Voice Archives: OnSurg Founder Chris Porter MD
Happy Nurses Week
When I was an intern staring blankly at a dropping pressure tracing, nurses said things like do you want to start Dopamine? When I struggled to place a PA catheter, nurses said things like that looks like right ventricle. One … Continue reading
Treating Hemorrhoids: What’s New
The upshot: New: doppler-guided hemorrhoidal artery ligation is a technique under study. Stapled hemorrhoidectomy (like laser therapy twenty years ago) has NOT proven to be superior to common techniques. I recently watched a webcast of presentations from the American College of … Continue reading
Fistula in Ano: What’s New
Fibrin glue? Fistula plug? LIFT technique? What’s fad and what works for fistula in ano? I recently watched a webcast of presentations from the American College of Surgeons 2012 meeting, which I link here for reference integrity and because the content is excellent. … Continue reading
Diverticulitis: What’s New
Evolving management of diverticulitis in the US strikes me as a nice example of the shift from dogma to evidence-based surgical practice. Add diverticulitis to the dwindling-indications-for-surgery list, alongside splenic trauma, asymptomatic groin hernia, paraesophageal hernia, GI bleed, mastectomy, penetrating … Continue reading
Training after Training
Many surgeons who’ve completed general surgery training are not ready for practice, says this announcement from the American College of Surgeons (ACS) February 2013 Bulletin. A fellowship is therefore under development: ACS Transition to Practice General Surgery Fellowship Program. [Suggested alternative … Continue reading
Safe Surgeon
Am I safe surgeon, or merely a board certified one? I usually spend Tuesdays fixing elective hernias. But the other day I was asked to clear a c-spine, handle an unexpected gynecologic finding, manage a pediatric trauma, resuscitate a septic … Continue reading
My Online Pain Score
My online pain score is 10 out of 10 today as I attempt to access webcasts produced by my professional organization. The scale is as follows: Pain score 1-2 Slow connection on static pages Pain score 3-4 Slow connection on … Continue reading
Healthy Options
Why have hospital cafeterias been excused from our health mission? Is Frito Lay forging doctor’s notes? During residency I spent a month at a hospital that contained a Wendy’s. The irony wasn’t lost on me. Over late-night double bacon cheeseburgers, … Continue reading
Sudan Saga: Level Four Threats
South Sudan’s recent appearance in the news prompted Dr Porter to post this series recounting his experience operating on the Nile riverbank in 2007. After the last generator shuts off at night, animals and bugs are the only sounds. There … Continue reading
South Sudan: Level Three Threats
South Sudan’s recent appearance in the news prompted Dr Porter to post this series recounting his experience operating on the Nile riverbank in 2007. The operating room is better known as the operating theatre in most of the English-speaking world. Cool, huh? Room is pretty … Continue reading
