February 18, 2012, 10:25

      There's been a great divide between the medical and surgical specialties ever since I can remember.   Surgeons believe internists perseverate too much when…

    • Who's entitled to self-esteem?  (3)

      February 21, 2012, 06:10

      Since Whitney Houston's sad, senseless death on February 11, I've heard her hit song "The Greatest Love of All" more times than I thought possible.  She had…

    • Don't cut Medicare funds for teaching hospitals! 

      February 5, 2012, 20:19

      It’s hard to see how legislators could be more shortsighted. As Washington leaders bargain to reduce the deficit and avoid a government default, one…

    • The elephant in the room  (4)

      February 26, 2012, 09:38

      One of my partners recently sent out a call for an extra pair of hands to help out in the operating room—and with good cause.  The patient on the OR table…

    • The shortage of doctors is worse than you think  (5)

      April 11, 2012, 05:10

      Only a generation ago, in the 1980s, medical students thought about what specialty to choose simply in terms of what interested them most.  All doctors made a…

    • The electronic medical record doesn't tell you the story  (6)

      April 28, 2012, 18:00

      This column was featured on the Association of American Medical Colleges' blog "Wing of Zock" on May 7, 2012, and on KevinMD on May 10, 2012. One morning…

    • The Doctor is Out  (14)

      June 9, 2012, 07:21

      We’ve come to a sorry pass in American medicine when physicians are willing to spend a lot of money to attend conferences—not to learn how to become better…

    • Anesthesia for Dummies  (4)

      August 18, 2012, 22:28

      Really, sir.  What were you thinking? I’m talking to you—the anesthesia provider (I hate to think that you might be an anesthesiologist) who allowed…

    • The unsolved problem of MD + PR  (9)

      November 10, 2012, 17:56

      In my hospital’s preoperative area, upright on her bed, sat an unhappy middle-aged lady who needed an operation to treat complications from her previous…

    • A plague on both your houses  (3)

      November 26, 2012, 22:43

      When you walked into the voting booth on Tuesday, November 6, did you do so with a feeling of calm certainty that the man who would get your vote for President…

    • Scaring the public about anesthesia--again  (1)

      January 15, 2013, 06:03

      Don’t be surprised if patients start asking more questions than usual about awareness under anesthesia.  We can all thank a recent article in The Atlantic…

    • Vinyl records and the future of medicine  (14)

      March 18, 2013, 03:08

      New research just out in the journal Psychology and Aging says pessimists live longer and healthier lives. If this is true, then contemplating the future of…

    • No anesthesia is "minor"  (5)

      April 9, 2013, 15:45

      It's a nightmare that doesn't end for the family of 24-year-old Marek Lapinski, who suffered cardiac arrest recently during the removal of two wisdom teeth in…

    • Is "HAL" coming to a GI suite near you?  (7)

      June 3, 2013, 05:12

      Movie buffs and science fiction fans certainly remember HAL, the computer in 1968’s hit movie “2001:  A Space Odyssey”.  Considered one of the greatest…

    • Wait. Who's burned out?  (2)

      July 26, 2013, 05:34

      How the Affordable Care Act is worsening physician burnout, and why women physicians may be at even higher risk To the literal-minded, burning out is the fate…

    • Touch your patient. Don't wear gloves.  (23)

      August 19, 2013, 01:01

      We've run amok with wearing gloves in the hospital.  And by "we" I mean every healthcare worker in sight.  I see people putting on gloves before they'll give…

    • Questions Baby Boomers (and their parents) should ask about anesthesia  (1)

      August 25, 2013, 18:38

      Not so many years ago, surgeons wouldn't operate on patients they considered too old to tolerate the stress of anesthesia and surgery.  Today, though,…

    • Our veterans deserve physician-led care  (10)

      September 22, 2013, 23:27

      The latest salvo in the federal government's war on physicians comes to us courtesy of the Veterans Health Administration (VHA), which is proposing drastic…

    • In private practice, let the young doctor beware  (5)

      November 29, 2013, 06:00

      We were startled to learn recently that Sheridan Healthcare Inc., a physician services company based in Florida, has bought one of the largest private…

    • Anesthesiologist assistants and the right to work  (12)

      December 23, 2013, 17:06

      This column was written on behalf of the American Society of Anesthesiologists, and was first published by KevinMD on December 22, 2013. When you need…

    • The problem of pain: When best medical advice doesn't equal patient satisfaction  (12)

      April 3, 2014, 05:31

      "The creatures cause pain by being born, and live by inflicting pain, and in pain they mostly die."--C. S. Lewis The problem of pain, from the viewpoint of…

    • To tweet or not to tweet: Social media for physicians  (3)

      April 4, 2014, 20:25

      Nepal? I don't know anyone in Nepal. Yet not long ago I received a courteous email from a physician there, asking my permission to translate an article of mine…

    • The Dark Side of Quality  (7)

      May 4, 2014, 21:47

      Nobody stands up to argue against quality and value in healthcare. You might as well argue against motherhood, or puppies. Yet many physicians are inherently…

    • Practicing at the top of my license?  (6)

      May 20, 2014, 05:17

      The Institute of Medicine in 2010 famously recommended that nurses should be encouraged to practice "to the full extent of their education and training."…

    • Abusing anesthesia: Why lethal injection is wrong 

      May 13, 2014, 06:22

      I give what could be lethal injections for a living. That's right. Nearly every day I give someone an injection of midazolam, vecuronium, and an IV solution…

    • No mystery: Arizona execution lengthy due to drug choice  (4)

      July 25, 2014, 22:10

      There’s no mystery about why the July 23 execution of Joseph Wood in Arizona took so long. From the anesthesiologist’s point of view, it doesn’t seem…

    • How did Joan Rivers' procedure go so terribly wrong?  (1)

      September 8, 2014, 07:05

      There are minor operations and procedures, but there are no minor anesthetics.  This could turn out to be the one lesson learned from the ongoing investigation…

    • Joan Rivers: Some answers, more questions  (8)

      September 15, 2014, 06:17

      Since the death of comedian and talk-show host Joan Rivers, more information has surfaced about the events on the morning of August 28 at Yorkville Endoscopy.…

    • Joan Rivers: More facts come to light  (10)

      September 22, 2014, 01:58

      The ear, nose and throat specialist who treated comedian Joan Rivers on August 28 has been identified as Dr. Gwen Korovin, a prominent New York physician who…

    • Threat and opportunity: The new world of anesthesiology  (3)

      October 13, 2014, 13:48

      “Fighting against those who want to change things is a futile strategy,” declared Jason Hwang, MD, MBA, keynote speaker at the opening ceremonies of the…

    • Do electronic health records improve patient safety?  (6)

      October 17, 2014, 04:18

      “I’m here to say ‘Yes, they can,’ which is different from ‘Yes, they always do,’” says James Moore, MD, President-Elect of the California Society…

    • Germs and the pseudoscience of quality improvement  (9)

      December 8, 2014, 01:18

      No one wants a hospital-acquired infection---a wound infection, a central line infection, or any other kind.  But today, the level of concern in American…

    • Joan Rivers' anesthesiologist identified  (17)

      January 4, 2015, 10:36

      New York Post reporter Susan Edelman revealed on January 4 the name of the unfortunate anesthesiologist allegedly present on August 28 at Yorkville Endoscopy,…

    • "Twilight" is a movie  (3)

      January 30, 2015, 04:34

      How the advent of propofol -- the drug associated with the deaths of Joan Rivers and Michael Jackson -- changed the meaning of the term "sedation" “Twilight!…

    • A Call for Civility  (24)

      February 25, 2015, 05:31

      Why can’t physician anesthesiologists, nurse anesthetists, and anesthesiologist assistants just get along? American anesthesiology reached a significant…

    • Evidence-based guidelines won't prevent malpractice claims  (1)

      May 28, 2015, 06:26

      The best way to avoid being sued for malpractice is to make certain that all your patients are happy and all their outcomes are good. Reality is seldom so…

    • Did Dr. Virginia Apgar worry about work-life balance?  (2)

      May 31, 2015, 17:47

      Dr. Margaret Wood, who chairs the Department of Anesthesiology at Columbia University Medical Center, has published a wonderful article titled "Women in…

