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May 11, 2006May 10th, 2006Harvard Study Finds 40% of Malpractice Suits Groundless In what to many doctors no doubt seems like a low number, a new study out shows that 40% of all malpractice cases filed have no merit and do not involve medical error. Copyright 2006 Insidesurgery.com Ludwig’s Angina – Part 5May 10th, 2006In addition to securing early control of the airway and culturing the patient and starting antibiotics, most experienced practitioners who treat this disease also obtain an urgent computed tomography (CT) with thin cuts should be obtained. The patient should not be sent to the CT suite unescorted by a physician with an uncontrolled airway. Surgical incision and drainage (in the operating room if necessary) should be performed if there are any accessible fluid collections seen on CT. Definitive dental treatment must be undertaken if there before antibiotics can be stopped, if this was the underlying etiology. Copyright 2006 Insidesurgery.com May 10, 2006May 10th, 2006Police Surgeon Dumps Confidential Sex Crimes Records in Public Trash A British Police Surgeon carelessly discarded hundreds of confidential medical records of victims of sex crimes and child abuse in a dumpster by the side of the road. Medical and police authorities in the UK are investigating why Dr. Kameran Kader did not properly retain and safeguard these records, who has said that he was undergoing personal problems at the time and wanted to discard the records so he would not have to transport them when he moved residences. May 6, 2006May 6th, 2006Ludwig’s Angina – Part 4 In addition to controlling the airway extremely early in the disease course, most physicians will treating this condition will obtain mouth and blood cultures and then give broad-spectrum antibiotics such as high-dose penicillin G or clindamycin and metronidazole (Flagy). As the culture results become available, the antibiotics should be adjusted accordingly. Patients generally are kept on antibiotics for as long as cultures are positive or for 4-6 weeks if the cultures are negative. Copyright 2006 Insidesurgery.com Ludwig’s Angina – Part 3May 5th, 2006The urgent concern on initial evaluation of a patient with Ludwig’s angina is the potential for rapid and complete obstruction of the airway. Many experienced physicians will place a breathing tube into the patient’s trachea May 5, 2006May 5th, 2006Scottish Surgeon Acquitted of Wife Beating – After Admitting His Guilt to Police Prominent surgeon Eugene Wheelwright was acquitted of assaulting his wife after his wife refused to press charges and his defense attorney called the police evidence incompetent – despite the fact that Wheelwright admitted to the investigating police that he slapped his wife so hard that she fell and lacerated her head, causing profuse bleeding. The alleged inciting event was Mrs. Wheelwright confronting her husband over a supposed affair with a colleague. Editor’s note - how many more centuries is this type of garbage going to go on for? Copyright 2006 Insidesurgery.com Recreating John F. Kennedy’s Medical ChartMay 4th, 2006One of the reasons that I do not watch medical shows on television is that they are just too “inexact” for me. I admit that I have a surgeon’s personality in the sense that I want to know every single last detail – the specifics of when, what, how, and for how long. When I can’t get that information I go into “tilt” mode slightly and it ruins my enjoyment of the show. I ran into the same type of problem with the last book I read. It was called Reckless Youth by Nigel Hamilton and is May 4, 2006May 4th, 2006Air Force to Get New Top Doctor The United States Air Force has announced that Maj Gen (Dr.) James G. Roudeboush has been nominated to the next surgeon general of the Air Force. If confirmed by the United States Senate, he will also be promoted to the rank of Lieutenant General. He is a family practitioner by training. Arizona Eye Surgeon Found Guilty of Conspiracy to Commit Murder Dr. Bradley Schwartz was found guilty of conspiracy to commit murder today, but the Arizona jury could not reach a verdict on the first degree murder charge. Schwartz was found guilty of taking part in the murder of his former partner Dr. David Stidham, who quit their joint practice when Schwartz was convicted on prescription fraud. May 3, 2006May 3rd, 2006Prominent Indian Politician Pramod Mahahan Dead at the Age of 56 Pramod Mahahan died of injuries related to his multiple gunshot wounds sustained 12 days ago after his brother shot him in a fit of rage. His treating physicians stated that he had been suffering from acute respiratory distress syndrome that ultimately caused his demise. Ludwig’s Angina – Part 2May 2nd, 2006Ludwig’s angina is associated with serious complications, including inflammation in the chest cavity (mediastinitis), pus in the chest cavity (thoracic empyema), inflammation of the sac surrounding the heart (pericarditis), fluid around the heart (pericardial tamponade), and sepsis. The most common cause of Ludwig’s angina is a dental infection, such as an abscess in the tooth roots or severe gum disease (gingivitis). However, it can also occur in patients that are immunosuppressed, such as HIV/AIDS and patients who have received organ or bone marrow transplants. |
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