Word: anesthesiologists
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...anesthesia at Massachusetts General Hospital, and colleagues published the first in a series of studies demonstrating that commonly used general anesthetics can cause cell death and plaque accumulation in brain cells - both potential hallmarks of dementia and Alzheimer's disease. More recently, at the Mayo Clinic, in Minnesota, anesthesiologist Dr. Robert Wilder published a study that found a link between exposure to anesthesia and surgery in infancy and learning disabilities later in life. Both doctors have since been approached with inquiries from concerned patients - but armed only with early data, neither can offer much reassuring advice. "What...
...operating room that the new way of doing things is most graphically illustrated. Surgery in the U.S. is billed the same à la carte way primary care is: separate charges for the hospital, the anesthesiologist, the lead surgeon, the post-op checkups, and on and on. Care itself can be similarly fragmented, with patients finding themselves in the hands of whoever happens to be on duty at any point in the day and a doctor on the night shift knowing little about a patient whose surgeon worked the day shift. Dr. Alfred Casale, Geisinger's chief of cardiothoracic surgery, tells...
...Still, experts are not willing to say that babies should never be given anesthesia. "We don't want to delay surgery or withhold surgery for the kids who need it," says Dr. Sulpicio Soriano, an anesthesiologist at Harvard Medical School and Children's Hospital in Boston. "But we need more research and clinical investigation to find new drugs and new combinations of drugs that can attenuate or mitigate the cognitive effects...
However, in one case where he was preparing to remove an adrenal tumor, the anesthesiologist realized during the checklist rundown that extra blood might be required but was not on hand. The blood was delivered to the OR - and the patient did need it during surgery. "I'm convinced that the fact that the anesthesiologist caught that was what saved this man's life," Gawande says, adding that his team averts at least one potential problem via the checklist every week...
...female nurse. During his time at Beth Israel, the suit alleges that Fischer’s habit of demeaning female co-workers continued. In the complaint, Warfield says that Fischer treated her and her female staff with disrespect, citing an instance where Fischer allegedly screamed at a female anesthesiologist in public. Paul F. Levy, the president of Beth Israel, is also a defendant in the suit, which accuses him of repeatedly failing to appropriately address the gender discrimination issues that Warfield raised. “Mr. Levy and the administration chose to stereotype Dr. Warfield by characterizing...