Young Girl after appendectomy with her bunny “Luna”
I feel blessed and have long wanted to give back to those in need. My daughter had been on 4 other humanitarian missions in Haiti, Uganda, Honduras and India. She finally talked me into joining her. In July, my daughter (an ER nurse at Stanford University Hospital) and I went to Chone, Ecuador to serve on a humanitarian mission at The General Hospital. In 2016, the original hospital collapsed during a devastating earthquake and now the people of Chone are served in tents and mobile buildings. Patients often wait 6 months to see a surgeon and another 6 months to have their operation. When we arrived, patients were already waiting under a tarp outside to see us. My office was a tent, luckily with air conditioning! The operating room was better than I expected and was located in one of the portable…
Marijuana is now legal in many states and it is important to understand the effects on the human body. Marijuana has two active molecules: Cannabidiol (CBD) and Tetrahydrocannabinol (THC). CBD the non-psychoactive component and CBD is legal in the USA. THC is the psychoactive component (it produces a “High” for the user) and will affect cognition. THC is not legal in many states.
CBD decreases inflammation, reduces nausea, helps alleviate pain, and is an anxiolytic. THC also helps relieve pain and nausea and it also improves appetite and decreases muscle spasms. The “High” associated with TCH and its effect on cognition is not tolerated by some patients.
But most patients find that combining CBD and THC yields the best result.
Forms of Marijuana
Some Marijuana products are CBD dominant (the product contains more CBD than THC), and some Marijuana products are THC dominant (the product contains more THC than CBD).…
You had your hernia repaired and you are on your way home from the surgery center. You are hot and sweaty from the car ride. Your skin is itchy from the betadine skin prep, and you are starting to smell. You have a box of baby wet wipes, but you really want a shower. Is it safe to get naked and jump in the shower?
After your surgery, the body immediately starts the healing process. After 12 hours, the skin is healed enough to prevent bacteria from entering through the incision. So 12 hours after your hernia repair feel free to take off the gauze and the tape and take a shower. Soap will not hurt the incision.
Afterward, you can leave the incision open to the air. If there is some drainage, put a fresh bandage on overnight.
Only one person in the shower with you until you feel…
It Would Be Nice everyone’s body was exactly the same on the inside. That way it a surgeon would always know where important structures were located and therefore during surgery, these vital structures could be quickly identified and protected. But the human body makes its own decisions and does not always follow the rules found in the anatomy books.
During hernia repairs, the nerves are the structure most commonly in the “wrong place”.
In the anatomy books, the genital nerve usually is on the posterior aspect of the cord, but it can be found on the floor of the inguinal canal or along the inguinal ligament. The Ilioinguinal nerve usually runs on the anterior aspect of the spermatic cord, but it can run along the internal oblique muscle. The iliohypogastric nerve usually runs along the anterior aspect of the internal oblique muscle, but it can be found traveling within the…
There is a sign in my Auto Mechanic’s shop that says:
“I Cheat the Other Guy and Pass the Savings on to You.”
I smile every time I read the sign. But in a way, this message also applies to surgeons.
No one is perfect (except for my daughter) and during every operation, the surgeon should think, “Could I have done that operation a little bit better?” A good surgeon will then incorporate those improvements into the next operation.
To update my mechanic’s sign:
“I learned from the operation on the previous patient and pass that experience on to You.”
Please do not hesitate to contact me about your sports hernia or your classic hernia.
Bill Brown, M.D.
Do Older Surgeons have Better Results than Younger Surgeons?
The last time I flew, the pilot was a 60 plus year old man with gray hair. It made me think, do I want and old and experienced pilot or would it be better and safer to have a young pilot. After all, my life was in his hands.
I ask myself that question all the time. Am I still mentally and physically capable to provide excellent care to my patients. Every time I examine a patient or perform an operation I ask myself is there a way that I can do this better. I truly believe that I am better surgeon now than when I first graduated.
Below is an article that compares the results of operations performed by young surgeons and older surgeons. I am glad to say that the gray haired surgeons had better results. Old and experienced…