Showing posts with label Complications. Show all posts
Showing posts with label Complications. Show all posts

Thursday, March 3, 2011

Check Out Complications: A Surgeon's Notes on an Imperfect Science for $4.98

Complications: A Surgeon's Notes on an Imperfect Science Review








Complications: A Surgeon's Notes on an Imperfect Science Feature



  • ISBN13: 9780312421700
  • Condition: New
  • Notes: BRAND NEW FROM PUBLISHER! BUY WITH CONFIDENCE, Over one million books sold! 98% Positive feedback. Compare our books, prices and service to the competition. 100% Satisfaction Guaranteed






Complications: A Surgeon's Notes on an Imperfect Science Overview



In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.






Complications: A Surgeon's Notes on an Imperfect Science Specifications



Gently dismantling the myth of medical infallibility, Dr. Atul Gawande's Complications: A Surgeon's Notes on an Imperfect Science is essential reading for anyone involved in medicine--on either end of the stethoscope. Medical professionals make mistakes, learn on the job, and improvise much of their technique and self-confidence. Gawande's tales are humane and passionate reminders that doctors are people, too. His prose is thoughtful and deeply engaging, shifting from sometimes painful stories of suffering patients (including his own child) to intriguing suggestions for improving medicine with the same care he expresses in the surgical theater. Some of his ideas will make health care providers nervous or even angry, but his disarming style, confessional tone, and thoughtful arguments should win over most readers. Complications is a book with heart and an excellent bedside manner, celebrating rather than berating doctors for being merely human. --Rob Lightner



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Wednesday, February 9, 2011

Check Out Complications: A Surgeon's Notes on an Imperfect Science for $7.35

Complications: A Surgeon's Notes on an Imperfect Science Review








Complications: A Surgeon's Notes on an Imperfect Science Feature



  • ISBN13: 9780312421700
  • Condition: New
  • Notes: BRAND NEW FROM PUBLISHER! BUY WITH CONFIDENCE, Over one million books sold! 98% Positive feedback. Compare our books, prices and service to the competition. 100% Satisfaction Guaranteed






Complications: A Surgeon's Notes on an Imperfect Science Overview



In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.






Complications: A Surgeon's Notes on an Imperfect Science Specifications



Gently dismantling the myth of medical infallibility, Dr. Atul Gawande's Complications: A Surgeon's Notes on an Imperfect Science is essential reading for anyone involved in medicine--on either end of the stethoscope. Medical professionals make mistakes, learn on the job, and improvise much of their technique and self-confidence. Gawande's tales are humane and passionate reminders that doctors are people, too. His prose is thoughtful and deeply engaging, shifting from sometimes painful stories of suffering patients (including his own child) to intriguing suggestions for improving medicine with the same care he expresses in the surgical theater. Some of his ideas will make health care providers nervous or even angry, but his disarming style, confessional tone, and thoughtful arguments should win over most readers. Complications is a book with heart and an excellent bedside manner, celebrating rather than berating doctors for being merely human. --Rob Lightner



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*** Product Information and Prices Stored: Feb 09, 2011 20:18:06

Friday, November 5, 2010

Check Out Complications: A Surgeon's Notes on an Imperfect Science for $3.95

Complications: A Surgeon's Notes on an Imperfect Science Review




I enjoy reading about science/medical issues but have more of a liberal arts background than anything else and found this book nearly impossible to put down. A little bit into reading it, I jumped into the pool to track down my husband to let him know that if ever we or anyone we knew needed hernia surgery, there was a specific place in Canada we needed to go to. I was equally delighted to report to him about the uncertainty of the cause of panic attacks in a man who was having separate brain surgery and when they zapped a specific area in the brain, for which the response was normally a tickling sensation in the chest area, he responded with full-blown panic attack symptoms. That was the appeal of this book - balancing the known and the unknown of medicine and attempting to convey things in a way that made sense and allowed the reader to use the information and speculate on what was unknown.
The book is broken up into a series of essays, but they don't read like essays that were independently published and in fact, I did not know that they were until I'd finished the book. It reads quite smoothly. I found that there was an enormous amount of practical information, a decent amount of humility, and an attempt to explain the failings of medicine to solve all of man's problems, all from the perspective of someone who is often looking at these issues through the lens of surgery, which is typically how people look at medicine since it's the most tangible way to approach these things. Clearly, Gawande is a balanced and well-rounded individual - the book contains the only information I've ever come across about gastric bypass surgery outcomes that makes sense, despite it not being certain - and this from someone who clearly has never dealt with the complex issues those who need the surgery have.
In sum, an excellent book, easy pretty short read.