    • Medical students: What no one tells you about anesthesiology  (6)

      June 9, 2015, 03:43

      This column ran first in the online magazine for medical students, "in-Training" In case you were wondering — robots won’t replace anesthesiologists any…

    • Osteoporosis: Silent villain can cause major pain  (13)

      September 14, 2015, 17:28

      It's amazing how quickly my role switched from physician to patient, thanks to a silent assailant: osteoporosis. I went to the gym in the morning before…

    • In anesthesia, knowing when to call for help is key  (7)

      October 14, 2015, 04:07

      I admit, I was taken aback at the headline in the Houston Press: GOING UNDER:  WHAT CAN HAPPEN IF YOUR ANESTHESIOLOGIST LEAVES THE ROOM DURING AN OPERATION …

    • Running two ORs: Is it always wrong?  (5)

      November 7, 2015, 05:03

      Is it always wrong for a surgeon to book cases that will be done in two operating rooms during the same timeframe? If you've paid much attention to the…

    • Short-selling private practice  (2)

      January 30, 2016, 08:07

      Today, January 29, is a remarkable day for me. I'm officially leaving private practice after almost 18 years, to return to academic medicine with a faculty…

    • Being the family member in the corner  (7)

      February 13, 2016, 17:58

      Nothing brings out the mama lioness in me more than seeing one of my cubs not being treated as well as I think it should be. Recently I had the unusual…

    • A better pathway to acute care  (2)

      February 19, 2016, 22:48

      When patients need acute interventional care, coordinating the transitions away from and back to primary care is a challenge. The common pathway for these…

    • Improving access to anesthesia health care 

      April 4, 2016, 06:07

      Certified Anesthesiologist Assistants (CAAs) are superbly trained anesthesia caregivers, loyal supporters of physician anesthesiologists, and eager to come to…

    • Fame and fentanyl  (4)

      June 6, 2016, 23:54

      Poppies, the original source of opium...   A fentanyl overdose led to the recent death of musician and singer Prince, according to the medical examiner's…

    • Does Arnold Schwarzenegger deserve better care than our veterans do?  (3)

      June 18, 2016, 18:40

      When Arnold Schwarzenegger was governor, he decided that you and I don’t need to have physicians in charge of our anesthesia care, and he signed a letter…

    • Communication, Leadership, and... Blogging?  (2)

      July 10, 2016, 16:53

      Is there a direct connection between communication skills and the art of successful leadership? Most of us would agree that there is. But is there a direct…

    • Who's watching the children at the dentist's office?  (11)

      July 30, 2016, 05:57

      You may have read about the recent tragic deaths of two healthy children – Marvelena Rady, age 3, and Caleb Sears, age 6 – in California dental offices.…

    • Michael Porter at the ASA: Is anesthesiology a specialist silo?  (1)

      October 23, 2016, 20:16

      “I’m your friend,” Harvard Business School Professor Michael Porter, MBA, PhD, told a sometimes skeptical audience during his keynote address at the…

    • Pediatric dental anesthesia: The Dental Board gets it wrong  (4)

      January 4, 2017, 18:34

      Six-year-old Caleb Sears:  His death was preventable I’m not a pediatric anesthesiologist. Most of us in anesthesiology – even those who take care of…

    • The Boards Have Exceeded Their Bounds  (8)

      January 16, 2017, 01:11

      In the interests of full disclosure, I acknowledge with delight that I have a non-time limited board certificate from the American Board of Anesthesiology…

  • EHR/EMR  (4)
    • The electronic medical record doesn't tell you the story  (6)

      April 28, 2012, 18:00

      This column was featured on the Association of American Medical Colleges' blog "Wing of Zock" on May 7, 2012, and on KevinMD on May 10, 2012. One morning…

    • Do electronic health records improve patient safety?  (6)

      October 17, 2014, 04:18

      “I’m here to say ‘Yes, they can,’ which is different from ‘Yes, they always do,’” says James Moore, MD, President-Elect of the California Society…

    • Garbage in, garbage out: The EMR in action  (2)

      February 29, 2012, 01:57

      When can we rely on the information in the electronic medical record?  Ever? My first patient of the day was a gentleman in his 50s, who'd had previous…

    • Being the family member in the corner  (7)

      February 13, 2016, 17:58

      Nothing brings out the mama lioness in me more than seeing one of my cubs not being treated as well as I think it should be. Recently I had the unusual…

  • Entertainment  (3)
    • Downton Abbey's flirtation with medical facts  (8)

      February 13, 2012, 22:33

      Surely no one thinks of Downton Abbey as anything but an elegantly lavish soap opera, one that we Colin Firth fans aren't ashamed to admit watching.  I hope…

    • We went to Princeton!  (6)

      May 23, 2012, 06:09

      Naturally, I remember the night I met my husband.  We were walking along the seawall on a lovely evening in San Diego, having met over dinner at a nearby…

    • To tweet or not to tweet: Social media for physicians  (3)

      April 4, 2014, 20:25

      Nepal? I don't know anyone in Nepal. Yet not long ago I received a courteous email from a physician there, asking my permission to translate an article of mine…

  • Evidence-based medicine  (5)
    • Today's "evidence-based medicine" may be tomorrow's malpractice  (32)

      February 13, 2014, 07:17

      Author's note --- Readers may find these related articles of interest: The Dark Side of Quality Evidence-based guidelines won't prevent malpractice claims Ge…

    • Evidence-based guidelines won't prevent malpractice claims  (1)

      May 28, 2015, 06:26

      The best way to avoid being sued for malpractice is to make certain that all your patients are happy and all their outcomes are good. Reality is seldom so…

    • The Dark Side of Quality  (7)

      May 4, 2014, 21:47

      Nobody stands up to argue against quality and value in healthcare. You might as well argue against motherhood, or puppies. Yet many physicians are inherently…

    • A better pathway to acute care  (2)

      February 19, 2016, 22:48

      When patients need acute interventional care, coordinating the transitions away from and back to primary care is a challenge. The common pathway for these…

    • The Boards Have Exceeded Their Bounds  (8)

      January 16, 2017, 01:11

      In the interests of full disclosure, I acknowledge with delight that I have a non-time limited board certificate from the American Board of Anesthesiology…

  • Family  (13)
    • Give yourself a break--Don't have a baby during residency  (45)

      March 6, 2012, 05:39

      Overheard in the OR—a surgery chief resident ruefully explaining to a senior surgeon why no intern or junior resident was available to scrub in on his…

    • Don't Quit This Day Job  (3)

      June 11, 2011, 17:51

      The New York Times picked up my opinion piece about women in medicine. I’M a doctor and a mother of four, and I’ve always practiced medicine full time.…

    • Grief takes no holidays  (1)

      December 19, 2012, 05:36

      I originally wrote this column just before Thanksgiving one year, but the recent tragic deaths of the Newtown first-graders make it timely once again.  For…

    • A letter to the next generation  (4)

      February 17, 2012, 06:47

      It’s an unpopular view, but no, young ladies, you really can’t do it all. In the heady days of the 1970s and 80s, women came to believe that all a girl…

    • Medical School Is Worth the Investment for Women--Maybe  (6)

      August 5, 2012, 04:30

      I gained a certain notoriety last summer by suggesting in a New York Times op-ed that it isn't a good thing for growing numbers of physicians to work part…

    • You can't phone in your job as a physician  (2)

      June 30, 2012, 10:30

      This column was featured on KevinMD on August 13, 2012, and on the California Society of Anesthesiology website as an "Online First" selection on July 16,…

    • My son, the doctor-to-be  (2)

      April 1, 2013, 03:59

      My son has been accepted into medical school, we learned last week, and I must say I'm about as happy a mother and a physician as you could find anywhere. …

    • Questions Baby Boomers (and their parents) should ask about anesthesia  (1)

      August 25, 2013, 18:38

      Not so many years ago, surgeons wouldn't operate on patients they considered too old to tolerate the stress of anesthesia and surgery.  Today, though,…

    • Of cats and termites  (6)

      March 3, 2015, 04:48

      How an eleven-pound cat precipitated domestic chaos and delayed surgery Termites are endemic in southern California, and we’ve had spot treatments several…

    • Did Dr. Virginia Apgar worry about work-life balance?  (2)

      May 31, 2015, 17:47

      Dr. Margaret Wood, who chairs the Department of Anesthesiology at Columbia University Medical Center, has published a wonderful article titled "Women in…

    • Privilege and entitlement in "work-life balance"  (13)

      August 24, 2015, 06:38

      Did it ever occur to some of today's physicians that many people work awfully hard and complain a lot less than they do about "burnout" and "work-life…

    • Being the family member in the corner  (7)

      February 13, 2016, 17:58

      Nothing brings out the mama lioness in me more than seeing one of my cubs not being treated as well as I think it should be. Recently I had the unusual…

    • Love, loss, and the lyrics of Bob Dylan  (4)

      October 17, 2016, 05:37

      Classic rock music lovers who think they don't like poetry, and literary purists who think they don't like popular music, may have been equally baffled to hear…

  • Featured  (8)
  • Legislation  (22)
    • Bring in the Vikings! 

