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

Рatient declining operation

I would like to share with you rather an incredible experience I had during my last on-call weekend and would like to invite some comments on ethical issues regarding the case.

Best method of diagnosing appendicitis

Appendicitis is many diseases: recent posts on one best method of diagnosing appendicitis ignore something basic, which applies to surgical conditions generally. Here are some varieties of appendicitis which I hope others will recognise. [Level 5 or

Complicated hepatectomies

I crossed the East River and went to Sloan Kettring to see how Dr. Blumgart does “complicated hepatectomies”. A few of you may be interested in the following:

Biliary Colic, No Stones

I recently saw a 36 year old woman who has a 7 month history of “classic” biliary colic: recurrent post-prandial right upper quadrant pain radiating through to the back, associated with nausea but no vomiting, exacerbated by

Duodenal Varices

65 year old man with a history of chronic pancreatitis. 15 years ago he had gallstone induced pancreatitis, originally treated with cholecystectomy. Had a prolonged course, eventually developing infected pancreatic necrosis. This was treated with multiple debridements

A case of intra-abdominal abscesses

I could really use some helpful suggestions and thoughts about the following case of intra-abdominal abscesses. All patients are special and deserving of this best, this one though happens to be my older brother.

Treatment of AAA/Dissecting Aneurysms

Recently, the Medical Director of our Air Ambulance Program asked me about the use of Beta Blockers and other “sheer force” reducing medications for the treatment of Abdominal Aortic Aneurysms. It was his belief, that in Abdominal

Surgical diseases of muscles and tendons

In many conditions involving muscles and/or tendons, surgery may be the treatment of choice. Various pathological states occur.

Injuries of the skeletal system

The most common afflictions of the skeletal system are those induced by injury. In modern times injuries are encountered at an ever-increas­ing rate. Many councils and organizations direct their purpose at the prevention of injuries and have