Complications: A Surgeon's Notes on an Imperfect Science Feature



  • ISBN13: 9780312421700
  • Condition: New
  • Notes: BRAND NEW FROM PUBLISHER! BUY WITH CONFIDENCE, Over one million books sold! 98% Positive feedback. Compare our books, prices and service to the competition. 100% Satisfaction Guaranteed






Complications: A Surgeon's Notes on an Imperfect Science Overview



In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.






Complications: A Surgeon's Notes on an Imperfect Science Specifications



Gently dismantling the myth of medical infallibility, Dr. Atul Gawande's Complications: A Surgeon's Notes on an Imperfect Science is essential reading for anyone involved in medicine--on either end of the stethoscope. Medical professionals make mistakes, learn on the job, and improvise much of their technique and self-confidence. Gawande's tales are humane and passionate reminders that doctors are people, too. His prose is thoughtful and deeply engaging, shifting from sometimes painful stories of suffering patients (including his own child) to intriguing suggestions for improving medicine with the same care he expresses in the surgical theater. Some of his ideas will make health care providers nervous or even angry, but his disarming style, confessional tone, and thoughtful arguments should win over most readers. Complications is a book with heart and an excellent bedside manner, celebrating rather than berating doctors for being merely human. --Rob Lightner



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Complications: A Surgeon's notes - Paul -
Excellent book on the difficulties and ambiguities Surgeon's are faced with, and their skill and courage to make decisions and act.










A bipolar book - penorman -
I loved the first third of the book, because Gawande was relating his own personal experiences as a resident learning how to be surgeon. I thought those chapters were compelling because they was based on his own direct and often dramatic experiences. The rest of the book is very different. It is standard 'reporting' on various medical conditions not based on his own direct experience as a doctor, but based on things he has read, and interviews he has conducted. It is stuff that any reporter could have written, and lacks the immediate and personal nature of the first third of the book.

Parenthetically, this is the same transition that Jerome Groopman went through in New Yorker articles -- the first of which were riveting accounts of his own experiences as an oncologist dealing with specific patients. His later articles, like the last two thirds of Gawande's book, were dry "reporting" on medical issues.





Good read - S. R. Schnur - ME USA
It could well be that you will refuse to go to a hospital for anything if you read this book, but I found it fascinating. It is in three parts: Part one about the fallibility of doctors; part two about mysterious things doctors can't cure, and part three about the uncertainty of medicine. Throughout the book this interesting author holds the reader's attention.

When I was in college many years ago, my summer job was as a nurse's aide in a teaching hospital. After any death, the hospital asked the patient's family if they could perform an autopsy. Where I live now I understand the family has to actually pay if they want an autopsy. How in the world can doctors improve themselves if that is the case? I would jump at the chance for having a definitive answer about a loved one's death. Apparently, even when the doctor isn't sure why his/her patient died, he/she doesn't like to ask for an autopsy. I find that weird.

Any, I loved this book and will read all this doctor writes because his writing draws the reader in.







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Saturday, September 18, 2010

Check Out Custom LASIK: Surgical Techniques and Complications for $79.80

Custom LASIK: Surgical Techniques and Complications Review










Custom LASIK: Surgical Techniques and Complications Overview



Comprehensive reference includes the latest in wavefront technology, new microkeratome instruments, and recent surgical procedures, in addition to various complex cases and complications. High-quality color illustrations demonstrate various procedures and concepts. Previous edition, c2000, was titled LASIK: Surgical Techniques and Complications.





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Lots of new topics covered, less emphasis on the essentials - Tintin - Dallas, Texas United States
In an effort to provide the readers with the latest advances on the topic, the authors ignore the fundamentals of the LASIK procedure, wavefront physics, and the customized treatment and go in breadth over a myriad of topics that are of less importance. In addition, the book is not well structured and chapters are spread out haphazardly throughout the book, not following any logical order. The chapters themselves are not organized, lack the recapitulating tables that the previous editions had, have little references listed and most of the times no references at all. Obviously written quickly and hastily by a mercenary of authors, it doesn't live up to the hype.

















