tag:blogger.com,1999:blog-30499448.post7357614586800205388..comments2024-02-18T13:53:30.168-08:00Comments on Surgeonsblog: Two Spleen...Sid Schwabhttp://www.blogger.com/profile/14182853083503404098noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-30499448.post-66487117616765180052007-07-09T17:30:00.000-07:002007-07-09T17:30:00.000-07:00Non-operative treatment rules the day in Trauma su...Non-operative treatment rules the day in Trauma surgery nowadays. Even in busy urban trauma centers, fewer patients end up in the OR. Trauma surgeons function more as critical care specialists rather than operative surgeons. In many centers, we've seen the development of a concept called "Emergency General Surgery" as a way for trauma surgeons to keep sharp. All late night appendices and free air cases go to the in-house trauma attending. Strange concept. As a practicing general surgeon, isn't that what I'm supposed to be doing? Anyway, the issue raises the question; is trauma a viable sub-specialty in the realm of surgery given that hardly any actual surgery is ever done?Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-49530956957263970462007-06-30T19:13:00.000-07:002007-06-30T19:13:00.000-07:00Wonderful. You have such a gift for descriptive ph...Wonderful. You have such a gift for descriptive phrases that create vivid visuals. You put me right back in the OR every time, which must be why I have become addicted to your blog. The free medical education is just the icing on the cake.<BR/> I am not new a new reader, just a new commenter.<BR/> I had a mole removed once.....make mine traumahttps://www.blogger.com/profile/18149160428613740527noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-37100671540196051152007-06-30T13:26:00.000-07:002007-06-30T13:26:00.000-07:00Nothing to say here except I enjoyed the post. An...Nothing to say here except I enjoyed the post. And as always, I have no idea how surgeons on the whole manage to do so much in such tight spaces. I'm a pianist and no stranger finger/wrist dexterity, but the positioning of the spleen, trying to get your hand around the left side, butting up against the ribs, not nicking this or that, it just seems so <EM>frustrating</EM> to constantly work in such close quarters.<BR/><BR/>The tradeoff for the size of incision (for the exposure/mobilization of the organ) vs. the patient's healing/comfort and all the variables on each side (infection, etc.) -- I'm getting stressed just thinking about it. :PAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-90490673418680779032007-06-27T19:10:00.000-07:002007-06-27T19:10:00.000-07:00I'd actually considered mentioning the limbs, but ...I'd actually considered mentioning the limbs, but didn't because it seemed too much like a surgeon... hadn't thought about the genitals, though. Says something, I guess...Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-41818982368880402282007-06-27T19:02:00.000-07:002007-06-27T19:02:00.000-07:00Allow me to point out that the genitals only cost ...Allow me to point out that the genitals only cost money -- have you looked at movie ticket prices or a decent restaurant's menu lately? -- and that the extremities are perfectly superfluous once the orthopaedic surgeon's new yacht is paid off. :-)<BR/><BR/>Regarding the head, politicians on both sides of the aisle, along with the ankle-biting bottom-feeders, prove that it can be eliminated, te be replaces with a hairdryer to generate hot air.<BR/><BR/>Cheers,<BR/>Felix.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-68576658796972446342007-06-27T15:35:00.000-07:002007-06-27T15:35:00.000-07:00lynn: hard to know, without trying...lynn: hard to know, without trying...Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-4900435288014680812007-06-27T14:42:00.000-07:002007-06-27T14:42:00.000-07:00Sid, I've had a number of people tell me I could d...Sid, I've had a number of people tell me I could do quite nicely without my brain. Tell me they're kidding.Lynn Pricehttps://www.blogger.com/profile/02958402288888144904noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-59438474036124753122007-06-26T20:36:00.000-07:002007-06-26T20:36:00.000-07:00usually it's left in place, which isn't hard to do...usually it's left in place, which isn't hard to do...Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-91597531620746719662007-06-26T19:52:00.000-07:002007-06-26T19:52:00.000-07:00Dr S. - What happens to the adrenal gland if a kid...Dr S. - What happens to the adrenal gland if a kidney is removed?SeaSprayhttps://www.blogger.com/profile/07906503090688697222noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-47679163349794430772007-06-26T19:41:00.000-07:002007-06-26T19:41:00.000-07:00Sounds like a dramatic surgery.Good question Tom a...Sounds like a dramatic surgery.<BR/><BR/>Good question Tom and interesting answers.SeaSprayhttps://www.blogger.com/profile/07906503090688697222noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-61493109648712141042007-06-26T10:30:00.000-07:002007-06-26T10:30:00.000-07:00tom: good question. You could lose at least half y...tom: good question. You could lose at least half your liver, one kidney, your stomach (although you'd need vitamin B12 injections), your pancreas (although you'd have to take insulin and digestive enzymes), over half your small intestine, all of your large intestine, one lung. Thyroid (take pills), adrenals (take pills). Thymus (after infancy).Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-37068930929583856122007-06-26T09:46:00.000-07:002007-06-26T09:46:00.000-07:00So, now I have learned from your blog as well as a...So, now I have learned from your blog as well as a few other medblogs that I can do just fine without my spleen, gallbladder, and appendix. I'm curious-just how many body parts could I function without? If you stripped the human body down to its most essential needs, just how many bits are superfluous?Tanyahttps://www.blogger.com/profile/18251939474636133817noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-89970973006971318832007-06-25T05:39:00.000-07:002007-06-25T05:39:00.000-07:00Nice explanation. And I remember those days of DP...Nice explanation. And I remember those days of DPL so you wouldn't miss a spenic injury. Dates us, doesn't it?rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.com