      February 1, 2012, 17:41

      Photo by Panoramas on Flickr If you can possibly avoid it, don’t have elective surgery in any hospital when Joint Commission surveyors are on site,…

    • Unsupervised anesthesia care by a nurse anesthetist is a threat to patient safety 

      February 3, 2012, 23:26

      No matter how quickly you tried to switch the television channel lately, you probably couldn’t escape the trial of Dr. Conrad Murray or avoid hearing about…

    • Don't cut Medicare funds for teaching hospitals! 

      February 5, 2012, 20:19

      It’s hard to see how legislators could be more shortsighted. As Washington leaders bargain to reduce the deficit and avoid a government default, one…

    • The elephant in the room  (4)

      February 26, 2012, 09:38

      One of my partners recently sent out a call for an extra pair of hands to help out in the operating room—and with good cause.  The patient on the OR table…

    • Shall We Toast the End of ObamaCare?  (3)

      February 1, 2012, 18:58

      This article first appeared on CSA Online First on November 21, 2011 The Supreme Court announced last week that it will hear a challenge to the constitutionali…

    • A word to the Republican Party  (2)

      March 30, 2012, 06:08

      I should be exactly the kind of voter you’re trying to attract, but you’re making it nearly impossible for me to vote for the Republican presidential…

    • Tough love from Jerry Brown  (1)

      April 24, 2012, 18:47

      “Everybody has needs,” Governor Jerry Brown told the physicians and medical students who filled a Sacramento banquet room on April 17.  “But needs turn…

    • The unsolved problem of MD + PR  (9)

      November 10, 2012, 17:56

      In my hospital’s preoperative area, upright on her bed, sat an unhappy middle-aged lady who needed an operation to treat complications from her previous…

    • A plague on both your houses  (3)

      November 26, 2012, 22:43

      When you walked into the voting booth on Tuesday, November 6, did you do so with a feeling of calm certainty that the man who would get your vote for President…

    • Our veterans deserve physician-led care  (10)

      September 22, 2013, 23:27

      The latest salvo in the federal government's war on physicians comes to us courtesy of the Veterans Health Administration (VHA), which is proposing drastic…

    • Anesthesiologist assistants and the right to work  (12)

      December 23, 2013, 17:06

      This column was written on behalf of the American Society of Anesthesiologists, and was first published by KevinMD on December 22, 2013. When you need…

    • Today's "evidence-based medicine" may be tomorrow's malpractice  (32)

      February 13, 2014, 07:17

      Author's note --- Readers may find these related articles of interest: The Dark Side of Quality Evidence-based guidelines won't prevent malpractice claims Ge…

    • The Dark Side of Quality  (7)

      May 4, 2014, 21:47

      Nobody stands up to argue against quality and value in healthcare. You might as well argue against motherhood, or puppies. Yet many physicians are inherently…

    • Abusing anesthesia: Why lethal injection is wrong 

      May 13, 2014, 06:22

      I give what could be lethal injections for a living. That's right. Nearly every day I give someone an injection of midazolam, vecuronium, and an IV solution…

    • Doctor's advice: Beware of observers with clipboards  (9)

      June 25, 2014, 04:52

      Here's a doctor's health tip for patients that I'll bet you haven't heard before. If you're a patient who walks into a hospital for an elective procedure of…

    • No mystery: Arizona execution lengthy due to drug choice  (4)

      July 25, 2014, 22:10

      There’s no mystery about why the July 23 execution of Joseph Wood in Arizona took so long. From the anesthesiologist’s point of view, it doesn’t seem…

    • His diagnosis is right, but the treatment is all wrong  (13)

      September 1, 2014, 20:49

      Dr. Sandeep Jauhar, a cardiologist, believes with good reason that many physicians have become "like everybody else:  insecure, discontented and anxious about…

    • Improving access to anesthesia health care 

      April 4, 2016, 06:07

      Certified Anesthesiologist Assistants (CAAs) are superbly trained anesthesia caregivers, loyal supporters of physician anesthesiologists, and eager to come to…

    • Does Arnold Schwarzenegger deserve better care than our veterans do?  (3)

      June 18, 2016, 18:40

      When Arnold Schwarzenegger was governor, he decided that you and I don’t need to have physicians in charge of our anesthesia care, and he signed a letter…

    • Who's watching the children at the dentist's office?  (11)

      July 30, 2016, 05:57

      You may have read about the recent tragic deaths of two healthy children – Marvelena Rady, age 3, and Caleb Sears, age 6 – in California dental offices.…

    • Pediatric dental anesthesia: The Dental Board gets it wrong  (4)

      January 4, 2017, 18:34

      Six-year-old Caleb Sears:  His death was preventable I’m not a pediatric anesthesiologist. Most of us in anesthesiology – even those who take care of…

    • The Boards Have Exceeded Their Bounds  (8)

      January 16, 2017, 01:11

      In the interests of full disclosure, I acknowledge with delight that I have a non-time limited board certificate from the American Board of Anesthesiology…

  • Medical Education  (7)
  • Medicine  (45)
    • Give yourself a break--Don't have a baby during residency  (45)

      March 6, 2012, 05:39

      Overheard in the OR—a surgery chief resident ruefully explaining to a senior surgeon why no intern or junior resident was available to scrub in on his…

    • Bring in the Vikings! 

      February 1, 2012, 17:41

      Photo by Panoramas on Flickr If you can possibly avoid it, don’t have elective surgery in any hospital when Joint Commission surveyors are on site,…

    • Don't Quit This Day Job  (3)

      June 11, 2011, 17:51

      The New York Times picked up my opinion piece about women in medicine. I’M a doctor and a mother of four, and I’ve always practiced medicine full time.…

    • Shall We Toast the End of ObamaCare?  (3)

      February 1, 2012, 18:58

      This article first appeared on CSA Online First on November 21, 2011 The Supreme Court announced last week that it will hear a challenge to the constitutionali…

    • The beta-blockade rules: Still crazy after all these years  (3)

      January 31, 2012, 00:56

      As of January 1, the SCIP guidelines for perioperative beta blocker (BB) administration have changed yet again.  Has it occurred to anyone that maybe they…

    • Unsupervised anesthesia care by a nurse anesthetist is a threat to patient safety 

      February 3, 2012, 23:26

      No matter how quickly you tried to switch the television channel lately, you probably couldn’t escape the trial of Dr. Conrad Murray or avoid hearing about…

    • Handoffs: The latest buzzword in patient safety 

      February 4, 2012, 05:45

      They’re part of the game in football and relay races—but are handoffs safe for anesthetized patients? As resident work hours decreased over the last few…

    • Checklists: How a good idea gets a bad name 

      February 5, 2012, 02:06

      I’m a loyal supporter of the hospital where I work, and I think that we take excellent care of our patients. But when our administrators decided to put in…

    • Downton Abbey's flirtation with medical facts  (8)

      February 13, 2012, 22:33

      Surely no one thinks of Downton Abbey as anything but an elegantly lavish soap opera, one that we Colin Firth fans aren't ashamed to admit watching.  I hope…

    • Defining "A Penned Point"  (1)

      February 5, 2012, 03:55

      This is a time of unprecedented change--in technology, medicine, and social media.  My work in medical centers across the U.S., from Connecticut to California,…

    • When is it better for doctors to make mistakes?  (2)

      February 15, 2012, 06:55

      Photo credit:  Dan Saelinger My husband and I once spent a year working at one of the largest hospitals in West Virginia.  The patients were the nicest…

    • A letter to the next generation  (4)

      February 17, 2012, 06:47

      It’s an unpopular view, but no, young ladies, you really can’t do it all. In the heady days of the 1970s and 80s, women came to believe that all a girl…

    • Bridging the disconnect between medicine and surgery  (8)

      February 18, 2012, 10:25

      There's been a great divide between the medical and surgical specialties ever since I can remember.   Surgeons believe internists perseverate too much when…

    • Who's entitled to self-esteem?  (3)

      February 21, 2012, 06:10

      Since Whitney Houston's sad, senseless death on February 11, I've heard her hit song "The Greatest Love of All" more times than I thought possible.  She had…

    • Don't cut Medicare funds for teaching hospitals! 

