-
-
Call more information
660-596-2224 -
Authors: Holst LB et al., N Engl J Med 2014 Oct 9; 371:1381 Transfusion thresholds of 7 g/dL or 9 g/dL yielded similar outcomes. Patients with septic shock are treated with early antibiotics, rapid fluid resuscitation, vasopressor/inotrope support, and blood transfusions. The Surviving Sepsis guidelines’recommendation for a transfusion hemoglobin target of 7 to 9 g/dL […]
Read MorePublished in Journal of Clinical Anesthesia (JCA) (Nov 2014) Authors: Zaphiratos V, McKeen D, Macaulay B, George R Anterior spinal artery syndrome has rarely been reported as a cause of permanent neurologic complications after neuraxial anesthesia in obstetric patients. A parturient developed anterior spinal artery syndrome after spinal anesthesia for cesarean delivery. A healthy 32-year-old […]
Read MoreAuthors: Guo Ming-gao et al Published in World Journal of Surgical Oncology 2014, 12:386 doi:10.1186/1477-7819-12-386 Background The purpose of this research was to assess the characteristics of octogenarian patients with colorectal cancer and compare specific outcomes due to different types of surgical procedures used to treat the disease. Methods A total of 346 octogenarian patients […]
Read MoreRegardless, health care providers who speak ill of epidurals are uninformed and I have to ask what they are really afraid of? A unmedicated delivery is not better in any medical sense it’s simply a choice. To make an informed choice you need facts not fear. To put this post in perspective the pain of […]
Read MoreThis allows us to compare our income to our colleagues. Between the new value-based care models, M&A activity and innovations in healthcare, it is valuable to track compensation to evaluate and compare how changes will affect physicians. Especially as fewer physicians strike out on their own and hospitals look to attract new recruits, compensation data […]
Read MoreRecent findings indicate that symptoms persist throughout adolescence and young adulthood for the majority of fibromyalgia patients. Recommended treatments continue to be interdisciplinary and may involve parental guidance and family support for lifestyle changes. By Susan T. Tran, PhD, Tracy V. Ting, MD, MSc and Susmita Kashikar-Zuck, PhD Juvenile fibromyalgia (JFM) is a chronic rheumatologic […]
Read MoreThis review article highlights current knowledge on the association between low back pain and smoking, with an emphasis on the role of nicotine. By Bilal F. Shanti, MD and Ihsan F. Shanti, MD, PhD An estimated 1 in 5 adults in the United States uses tobacco products every day or some days. This equates to […]
Read MoreEpidural injections of steroids may have only a small effect in preventing or delaying the need for spinal surgery for low back pain when compared to other treatments, according to a review and meta-analysis of several randomized controlled trials (RCT). The results were mixed: Injections reduced the need for surgery in some patients, but this […]
Read MoreA patient whom I’d been treating with opioids for chronic back pain the family claimed they tried to call me to tell me about my patient’s drug addiction but that I’d refused to talk with them. The fact is, I did decline to take the phone call, and it was because the patient hadn’t given […]
Read MoreOrthopedic surgeons are best, and anesthetists worst, at predicting operating theater time, according to orthopedic surgeons from New Zealand. “Our hypothesis going in was that the anesthetic time would be longer than they expected, as surgeons have become very good at predicting the time they require in recent times, potentially as a results of the […]
Read More