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'surgery' posts

When you should seek treatment for abdominal pain

As a general surgeon, the majority of my practice is spent evaluating patients with abdominal pain and deciding whether the cause of their pain requires surgical treatment. These patients are only a small fraction of the number of people who seek medical attention for abdominal pain. Abdominal pain is fairly common and something almost all of us have experienced. Usually it is not cause for alarm and resolves on its own after a limited course if we wait and treat symptomatically. We have all had a moment however when we wondered whether this time was more serious, and how would we know if it was?

Every organ in the abdomen and pelvis (including the muscles and skin of the abdominal wall) has nerve endings and can cause pain. While nearly everyone has experienced abdominal pain, it is usually self limited and mild. Think antacids for heartburn symptoms, diet modifications for food intolerances, fluids and time for gastroenteritis, stool softners for constipation. While more severe causes of abdominal pain are rare, it is important they are recognized as they may have more severe consequences to health.

Only 15%-20% of people with abdominal pain require surgical treatment (this number increases with age). The most common reasons for surgery are  ...

The Impact a Breast Reduction can Make

Am I Operating on Your Pain or Anxiety?

I have noticed this year that many patients with significant structural anatomic problems will improve or resolve their symptoms without surgery after engaging in a self-directed structured approach.  It appears that as the nervous system calms down that the pain threshold rises.

Surgical decision-making

The barometer I use before I help patients make the final decision about whether to have surgery is whether they are sleeping well and their anxiety levels have dropped under a 5 on a scale of 10. My experience with performing surgery on a patient with a “fired up” nervous system has consistently been less than satisfactory. Pain control is difficult and even the longer-term results are marginal. There is often still a significant amount of residual pain.

I recently saw ....

Taking the Mystery Out of Robotic Surgery

Robots? Surgery?
 
The da Vinci® Surgical System is not an R2-D2™ or C-3PO™ robot. It is technology that helps surgeons perform delicate operations. Robotic surgery got its name because the surgeon does not directly hold the surgical instruments.
 
Robotic surgery is minimally invasive. It allows a surgeon to operate through several tiny incisions, rather than one large incision.
 
“Robotic surgery instruments are flexible. They mimic the surgeon’s hands and wrists,” says ...

Swedish Digestive Health Network – call 1-855-411-MYGI (6944)

In the fall of 2011, Swedish opened the largest, most advanced endoscopy center in the Pacific Northwest. This state-of-the-art unit serves as the procedural space for a broad range of minimally invasive cases performed by gastroenterologists, colorectal specialists, thoracic and bariatric surgeons and pulmonologists on patients with a broad range of digestive and respiratory diseases.  As we celebrated this accomplishment, we were reminded of the complexity of digestive disease and that many times, patients and possibly even referring physicians aren’t sure of what type of specialist is best suited to a particular digestive problem.

There is nothing more distressing as a health care professional than hearing patient horror stories about trying to access care. A chronic illness can cause depression and discouragement; an acute illness or a cancer diagnosis can overwhelm the patient and the patient’s family with plenty of unknowns. 

To address these challenges, a group of 50+ specialists came together and created the Swedish Digestive Health Network.

The Swedish Digestive Health Network focuses on collaboration to ease the way for ...

Dozens of Swedish-Affiliated Physicians Recognized as 'Top Doctors' by Their Peers



SEATTLE, August 16, 2013 - Now in its 13th year, Seattle magazine recently published the results of their annual 'Top Doctors' survey in the July issue. As in past years, dozens of Swedish-affiliated (or credentialed) physicians were recognized in the popular issue due to being nominated by their peers.

Additionally, Seattle Metropolitan magazine published the results of its 'Top Doctors' survey in the August issue, in which dozens of Swedish-affiliated (or credentialed) physicians were also featured

 

A New Contribution to Cardiothoracic Surgical Education

There is nothing more satisfying for a clinician than when a patient understands their ailment, comprehends the nature of the pathology involved, and is clear on the treatment/procedure they are about to undergo. This "satisfaction" is a joyous emotion reflecting successful communication -- it is what parents feel when their children first begin to read, and what educators aspire to when their students master the material at hand.

It is a privilege to share our most recent contribution to the cardiothoracic surgery community, the TSRA Primer of Cardiothoracic Surgery...

 

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