      February 5, 2012, 20:19

      It’s hard to see how legislators could be more shortsighted. As Washington leaders bargain to reduce the deficit and avoid a government default, one…

    • The elephant in the room  (4)

      February 26, 2012, 09:38

      One of my partners recently sent out a call for an extra pair of hands to help out in the operating room—and with good cause.  The patient on the OR table…

    • Garbage in, garbage out: The EMR in action  (2)

      February 29, 2012, 01:57

      When can we rely on the information in the electronic medical record?  Ever? My first patient of the day was a gentleman in his 50s, who'd had previous…

    • Less education for tomorrow's doctors? 

      March 25, 2012, 20:43

      If Dr. Ezekiel Emanuel gets his wish, tomorrow’s physicians won’t deserve to be paid as well as physicians today because they won’t be as well trained. …

    • A word to the Republican Party  (2)

      March 30, 2012, 06:08

      I should be exactly the kind of voter you’re trying to attract, but you’re making it nearly impossible for me to vote for the Republican presidential…

    • The shortage of doctors is worse than you think  (5)

      April 11, 2012, 05:10

      Only a generation ago, in the 1980s, medical students thought about what specialty to choose simply in terms of what interested them most.  All doctors made a…

    • Tough love from Jerry Brown  (1)

      April 24, 2012, 18:47

      “Everybody has needs,” Governor Jerry Brown told the physicians and medical students who filled a Sacramento banquet room on April 17.  “But needs turn…

    • The electronic medical record doesn't tell you the story  (6)

      April 28, 2012, 18:00

      This column was featured on the Association of American Medical Colleges' blog "Wing of Zock" on May 7, 2012, and on KevinMD on May 10, 2012. One morning…

    • The Doctor is Out  (14)

      June 9, 2012, 07:21

      We’ve come to a sorry pass in American medicine when physicians are willing to spend a lot of money to attend conferences—not to learn how to become better…

    • You can't phone in your job as a physician  (2)

      June 30, 2012, 10:30

      This column was featured on KevinMD on August 13, 2012, and on the California Society of Anesthesiology website as an "Online First" selection on July 16,…

    • Medical School Is Worth the Investment for Women--Maybe  (6)

      August 5, 2012, 04:30

      I gained a certain notoriety last summer by suggesting in a New York Times op-ed that it isn't a good thing for growing numbers of physicians to work part…

    • The unsolved problem of MD + PR  (9)

      November 10, 2012, 17:56

      In my hospital’s preoperative area, upright on her bed, sat an unhappy middle-aged lady who needed an operation to treat complications from her previous…

    • A plague on both your houses  (3)

      November 26, 2012, 22:43

      When you walked into the voting booth on Tuesday, November 6, did you do so with a feeling of calm certainty that the man who would get your vote for President…

    • Vinyl records and the future of medicine  (14)

      March 18, 2013, 03:08

      New research just out in the journal Psychology and Aging says pessimists live longer and healthier lives. If this is true, then contemplating the future of…

    • No anesthesia is "minor"  (5)

      April 9, 2013, 15:45

      It's a nightmare that doesn't end for the family of 24-year-old Marek Lapinski, who suffered cardiac arrest recently during the removal of two wisdom teeth in…

    • Is "HAL" coming to a GI suite near you?  (7)

      June 3, 2013, 05:12

      Movie buffs and science fiction fans certainly remember HAL, the computer in 1968’s hit movie “2001:  A Space Odyssey”.  Considered one of the greatest…

    • Wait. Who's burned out?  (2)

      July 26, 2013, 05:34

      How the Affordable Care Act is worsening physician burnout, and why women physicians may be at even higher risk To the literal-minded, burning out is the fate…

    • Touch your patient. Don't wear gloves.  (23)

      August 19, 2013, 01:01

      We've run amok with wearing gloves in the hospital.  And by "we" I mean every healthcare worker in sight.  I see people putting on gloves before they'll give…

    • Our veterans deserve physician-led care  (10)

      September 22, 2013, 23:27

      The latest salvo in the federal government's war on physicians comes to us courtesy of the Veterans Health Administration (VHA), which is proposing drastic…

    • In private practice, let the young doctor beware  (5)

      November 29, 2013, 06:00

      We were startled to learn recently that Sheridan Healthcare Inc., a physician services company based in Florida, has bought one of the largest private…

    • No HIPAA for us in healthcare  (27)

      December 30, 2013, 04:32

      We guard the privacy of patients in my hospital zealously—we take care of a lot of celebrities since we're right in the shadow of Beverly Hills.  And of…

    • Today's "evidence-based medicine" may be tomorrow's malpractice  (32)

      February 13, 2014, 07:17

      Author's note --- Readers may find these related articles of interest: The Dark Side of Quality Evidence-based guidelines won't prevent malpractice claims Ge…

    • The Dark Side of Quality  (7)

      May 4, 2014, 21:47

      Nobody stands up to argue against quality and value in healthcare. You might as well argue against motherhood, or puppies. Yet many physicians are inherently…

    • Practicing at the top of my license?  (6)

      May 20, 2014, 05:17

      The Institute of Medicine in 2010 famously recommended that nurses should be encouraged to practice "to the full extent of their education and training."…

    • Doctor's advice: Beware of observers with clipboards  (9)

      June 25, 2014, 04:52

      Here's a doctor's health tip for patients that I'll bet you haven't heard before. If you're a patient who walks into a hospital for an elective procedure of…

    • His diagnosis is right, but the treatment is all wrong  (13)

      September 1, 2014, 20:49

      Dr. Sandeep Jauhar, a cardiologist, believes with good reason that many physicians have become "like everybody else:  insecure, discontented and anxious about…

    • Joan Rivers: Some answers, more questions  (8)

      September 15, 2014, 06:17

      Since the death of comedian and talk-show host Joan Rivers, more information has surfaced about the events on the morning of August 28 at Yorkville Endoscopy.…

    • Threat and opportunity: The new world of anesthesiology  (3)

      October 13, 2014, 13:48

      “Fighting against those who want to change things is a futile strategy,” declared Jason Hwang, MD, MBA, keynote speaker at the opening ceremonies of the…

    • Do electronic health records improve patient safety?  (6)

      October 17, 2014, 04:18

      “I’m here to say ‘Yes, they can,’ which is different from ‘Yes, they always do,’” says James Moore, MD, President-Elect of the California Society…

    • Evidence-based guidelines won't prevent malpractice claims  (1)

      May 28, 2015, 06:26

      The best way to avoid being sued for malpractice is to make certain that all your patients are happy and all their outcomes are good. Reality is seldom so…

    • Michael Porter at the ASA: Is anesthesiology a specialist silo?  (1)

      October 23, 2016, 20:16

      “I’m your friend,” Harvard Business School Professor Michael Porter, MBA, PhD, told a sometimes skeptical audience during his keynote address at the…

  • Pain management  (1)
  • Politics  (24)
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      March 8, 2012, 21:13

      As a very new reporter for the Wall Street Journal, before I started medical school, I was sent to North Carolina to report on efforts to unionize the workers…

    • Shall We Toast the End of ObamaCare?  (3)

      February 1, 2012, 18:58

      This article first appeared on CSA Online First on November 21, 2011 The Supreme Court announced last week that it will hear a challenge to the constitutionali…

    • Unsupervised anesthesia care by a nurse anesthetist is a threat to patient safety 

      February 3, 2012, 23:26

      No matter how quickly you tried to switch the television channel lately, you probably couldn’t escape the trial of Dr. Conrad Murray or avoid hearing about…

    • Defining "A Penned Point"  (1)

      February 5, 2012, 03:55

      This is a time of unprecedented change--in technology, medicine, and social media.  My work in medical centers across the U.S., from Connecticut to California,…

    • Don't cut Medicare funds for teaching hospitals! 