*** Product Information and Prices Stored: Sep 19, 2010 01:35:21

Sunday, August 8, 2010

Check Out LASIK Complications: Trends and Techniques for $60.00

LASIK Complications: Trends and Techniques Review




This book provides good insight to professionals who want to know the basics of dealing with LASIK complications. However, it is not a stand alone book by any means. One of the best parts of the book were the cases at the end







LASIK Complications: Trends and Techniques Overview



Look to the authority on LASIK complications for the latest developments involving this corrective procedure. LASIK Complications: Trends and Techniques, Third Edition thoroughly reviews preoperative, intraoperative, and postoperative complications and the management of these complications.

As with previous editions, LASIK Complications maintains the concise and practical format that makes it invaluable for the office and operating suite. By utilizing this approach, Drs. Howard V. Gimbel and Ellen E. Anderson Penno clearly explain the most popular surgical procedures available to LASIK surgeons and successful strategies used by expert surgeons. Informative tables and a comprehensive index are provided for easy navigation and understanding of various complications.

New to this third edition are the popular topics of wavefront mapping, custom ablation, LASEK, and ultrafast lasers in refractive surgery. Articles from experts complement information on patient testing, treatment, and outcomes for each of these topics. Surgeons looking to keep pace with the optimum ways to manage complications and complicated cases will find these sections particularly informative.

With the inclusion of dynamic new procedures, effective strategies to manage complications, and informative tables, LASIK Complications: Trends and Techniques, Third Edition is the one resource LASIK surgeons need by their side.

New Topics Include:

  • The Wavefront Revolution
  • Custom Ablation
  • LASEK
  • Ultrafast Lasers in Refractive Surgery
  • Special LASIK Cases






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Wednesday, July 28, 2010

Check Out LASIK (Laser in Situ Keratomileusis): Fundamentals, Surgical Techniques, and Complications (Refractive Surgery) (v. 1) for $63.60

LASIK (Laser in Situ Keratomileusis): Fundamentals, Surgical Techniques, and Complications (Refractive Surgery) (v. 1) Review










LASIK (Laser in Situ Keratomileusis): Fundamentals, Surgical Techniques, and Complications (Refractive Surgery) (v. 1) Overview



Harvard Medical School, Boston, MA. First volume in series is a reference on current surgical techniques and tools to improve the quality and efficiency of laser eye treatments and minimize the incidence of post-operative complications. Emphasizes in-depth pre-operative patient evaluation, preparation, and selection.





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*** Product Information and Prices Stored: Jul 29, 2010 01:57:18

Sunday, June 13, 2010

The Long Term Complications of Radial Keratotomy

Radial Keratotomy (RK) has been referred to by some as the "Grand Father" of Refractive Surgery. It involved making radial incisions in the cornea some times as deep as 80% of the total corneal thickness in an attempt to flatten the tissue. Astigmatism was treated with specific incisions located in strategic parts of the cornea. The astigmatic incisions were done first, since they created more nearsightedness and when they healed, the radial ones were performed. The optical zone around the pupil varied depending on the degree of nearsightedness that needed to be corrected.

Having seen many thousands of patients that underwent this procedure, I can say with confidence that most complained of glare and the vast majority regressed and required eye glasses not long after the surgery. That period varied from several months to many years. The "father of RK" was Dr. Fyedorov who did his research, and refined his technique on thousands of "very willing" citizens of the Soviet Union. During that time in the 70's and 80's his reported results were outstanding. To date it is very hard to find any negative results or complaints from his work. Evidently the Soviet Union may have had a hand in his clinical data reported for public consumption.

RK was brought to the United States by 5 American eye surgeons, two of the most well known being Dr Norman Stahl and Dr Jerry Zelman. They both travelled to Moscow to study with Dr Fyedorov, and I even had the pleasure of being in the office with Dr Stahl when Dr Fyedorov visited him in his Garden City, Long Island office. Dr Stahl was an outstanding doctor and surgeon, and personally performed many thousands of RK procedures. In the short term, most patients were happy with the results. However, where are these patients today? How do they see and what do their corneas look like so many years after having surgery?

I have had the pleasure of examining a number of these same patients years after their procedure. Most, if not all of these folks that I examine require an eyeglass prescription. Most are farsighted, and have a significant degree of astigmatism as well. Their prescriptions are generally unusual, and have acquired unconventional astigmatism. Another very common finding is the presence of a brown semicircular ring in the inferior half of the cornea. The inner most layer of the cornea is a single layer thick, and when RK was performed that layer was stretched thin as required to cover a larger area. Its function is to pump fluid out of the cornea, and keep it at the proper hydration level. However, as this thin layer was stretched out its function was negatively affected. As a result, it left the heaviest materials behind; Iron. Therefore, this brown deposit is iron left in the cornea by a weakened endothelium layer. It does not appear to have any visual effect, or create any physiological determent, but is a constant. What the future holds for these patients is still a question mark.

