Medicine Archive

The patient encounter method

Surgical internship demands efficiency and neurotic attention to detail, 2 often opposing modi operandi. As the workhorse of the inpatient surgical team, you will need to perfect both. Toward this goal, we recommend you do the following:

Family planning in residency

Most residents begin their training in their mid-twenties and finish in the early to mid-thirties, which is the traditional time to start a family. Therefore, many residents will face the decision regarding how to best time this.

Tips for Managing Your Personal Life While in Residency

1. Prioritize your loved ones. Those who support us have to sacrifice a lot on our behalf. We are absent from our parents’ houses at many holidays, and, when we are there, we are likely napping. Our

Doctor, take care of your health!

Let me be honest: I struggle with this issue – I didn’t see a dentist for the first 3 years of residency, which is frankly disgusting. The standard advice is to exercise, eat healthy, and sleep as


It is the rare intern who is intuitively efficient. For most of us it involves reflection and practice. The most important thing you can do to be more efficient is to be constantly analyzing your behavior, looking

Some rules for interns

Some of your job as an intern is only indirectly related to patient care. While the rules below don’t tell you how to operate better, they will help you to be a more effective team member and

Why I talk to comatose patients

Why I talk to comatose patients By James J. McCague, MD The news of Henry Baker’s admission to intensive care distressed me. Henry, a retired executive whom I’d treated for a neurogenic bladder, had been my patient

Diseases of the thyroid gland

The thyroid gland is an H-shaped gland which lies in the front of the neck overlying the wind­pipe. It consists of a large lobe on each side, the lobes being connected by a narrow band called the

OPSI or spleen salvage

Some 15 years ago we had a severe Crohn’s patient with recurrent fistulae after multiple operations trying to close them. He was for a long period on home parenteral nutrition. Came in with overwhelming systemic pneumococcal infection

What is your DVT prophylaxis method of choice?

I practiced in centers in which “mini-heparin” was considered as the gold standard for DVT prophylaxis. Peri-operative heparin prophylaxis was used by us selectively according to well known protocols. My personal experience is not recorded- but for