      February 5, 2012, 20:19

      It’s hard to see how legislators could be more shortsighted. As Washington leaders bargain to reduce the deficit and avoid a government default, one…

    • The elephant in the room  (4)

      February 26, 2012, 09:38

      One of my partners recently sent out a call for an extra pair of hands to help out in the operating room—and with good cause.  The patient on the OR table…

    • Less education for tomorrow's doctors? 

      March 25, 2012, 20:43

      If Dr. Ezekiel Emanuel gets his wish, tomorrow’s physicians won’t deserve to be paid as well as physicians today because they won’t be as well trained. …

    • A word to the Republican Party  (2)

      March 30, 2012, 06:08

      I should be exactly the kind of voter you’re trying to attract, but you’re making it nearly impossible for me to vote for the Republican presidential…

    • Tough love from Jerry Brown  (1)

      April 24, 2012, 18:47

      “Everybody has needs,” Governor Jerry Brown told the physicians and medical students who filled a Sacramento banquet room on April 17.  “But needs turn…

    • The Doctor is Out  (14)

      June 9, 2012, 07:21

      We’ve come to a sorry pass in American medicine when physicians are willing to spend a lot of money to attend conferences—not to learn how to become better…

    • A plague on both your houses  (3)

      November 26, 2012, 22:43

      When you walked into the voting booth on Tuesday, November 6, did you do so with a feeling of calm certainty that the man who would get your vote for President…

    • Vinyl records and the future of medicine  (14)

      March 18, 2013, 03:08

      New research just out in the journal Psychology and Aging says pessimists live longer and healthier lives. If this is true, then contemplating the future of…

    • Wait. Who's burned out?  (2)

      July 26, 2013, 05:34

      How the Affordable Care Act is worsening physician burnout, and why women physicians may be at even higher risk To the literal-minded, burning out is the fate…

    • Our veterans deserve physician-led care  (10)

      September 22, 2013, 23:27

      The latest salvo in the federal government's war on physicians comes to us courtesy of the Veterans Health Administration (VHA), which is proposing drastic…

    • Anesthesiologist assistants and the right to work  (12)

      December 23, 2013, 17:06

      This column was written on behalf of the American Society of Anesthesiologists, and was first published by KevinMD on December 22, 2013. When you need…

    • Today's "evidence-based medicine" may be tomorrow's malpractice  (32)

      February 13, 2014, 07:17

      Author's note --- Readers may find these related articles of interest: The Dark Side of Quality Evidence-based guidelines won't prevent malpractice claims Ge…

    • The problem of pain: When best medical advice doesn't equal patient satisfaction  (12)

      April 3, 2014, 05:31

      "The creatures cause pain by being born, and live by inflicting pain, and in pain they mostly die."--C. S. Lewis The problem of pain, from the viewpoint of…

    • To tweet or not to tweet: Social media for physicians  (3)

      April 4, 2014, 20:25

      Nepal? I don't know anyone in Nepal. Yet not long ago I received a courteous email from a physician there, asking my permission to translate an article of mine…

    • The Dark Side of Quality  (7)

      May 4, 2014, 21:47

      Nobody stands up to argue against quality and value in healthcare. You might as well argue against motherhood, or puppies. Yet many physicians are inherently…

    • Abusing anesthesia: Why lethal injection is wrong 

      May 13, 2014, 06:22

      I give what could be lethal injections for a living. That's right. Nearly every day I give someone an injection of midazolam, vecuronium, and an IV solution…

    • No mystery: Arizona execution lengthy due to drug choice  (4)

      July 25, 2014, 22:10

      There’s no mystery about why the July 23 execution of Joseph Wood in Arizona took so long. From the anesthesiologist’s point of view, it doesn’t seem…

    • His diagnosis is right, but the treatment is all wrong  (13)

      September 1, 2014, 20:49

      Dr. Sandeep Jauhar, a cardiologist, believes with good reason that many physicians have become "like everybody else:  insecure, discontented and anxious about…

    • In anesthesia, knowing when to call for help is key  (7)

      October 14, 2015, 04:07

      I admit, I was taken aback at the headline in the Houston Press: GOING UNDER:  WHAT CAN HAPPEN IF YOUR ANESTHESIOLOGIST LEAVES THE ROOM DURING AN OPERATION …

    • Who's watching the children at the dentist's office?  (11)

      July 30, 2016, 05:57

      You may have read about the recent tragic deaths of two healthy children – Marvelena Rady, age 3, and Caleb Sears, age 6 – in California dental offices.…

  • Practice Guidelines  (2)
  • Pregnancy  (1)
  • Professionalism  (41)
    • Let the buyer beware of cut-rate surgery centers 

      March 12, 2012, 19:33

      If you live in southern California, you can’t miss the billboards advertising laparoscopic gastric banding at “1-800-GET-THIN” outpatient surgery…

    • Don't Quit This Day Job  (3)

      June 11, 2011, 17:51

      The New York Times picked up my opinion piece about women in medicine. I’M a doctor and a mother of four, and I’ve always practiced medicine full time.…

    • The beta-blockade rules: Still crazy after all these years  (3)

      January 31, 2012, 00:56

      As of January 1, the SCIP guidelines for perioperative beta blocker (BB) administration have changed yet again.  Has it occurred to anyone that maybe they…

    • Handoffs: The latest buzzword in patient safety 

      February 4, 2012, 05:45

      They’re part of the game in football and relay races—but are handoffs safe for anesthetized patients? As resident work hours decreased over the last few…

    • Checklists: How a good idea gets a bad name 

      February 5, 2012, 02:06

      I’m a loyal supporter of the hospital where I work, and I think that we take excellent care of our patients. But when our administrators decided to put in…

    • A disabling injury--a lucky break?  (1)

      February 5, 2012, 03:24

      Just before Christmas, I was out walking my dog, who's a large (100 lb.) but very sweet, somewhat timid mutt.  We passed by two German shepherds who…

    • Bring in the Vikings! 

      February 1, 2012, 17:41

      Photo by Panoramas on Flickr If you can possibly avoid it, don’t have elective surgery in any hospital when Joint Commission surveyors are on site,…

    • Unsupervised anesthesia care by a nurse anesthetist is a threat to patient safety 

      February 3, 2012, 23:26

      No matter how quickly you tried to switch the television channel lately, you probably couldn’t escape the trial of Dr. Conrad Murray or avoid hearing about…

    • When is it better for doctors to make mistakes?  (2)

      February 15, 2012, 06:55

      Photo credit:  Dan Saelinger My husband and I once spent a year working at one of the largest hospitals in West Virginia.  The patients were the nicest…

    • Bridging the disconnect between medicine and surgery  (8)

      February 18, 2012, 10:25

      There's been a great divide between the medical and surgical specialties ever since I can remember.   Surgeons believe internists perseverate too much when…

    • Who's entitled to self-esteem?  (3)

      February 21, 2012, 06:10

      Since Whitney Houston's sad, senseless death on February 11, I've heard her hit song "The Greatest Love of All" more times than I thought possible.  She had…

    • Garbage in, garbage out: The EMR in action  (2)

      February 29, 2012, 01:57

      When can we rely on the information in the electronic medical record?  Ever? My first patient of the day was a gentleman in his 50s, who'd had previous…

    • Less education for tomorrow's doctors? 