The big question is why all these patients are farsighted, and what can be done about it. The answer to the first question is still a mystery. It is possible that they were deliberately over corrected to compensate for the regression or more likely, the corneas were so weakened by the RK that they became flatter over time, and warped causing the astigmatism. Unfortunately, both Drs Stahl and Zelman have passed away and are not available for consultation regarding this matter. A weakened cornea is free to change with out any guidance, since both internal and external pressures can reshape it. The one constant is that they all need some refractive help. In fairness to all the RK surgeons, today's technology was not available to them. There were no topographers, no Orbscans, and many other measuring instruments that we routinely use today. In addition, surgical calculations were made on a regular refraction. The FDA and all the surgeons did not require cycloplegic refractions which eliminate any spasms of the focusing system abnormalities from impacting the presurgical calculations.

Many of these patients are having PRK as a way of correcting their vision and improving their distorted vision. At least today's technology has corrected the errors of the past. One must question if 20 years from now we will be having the issues about LASIK or PRK.

Wednesday, March 24, 2010

The Long Term Complications of Radial Keratotomy

Radial Keratotomy (RK) has been referred to by some as the "Grand Father" of Refractive Surgery. It involved making radial incisions in the cornea some times as deep as 80% of the total corneal thickness in an attempt to flatten the tissue. Astigmatism was treated with specific incisions located in strategic parts of the cornea. The astigmatic incisions were done first, since they created more nearsightedness and when they healed, the radial ones were performed. The optical zone around the pupil varied depending on the degree of nearsightedness that needed to be corrected.

Having seen many thousands of patients that underwent this procedure, I can say with confidence that most complained of glare and the vast majority regressed and required eye glasses not long after the surgery. That period varied from several months to many years. The "father of RK" was Dr. Fyedorov who did his research, and refined his technique on thousands of "very willing" citizens of the Soviet Union. During that time in the 70's and 80's his reported results were outstanding. To date it is very hard to find any negative results or complaints from his work. Evidently the Soviet Union may have had a hand in his clinical data reported for public consumption.

RK was brought to the United States by 5 American eye surgeons, two of the most well known being Dr Norman Stahl and Dr Jerry Zelman. They both travelled to Moscow to study with Dr Fyedorov, and I even had the pleasure of being in the office with Dr Stahl when Dr Fyedorov visited him in his Garden City, Long Island office. Dr Stahl was an outstanding doctor and surgeon, and personally performed many thousands of RK procedures. In the short term, most patients were happy with the results. However, where are these patients today? How do they see and what do their corneas look like so many years after having surgery?

I have had the pleasure of examining a number of these same patients years after their procedure. Most, if not all of these folks that I examine require an eyeglass prescription. Most are farsighted, and have a significant degree of astigmatism as well. Their prescriptions are generally unusual, and have acquired unconventional astigmatism. Another very common finding is the presence of a brown semicircular ring in the inferior half of the cornea. The inner most layer of the cornea is a single layer thick, and when RK was performed that layer was stretched thin as required to cover a larger area. Its function is to pump fluid out of the cornea, and keep it at the proper hydration level. However, as this thin layer was stretched out its function was negatively affected. As a result, it left the heaviest materials behind; Iron. Therefore, this brown deposit is iron left in the cornea by a weakened endothelium layer. It does not appear to have any visual effect, or create any physiological determent, but is a constant. What the future holds for these patients is still a question mark.

The big question is why all these patients are farsighted, and what can be done about it. The answer to the first question is still a mystery. It is possible that they were deliberately over corrected to compensate for the regression or more likely, the corneas were so weakened by the RK that they became flatter over time, and warped causing the astigmatism. Unfortunately, both Drs Stahl and Zelman have passed away and are not available for consultation regarding this matter. A weakened cornea is free to change with out any guidance, since both internal and external pressures can reshape it. The one constant is that they all need some refractive help. In fairness to all the RK surgeons, today's technology was not available to them. There were no topographers, no Orbscans, and many other measuring instruments that we routinely use today. In addition, surgical calculations were made on a regular refraction. The FDA and all the surgeons did not require cycloplegic refractions which eliminate any spasms of the focusing system abnormalities from impacting the presurgical calculations.

Many of these patients are having PRK as a way of correcting their vision and improving their distorted vision. At least today's technology has corrected the errors of the past. One must question if 20 years from now we will be having the issues about LASIK or PRK.

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