      March 25, 2012, 20:43

      If Dr. Ezekiel Emanuel gets his wish, tomorrow’s physicians won’t deserve to be paid as well as physicians today because they won’t be as well trained. …

    • The shortage of doctors is worse than you think  (5)

      April 11, 2012, 05:10

      Only a generation ago, in the 1980s, medical students thought about what specialty to choose simply in terms of what interested them most.  All doctors made a…

    • The electronic medical record doesn't tell you the story  (6)

      April 28, 2012, 18:00

      This column was featured on the Association of American Medical Colleges' blog "Wing of Zock" on May 7, 2012, and on KevinMD on May 10, 2012. One morning…

    • The Doctor is Out  (14)

      June 9, 2012, 07:21

      We’ve come to a sorry pass in American medicine when physicians are willing to spend a lot of money to attend conferences—not to learn how to become better…

    • You can't phone in your job as a physician  (2)

      June 30, 2012, 10:30

      This column was featured on KevinMD on August 13, 2012, and on the California Society of Anesthesiology website as an "Online First" selection on July 16,…

    • Medical School Is Worth the Investment for Women--Maybe  (6)

      August 5, 2012, 04:30

      I gained a certain notoriety last summer by suggesting in a New York Times op-ed that it isn't a good thing for growing numbers of physicians to work part…

    • Anesthesia for Dummies  (4)

      August 18, 2012, 22:28

      Really, sir.  What were you thinking? I’m talking to you—the anesthesia provider (I hate to think that you might be an anesthesiologist) who allowed…

    • The unsolved problem of MD + PR  (9)

      November 10, 2012, 17:56

      In my hospital’s preoperative area, upright on her bed, sat an unhappy middle-aged lady who needed an operation to treat complications from her previous…

    • A plague on both your houses  (3)

      November 26, 2012, 22:43

      When you walked into the voting booth on Tuesday, November 6, did you do so with a feeling of calm certainty that the man who would get your vote for President…

    • Vinyl records and the future of medicine  (14)

      March 18, 2013, 03:08

      New research just out in the journal Psychology and Aging says pessimists live longer and healthier lives. If this is true, then contemplating the future of…

    • My son, the doctor-to-be  (2)

      April 1, 2013, 03:59

      My son has been accepted into medical school, we learned last week, and I must say I'm about as happy a mother and a physician as you could find anywhere. …

    • Touch your patient. Don't wear gloves.  (23)

      August 19, 2013, 01:01

      We've run amok with wearing gloves in the hospital.  And by "we" I mean every healthcare worker in sight.  I see people putting on gloves before they'll give…

    • No HIPAA for us in healthcare  (27)

      December 30, 2013, 04:32

      We guard the privacy of patients in my hospital zealously—we take care of a lot of celebrities since we're right in the shadow of Beverly Hills.  And of…

    • Today's "evidence-based medicine" may be tomorrow's malpractice  (32)

      February 13, 2014, 07:17

      Author's note --- Readers may find these related articles of interest: The Dark Side of Quality Evidence-based guidelines won't prevent malpractice claims Ge…

    • The problem of pain: When best medical advice doesn't equal patient satisfaction  (12)

      April 3, 2014, 05:31

      "The creatures cause pain by being born, and live by inflicting pain, and in pain they mostly die."--C. S. Lewis The problem of pain, from the viewpoint of…

    • To tweet or not to tweet: Social media for physicians  (3)

      April 4, 2014, 20:25

      Nepal? I don't know anyone in Nepal. Yet not long ago I received a courteous email from a physician there, asking my permission to translate an article of mine…

    • The Dark Side of Quality  (7)

      May 4, 2014, 21:47

      Nobody stands up to argue against quality and value in healthcare. You might as well argue against motherhood, or puppies. Yet many physicians are inherently…

    • Practicing at the top of my license?  (6)

      May 20, 2014, 05:17

      The Institute of Medicine in 2010 famously recommended that nurses should be encouraged to practice "to the full extent of their education and training."…

    • Abusing anesthesia: Why lethal injection is wrong 

      May 13, 2014, 06:22

      I give what could be lethal injections for a living. That's right. Nearly every day I give someone an injection of midazolam, vecuronium, and an IV solution…

    • His diagnosis is right, but the treatment is all wrong  (13)

      September 1, 2014, 20:49

      Dr. Sandeep Jauhar, a cardiologist, believes with good reason that many physicians have become "like everybody else:  insecure, discontented and anxious about…

    • A Call for Civility  (24)

      February 25, 2015, 05:31

      Why can’t physician anesthesiologists, nurse anesthetists, and anesthesiologist assistants just get along? American anesthesiology reached a significant…

    • Did Dr. Virginia Apgar worry about work-life balance?  (2)

      May 31, 2015, 17:47

      Dr. Margaret Wood, who chairs the Department of Anesthesiology at Columbia University Medical Center, has published a wonderful article titled "Women in…

    • Privilege and entitlement in "work-life balance"  (13)

      August 24, 2015, 06:38

      Did it ever occur to some of today's physicians that many people work awfully hard and complain a lot less than they do about "burnout" and "work-life…

    • In anesthesia, knowing when to call for help is key  (7)

      October 14, 2015, 04:07

      I admit, I was taken aback at the headline in the Houston Press: GOING UNDER:  WHAT CAN HAPPEN IF YOUR ANESTHESIOLOGIST LEAVES THE ROOM DURING AN OPERATION …

    • Running two ORs: Is it always wrong?  (5)

      November 7, 2015, 05:03

      Is it always wrong for a surgeon to book cases that will be done in two operating rooms during the same timeframe? If you've paid much attention to the…

    • Being the family member in the corner  (7)

      February 13, 2016, 17:58

      Nothing brings out the mama lioness in me more than seeing one of my cubs not being treated as well as I think it should be. Recently I had the unusual…

    • Communication, Leadership, and... Blogging?  (2)

      July 10, 2016, 16:53

      Is there a direct connection between communication skills and the art of successful leadership? Most of us would agree that there is. But is there a direct…

    • Michael Porter at the ASA: Is anesthesiology a specialist silo?  (1)

      October 23, 2016, 20:16

      “I’m your friend,” Harvard Business School Professor Michael Porter, MBA, PhD, told a sometimes skeptical audience during his keynote address at the…

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      January 16, 2017, 01:11

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      March 8, 2012, 21:13

      As a very new reporter for the Wall Street Journal, before I started medical school, I was sent to North Carolina to report on efforts to unionize the workers…

    • Women Have Changed, But Women’s Hotels Remain Quite Proper  (5)

      February 1, 2012, 16:55

      I wrote this article for The Wall Street Journal, where it was printed on July 13, 1973. Women Have Changed, But Women’s Hotels Remain Quite Proper By…

    • A disabling injury--a lucky break?  (1)

      February 5, 2012, 03:24

      Just before Christmas, I was out walking my dog, who's a large (100 lb.) but very sweet, somewhat timid mutt.  We passed by two German shepherds who…

    • Downton Abbey's flirtation with medical facts  (8)

      February 13, 2012, 22:33

      Surely no one thinks of Downton Abbey as anything but an elegantly lavish soap opera, one that we Colin Firth fans aren't ashamed to admit watching.  I hope…

    • Bridging the disconnect between medicine and surgery  (8)

      February 18, 2012, 10:25

      There's been a great divide between the medical and surgical specialties ever since I can remember.   Surgeons believe internists perseverate too much when…

    • Garbage in, garbage out: The EMR in action  (2)

      February 29, 2012, 01:57

      When can we rely on the information in the electronic medical record?  Ever? My first patient of the day was a gentleman in his 50s, who'd had previous…

    • A word to the Republican Party  (2)

      March 30, 2012, 06:08

      I should be exactly the kind of voter you’re trying to attract, but you’re making it nearly impossible for me to vote for the Republican presidential…

    • We went to Princeton!  (6)

      May 23, 2012, 06:09

      Naturally, I remember the night I met my husband.  We were walking along the seawall on a lovely evening in San Diego, having met over dinner at a nearby…

    • Don't reach out to me. Please.  (8)

      October 26, 2012, 05:36

      Every once in a while, a new catch phrase appears that you hear or read rarely at first. Then suddenly you meet it everywhere, and it progresses rapidly from…

    • My son, the doctor-to-be  (2)

      April 1, 2013, 03:59

      My son has been accepted into medical school, we learned last week, and I must say I'm about as happy a mother and a physician as you could find anywhere. …

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      March 3, 2015, 04:48

      How an eleven-pound cat precipitated domestic chaos and delayed surgery Termites are endemic in southern California, and we’ve had spot treatments several…

    • Love, loss, and the lyrics of Bob Dylan  (4)

      October 17, 2016, 05:37

      Classic rock music lovers who think they don't like poetry, and literary purists who think they don't like popular music, may have been equally baffled to hear…

  • Residency  (10)
    • Give yourself a break--Don't have a baby during residency  (45)

      March 6, 2012, 05:39

      Overheard in the OR—a surgery chief resident ruefully explaining to a senior surgeon why no intern or junior resident was available to scrub in on his…

    • Who's entitled to self-esteem?  (3)

      February 21, 2012, 06:10

      Since Whitney Houston's sad, senseless death on February 11, I've heard her hit song "The Greatest Love of All" more times than I thought possible.  She had…

    • Don't cut Medicare funds for teaching hospitals! 

      February 5, 2012, 20:19

      It’s hard to see how legislators could be more shortsighted. As Washington leaders bargain to reduce the deficit and avoid a government default, one…

    • Less education for tomorrow's doctors? 

      March 25, 2012, 20:43

      If Dr. Ezekiel Emanuel gets his wish, tomorrow’s physicians won’t deserve to be paid as well as physicians today because they won’t be as well trained. …

    • The shortage of doctors is worse than you think  (5)

      April 11, 2012, 05:10

      Only a generation ago, in the 1980s, medical students thought about what specialty to choose simply in terms of what interested them most.  All doctors made a…

    • You can't phone in your job as a physician  (2)

      June 30, 2012, 10:30

      This column was featured on KevinMD on August 13, 2012, and on the California Society of Anesthesiology website as an "Online First" selection on July 16,…

    • Wait. Who's burned out?  (2)

      July 26, 2013, 05:34

      How the Affordable Care Act is worsening physician burnout, and why women physicians may be at even higher risk To the literal-minded, burning out is the fate…

    • Touch your patient. Don't wear gloves.  (23)

      August 19, 2013, 01:01

      We've run amok with wearing gloves in the hospital.  And by "we" I mean every healthcare worker in sight.  I see people putting on gloves before they'll give…

    • Medical students: What no one tells you about anesthesiology  (6)

      June 9, 2015, 03:43

      This column ran first in the online magazine for medical students, "in-Training" In case you were wondering — robots won’t replace anesthesiologists any…

    • The Boards Have Exceeded Their Bounds  (8)

      January 16, 2017, 01:11

      In the interests of full disclosure, I acknowledge with delight that I have a non-time limited board certificate from the American Board of Anesthesiology…

  • Safety  (31)
    • Let the buyer beware of cut-rate surgery centers 

      March 12, 2012, 19:33

      If you live in southern California, you can’t miss the billboards advertising laparoscopic gastric banding at “1-800-GET-THIN” outpatient surgery…

    • Checklists: How a good idea gets a bad name 

      February 5, 2012, 02:06

      I’m a loyal supporter of the hospital where I work, and I think that we take excellent care of our patients. But when our administrators decided to put in…

    • Handoffs: The latest buzzword in patient safety 

      February 4, 2012, 05:45

      They’re part of the game in football and relay races—but are handoffs safe for anesthetized patients? As resident work hours decreased over the last few…

    • Unsupervised anesthesia care by a nurse anesthetist is a threat to patient safety 

      February 3, 2012, 23:26

      No matter how quickly you tried to switch the television channel lately, you probably couldn’t escape the trial of Dr. Conrad Murray or avoid hearing about…

    • Bring in the Vikings! 

      February 1, 2012, 17:41

      Photo by Panoramas on Flickr If you can possibly avoid it, don’t have elective surgery in any hospital when Joint Commission surveyors are on site,…

    • The beta-blockade rules: Still crazy after all these years  (3)

      January 31, 2012, 00:56

      As of January 1, the SCIP guidelines for perioperative beta blocker (BB) administration have changed yet again.  Has it occurred to anyone that maybe they…

    • When is it better for doctors to make mistakes?  (2)

      February 15, 2012, 06:55

      Photo credit:  Dan Saelinger My husband and I once spent a year working at one of the largest hospitals in West Virginia.  The patients were the nicest…

    • Who's entitled to self-esteem?  (3)

      February 21, 2012, 06:10

      Since Whitney Houston's sad, senseless death on February 11, I've heard her hit song "The Greatest Love of All" more times than I thought possible.  She had…

    • The electronic medical record doesn't tell you the story  (6)

      April 28, 2012, 18:00

      This column was featured on the Association of American Medical Colleges' blog "Wing of Zock" on May 7, 2012, and on KevinMD on May 10, 2012. One morning…

    • Anesthesia for Dummies  (4)

      August 18, 2012, 22:28

      Really, sir.  What were you thinking? I’m talking to you—the anesthesia provider (I hate to think that you might be an anesthesiologist) who allowed…

    • Scaring the public about anesthesia--again  (1)

      January 15, 2013, 06:03

      Don’t be surprised if patients start asking more questions than usual about awareness under anesthesia.  We can all thank a recent article in The Atlantic…

    • No anesthesia is "minor"  (5)

      April 9, 2013, 15:45

      It's a nightmare that doesn't end for the family of 24-year-old Marek Lapinski, who suffered cardiac arrest recently during the removal of two wisdom teeth in…

    • Is "HAL" coming to a GI suite near you?  (7)

      June 3, 2013, 05:12

      Movie buffs and science fiction fans certainly remember HAL, the computer in 1968’s hit movie “2001:  A Space Odyssey”.  Considered one of the greatest…

    • Touch your patient. Don't wear gloves.  (23)

      August 19, 2013, 01:01

      We've run amok with wearing gloves in the hospital.  And by "we" I mean every healthcare worker in sight.  I see people putting on gloves before they'll give…

    • Questions Baby Boomers (and their parents) should ask about anesthesia  (1)

      August 25, 2013, 18:38

      Not so many years ago, surgeons wouldn't operate on patients they considered too old to tolerate the stress of anesthesia and surgery.  Today, though,…

    • Our veterans deserve physician-led care  (10)

      September 22, 2013, 23:27

      The latest salvo in the federal government's war on physicians comes to us courtesy of the Veterans Health Administration (VHA), which is proposing drastic…

    • No HIPAA for us in healthcare  (27)

      December 30, 2013, 04:32

      We guard the privacy of patients in my hospital zealously—we take care of a lot of celebrities since we're right in the shadow of Beverly Hills.  And of…

    • Today's "evidence-based medicine" may be tomorrow's malpractice  (32)

      February 13, 2014, 07:17

      Author's note --- Readers may find these related articles of interest: The Dark Side of Quality Evidence-based guidelines won't prevent malpractice claims Ge…

    • The problem of pain: When best medical advice doesn't equal patient satisfaction  (12)

      April 3, 2014, 05:31

      "The creatures cause pain by being born, and live by inflicting pain, and in pain they mostly die."--C. S. Lewis The problem of pain, from the viewpoint of…

    • The Dark Side of Quality  (7)

      May 4, 2014, 21:47

      Nobody stands up to argue against quality and value in healthcare. You might as well argue against motherhood, or puppies. Yet many physicians are inherently…

    • Doctor's advice: Beware of observers with clipboards  (9)

      June 25, 2014, 04:52

      Here's a doctor's health tip for patients that I'll bet you haven't heard before. If you're a patient who walks into a hospital for an elective procedure of…

    • How did Joan Rivers' procedure go so terribly wrong?  (1)

      September 8, 2014, 07:05

      There are minor operations and procedures, but there are no minor anesthetics.  This could turn out to be the one lesson learned from the ongoing investigation…

    • Joan Rivers: Some answers, more questions  (8)

      September 15, 2014, 06:17

      Since the death of comedian and talk-show host Joan Rivers, more information has surfaced about the events on the morning of August 28 at Yorkville Endoscopy.…

    • Joan Rivers: More facts come to light  (10)

      September 22, 2014, 01:58

      The ear, nose and throat specialist who treated comedian Joan Rivers on August 28 has been identified as Dr. Gwen Korovin, a prominent New York physician who…

    • Do electronic health records improve patient safety?  (6)

      October 17, 2014, 04:18

      “I’m here to say ‘Yes, they can,’ which is different from ‘Yes, they always do,’” says James Moore, MD, President-Elect of the California Society…

    • Germs and the pseudoscience of quality improvement  (9)

      December 8, 2014, 01:18

      No one wants a hospital-acquired infection---a wound infection, a central line infection, or any other kind.  But today, the level of concern in American…

    • Joan Rivers' anesthesiologist identified  (17)

      January 4, 2015, 10:36

      New York Post reporter Susan Edelman revealed on January 4 the name of the unfortunate anesthesiologist allegedly present on August 28 at Yorkville Endoscopy,…

    • "Twilight" is a movie  (3)

      January 30, 2015, 04:34

      How the advent of propofol -- the drug associated with the deaths of Joan Rivers and Michael Jackson -- changed the meaning of the term "sedation" “Twilight!…

    • In anesthesia, knowing when to call for help is key  (7)

      October 14, 2015, 04:07

      I admit, I was taken aback at the headline in the Houston Press: GOING UNDER:  WHAT CAN HAPPEN IF YOUR ANESTHESIOLOGIST LEAVES THE ROOM DURING AN OPERATION …

    • Running two ORs: Is it always wrong?  (5)

      November 7, 2015, 05:03

      Is it always wrong for a surgeon to book cases that will be done in two operating rooms during the same timeframe? If you've paid much attention to the…

    • Pediatric dental anesthesia: The Dental Board gets it wrong  (4)

      January 4, 2017, 18:34

      Six-year-old Caleb Sears:  His death was preventable I’m not a pediatric anesthesiologist. Most of us in anesthesiology – even those who take care of…

  • Social media  (3)
    • To tweet or not to tweet: Social media for physicians  (3)

      April 4, 2014, 20:25

      Nepal? I don't know anyone in Nepal. Yet not long ago I received a courteous email from a physician there, asking my permission to translate an article of mine…

    • A Call for Civility  (24)

      February 25, 2015, 05:31

      Why can’t physician anesthesiologists, nurse anesthetists, and anesthesiologist assistants just get along? American anesthesiology reached a significant…

    • Communication, Leadership, and... Blogging?  (2)

      July 10, 2016, 16:53

      Is there a direct connection between communication skills and the art of successful leadership? Most of us would agree that there is. But is there a direct…

  • Surgery  (11)
    • Let the buyer beware of cut-rate surgery centers 

      March 12, 2012, 19:33

      If you live in southern California, you can’t miss the billboards advertising laparoscopic gastric banding at “1-800-GET-THIN” outpatient surgery…

    • The shortage of doctors is worse than you think  (5)

      April 11, 2012, 05:10

      Only a generation ago, in the 1980s, medical students thought about what specialty to choose simply in terms of what interested them most.  All doctors made a…

    • You can't phone in your job as a physician  (2)

      June 30, 2012, 10:30

      This column was featured on KevinMD on August 13, 2012, and on the California Society of Anesthesiology website as an "Online First" selection on July 16,…

    • Scaring the public about anesthesia--again  (1)

      January 15, 2013, 06:03

      Don’t be surprised if patients start asking more questions than usual about awareness under anesthesia.  We can all thank a recent article in The Atlantic…

    • No anesthesia is "minor"  (5)

      April 9, 2013, 15:45

      It's a nightmare that doesn't end for the family of 24-year-old Marek Lapinski, who suffered cardiac arrest recently during the removal of two wisdom teeth in…

    • Questions Baby Boomers (and their parents) should ask about anesthesia  (1)

      August 25, 2013, 18:38

      Not so many years ago, surgeons wouldn't operate on patients they considered too old to tolerate the stress of anesthesia and surgery.  Today, though,…

    • Today's "evidence-based medicine" may be tomorrow's malpractice  (32)

      February 13, 2014, 07:17

      Author's note --- Readers may find these related articles of interest: The Dark Side of Quality Evidence-based guidelines won't prevent malpractice claims Ge…

    • Threat and opportunity: The new world of anesthesiology  (3)

      October 13, 2014, 13:48

      “Fighting against those who want to change things is a futile strategy,” declared Jason Hwang, MD, MBA, keynote speaker at the opening ceremonies of the…

    • Germs and the pseudoscience of quality improvement  (9)

      December 8, 2014, 01:18

      No one wants a hospital-acquired infection---a wound infection, a central line infection, or any other kind.  But today, the level of concern in American…

    • "Twilight" is a movie  (3)

      January 30, 2015, 04:34

      How the advent of propofol -- the drug associated with the deaths of Joan Rivers and Michael Jackson -- changed the meaning of the term "sedation" “Twilight!…

    • Running two ORs: Is it always wrong?  (5)

      November 7, 2015, 05:03

      Is it always wrong for a surgeon to book cases that will be done in two operating rooms during the same timeframe? If you've paid much attention to the…

  • Women’s Issues  (15)
    • Give yourself a break--Don't have a baby during residency  (45)

      March 6, 2012, 05:39

      Overheard in the OR—a surgery chief resident ruefully explaining to a senior surgeon why no intern or junior resident was available to scrub in on his…

    • Women Have Changed, But Women’s Hotels Remain Quite Proper  (5)

      February 1, 2012, 16:55

      I wrote this article for The Wall Street Journal, where it was printed on July 13, 1973. Women Have Changed, But Women’s Hotels Remain Quite Proper By…

    • Don't Quit This Day Job  (3)

      June 11, 2011, 17:51

      The New York Times picked up my opinion piece about women in medicine. I’M a doctor and a mother of four, and I’ve always practiced medicine full time.…

    • Defining "A Penned Point"  (1)

      February 5, 2012, 03:55

      This is a time of unprecedented change--in technology, medicine, and social media.  My work in medical centers across the U.S., from Connecticut to California,…

    • A letter to the next generation  (4)

      February 17, 2012, 06:47

      It’s an unpopular view, but no, young ladies, you really can’t do it all. In the heady days of the 1970s and 80s, women came to believe that all a girl…

    • We went to Princeton!  (6)

      May 23, 2012, 06:09

      Naturally, I remember the night I met my husband.  We were walking along the seawall on a lovely evening in San Diego, having met over dinner at a nearby…

    • You can't phone in your job as a physician  (2)

      June 30, 2012, 10:30

      This column was featured on KevinMD on August 13, 2012, and on the California Society of Anesthesiology website as an "Online First" selection on July 16,…

    • Medical School Is Worth the Investment for Women--Maybe  (6)

      August 5, 2012, 04:30

      I gained a certain notoriety last summer by suggesting in a New York Times op-ed that it isn't a good thing for growing numbers of physicians to work part…

    • A plague on both your houses  (3)

      November 26, 2012, 22:43

      When you walked into the voting booth on Tuesday, November 6, did you do so with a feeling of calm certainty that the man who would get your vote for President…

    • My son, the doctor-to-be  (2)

      April 1, 2013, 03:59

      My son has been accepted into medical school, we learned last week, and I must say I'm about as happy a mother and a physician as you could find anywhere. …

    • Wait. Who's burned out?  (2)

      July 26, 2013, 05:34

      How the Affordable Care Act is worsening physician burnout, and why women physicians may be at even higher risk To the literal-minded, burning out is the fate…

    • Of cats and termites  (6)

      March 3, 2015, 04:48

      How an eleven-pound cat precipitated domestic chaos and delayed surgery Termites are endemic in southern California, and we’ve had spot treatments several…

    • Did Dr. Virginia Apgar worry about work-life balance?  (2)

      May 31, 2015, 17:47

      Dr. Margaret Wood, who chairs the Department of Anesthesiology at Columbia University Medical Center, has published a wonderful article titled "Women in…

    • Privilege and entitlement in "work-life balance"  (13)

      August 24, 2015, 06:38

      Did it ever occur to some of today's physicians that many people work awfully hard and complain a lot less than they do about "burnout" and "work-life…

    • Osteoporosis: Silent villain can cause major pain  (13)

      September 14, 2015, 17:28

      It's amazing how quickly my role switched from physician to patient, thanks to a silent assailant: osteoporosis. I went to the gym in the morning before…


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